PROPHECY_MEDICAL_SURGICAL_TELE
METRY_EXAM_2026 update
You are to obtain informed consent for a Spanish-speaking patient
scheduled for surgery. You do not speak Spanish and are having difficulty
communicating with your patient. Which of the following resources would be
most appropriate to utilize in order to obtain consent?
- The hospitals language interpreter
You're reviewing the discharge medication list of a patient diagnosed with
gastric ulcer. Which of the following medication should you question?
- Acetylsalicylic acid ( Bauer buffered aspirin)
When taking care of a patient with pancreatitis, which of the following lab
should be reviewed?
- Lipase and amylase
You're caring for a 12 hour postoperative parathyroidectomy patient. Which
assessment finding would indicate an emergency?
- Laryngeal strider
Which of the following actions would be considered a violation of Hyppa?
- Looking through the chart of a coworker admitted to your unit
- Sinus tachycardia
You are taking care of a patient who is admitted for left flank pain with a kidney
stone of 1.5 cm.
He asks you about the procedure what would be the most
therapeutic response? - Due to the size of the kidney stone it is an
appropriate treatment? NOT:Print reading materials about the
subject and give it to the patient
The nurse is taking care of a patient who is terminally ill and has a DNR on file.
Their patient has a sudden cardiac arrest and family wants CPR initiated. How
should you respond?
- Honor the patient's wishes
, - Not normal sinus rhythm into a flutter
Correct answer is ventricular fibrillation
Your inserting a urinary catheter into a male patient. As you inflate a balloon,
the patient complains of discomfort what is the best action?
- Aspirate the fluid, advance the catheter farther, then re-inflate the
balloon
When assessing a patient, you notice crepitus on the right upper shoulder.
You notify the physician and anticipate which diagnosis?
- Subcutaneous emphysema
You are providing patient education to a patient prior to administering IV
Protonix.... When there is no history of GERD
- Protonix is given as G.I. prophylaxis to prevent stress ulcers
- Normal sinus with VTach
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? - Narcan
You were caring for a patient who is 18 hours postop after a right BKA a.
They report sudden chest pain pulse ox at 86%. The patient may be
experiencing:
- Pulmonary embolism
Cardiac strip - Unable to
determine
METRY_EXAM_2026 update
You are to obtain informed consent for a Spanish-speaking patient
scheduled for surgery. You do not speak Spanish and are having difficulty
communicating with your patient. Which of the following resources would be
most appropriate to utilize in order to obtain consent?
- The hospitals language interpreter
You're reviewing the discharge medication list of a patient diagnosed with
gastric ulcer. Which of the following medication should you question?
- Acetylsalicylic acid ( Bauer buffered aspirin)
When taking care of a patient with pancreatitis, which of the following lab
should be reviewed?
- Lipase and amylase
You're caring for a 12 hour postoperative parathyroidectomy patient. Which
assessment finding would indicate an emergency?
- Laryngeal strider
Which of the following actions would be considered a violation of Hyppa?
- Looking through the chart of a coworker admitted to your unit
- Sinus tachycardia
You are taking care of a patient who is admitted for left flank pain with a kidney
stone of 1.5 cm.
He asks you about the procedure what would be the most
therapeutic response? - Due to the size of the kidney stone it is an
appropriate treatment? NOT:Print reading materials about the
subject and give it to the patient
The nurse is taking care of a patient who is terminally ill and has a DNR on file.
Their patient has a sudden cardiac arrest and family wants CPR initiated. How
should you respond?
- Honor the patient's wishes
, - Not normal sinus rhythm into a flutter
Correct answer is ventricular fibrillation
Your inserting a urinary catheter into a male patient. As you inflate a balloon,
the patient complains of discomfort what is the best action?
- Aspirate the fluid, advance the catheter farther, then re-inflate the
balloon
When assessing a patient, you notice crepitus on the right upper shoulder.
You notify the physician and anticipate which diagnosis?
- Subcutaneous emphysema
You are providing patient education to a patient prior to administering IV
Protonix.... When there is no history of GERD
- Protonix is given as G.I. prophylaxis to prevent stress ulcers
- Normal sinus with VTach
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? - Narcan
You were caring for a patient who is 18 hours postop after a right BKA a.
They report sudden chest pain pulse ox at 86%. The patient may be
experiencing:
- Pulmonary embolism
Cardiac strip - Unable to
determine
