RELIAS MEDICAL-SURGICAL TELEMETRY EXAM 300 ACTUAL QUESTIONS AND CORRECT
ANSWERS WITH RATIONALE LATEST UPDATE ALREADY GRADED A+ ASSURED PASS –
COMPREHENSIVE QUESTIONS AND ANSWERS | VERIFIED AND WELLDETAILED ANSWERS |
DETAILED EXPLANATIONS AND RATIONALES | COMPLETE EXAM PREPARATION STUDY
GUIDE | PRACTICE QUESTIONS | LATEST EXAM UPDATE
RELIAS MEDICAL-SURGICAL TELEMETRY EXAM — SECTION ONE
•
CORE DOMAINS
1. Cardiovascular and telemetry monitoring
2. Respiratory disorders and oxygenation
3. Neurologic and sensory disorders
4. Renal, urinary, and fluid/electrolyte balance
5. Gastrointestinal and hepatic disorders
6. Endocrine and metabolic disorders
7. Hematologic, immune, and infectious conditions
8. Musculoskeletal and integumentary disorders
9. Perioperative care, medication safety, and clinical prioritization
10. Emergency recognition, patient safety, and nursing interventions
•
INTRODUCTION
This comprehensive practice assessment is designed to strengthen medical-surgical and
telemetry nursing knowledge through multiple-choice questions that emphasize foundational
concepts, clinical application, prioritization, assessment, safety, and decision-making. The
questions address common adult health conditions, cardiac rhythms, respiratory and
neurologic emergencies, fluid and electrolyte disturbances, medication considerations, and
professional nursing responsibilities. Rather than relying solely on memorization, learners are
encouraged to connect assessment findings with pathophysiology and appropriate nursing
actions. Scenario-based items require interpretation of clinical information and selection of
the safest intervention. The material is intended for structured examination preparation and
should be used as an educational practice resource rather than as a representation of
confidential or unreleased examination questions.
SECTION ONE: QUESTIONS 1–100
Question 1. A nurse is caring for a patient on continuous telemetry. Which finding requires
the most immediate assessment?
A. Sinus rhythm at 82 beats/min
B. Occasional premature ventricular complexes in an asymptomatic patient
,C. New-onset ventricular tachycardia with a pulse of 150 beats/min
D. Sinus bradycardia at 58 beats/min during sleep
Correct Answer: C. New-onset ventricular tachycardia with a pulse of 150 beats/min
Explanation: Sustained ventricular tachycardia can significantly reduce ventricular filling and
cardiac output and may deteriorate into ventricular fibrillation. The nurse should
immediately assess the patient, determine hemodynamic stability, and initiate appropriate
emergency management.
Question 2. Which assessment finding is most consistent with left-sided heart failure?
A. Jugular venous distention
B. Pulmonary crackles and dyspnea
C. Dependent peripheral edema only
D. Enlarged liver
Correct Answer: B. Pulmonary crackles and dyspnea
Explanation: Left-sided heart failure causes blood to back up into the pulmonary circulation,
producing pulmonary congestion, dyspnea, orthopnea, and crackles. Right-sided failure
more commonly causes systemic venous congestion such as peripheral edema and jugular
venous distention.
Question 3. A patient with acute chest pain has a prescription for sublingual nitroglycerin.
Which assessment is most important before administration?
A. Temperature
B. Blood pressure
C. Bowel sounds
D. Pupillary response
Correct Answer: B. Blood pressure
Explanation: Nitroglycerin causes vasodilation and can significantly lower blood pressure.
The nurse should assess blood pressure before administration and monitor for symptomatic
hypotension.
Question 4. Which electrocardiographic characteristic is associated with atrial fibrillation?
A. Regular rhythm with identical P waves
B. Sawtooth atrial waves
C. Irregularly irregular rhythm without consistent P waves
D. Wide QRS complexes occurring at regular intervals
Correct Answer: C. Irregularly irregular rhythm without consistent P waves
, Explanation: Atrial fibrillation is characterized by chaotic atrial electrical activity, absent
organized P waves, and an irregularly irregular ventricular response. Patients are also at
increased risk for thromboembolic stroke.
Question 5. A patient develops crushing substernal chest pain, diaphoresis, and nausea.
What is the nurse's priority action?
A. Encourage ambulation
B. Obtain an immediate cardiac assessment and ECG according to protocol
C. Give the patient a full meal
D. Place the patient flat and leave the room
Correct Answer: B. Obtain an immediate cardiac assessment and ECG according to protocol
Explanation: Acute coronary syndrome must be rapidly evaluated. Prompt assessment and a
12-lead ECG help identify myocardial ischemia or infarction and guide urgent treatment.
Question 6. Which electrolyte abnormality is particularly associated with ventricular
dysrhythmias?
A. Hypokalemia
B. Hypernatremia
C. Mild hyperchloremia
D. Hyperphosphatemia
Correct Answer: A. Hypokalemia
Explanation: Potassium is essential for cardiac membrane stability. Significant hypokalemia
can prolong repolarization and increase the risk of ventricular ectopy and dysrhythmias.
Question 7. A patient receiving digoxin reports nausea and seeing yellow halos around lights.
What should the nurse suspect?
A. Therapeutic drug effect
B. Digoxin toxicity
C. Hyperglycemia
D. Iron deficiency
Correct Answer: B. Digoxin toxicity
Explanation: Nausea, vomiting, visual disturbances such as yellow or blurred vision, and
dysrhythmias are classic manifestations of digoxin toxicity. The nurse should withhold the
medication when appropriate and notify the provider.
Question 8. Which finding is most concerning in a patient with heart failure?
