Relias Medical Surgical Telemetry Exam 2025 Test Bank
Complete Questions and Correct Detailed Answers with
Rationales (Verified) Graded A+
- ans>>>Normal sinus rhythm
- ans>>>Normal sinus with VTach
- ans>>>Not normal sinus rhythm into a flutter
Correct ans>>>wer is ventricular fibrillation
- ans>>>Paced rhythm
- ans>>>Sinus tachycardia
- ans>>>Ventricular tachycardia
A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension,
rapid pulse, cough with bloody sputum, diaphoresis, and syncope. The symptoms are
indicative of: -
ans>>>Pulmonary embolism?
NOT: tuberculosis
A patient suddenly complains of new onset of chest pain. The doctor is suspecting a
possible?... What is most likely to be ordered? - ans>>>Morphine Duramorph, oxygen,
nitrates,
Aceticsalicylic acid, bayer buffered aspirin
A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain
findings with alert you to the potential of a narcotic overdose? - ans>>>A respiratory rate
of 8 breaths per minute After a patient completes dialysis, you should anticipate seeing an
improvement in which of the following lab values? - ans>>>NOT: ammonia
At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. The
patient's blood sugar is currently 60. Which of the following is the most appropriate
intervention - ans>>>Have the patient drink 120 ML's of orange juice
Calculate the 12 hour intake for a patient that has received the following during your shift:
normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter -
ans>>>1520
cardiac rhythm - ans>>>V-Tach
,Cardiac strip - ans>>>Sinus rhythm with PAC
Cardiac strip - ans>>>Unable to determine
,Deposition has ordered for your patience to begin a 24 hour urine collection. Your patient
voids for the first time two hours after the orders received. What should be done with this
urine sample? - ans>>>Discarded, then begin the 24 hour collection
Didn't nurse ask you about the typical signs and symptoms of myocardial infarction -
ans>>>Women could have pain in their arm, neck, back or jaw
Heart rate - ans>>>80
One of the signs of left sided heart failure is: -
ans>>>Pulmonary edema NOT: pedal edema
Patient is admitted for shortness of breath. Do you notice the spouse adjusting the oxygen
on the wall and she states "she always takes care of my husband" what would be an
appropriate response? - ans>>>Educate the spouse on oxygen use as a medical device
in the hospital
The doctor ordered Lasix 40 mg IV push, 100mg/10 mL - ans>>>4ml
The Glasgow, scale ranges from: - ans>>>3 to 15
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? - ans>>>Honor the patient's wishes
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? -
ans>>>Narcan
What information is vital for you to know prior to administering an ordered dose of digoxin -
ans>>>Heart rate
What is the first sign of increased intracranial pressure? - ans>>>Change in LOC
When assessing a patient, you notice crepitus on the right upper shoulder. You notify the
physician and anticipate which diagnosis? - ans>>>Subcutaneous emphysema
When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing
intervention is: - ans>>>Protecting the patient's head and extremities from contact with
surrounding objects
When taking care of a patient with pancreatitis, which of the following lab should be
reviewed? - ans>>>Lipase and amylase
Which of the following actions would be considered a violation of Hyppa? -
ans>>>Looking through the chart of a coworker admitted to your unit
Which of the following antidiabetic medication is contraindicated 48 hours after receiving
contrast dye - ans>>>Metformin
Which of the following assessment findings should you report immediately to the physician
for a patient who just had a bronchoscopy and biopsy? - ans>>>Sputum with streaks of
, blood
NOT: increased salivation
Complete Questions and Correct Detailed Answers with
Rationales (Verified) Graded A+
- ans>>>Normal sinus rhythm
- ans>>>Normal sinus with VTach
- ans>>>Not normal sinus rhythm into a flutter
Correct ans>>>wer is ventricular fibrillation
- ans>>>Paced rhythm
- ans>>>Sinus tachycardia
- ans>>>Ventricular tachycardia
A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension,
rapid pulse, cough with bloody sputum, diaphoresis, and syncope. The symptoms are
indicative of: -
ans>>>Pulmonary embolism?
NOT: tuberculosis
A patient suddenly complains of new onset of chest pain. The doctor is suspecting a
possible?... What is most likely to be ordered? - ans>>>Morphine Duramorph, oxygen,
nitrates,
Aceticsalicylic acid, bayer buffered aspirin
A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain
findings with alert you to the potential of a narcotic overdose? - ans>>>A respiratory rate
of 8 breaths per minute After a patient completes dialysis, you should anticipate seeing an
improvement in which of the following lab values? - ans>>>NOT: ammonia
At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. The
patient's blood sugar is currently 60. Which of the following is the most appropriate
intervention - ans>>>Have the patient drink 120 ML's of orange juice
Calculate the 12 hour intake for a patient that has received the following during your shift:
normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley catheter -
ans>>>1520
cardiac rhythm - ans>>>V-Tach
,Cardiac strip - ans>>>Sinus rhythm with PAC
Cardiac strip - ans>>>Unable to determine
,Deposition has ordered for your patience to begin a 24 hour urine collection. Your patient
voids for the first time two hours after the orders received. What should be done with this
urine sample? - ans>>>Discarded, then begin the 24 hour collection
Didn't nurse ask you about the typical signs and symptoms of myocardial infarction -
ans>>>Women could have pain in their arm, neck, back or jaw
Heart rate - ans>>>80
One of the signs of left sided heart failure is: -
ans>>>Pulmonary edema NOT: pedal edema
Patient is admitted for shortness of breath. Do you notice the spouse adjusting the oxygen
on the wall and she states "she always takes care of my husband" what would be an
appropriate response? - ans>>>Educate the spouse on oxygen use as a medical device
in the hospital
The doctor ordered Lasix 40 mg IV push, 100mg/10 mL - ans>>>4ml
The Glasgow, scale ranges from: - ans>>>3 to 15
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? - ans>>>Honor the patient's wishes
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? -
ans>>>Narcan
What information is vital for you to know prior to administering an ordered dose of digoxin -
ans>>>Heart rate
What is the first sign of increased intracranial pressure? - ans>>>Change in LOC
When assessing a patient, you notice crepitus on the right upper shoulder. You notify the
physician and anticipate which diagnosis? - ans>>>Subcutaneous emphysema
When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing
intervention is: - ans>>>Protecting the patient's head and extremities from contact with
surrounding objects
When taking care of a patient with pancreatitis, which of the following lab should be
reviewed? - ans>>>Lipase and amylase
Which of the following actions would be considered a violation of Hyppa? -
ans>>>Looking through the chart of a coworker admitted to your unit
Which of the following antidiabetic medication is contraindicated 48 hours after receiving
contrast dye - ans>>>Metformin
Which of the following assessment findings should you report immediately to the physician
for a patient who just had a bronchoscopy and biopsy? - ans>>>Sputum with streaks of
, blood
NOT: increased salivation
