PROPHECY MEDICAL
SURGICAL-TELEMETRY CERTIFICATION
SCRIPT 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ Your patient starts to complain of difficulty breathing while laying down,
and states that he has been coughing up pink sputum. While performing
your assessment, you notice jugular vein distention and coarse crackles in
both lungs on auscultation. What diagnosis do you suspect?.
Answer: Congestive heart failure
◍ The patient has diltiazem HCl (Cardizem CD) ordered and is requesting the
capsule be mixed into her morning yogurt. How should you respond?.
Answer: "Sorry, it is a slow-release medication that cannot be opened or
crushed."
◍ You are caring for a patient with a history of diabetes mellitus. You walk
into the room and find the patient lethargic and diaphoretic. What is your
first action?.
Answer: Obtain capillary blood glucose level.
◍ After a patient completes dialysis, you should anticipate seeing an
improvement in which of the following lab values?.
Answer: NOT: ammonia
◍ Upon entering your patient's room, you note that they are having a seizure.
What is your FIRST action?.
Answer: Position the patient on their side to maintain the airway.
◍ Your 18-year-old female patient was admitted with dehydration secondary
to anorexia nervosa. During your assessment you note she has a flat affect
, and says, "I just want to die. I'm tired of my life." What should be your
FIRST intervention?.
Answer: Stay with the patient and ask fi she has a plan to carry out this wish.
◍ Which of the following actions would be considered a violation of Hyppa?.
Answer: Looking through the chart of a coworker admitted to your unit
◍ What diagnostic finding would support a diagnosis of deep vein
thrombosis?.
Answer: Positive D-dimer
◍ Your patient with
C. diff (Clostridioides difficile) has a family member about to leave the
room. What education about performing hand hygiene should you give?.
Answer: Hand hygiene with soap and water
◍ You are providing patient education to a patient prior to administering IV
Protonix.... When there is no history of GERD.
Answer: Protonix is given as G.I. prophylaxis to prevent stress ulcers
◍ You are to obtain informed consent for a Spanish-speaking patient
scheduled for surgery. You do not speak Spanish and are having difficulty
communicating with your patient. Which of the following resources would
be most appropriate to utilize in order to obtain consent?.
Answer: The hospitals language interpreter
◍ Your patient admitted for small bowel obstruction has been vomiting for the
last 3 days. What electrolyte imbalance would you expect to be associated
with this patient?.
Answer: Hypokalemia
◍ Deposition has ordered for your patience to begin a 24 hour urine collection.
Your patient voids for the first time two hours after the orders received.
What should be done with this urine sample?.
Answer: Discarded, then begin the 24 hour collection
◍ A patient suddenly complains of new onset of chest pain. The doctor is
, suspecting a possible?... What is most likely to be ordered?.
Answer: Morphine Duramorph, oxygen, nitrates, Aceticsalicylic acid, bayer
buffered aspirin
◍ Which of the following would be used as part of the preop procedure to
prevent infection?.
Answer: Prophylactic antibiotics
◍ You are caring for a combative 85-year-old male with a history of dementia,
CHF, UTI, and anemia. The family states he appears to be more confused
than his baseline. What tests do you expect the provider to order?.
Answer: Urinalysis with cultures, CBC
◍ Your patient takes 5 mg of warfarn (Coumadin/Jantoven) daily and reports
having black colored stool today. What do you most likely suspect?.
Answer: Gastrointestinal bleeding
◍ A patient has recently been diagnosed with terminal cancer. Her responses
are caustic and abrasive. What is the BEST way to respond?.
Answer: Acknowledge her feelings, understanding this is expected in the
grieving process.
◍ Your male patient complains of discomfort while inflating the balloon
during insertion of an indwelling urinary catheter. What would be the
MOST appropriate action?.
Answer: Deflate the balloon, advance the catheter further, then reinflate the
balloon
◍ Your patient is currently under 1:1 observation for suicide precautions. He
states he needs to have a bowel movement and would like some privacy to
use the bathroom. What is the MOST appropriate response?.
Answer: "I must be within an arms' length view of you at all times for your
safety, including while using the bathroom."
◍ Your 68-year-old patient is a Type 1 diabetic with a history of schizophrenia
and exhibits signs and symptoms of tardive dyskinesia. What long-term
medication is associated with signs and symptoms of tardive dyskinesia?.
