Prophecy Medical Surgical-Telemetry Exam Questions & Answers 2024

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? - The hospitals language interpreter You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Which of the following medication should you question? - Acetylsalicylic acid ( Bauer buffered aspirin) When taking care of a patient with pancreatitis, which of the following lab should be reviewed? - Lipase and amylase You're caring for a 12 hour postoperative parathyroidectomy patient. Which assessment finding would indicate an emergency? - Laryngeal strider Which of the following actions would be considered a violation of Hyppa? - Looking through the chart of a coworker admitted to your unit - Sinus tachycardia You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. He asks you about the procedure what would be the most therapeutic response? - Due to the size of the kidney stone it is an appropriate treatment? NOT:Print reading materials about the subject and give it to the patient The nurse is taking care of a patient who is terminally ill and has a DNR on file. Their patient has a sudden cardiac arrest and family wants CPR initiated. How should you respond? - Honor the patient's wishes - Not normal sinus rhythm into a flutter Correct answer is ventricular fibrillation Prophecy Medical Surgical-Telemetry Exam Questions & Answers 2024 Your patient began deteriorating rapidly after complaining of shortness of breath. And ABG was drawn and the results are pH? HCO3 - 23. These values indicate the patient is experiencing: - Your inserting a urinary catheter into a male patient. As you inflate a balloon, the patient complains of discomfort what is the best action? - Aspirate the fluid, advance the catheter farther, then re-inflate the balloon When assessing a patient, you notice crepitus on the right upper shoulder. You notify the physician and anticipate which diagnosis? - Subcutaneous emphysema You are providing patient education to a patient prior to administering IV Protonix .... When there is no history of GERD - Protonix is given as G.I. prophylaxis to prevent stress ulcers - Normal sinus with VTach The patient has a morphine PCA post operatively. On rounding you notice respirations at eight per minute O2 saturation of 82%. What medication would be given in the situation? - Narcan You were caring for a patient who is 18 hours postop after a right BKA a. They report sudden chest pain pulse ox at 86%. The patient may be experiencing: - Pulmonary embolism Cardiac strip - Unable to determine At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. The patient's blood sugar is currently 60. Which of the following is the most appropriate intervention - Have the patient drink 120 ML's of orange juice - Ventricular tachycardia - Normal sinus rhythm Which of the following food items would you question in the menu of your patient who is diagnosed with celiac disease? - Wheat bread A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose? - A respiratory rate of 8 breaths per minute - Paced rhythm Your patient was admitted with severe dehydration. Which of the following orders would you question - KCI 40 mEq IV push STAT What is the first sign of increased intracranial pressure? - Change in LOC A patient suddenly complains of new onset of chest pain. The doctor is suspecting a possible?... What is most likely to be ordered? - Morphine Duramorph, oxygen, nitrates, Aceticsalicylic acid, bayer buffered aspirin The Glasgow, scale ranges from: - 3 to 15 You deserve the nurse aid removing her gloves and immediately using alcohol hand sanitizer in a room with a patient who has C-Diff. What education should you provide to the nurse aide - And washing with soap and water is mandatory because alcohol based hand sanitizers do not kill C-diff Heart rate - 80 Which of the following assessment findings should you report immediately to the physician for a patient who just had a bronchoscopy and biopsy? - Sputum with streaks of blood NOT: increased salivation Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the following is the best nursing action? - Compress the drain, then plug the bulb to establish suction