PROPHECY MEDICAL SURGICAL-TELEMETRY
2026 FINAL PAPER QUESTIONS AND ANSWERS
100% CORRECT
◉ 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
◉ Upon entry to your patient's room, you find her sitting in High
Fowler's position and complaining of shortness of breath. Her
respiratory rate is 34 breaths/min and O2 sat is 84%. Which mode
, of oxygen delivery would MOST likely reverse these symptoms?
Answer: Non-rebreather mask
◉ Your patient is on contact precautions for active MRSA. What
proper PPE should you use before entering the room? Answer: Gown
and gloves
◉ Your patient recently had a G-tube placed and intermittent enteral
feedings have been initiated. What symptoms may indicate
intolerance to the feedings? Answer: Vomiting and diarrhea
◉ Upon entering your patient's room, you note that they are having
a seizure. What is your FIRST action? Answer: Position the patient
on their side to maintain the airway.
◉ Your 18-year-old female patient was admitted with dehydration
secondary to anorexia nervosa. During your assessment you note
she has a flat affect and says, "I just want to die. I'm tired of my life."
What should be your FIRST intervention? Answer: Stay with the
patient and ask fi she has a plan to carry out this wish.
◉ Your patient has a non-productive cough and presence of
secretions in his tracheostomy. Prior to suctioning the patient, what
should you do FIRST? Answer: Hyperoxygenate patient.
2026 FINAL PAPER QUESTIONS AND ANSWERS
100% CORRECT
◉ 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
◉ Upon entry to your patient's room, you find her sitting in High
Fowler's position and complaining of shortness of breath. Her
respiratory rate is 34 breaths/min and O2 sat is 84%. Which mode
, of oxygen delivery would MOST likely reverse these symptoms?
Answer: Non-rebreather mask
◉ Your patient is on contact precautions for active MRSA. What
proper PPE should you use before entering the room? Answer: Gown
and gloves
◉ Your patient recently had a G-tube placed and intermittent enteral
feedings have been initiated. What symptoms may indicate
intolerance to the feedings? Answer: Vomiting and diarrhea
◉ Upon entering your patient's room, you note that they are having
a seizure. What is your FIRST action? Answer: Position the patient
on their side to maintain the airway.
◉ Your 18-year-old female patient was admitted with dehydration
secondary to anorexia nervosa. During your assessment you note
she has a flat affect and says, "I just want to die. I'm tired of my life."
What should be your FIRST intervention? Answer: Stay with the
patient and ask fi she has a plan to carry out this wish.
◉ Your patient has a non-productive cough and presence of
secretions in his tracheostomy. Prior to suctioning the patient, what
should you do FIRST? Answer: Hyperoxygenate patient.