SURGICAL-TELEMETRY CERTIFICATION
SCRIPT 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ Your patient starts to complain of difficulty breathing while laying down,
and states that he has been coughing up pink sputum. While performing
your assessment, you notice jugular vein distention and coarse crackles in
both lungs on auscultation. What diagnosis do you suspect?.
Answer: Congestive heart failure
◍ The patient has diltiazem HCl (Cardizem CD) ordered and is requesting the
capsule be mixed into her morning yogurt. How should you respond?.
Answer: "Sorry, it is a slow-release medication that cannot be opened or
crushed."
◍ You are caring for a patient with a history of diabetes mellitus. You walk
into the room and find the patient lethargic and diaphoretic. What is your
first action?.
Answer: Obtain capillary blood glucose level.
◍ After a patient completes dialysis, you should anticipate seeing an
improvement in which of the following lab values?.
Answer: NOT: ammonia
◍ Upon entering your patient's room, you note that they are having a seizure.
What is your FIRST action?.
Answer: Position the patient on their side to maintain the airway.
◍ Your 18-year-old female patient was admitted with dehydration secondary
to anorexia nervosa. During your assessment you note she has a flat affect
, and says, "I just want to die. I'm tired of my life." What should be your
FIRST intervention?.
Answer: Stay with the patient and ask fi she has a plan to carry out this wish.
◍ Which of the following actions would be considered a violation of Hyppa?.
Answer: Looking through the chart of a coworker admitted to your unit
◍ What diagnostic finding would support a diagnosis of deep vein
thrombosis?.
Answer: Positive D-dimer
◍ Your patient with
C. diff (Clostridioides difficile) has a family member about to leave the
room. What education about performing hand hygiene should you give?.
Answer: Hand hygiene with soap and water
◍ You are providing patient education to a patient prior to administering IV
Protonix.... When there is no history of GERD.
Answer: Protonix is given as G.I. prophylaxis to prevent stress ulcers
◍ You are to obtain informed consent for a Spanish-speaking patient
scheduled for surgery. You do not speak Spanish and are having difficulty
communicating with your patient. Which of the following resources would
be most appropriate to utilize in order to obtain consent?.
Answer: The hospitals language interpreter
◍ Your patient admitted for small bowel obstruction has been vomiting for the
last 3 days. What electrolyte imbalance would you expect to be associated
with this patient?.
Answer: Hypokalemia
◍ Deposition has ordered for your patience to begin a 24 hour urine collection.
Your patient voids for the first time two hours after the orders received.
What should be done with this urine sample?.
Answer: Discarded, then begin the 24 hour collection
◍ A patient suddenly complains of new onset of chest pain. The doctor is
, suspecting a possible?... What is most likely to be ordered?.
Answer: Morphine Duramorph, oxygen, nitrates, Aceticsalicylic acid, bayer
buffered aspirin
◍ Which of the following would be used as part of the preop procedure to
prevent infection?.
Answer: Prophylactic antibiotics
◍ You are caring for a combative 85-year-old male with a history of dementia,
CHF, UTI, and anemia. The family states he appears to be more confused
than his baseline. What tests do you expect the provider to order?.
Answer: Urinalysis with cultures, CBC
◍ Your patient takes 5 mg of warfarn (Coumadin/Jantoven) daily and reports
having black colored stool today. What do you most likely suspect?.
Answer: Gastrointestinal bleeding
◍ A patient has recently been diagnosed with terminal cancer. Her responses
are caustic and abrasive. What is the BEST way to respond?.
Answer: Acknowledge her feelings, understanding this is expected in the
grieving process.
◍ Your male patient complains of discomfort while inflating the balloon
during insertion of an indwelling urinary catheter. What would be the
MOST appropriate action?.
Answer: Deflate the balloon, advance the catheter further, then reinflate the
balloon
◍ Your patient is currently under 1:1 observation for suicide precautions. He
states he needs to have a bowel movement and would like some privacy to
use the bathroom. What is the MOST appropriate response?.
Answer: "I must be within an arms' length view of you at all times for your
safety, including while using the bathroom."
◍ Your 68-year-old patient is a Type 1 diabetic with a history of schizophrenia
and exhibits signs and symptoms of tardive dyskinesia. What long-term
medication is associated with signs and symptoms of tardive dyskinesia?.
