PROPHECY MEDICAL SURGICAL TELEMETRY
EXAM ACTUAL TEST QUESTIONS AND SOLVED
ANSWERS
◉ Your patient was admitted for a hypertensive crisis and has a
history of HTN, Parkinson's disease, depression, and alcohol use. On
his second hospitalized day, you notice he is more anxious and
restless than his baseline. What would be your FIRST nursing
intervention?
Answer: Ask the patient when his last drink of alcohol was.
◉ What is the BEST indication of an acute neurological problem?
Answer: Change in level of consciousness
◉ While in a supine position your patient states, "I'm tired and
cannot catch my breath." Physical assessment reveals jugular vein
distention and a third heart sound (S3). These symptoms are
indicative of what condition?
Answer: Heart failure
◉ Your new admission presents with a cough, unintentional weight
loss, frequent night sweats, and bloody sputum. What type of
isolation precautions should you initiate, if any?
,Answer: Airborne precautions
◉ Patients with diabetes are at high risk for complications from
damage to what body areas?
Answer: Nerve and kidney damage
◉ If your patient with a known history of diabetes is displaying
symptoms of diaphoresis, cool skin, lethargy, and shakiness. What is
your first action?
Answer: Check the patient's blood glucose level.
◉ Your patient tells you, "I hope I don't die, but if I do I don't want to
be brought back.? You notice on her chart and wrist band that she is
a full code. What would be the MOST appropriate action?
Answer: Discuss code status with the patient and follow up with
provider to ensure the medical record reflects her wishes.
◉ Your coworker posted photos on social media from a birthday
party they had for her in the unit breakroom. What should be your
NEXT course of action?
Answer: No action is necessary because no PHI was displayed.
, ◉ Your new patient understands very limited English. How should
you communicate with them when completing the admission
assessment?
Answer: Use the organization's interpreter services.
◉ 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.
◉ Your patient is 4 hours post open appendectomy and has not
voided yet. You note his lower abdomen is distended. What should
you do NEXT?
Answer: Perform a bladder scan
◉ A patient with peritonitis presents with tachycardia, hypotension,
and dehydration. What other assessment finding would you
anticipate as part of your physical assessment?
Answer: Severe abdominal pain or rebound tenderness
◉ What is the EARLIEST sign indicating increased intracranial
pressure (ICP)?
Answer: Level of consciousness
EXAM ACTUAL TEST QUESTIONS AND SOLVED
ANSWERS
◉ Your patient was admitted for a hypertensive crisis and has a
history of HTN, Parkinson's disease, depression, and alcohol use. On
his second hospitalized day, you notice he is more anxious and
restless than his baseline. What would be your FIRST nursing
intervention?
Answer: Ask the patient when his last drink of alcohol was.
◉ What is the BEST indication of an acute neurological problem?
Answer: Change in level of consciousness
◉ While in a supine position your patient states, "I'm tired and
cannot catch my breath." Physical assessment reveals jugular vein
distention and a third heart sound (S3). These symptoms are
indicative of what condition?
Answer: Heart failure
◉ Your new admission presents with a cough, unintentional weight
loss, frequent night sweats, and bloody sputum. What type of
isolation precautions should you initiate, if any?
,Answer: Airborne precautions
◉ Patients with diabetes are at high risk for complications from
damage to what body areas?
Answer: Nerve and kidney damage
◉ If your patient with a known history of diabetes is displaying
symptoms of diaphoresis, cool skin, lethargy, and shakiness. What is
your first action?
Answer: Check the patient's blood glucose level.
◉ Your patient tells you, "I hope I don't die, but if I do I don't want to
be brought back.? You notice on her chart and wrist band that she is
a full code. What would be the MOST appropriate action?
Answer: Discuss code status with the patient and follow up with
provider to ensure the medical record reflects her wishes.
◉ Your coworker posted photos on social media from a birthday
party they had for her in the unit breakroom. What should be your
NEXT course of action?
Answer: No action is necessary because no PHI was displayed.
, ◉ Your new patient understands very limited English. How should
you communicate with them when completing the admission
assessment?
Answer: Use the organization's interpreter services.
◉ 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.
◉ Your patient is 4 hours post open appendectomy and has not
voided yet. You note his lower abdomen is distended. What should
you do NEXT?
Answer: Perform a bladder scan
◉ A patient with peritonitis presents with tachycardia, hypotension,
and dehydration. What other assessment finding would you
anticipate as part of your physical assessment?
Answer: Severe abdominal pain or rebound tenderness
◉ What is the EARLIEST sign indicating increased intracranial
pressure (ICP)?
Answer: Level of consciousness
