PROPHECY MEDICAL
SURGICAL-TELEMETRY COMPREHENSIVE
STUDY GUIDE 2026 FULL QUESTIONS AND
SOLUTIONS GRADED A+
◍ You need to obtain consent from a sedated patient post hip replacement
surgery for a regional block. Two women showed up at bedside as next of
kin. One has a child with patient and the other is the patient's girlfriend.
How will you obtain the consent?.
Answer: A) Proceed with patient signature***B) Look for patient's parents
or immediate family membersC) Allow one of the women to signD) Allow
both women to sign
◍ **WRONG**You receive a patient who has just arrived from surgery and is
in Phase 1 PAC
U. The patient is unresponsive to name, has a respiratory rate of 12, is
receiving 6 L with a face mask, and is making a gurgling sound with each
exhalation. What action is MOST appropriate?.
Answer: A) Ask the patient to state their name**WRONG**B) Turn patient
on their sideC) Insert oral airway (maybe???)D) Increase oxygen level
◍ A patient's DNR order was revoked during surgery. When can it be
reinstated?.
Answer: Per institutional policy
◍ Meperidine (Demerol) 12.5mg every 15 minutes, IV prn is ordered for
shivering in the PAC
U. Meperidine is available in 50mg/1ml. How many mililiters should be
given?.
Answer: 0.25 mililiters
,◍ To reduce the risk of infection and phlebotomy in an adult patient with a
peripherL IV, What is the minimum duration the catheter should remain in
place before routine replacement..
Answer: 72 hours
◍ Your patient's morning labs revealed a hemoglobin level of 6.3 and
hematocrit of 18. What blood product do you expect to administer?.
Answer: PRBCs
◍ *WRONG*You are caring for a patient in Phase 1 recovery and they appear
ready to transfer except that their blood pressure continues to stay 50mmHg
above their pre-anesthetic SB
P. At home the patient takes a diuretic and beta-blocker for hypertension.
What should you do?.
Answer: A) Evaluate the patient's pain level (probs correct)*WRONG*B)
Administer 20mg furosemide orallyC) Transfer the patient to the unitD)
Contact the anesthesia provider
◍ Where is the phlebostatic axis for leveling the transducer of an arterial line?.
Answer: ***A) Fourth intercostal level at the midaxillary lineB) Fourth
intercostal level at the midclavicular lineC) Fifth intercostal level at the
midaxillary lineD) Fifth intercostal level at the midclavicular line
◍ Your patient continues to pull at their iv 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 and order for soft mitts As they are the least restrictive..
◍ You are caring for a patient with a continuous basal rate PCA infusion when
the patient becomes difficult to awaken. What should you do FIRST?.
Answer: ***A) Hold the PCA infusionB) Elevate the head of bed 45
degreesC) Stay with patientD) Contact anesthesia provider
◍ The surgeon has ordered ampicillin (Ancef) for a patient. When you check
their chart, you see an allergy to penicillin. What is the BEST action?.
, Answer: A) Administer the medication with diphenhydramineB) Ask the
patient to describe their reaction to penicillinC) Contact the pharmacist to
clarify the order***D) Contact the provider to question the order
◍ Your patient is admitted from the ED with failure to thrive and advanced
dementia. You note he is extremely underweight, appears unbathed for some
time, and has a stage 4 pressure injury to his coccyx. You were told in report
that he lives at home with family members. What should you do?.
Answer: Notify the charge nurse and social worker of your concerns.
◍ You are receiving a report on a post op patients from the OR nurse and
during the report when you asked for clarifications, the OR nurse became
angry, belligerent, and rude. She ended up not answering your question.
How will you proceed?.
Answer: ***A) Report the incident to your charge nurseB) Refuse to take
the patientC) Take the report as she gave it to youD) Figure out the
clarifications from computer
◍ What lab values are expected to be in a patient with end stage renal disease
on hemodialysis.
Answer: BUN 32, CREATNINE 8.32
◍ You received a patient from OR post hip replacement surgery. The
anesthesiologist is planning a nerve block in PACU, but the patient did not
sign the consent for the nerve block. How will you proceed?.
