MEDICAL SURGICAL TELEMETRY NEWEST
2025 COMPLETE
RELIAS RN MEDICAL SURGICAL TELEMETRY
EXAM/RELIAS MEDICAL SURGICAL
TELEMETRY NEWEST 2025 COMPLETE 360
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
A nurse is caring for a client who has a diagnosis of renal calculi and reports severe flank pain
which of the following is a priority nursing action?
A) Relieve the client's pain
B) Encourage the client to increase fluid intake
C) Monitor the client's I and O
D) Strain the clients urine - ANS :A) Relieve the client's pain
The nurse should apply the urgent versus non-urgent priority-setting framework when caring
for the client. Using this framework, the nurse should consider urgent needs to be the priority
because they pose a greater threat to the client. The nurse might also need to use Maslow's
hierarchy of needs, the ABC priority-setting framework, or nursing knowledge to identify
which finding is the most urgent. The pain associated with renal calculi is severe and can lead
to shock; therefore, this is the priority action.
A nurse is assessing a client who was brought to the emergency department following a
motor vehicle crash. The nurse should recognize that which of the following findings is a
manifestation of bladder trauma?
A BOMB 1
, MEDICAL SURGICAL TELEMETRY NEWEST
2025 COMPLETE
A. Stress incontinence
B. Hematuria
C. Pyuria
D. Fever - ANS :B. Hematuria
Manifestations of bladder trauma include hematuria, or blood in the urine; blood at the
urinary meatus; pelvic pain; and anuria, or the absence of urine.
A nurse is assessing a client who is receiving continuous ambulatory peritoneal dialysis. Which
of the following findings should the nurse report to the provider?
A. WBC 6000/mm3
B. Potassium 3.0 mEq/L
C. Clear, pale yellow drainage
D. Report of abdominal fullness - ANS :B. Potassium 3.0 mEq/L
A potassium level of 3.0 mEq/L is below the expected reference range and can cause
dysrhythmias. The dialysis removes fluid, waste products, and electrolytes from the blood and
can cause hypokalemia.
A nurse is monitoring a client who is undergoing extracorporeal shockwave lithotripsy. The
nurse should identify that which of the following findings is the priority?
A. Dysrhythmias
B. Pink tinged urine
C. Bruising on the flank area
D. Stone fragments in the urine - ANS :A. Dysrhythmias
A BOMB 2
, MEDICAL SURGICAL TELEMETRY NEWEST
2025 COMPLETE
MY ANSWER
The nurse should apply the ABC priority-setting framework. This framework emphasizes the
basic core of human functioning - having an open airway, being able to breathe in adequate
amounts of oxygen, and circulating oxygen to the body's organs via the blood. An alteration
in any of these can indicate a threat to life, and is the nurse's priority concern. When applying
the ABC priority-setting framework, airway is always the highest priority because the airway
must be clear and open for oxygen exchange to occur. Breathing is the second-highest
priority in the ABC priority-setting framework because adequate ventilatory effort is essential
in order for oxygen exchange to occur. Circulation is the third-highest priority in the ABC
priority-setting framework because delivery of oxygen to critical organs only occurs if the
heart and blood vessels are capable of efficiently carrying oxygen to them. ESWL is the
application of sound, laser, or dry shock wave energies to break a kidney stone into small
pieces. The shock waves are initiated during the R wave of the ECG to prevent dysrhythmias.
When using the airway, breathing, circulation approach to client care, the nurse determines
dysrhythmias are the priority finding.
A nurse is caring for a client who is receiving peritoneal dialysis the nurse should monitor client
for which of the following adverse effects?
A. Diarrhea
B. Increased serum albumin
C. Hypoglycemia
D. Peritonitis - ANS :D. Peritonitis
Peritonitis is an adverse effect of peritoneal dialysis. Prevention requires using sterile
technique, and frequent assessment of the catheter exit site. The nurse should obtain
cultures of the dialysate outflow, or effluent, if peritonitis is suspected.
A BOMB 3
, MEDICAL SURGICAL TELEMETRY NEWEST
2025 COMPLETE
A nurse is teaching a client who has chronic kidney disease. Which of the following
instructions should the nurse include?
A. Limit fluid intake
B. Limit caloric intake
C. A diet high in phosphorus
D. Eat a diet high in protein - ANS :A. Limit fluid intake
A client who has CKD should limit fluid intake to prevent hypervolemia, or excessive fluid
overload.
A nurse is providing teaching to a client who has a history of urinary tract infections. Which of
the following statements should indicate to the nurse the need for additional teaching?
A) " I will empty my bladder every four hours"
B) "I will drink 2 L of fluids per day"
C) " I will use a vaginal douche daily"
D) " I will wear cotton underwear" - ANS :C) "I will use a vaginal douche daily"
The client should avoid vaginal douches, bubble baths, and any substances that can increase
the risk for UTIs. The client should use mild soap and water to wash the perineal area.
A nurse is caring for a client who is receiving peritoneal dialysis. The nurse notes that the
client's dialysate output is less than the input, and his abdomen is distended. Which of the
following actions should the nurse take?
