RELIAS Medical-Surgical Telemetry Exam 2025 |
Complete 130+ Verified Questions with Detailed
Rationales | Updated Relias Test Bank for Med-Surg &
Telemetry Nursing | 100% Correct Answers | Graded A+ |
Newest Version for NCLEX Prep and Nursing
Certification Success
QUESTION 1
A patient presents with a heart rate of 45 bpm and is experiencing
dizziness. What is the most appropriate initial nursing intervention?
A) Administer a beta-blocker
B) Prepare for immediate defibrillation
C) Assess the patient's blood pressure
D) Increase the IV fluid rate
Correct Option: C
RATIONALE:: Assessing blood pressure is essential to determine the
hemodynamic stability of the patient before further interventions.
QUESTION 2
When monitoring a patient’s telemetry, what does a wide QRS complex
indicate?
A) A normal sinus rhythm
B) A potential ventricular arrhythmia
C) A bundle branch block or ventricular rhythm
D) Atrial fibrillation
Correct Option: C
RATIONALE:: A wide QRS complex can indicate a bundle branch block or a
ventricular rhythm, which could be life-threatening.
QUESTION 3
Which of the following is a common complication associated with
telemetry monitoring?
A) Hypotension
B) Skin irritation from electrode placement
,C) Increased heart rate
D) Dehydration
Correct Option: B
RATIONALE:: Skin irritation can occur due to prolonged electrode
placement, leading to discomfort or skin breakdown.
QUESTION 4
A telemetry technician notices that a patient’s heart rate suddenly
increases from 70 bpm to 150 bpm. What should be the technician's
first action?
A) Document the observation
B) Change the telemetry leads
C) Notify the nurse immediately
D) Reassure the patient
Correct Option: C
RATIONALE:: Immediate notification of the nurse is essential to assess the
potential cause of the tachycardia and intervene as necessary.
QUESTION 5
In telemetry monitoring, what does ST segment elevation typically
indicate?
A) Normal heart function
B) Ischemia or infarction
C) Myocardial injury
D) Atrial flutter
Correct Option: C
RATIONALE:: ST segment elevation is often associated with myocardial
injury, indicating a possible acute coronary event.
QUESTION 6
,A patient is being monitored for potential arrhythmias. Which finding
would most likely indicate a need for immediate intervention?
A) Heart rate of 80 bpm
B) Ventricular tachycardia
C) Sinus bradycardia
D) Atrial fibrillation
Correct Option: B
RATIONALE:: Ventricular tachycardia is a serious arrhythmia that requires
prompt intervention to prevent further complications.
QUESTION 7
What is the best position for a patient experiencing shortness of breath
and tachycardia?
A) Supine
B) Prone
C) High Fowler’s position
D) Lateral recumbent
Correct Option: C
RATIONALE:: High Fowler’s position facilitates better lung expansion and
improves oxygenation in patients experiencing respiratory distress.
QUESTION 8
If a telemetry monitor displays a flat line, what should the nurse do
first?
A) Change the monitor settings
B) Check the patient’s leads and connections
C) Call a code blue immediately
D) Document the event
Correct Option: B
RATIONALE:: The first step is to check the connections to ensure the
monitor is functioning correctly before assuming the patient has no pulse.
, QUESTION 9
A patient has a history of atrial fibrillation. What medication is
commonly prescribed to prevent complications?
A) Aspirin
B) Beta-blockers
C) Anticoagulants
D) Calcium channel blockers
Correct Option: C
RATIONALE:: Anticoagulants are often prescribed to prevent
thromboembolic complications associated with atrial fibrillation.
QUESTION 10
In telemetry monitoring, what does a sinus rhythm with a PR interval of
0.24 seconds suggest?
A) Normal conduction
B) Ventricular tachycardia
C) First-degree AV block
D) Atrial flutter
Correct Option: C
RATIONALE:: A PR interval greater than 0.20 seconds indicates a first-
degree AV block, which may require monitoring.
QUESTION 11
A patient in telemetry is experiencing palpitations. What is the first
action the nurse should take?
A) Administer antiarrhythmic medication
B) Prepare for defibrillation
C) Assess the patient's vital signs
D) Call for a physician
Correct Option: C
RATIONALE:: Assessing vital signs helps determine the patient’s
hemodynamic status and guides further interventions.
