RELIAS MEDICAL SURGICAL TELEMETRY EXAM
TEST BANK COMPLETE | 180 QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
|ALREADY GRADED A+ | UPDATED 2024/2025
You were hired to work the medical unit and when you arrive at work the
charge nurse has assigned you to the postsurgical unit since they are
understaffed. Which is the MOST appropriate action? –
- Correct Answer - Report to the post-surgical unit.
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? –
- Correct Answer - 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? –
- Correct Answer - Acetylsalicylic acid ( Bauer buffered aspirin)
When taking care of a patient with pancreatitis, which of the following lab
should be reviewed? –
- Correct Answer - Lipase and amylase
,Your 85-year-old patient with atrial fibrillation fell at home 3 days ago.
You notice she has been having several episodes of acute confusion
since being admitted to your unit. What is the MOST important order you
should anticipate from the provider? –
- Correct Answer - Hold wayfaring (coumadin) for the next
48 hours
Stat CT of head
Your patient is admitted from the ED with failure to thrive and advanced
dementia. You note he is extremely underweight, appears unbathed for
some time, and has a stage 4 pressure injury to his coccyx. You were
told in report that he lives at home with family members. What should
you do? -
- Correct Answer - Notify the charge nurse and social worker of your
concerns.
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? –
- Correct Answer - Airborne precautions
Patients with diabetes are at high risk for complications from damage to
what body areas? –
- Correct 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?
- - Correct 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? –
- Correct 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? - - Correct 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? –
- Correct 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? –
- Correct Answer - Obtain capillary blood glucose level.
Upon entry to your patient's room, you find her sitting in High Fowler's
position and complaining of shortness of breath. Her respiratory rate is
34 breaths/min and O2 sat is 84%. Which mode of oxygen delivery
would MOST likely reverse these symptoms? –
- Correct Answer - Non-rebreather mask
, Your patient recently had a G-tube placed and intermittent enteral
feedings have been initiated. What symptoms may indicate intolerance
to the feedings? –
- Correct Answer - Vomiting and diarrhea
Upon entering your patient's room, you note that they are having a
seizure. What is your FIRST action? -
- Correct 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? –
- Correct Answer - Stay with the patient and ask fi she has a plan to
carry out this wish.
Your patient has a non-productive cough and presence of
secretions in his tracheostomy. Prior to suctioning the patient,
what should you do FIRST? –
- Correct Answer - Hyperoxygenate
patient.
Your patient takes 5 mg of warfarn (Coumadin/Jantoven) daily and
reports having black colored stool today. What do you most likely
suspect? –
- Correct Answer - Gastrointestinal bleeding
TEST BANK COMPLETE | 180 QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
|ALREADY GRADED A+ | UPDATED 2024/2025
You were hired to work the medical unit and when you arrive at work the
charge nurse has assigned you to the postsurgical unit since they are
understaffed. Which is the MOST appropriate action? –
- Correct Answer - Report to the post-surgical unit.
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? –
- Correct Answer - 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? –
- Correct Answer - Acetylsalicylic acid ( Bauer buffered aspirin)
When taking care of a patient with pancreatitis, which of the following lab
should be reviewed? –
- Correct Answer - Lipase and amylase
,Your 85-year-old patient with atrial fibrillation fell at home 3 days ago.
You notice she has been having several episodes of acute confusion
since being admitted to your unit. What is the MOST important order you
should anticipate from the provider? –
- Correct Answer - Hold wayfaring (coumadin) for the next
48 hours
Stat CT of head
Your patient is admitted from the ED with failure to thrive and advanced
dementia. You note he is extremely underweight, appears unbathed for
some time, and has a stage 4 pressure injury to his coccyx. You were
told in report that he lives at home with family members. What should
you do? -
- Correct Answer - Notify the charge nurse and social worker of your
concerns.
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? –
- Correct Answer - Airborne precautions
Patients with diabetes are at high risk for complications from damage to
what body areas? –
- Correct 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?
- - Correct 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? –
- Correct 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? - - Correct 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? –
- Correct 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? –
- Correct Answer - Obtain capillary blood glucose level.
Upon entry to your patient's room, you find her sitting in High Fowler's
position and complaining of shortness of breath. Her respiratory rate is
34 breaths/min and O2 sat is 84%. Which mode of oxygen delivery
would MOST likely reverse these symptoms? –
- Correct Answer - Non-rebreather mask
, Your patient recently had a G-tube placed and intermittent enteral
feedings have been initiated. What symptoms may indicate intolerance
to the feedings? –
- Correct Answer - Vomiting and diarrhea
Upon entering your patient's room, you note that they are having a
seizure. What is your FIRST action? -
- Correct 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? –
- Correct Answer - Stay with the patient and ask fi she has a plan to
carry out this wish.
Your patient has a non-productive cough and presence of
secretions in his tracheostomy. Prior to suctioning the patient,
what should you do FIRST? –
- Correct Answer - Hyperoxygenate
patient.
Your patient takes 5 mg of warfarn (Coumadin/Jantoven) daily and
reports having black colored stool today. What do you most likely
suspect? –
- Correct Answer - Gastrointestinal bleeding