A. Mild ankle edema at the end of the day
B. Weight gain of 2 kg over several days
ANSWERS WITH RATIONALE LATEST UPDATE ALREADY GRADED A+ ASSURED PASS –
COMPREHENSIVE QUESTIONS AND ANSWERS | VERIFIED AND WELLDETAILED ANSWERS |
DETAILED EXPLANATIONS AND RATIONALES | COMPLETE EXAM PREPARATION STUDY
GUIDE | PRACTICE QUESTIONS | LATEST EXAM UPDATE
RELIAS MEDICAL-SURGICAL TELEMETRY EXAM — SECTION ONE
•
CORE DOMAINS
1. Cardiovascular and telemetry monitoring
2. Respiratory disorders and oxygenation
3. Neurologic and sensory disorders
4. Renal, urinary, and fluid/electrolyte balance
5. Gastrointestinal and hepatic disorders
6. Endocrine and metabolic disorders
7. Hematologic, immune, and infectious conditions
8. Musculoskeletal and integumentary disorders
9. Perioperative care, medication safety, and clinical prioritization
10. Emergency recognition, patient safety, and nursing interventions
•
INTRODUCTION
This comprehensive practice assessment is designed to strengthen medical-surgical and
telemetry nursing knowledge through multiple-choice questions that emphasize foundational
concepts, clinical application, prioritization, assessment, safety, and decision-making. The
questions address common adult health conditions, cardiac rhythms, respiratory and
neurologic emergencies, fluid and electrolyte disturbances, medication considerations, and
professional nursing responsibilities. Rather than relying solely on memorization, learners are
encouraged to connect assessment findings with pathophysiology and appropriate nursing
actions. Scenario-based items require interpretation of clinical information and selection of
the safest intervention. The material is intended for structured examination preparation and
should be used as an educational practice resource rather than as a representation of
confidential or unreleased examination questions.
SECTION ONE: QUESTIONS 1–100
Question 1. A nurse is caring for a patient on continuous telemetry. Which finding requires
the most immediate assessment?
A. Sinus rhythm at 82 beats/min
B. Occasional premature ventricular complexes in an asymptomatic patient
,C. New-onset ventricular tachycardia with a pulse of 150 beats/min
D. Sinus bradycardia at 58 beats/min during sleep
Correct Answer: C. New-onset ventricular tachycardia with a pulse of 150 beats/min
Explanation: Sustained ventricular tachycardia can significantly reduce ventricular filling and
cardiac output and may deteriorate into ventricular fibrillation. The nurse should
immediately assess the patient, determine hemodynamic stability, and initiate appropriate
emergency management.
Question 2. Which assessment finding is most consistent with left-sided heart failure?
A. Jugular venous distention
B. Pulmonary crackles and dyspnea
C. Dependent peripheral edema only
D. Enlarged liver
Correct Answer: B. Pulmonary crackles and dyspnea
Explanation: Left-sided heart failure causes blood to back up into the pulmonary circulation,
producing pulmonary congestion, dyspnea, orthopnea, and crackles. Right-sided failure
more commonly causes systemic venous congestion such as peripheral edema and jugular
venous distention.
Question 3. A patient with acute chest pain has a prescription for sublingual nitroglycerin.
Which assessment is most important before administration?
A. Temperature
B. Blood pressure
C. Bowel sounds
D. Pupillary response
Correct Answer: B. Blood pressure
Explanation: Nitroglycerin causes vasodilation and can significantly lower blood pressure.
The nurse should assess blood pressure before administration and monitor for symptomatic
hypotension.
Question 4. Which electrocardiographic characteristic is associated with atrial fibrillation?
A. Regular rhythm with identical P waves
B. Sawtooth atrial waves
C. Irregularly irregular rhythm without consistent P waves
D. Wide QRS complexes occurring at regular intervals
Correct Answer: C. Irregularly irregular rhythm without consistent P waves
, Explanation: Atrial fibrillation is characterized by chaotic atrial electrical activity, absent
organized P waves, and an irregularly irregular ventricular response. Patients are also at
increased risk for thromboembolic stroke.
Question 5. A patient develops crushing substernal chest pain, diaphoresis, and nausea.
What is the nurse's priority action?
A. Encourage ambulation
B. Obtain an immediate cardiac assessment and ECG according to protocol
C. Give the patient a full meal
D. Place the patient flat and leave the room
Correct Answer: B. Obtain an immediate cardiac assessment and ECG according to protocol
Explanation: Acute coronary syndrome must be rapidly evaluated. Prompt assessment and a
12-lead ECG help identify myocardial ischemia or infarction and guide urgent treatment.
Question 6. Which electrolyte abnormality is particularly associated with ventricular
dysrhythmias?
A. Hypokalemia
B. Hypernatremia
C. Mild hyperchloremia
D. Hyperphosphatemia
Correct Answer: A. Hypokalemia
Explanation: Potassium is essential for cardiac membrane stability. Significant hypokalemia
can prolong repolarization and increase the risk of ventricular ectopy and dysrhythmias.
Question 7. A patient receiving digoxin reports nausea and seeing yellow halos around lights.
What should the nurse suspect?
A. Therapeutic drug effect
B. Digoxin toxicity
C. Hyperglycemia
D. Iron deficiency
Correct Answer: B. Digoxin toxicity
Explanation: Nausea, vomiting, visual disturbances such as yellow or blurred vision, and
dysrhythmias are classic manifestations of digoxin toxicity. The nurse should withhold the
medication when appropriate and notify the provider.
Question 8. Which finding is most concerning in a patient with heart failure?
A. Mild ankle edema at the end of the day
B. Weight gain of 2 kg over several days
