Prophecy medical surgical-telemetry exam Grade A+ 2023,Medical-Surgical RN A Prophecy Relias Exam 2021 latest update

RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2023/20
m m m m m


24 TEST BANK COMPLETE 240+ QUESTIONS AND CORR
m m m m m m m


ECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
m m m m m


ANSWERS) |ALREADY GRADED A+
m m m m




-mansNormalmsinusmrhythm

- ansNormalmsinusmwithmVTach
m m



- ansNotmnormalmsinusmrhythmmintomamflutter
m m



Correctmanswermismventricularmfibrillation

- ansPacedmrhythm
m m



- ansSinusmtachycardia
m m



- ansVentricularmtachycardia
m m



Am56-year-
oldmmanmhasmanmacutemonsetmofmshortnessmofmbreath,mchestmpain,mapprehension,mrapidmpulse,mcoughmwit
hmbloodymsputum,mdiaphoresis,mandmsyncope.mThemsymptomsmaremindicativemof:m-
mansPulmonarymembolism?

NOT:mtuberculosis

Ampatientmsuddenlymcomplainsmofmnewmonsetmofmchestmpain.mThemdoctormismsuspectingmampossible?...mWh
atmismmostmlikelymtombemordered?m-mansMorphinemDuramorph,moxygen,mnitrates,m
Aceticsalicylicmacid,mbayermbufferedmaspirin

AmpostoperativemlaparoscopicmappendectomympatientmismreceivingmmorphinemPCAmformpainmfindingsmwithm
alertmyoumtomthempotentialmofmamnarcoticmoverdose?m-mansAmrespiratorymratemofm8mbreathsmpermminute

Aftermampatientmcompletesmdialysis,myoumshouldmanticipatemseeingmanmimprovementminmwhichmofmthemfollo
wingmlabmvalues?m-mansNOT:mammonia

Atm0500,myoumknowmyourmpatientmtombemdiaphoretic,mclammy,mandmtheirmhandsmaremshaking.mThempatient's
mbloodmsugarmismcurrentlym60.mWhichmofmthemfollowingmismthemmostmappropriateminterventionm-

mansHavemthempatientmdrinkm 120mML'smofmorangemjuice



Calculatemthem12mhourmintakemformampatientmthatmhasmreceivedmthemfollowingmduringmyourmshift:mnormalmsal
inem750mML,m24mouncesmofmsprite,mLevaquinm50mML,m650mMLmurineminmFoleymcatheterm-mans1520

cardiacmrhythmm-mansV-Tach

Cardiacmstripm-mansSinusmrhythmmwithmPAC

Cardiacmstripm-mansUnablemtomdetermine

Depositionmhasmorderedmformyourmpatiencemtombeginmam24mhourmurinemcollection.mYourmpatientmvoidsmformt
hemfirstmtimemtwomhoursmaftermthemordersmreceived.mWhatmshouldmbemdonemwithmthismurinemsample?m-
mansDiscarded,mthenmbeginm them24mhourmcollection



Didn'tmnursemaskmyoumaboutmthemtypicalmsignsmandmsymptomsmofmmyocardialminfarctionm-
mansWomenmcouldmhavempainminmtheirmarm,mneck,mbackmormjaw

,RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2023/20
m m m m m


24 TEST BANK COMPLETE 240+ QUESTIONS AND CORR
m m m m m m m


ECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
m m m m m


ANSWERS) |ALREADY GRADED A+
m m m m




Heartmratem-mans80

Onemofmthemsignsmofmleftmsidedmheartmfailuremis:m-mansPulmonarymedema
NOT:mpedalmedema

Patientmismadmittedmformshortnessmofmbreath.mDomyoumnoticemthemspousemadjustingmthemoxygenmonmthemwa
llmandmshemstatesm"shemalwaysmtakesmcaremofmmymhusband"mwhatmwouldmbemanmappropriatemresponse?m-
mansEducatemthemspousemonmoxygenmusemasmammedicalmdeviceminmthemhospital



ThemdoctormorderedmLasixm40mmgmIVmpush,m100mg/10mmLm-mans4ml

ThemGlasgow,mscalemrangesmfrom:m-mans3mtom15

ThemnursemismtakingmcaremofmampatientmwhomismterminallymillmandmhasmamDNRmonmfile.mTheirmpatientmhasmam
suddenmcardiacmarrestmandmfamilymwantsmCPRminitiated.mHowmshouldmyoumrespond?m-
mansHonormthempatient'smwishes



ThempatientmhasmammorphinemPCAmpostmoperatively.mOnmroundingmyoumnoticemrespirationsmatmeightmpermm
inutemO2msaturationmofm82%.mWhatmmedicationmwouldmbemgivenminmthemsituation?m-mansNarcan

Whatminformationmismvitalmformyoumtomknowmpriormtomadministeringmanmorderedmdosemofmdigoxinm-
mansHeartmrate



Whatmismthemfirstmsignmofmincreasedmintracranialmpressure?m-mansChangeminmLOC

Whenmassessingmampatient,myoumnoticemcrepitusmonmthemrightmuppermshoulder.mYoumnotifymthemphysicianma
ndmanticipatemwhichmdiagnosis?m-mansSubcutaneousmemphysema

Whenmcaringmformampatientmexperiencingmamtonicmclonicmseizure,mthemmostmappropriatemnursingminterventio
nmis:m-mansProtectingmthempatient'smheadmandmextremitiesmfrommcontactmwithmsurroundingmobjects