A) Insert an indwelling urinary catheter
B) administer pain medication to the client
C) change the clients position
A BOMB 4
2025 COMPLETE
RELIAS RN MEDICAL SURGICAL TELEMETRY
EXAM/RELIAS MEDICAL SURGICAL
TELEMETRY NEWEST 2025 COMPLETE 360
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
A nurse is caring for a client who has a diagnosis of renal calculi and reports severe flank pain
which of the following is a priority nursing action?
A) Relieve the client's pain
B) Encourage the client to increase fluid intake
C) Monitor the client's I and O
D) Strain the clients urine - ANS :A) Relieve the client's pain
The nurse should apply the urgent versus non-urgent priority-setting framework when caring
for the client. Using this framework, the nurse should consider urgent needs to be the priority
because they pose a greater threat to the client. The nurse might also need to use Maslow's
hierarchy of needs, the ABC priority-setting framework, or nursing knowledge to identify
which finding is the most urgent. The pain associated with renal calculi is severe and can lead
to shock; therefore, this is the priority action.
A nurse is assessing a client who was brought to the emergency department following a
motor vehicle crash. The nurse should recognize that which of the following findings is a
manifestation of bladder trauma?
A BOMB 1
, MEDICAL SURGICAL TELEMETRY NEWEST
2025 COMPLETE
A. Stress incontinence
B. Hematuria
C. Pyuria
D. Fever - ANS :B. Hematuria
Manifestations of bladder trauma include hematuria, or blood in the urine; blood at the
urinary meatus; pelvic pain; and anuria, or the absence of urine.
A nurse is assessing a client who is receiving continuous ambulatory peritoneal dialysis. Which
of the following findings should the nurse report to the provider?
A. WBC 6000/mm3
B. Potassium 3.0 mEq/L
C. Clear, pale yellow drainage
D. Report of abdominal fullness - ANS :B. Potassium 3.0 mEq/L
A potassium level of 3.0 mEq/L is below the expected reference range and can cause
dysrhythmias. The dialysis removes fluid, waste products, and electrolytes from the blood and
can cause hypokalemia.
A nurse is monitoring a client who is undergoing extracorporeal shockwave lithotripsy. The
nurse should identify that which of the following findings is the priority?
A. Dysrhythmias
B. Pink tinged urine
C. Bruising on the flank area
D. Stone fragments in the urine - ANS :A. Dysrhythmias
A BOMB 2
, MEDICAL SURGICAL TELEMETRY NEWEST
2025 COMPLETE
MY ANSWER
The nurse should apply the ABC priority-setting framework. This framework emphasizes the
basic core of human functioning - having an open airway, being able to breathe in adequate
amounts of oxygen, and circulating oxygen to the body's organs via the blood. An alteration
in any of these can indicate a threat to life, and is the nurse's priority concern. When applying
the ABC priority-setting framework, airway is always the highest priority because the airway
must be clear and open for oxygen exchange to occur. Breathing is the second-highest
priority in the ABC priority-setting framework because adequate ventilatory effort is essential
in order for oxygen exchange to occur. Circulation is the third-highest priority in the ABC
priority-setting framework because delivery of oxygen to critical organs only occurs if the
heart and blood vessels are capable of efficiently carrying oxygen to them. ESWL is the
application of sound, laser, or dry shock wave energies to break a kidney stone into small
pieces. The shock waves are initiated during the R wave of the ECG to prevent dysrhythmias.
When using the airway, breathing, circulation approach to client care, the nurse determines
dysrhythmias are the priority finding.
A nurse is caring for a client who is receiving peritoneal dialysis the nurse should monitor client
for which of the following adverse effects?
A. Diarrhea
B. Increased serum albumin
C. Hypoglycemia
D. Peritonitis - ANS :D. Peritonitis
Peritonitis is an adverse effect of peritoneal dialysis. Prevention requires using sterile
technique, and frequent assessment of the catheter exit site. The nurse should obtain
cultures of the dialysate outflow, or effluent, if peritonitis is suspected.
A BOMB 3
, MEDICAL SURGICAL TELEMETRY NEWEST
2025 COMPLETE
A nurse is teaching a client who has chronic kidney disease. Which of the following
instructions should the nurse include?
A. Limit fluid intake
B. Limit caloric intake
C. A diet high in phosphorus
D. Eat a diet high in protein - ANS :A. Limit fluid intake
A client who has CKD should limit fluid intake to prevent hypervolemia, or excessive fluid
overload.
A nurse is providing teaching to a client who has a history of urinary tract infections. Which of
the following statements should indicate to the nurse the need for additional teaching?
A) " I will empty my bladder every four hours"
B) "I will drink 2 L of fluids per day"
C) " I will use a vaginal douche daily"
D) " I will wear cotton underwear" - ANS :C) "I will use a vaginal douche daily"
The client should avoid vaginal douches, bubble baths, and any substances that can increase
the risk for UTIs. The client should use mild soap and water to wash the perineal area.
A nurse is caring for a client who is receiving peritoneal dialysis. The nurse notes that the
client's dialysate output is less than the input, and his abdomen is distended. Which of the
following actions should the nurse take?
A) Insert an indwelling urinary catheter
B) administer pain medication to the client
C) change the clients position
A BOMB 4
