RELIAS MEDICAL SURGICAL TELEMETRY
EXAM 2024 TEST BANK COMPLETE 180
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
Your inserting a urinary catheter into a male patient.
As you
inflate a balloon, the patient complains of discomfort
what is the best action? - ...ANSWER...Aspirate the
fluid, advance
catheter thethen re-inflate the balloon
farther,
When assessing a patient, you notice crepitus on the
right upper shoulder. You notify the physician and
anticipate which diagnosis? -
...ANSWER...Subcutaneous emphysema
Your patient continues to pull at their IV site located
in their left forearm despite verbal reminders and
increased observation. The nursing assistant
recommends using soft mitt restraints on the patient.
What is your recommendation? -
...ANSWER...Request an order for soft mitts as they
are the least restrictive
Your patient was admitted for a hypertensive crisis
and has a history of HTN, Parkinson's disease,
depression, and alcohol use. On his second
hospitalized day, you notice he is more anxious and
restless than his baseline. What would be your FIRST
nursing intervention? - ...ANSWER...Ask the patient
when his last drink of alcohol was.
You are providing patient education to a patient prior
,to administering IV Protonix.... When there is no
history of GERD -
, ...ANSWER...Protonix is given as G.I. prophylaxis to
prevent stress ulcers
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? -
...ANSWER...Narcan
Your patient is 4 hours post open appendectomy
and has not voided yet. You note his lower
abdomen is distended. What should you do NEXT? -
...ANSWER...Perform a bladder scan
A patient with peritonitis presents with tachycardia,
hypotension, and dehydration. What other assessment
finding would you anticipate as part of your physical
assessment? -
...ANSWER...Severe abdominal pain or rebound
tenderness
What is the EARLIEST sign indicating increased
intracranial pressure (ICP)? - ...ANSWER...Level of
consciousness
In addition to pain, pallor, and pulselessness, a
neurovascular assessment also includes checking for:
-
...ANSWER...Paresthesia and paralysis
You received a report on a patient that sustained a
right hemisphere CVA 48 hours ago. What do you
expect the patient to exhibit? - ...ANSWER...Left sided
weakness of the leg, arm, and face.
You are ordered to give digoxin (Lanoxin). Your
patients vital signs are: BP 130/70, Temp 97.9F, HR
52, RR 16, O2 Sat 100% on room air. What should
you do NEXT? - ...ANSWER...Hold digoxin (Lanoxin) and
call the provider
EXAM 2024 TEST BANK COMPLETE 180
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
Your inserting a urinary catheter into a male patient.
As you
inflate a balloon, the patient complains of discomfort
what is the best action? - ...ANSWER...Aspirate the
fluid, advance
catheter thethen re-inflate the balloon
farther,
When assessing a patient, you notice crepitus on the
right upper shoulder. You notify the physician and
anticipate which diagnosis? -
...ANSWER...Subcutaneous emphysema
Your patient continues to pull at their IV site located
in their left forearm despite verbal reminders and
increased observation. The nursing assistant
recommends using soft mitt restraints on the patient.
What is your recommendation? -
...ANSWER...Request an order for soft mitts as they
are the least restrictive
Your patient was admitted for a hypertensive crisis
and has a history of HTN, Parkinson's disease,
depression, and alcohol use. On his second
hospitalized day, you notice he is more anxious and
restless than his baseline. What would be your FIRST
nursing intervention? - ...ANSWER...Ask the patient
when his last drink of alcohol was.
You are providing patient education to a patient prior
,to administering IV Protonix.... When there is no
history of GERD -
, ...ANSWER...Protonix is given as G.I. prophylaxis to
prevent stress ulcers
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? -
...ANSWER...Narcan
Your patient is 4 hours post open appendectomy
and has not voided yet. You note his lower
abdomen is distended. What should you do NEXT? -
...ANSWER...Perform a bladder scan
A patient with peritonitis presents with tachycardia,
hypotension, and dehydration. What other assessment
finding would you anticipate as part of your physical
assessment? -
...ANSWER...Severe abdominal pain or rebound
tenderness
What is the EARLIEST sign indicating increased
intracranial pressure (ICP)? - ...ANSWER...Level of
consciousness
In addition to pain, pallor, and pulselessness, a
neurovascular assessment also includes checking for:
-
...ANSWER...Paresthesia and paralysis
You received a report on a patient that sustained a
right hemisphere CVA 48 hours ago. What do you
expect the patient to exhibit? - ...ANSWER...Left sided
weakness of the leg, arm, and face.
You are ordered to give digoxin (Lanoxin). Your
patients vital signs are: BP 130/70, Temp 97.9F, HR
52, RR 16, O2 Sat 100% on room air. What should
you do NEXT? - ...ANSWER...Hold digoxin (Lanoxin) and
call the provider