Whenmtakingmcaremofmampatientmwithmpancreatitis,mwhichmofmthemfollowingmlabmshouldmbemreviewed?m-
mansLipasemandmamylase



WhichmofmthemfollowingmactionsmwouldmbemconsideredmamviolationmofmHyppa?m-
mansLookingmthroughmthemchartmofmamcoworkermadmittedmtom yourmunit



Whichmofmthemfollowingmantidiabeticmmedicationmismcontraindicatedm48mhoursmaftermreceivingmcontrastmdye
m-mansMetformin



Whichmofmthemfollowingmassessmentmfindingsmshouldmyoumreportmimmediatelymtomthemphysicianmformampatie
ntmwhomjustmhadmambronchoscopymandmbiopsy?m-mansSputummwithmstreaksmofmblood
NOT:mincreasedmsalivation

WhichmofmthemfollowingmelectrolytemvaluemshouldmbemAddressedmimmediatelymbymthemnursem-
mansPotassiumm2.5mmEq/L



Whichmofmthemfollowingmfoodmitemsmwouldmyoumquestionminmthemmenumofmyourmpatientmwhomismdiagnosedm
withmceliacmdisease?m-mansWheatmbread

, RELIAS MEDICAL SURGICAL TELEMETRY EXAM 2023/20
m m m m m


24 TEST BANK COMPLETE 240+ QUESTIONS AND CORR
m m m m m m m


ECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
m m m m m


ANSWERS) |ALREADY GRADED A+
m m m m




Whichmofmthemfollowingmissuesmshouldmbemreportedmupmthemchainmofmcommandm-
mansAmcoworkermarrivingmtom workmundermtheminfluencemofmalcohol



Whichmofmthemfollowingmlabmvaluesmwouldmyoumexpectmtomseeminmampatientmdiagnosedmwith?....m-
mansLipasem-m196



Whichmofmthemfollowingmmedicationmmaymcausemurinemdiscolorationm-mansRifampin

Whilemperformingmthemnarcoticmcountmatmthemendmofmthemshift,mmymcoworkermadmitsmtomsomething,mcowork
ermtomsignmformthemwaysmthatmyoumdidmnotmwitnessm-mansRefusedmtomsignmformthemwaste

YoumaremprovidingmpatientmeducationmtomampatientmpriormtomadministeringmIVmProtonix....mWhenmtheremismn
omhistorymofmGERDm-mansProtonixmismgivenmasmG.I.mprophylaxismtompreventmstressmulcers

Youmaremtakingmcaremofmampatientmwhomismadmittedmformleftmflankmpainmwithmamkidneymstonemofm1.5mcm.mHe
masksmyoumaboutmthemproceduremwhatmwouldmbemthemmostmtherapeuticmresponse?m-

mansDuemtomthemsizemofmthemkidneymstonemitmismanmappropriatemtreatment?

NOT:Printmreadingmmaterialsmaboutmthemsubjectmandmgivemitmtomthempatient

YoumaremtomobtainminformedmconsentmformamSpanish-
speakingmpatientmscheduledmformsurgery.mYoumdomnotmspeakmSpanishmandmaremhavingmdifficultymcommuni
catingmwithmyourmpatient.mWhichmofmthemfollowingmresourcesmwouldmbemmostmappropriatemtomutilizeminmorde
rmtomobtainmconsent?m-mansThemhospitalsmlanguageminterpreter

Youmdeservemthemnursemaidmremovingmhermglovesmandmimmediatelymusingmalcoholmhandmsanitizerminmamro
ommwithmampatientmwhomhasmC-Diff.mWhatmeducationmshouldmyoumprovidemtomthemnursemaidem-
mansAndmwashingmwithmsoapmandmwatermismmandatorym becausemalcoholmbasedmhandmsanitizersmdomnotmki

llmC-diff

Youmwentmtomthemroommofmam58-year-
oldmfemale.mYoumfindmthatmthempatient'smcardiacmmonitormshowsmasystolye,mwhatmshouldmbemyourmfirstmacti
on?m-mansAssessmthempatientm
Not:mstartmCPR

Youmweremcaringmformampatientmadmittedmwithmabdominalmpain.mYourmpatientmhasmambowelmmovementmand
myoumknowmdarkmtarrymstoolm whatmwouldmbemthemdiagnosis?m-mansUppermG.I.mbleed



Youmweremcaringmformampatientmwhomism18mhoursmpostopmaftermamrightmBKAma.mTheymreportmsuddenmchestm
painmpulsemoxmatm86%.mThempatientmmaymbemexperiencing:m-mansPulmonarymembolism

You'remamkingmformampatientmwhomismpostopmaftermsurgicalmremovalmofmfibroids.mShemhearsmampopmsoundma
ftermcoughingminmhermsurgicalmwoundmhasmdehiscedm-
mansApplymsterilemsalinemsoapmtowelsmovermthemextrudingmsite



You'remcaringmformam12mhourmpostoperativemparathyroidectomympatient.mWhichmassessmentmfindingmwould
mindicatemanmemergency?m-m ansLaryngealmstrider



You'rempreparingmyourmpatientmformdischargemneedmtomprovidemdietarymeducationmrelatedmtomhismdiagnosis
mwhatmshouldm youminstructmthempatientmtomavoid?m-mansCannedmmeats