Complete 130+ Verified Questions with Detailed
Rationales | Updated Relias Test Bank for Med-Surg &
Telemetry Nursing | 100% Correct Answers | Graded A+ |
Newest Version for NCLEX Prep and Nursing
Certification Success
QUESTION 1
A patient presents with a heart rate of 45 bpm and is experiencing
dizziness. What is the most appropriate initial nursing intervention?
A) Administer a beta-blocker
B) Prepare for immediate defibrillation
C) Assess the patient's blood pressure
D) Increase the IV fluid rate
Correct Option: C
RATIONALE:: Assessing blood pressure is essential to determine the
hemodynamic stability of the patient before further interventions.
QUESTION 2
When monitoring a patient’s telemetry, what does a wide QRS complex
indicate?
A) A normal sinus rhythm
B) A potential ventricular arrhythmia
C) A bundle branch block or ventricular rhythm
D) Atrial fibrillation
Correct Option: C
RATIONALE:: A wide QRS complex can indicate a bundle branch block or a
ventricular rhythm, which could be life-threatening.
QUESTION 3
Which of the following is a common complication associated with
telemetry monitoring?
A) Hypotension
B) Skin irritation from electrode placement
,C) Increased heart rate
D) Dehydration
Correct Option: B
RATIONALE:: Skin irritation can occur due to prolonged electrode
placement, leading to discomfort or skin breakdown.
QUESTION 4
A telemetry technician notices that a patient’s heart rate suddenly
increases from 70 bpm to 150 bpm. What should be the technician's
first action?
A) Document the observation
B) Change the telemetry leads
C) Notify the nurse immediately
D) Reassure the patient
Correct Option: C
RATIONALE:: Immediate notification of the nurse is essential to assess the
potential cause of the tachycardia and intervene as necessary.
QUESTION 5
In telemetry monitoring, what does ST segment elevation typically
indicate?
A) Normal heart function
B) Ischemia or infarction
C) Myocardial injury
D) Atrial flutter
Correct Option: C
RATIONALE:: ST segment elevation is often associated with myocardial
injury, indicating a possible acute coronary event.
QUESTION 6
,A patient is being monitored for potential arrhythmias. Which finding
would most likely indicate a need for immediate intervention?
A) Heart rate of 80 bpm
B) Ventricular tachycardia
C) Sinus bradycardia
D) Atrial fibrillation
Correct Option: B
RATIONALE:: Ventricular tachycardia is a serious arrhythmia that requires
prompt intervention to prevent further complications.
QUESTION 7
What is the best position for a patient experiencing shortness of breath
and tachycardia?
A) Supine
B) Prone
C) High Fowler’s position
D) Lateral recumbent
Correct Option: C
RATIONALE:: High Fowler’s position facilitates better lung expansion and
improves oxygenation in patients experiencing respiratory distress.
QUESTION 8
If a telemetry monitor displays a flat line, what should the nurse do
first?
A) Change the monitor settings
B) Check the patient’s leads and connections
C) Call a code blue immediately
D) Document the event
Correct Option: B
RATIONALE:: The first step is to check the connections to ensure the
monitor is functioning correctly before assuming the patient has no pulse.
, QUESTION 9
A patient has a history of atrial fibrillation. What medication is
commonly prescribed to prevent complications?
A) Aspirin
B) Beta-blockers
C) Anticoagulants
D) Calcium channel blockers
Correct Option: C
RATIONALE:: Anticoagulants are often prescribed to prevent
thromboembolic complications associated with atrial fibrillation.
QUESTION 10
In telemetry monitoring, what does a sinus rhythm with a PR interval of
0.24 seconds suggest?
A) Normal conduction
B) Ventricular tachycardia
C) First-degree AV block
D) Atrial flutter
Correct Option: C
RATIONALE:: A PR interval greater than 0.20 seconds indicates a first-
degree AV block, which may require monitoring.
QUESTION 11
A patient in telemetry is experiencing palpitations. What is the first
action the nurse should take?
A) Administer antiarrhythmic medication
B) Prepare for defibrillation
C) Assess the patient's vital signs
D) Call for a physician
Correct Option: C
RATIONALE:: Assessing vital signs helps determine the patient’s
hemodynamic status and guides further interventions.
