COMPLETE QUESTIONS & ANSWERS || 100%
CORRECT & VERIFIED
Description: This Medical Surgical Telemetry B
exam file provides 100% correct and verified
answers for the 2022 version. Covers cardiac
monitoring, telemetry rhythms, pharmacology, and
patient care procedures. Ideal for nursing students
preparing for clinical and certification exams.
Keywords: medical surgical telemetry telemetry B
exam cardiac monitoring nursing exam prep
pharmacology patient care nursing telemetry
clinical skills telemetry rhythms verified answers
Medical Surgical Telemetry B Exam 2022 || COMPLETE QUESTIONS & ANSWERS || 100%
CORRECT & VERIFIED
1. A patient on a telemetry monitor shows a rhythm that is irregular, has no discernible P
waves, and a variable ventricular rate between 110-160 bpm. The QRS complex is narrow. This
rhythm is most likely:
A) Sinus Tachycardia
B) Atrial Flutter
,C) Ventricular Tachycardia
D) Atrial Fibrillation
2. The primary goal of therapy when administering tissue plasminogen activator (tPA) to a
patient with an acute myocardial infarction (MI) is to:
A) Control chest pain
B) Dissolve the coronary artery thrombus
C) Prevent further infarction
D) Reduce heart rate
3. A patient with an acute inferior wall MI is at greatest risk for developing which
complication?
A) Mitral Valve Prolapse
B) Bradycardia
C) Hypertension
D) Pulmonary Edema
4. Which of the following laboratory values is the most specific indicator of acute myocardial
injury?
A) Creatine Kinase (CK)
B) Myoglobin
C) Troponin I
D) Lactate Dehydrogenase (LDH)
5. A patient's telemetry strip shows a regular rhythm, a rate of 48 bpm, normal P waves, a PR
interval of 0.24 seconds, and a normal QRS complex. This is described as:
A) Sinus Bradycardia
B) First-Degree AV Block
C) Junctional Rhythm
D) Third-Degree AV Block
6. The nurse would question an order for Metoprolol (Lopressor) for a patient with which
condition?
A) Hypertension
B) Acute Asthma Exacerbation
C) Stable Angina
D) Prior Myocardial Infarction
7. When preparing to defibrillate a patient in Ventricular Fibrillation, the nurse should:
A) Call a "Code Blue" before proceeding
, B) Ensure the oxygen source is away from the patient's chest
C) Perform two minutes of CPR first
D) Set the defibrillator to synchronized mode
8. A patient with heart failure is prescribed Furosemide (Lasix). The nurse should closely
monitor for which electrolyte imbalance?
A) Hyperkalemia
B) Hypernatremia
C) Hypokalemia
D) Hypercalcemia
9. The "H's and T's" in ACLS are used to:
A) Diagnose the type of arrhythmia
B) Recall the reversible causes of cardiac arrest
C) List the drugs for tachycardia
D) Determine the need for defibrillation
10. A patient with a permanent pacemaker should be instructed to:
A) Avoid all use of microwaves
B) Check their radial pulse daily and report a significant decrease in rate
C) Avoid magnetic resonance imaging (MRI)
D) Stop taking all cardiac medications
11. Which finding is the earliest sign of digoxin toxicity?
A) Ventricular Tachycardia
B) Hyperkalemia
C) Anorexia, Nausea, and Visual Changes (e.g., yellow halos)
D) Widened QRS Complex
12. The nurse is caring for a patient with a sodium level of 118 mEq/L. The priority nursing
assessment is:
A) Deep tendon reflexes
B) Lung sounds
C) Neurological status (e.g., level of consciousness)
D) Skin turgor
13. A patient with chronic obstructive pulmonary disease (COPD) is most likely to develop
which acid-base imbalance?
A) Metabolic Acidosis
B) Metabolic Alkalosis