Answer: A) Wake up the patient to sign the consent B) Ask a friend to sign
the consent***C) Obtain the consent from medical POAD) Proceed with the
procedure
◍ When caring for a patient who is receiving outpatient surgery, what is the
BEST way to know that a patient's post-operative blood pressure is
sufficient for discharge to home?.
Answer: A) The pressure is greater than 100 mmHg SBP***B) It is +/- 20%
of baseline pre-operative levelsC) Adhere to professional standardsD)
Follow the anesthesia order set
SURGICAL-TELEMETRY COMPREHENSIVE
STUDY GUIDE 2026 FULL QUESTIONS AND
SOLUTIONS GRADED A+
◍ You need to obtain consent from a sedated patient post hip replacement
surgery for a regional block. Two women showed up at bedside as next of
kin. One has a child with patient and the other is the patient's girlfriend.
How will you obtain the consent?.
Answer: A) Proceed with patient signature***B) Look for patient's parents
or immediate family membersC) Allow one of the women to signD) Allow
both women to sign
◍ **WRONG**You receive a patient who has just arrived from surgery and is
in Phase 1 PAC
U. The patient is unresponsive to name, has a respiratory rate of 12, is
receiving 6 L with a face mask, and is making a gurgling sound with each
exhalation. What action is MOST appropriate?.
Answer: A) Ask the patient to state their name**WRONG**B) Turn patient
on their sideC) Insert oral airway (maybe???)D) Increase oxygen level
◍ A patient's DNR order was revoked during surgery. When can it be
reinstated?.
Answer: Per institutional policy
◍ Meperidine (Demerol) 12.5mg every 15 minutes, IV prn is ordered for
shivering in the PAC
U. Meperidine is available in 50mg/1ml. How many mililiters should be
given?.
Answer: 0.25 mililiters
,◍ To reduce the risk of infection and phlebotomy in an adult patient with a
peripherL IV, What is the minimum duration the catheter should remain in
place before routine replacement..
Answer: 72 hours
◍ Your patient's morning labs revealed a hemoglobin level of 6.3 and
hematocrit of 18. What blood product do you expect to administer?.
Answer: PRBCs
◍ *WRONG*You are caring for a patient in Phase 1 recovery and they appear
ready to transfer except that their blood pressure continues to stay 50mmHg
above their pre-anesthetic SB
P. At home the patient takes a diuretic and beta-blocker for hypertension.
What should you do?.
Answer: A) Evaluate the patient's pain level (probs correct)*WRONG*B)
Administer 20mg furosemide orallyC) Transfer the patient to the unitD)
Contact the anesthesia provider
◍ Where is the phlebostatic axis for leveling the transducer of an arterial line?.
Answer: ***A) Fourth intercostal level at the midaxillary lineB) Fourth
intercostal level at the midclavicular lineC) Fifth intercostal level at the
midaxillary lineD) Fifth intercostal level at the midclavicular line
◍ Your patient continues to pull at their iv 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 and order for soft mitts As they are the least restrictive..
◍ You are caring for a patient with a continuous basal rate PCA infusion when
the patient becomes difficult to awaken. What should you do FIRST?.
Answer: ***A) Hold the PCA infusionB) Elevate the head of bed 45
degreesC) Stay with patientD) Contact anesthesia provider
◍ The surgeon has ordered ampicillin (Ancef) for a patient. When you check
their chart, you see an allergy to penicillin. What is the BEST action?.
, Answer: A) Administer the medication with diphenhydramineB) Ask the
patient to describe their reaction to penicillinC) Contact the pharmacist to
clarify the order***D) Contact the provider to question the order
◍ Your patient is admitted from the ED with failure to thrive and advanced
dementia. You note he is extremely underweight, appears unbathed for some
time, and has a stage 4 pressure injury to his coccyx. You were told in report
that he lives at home with family members. What should you do?.
Answer: Notify the charge nurse and social worker of your concerns.
◍ You are receiving a report on a post op patients from the OR nurse and
during the report when you asked for clarifications, the OR nurse became
angry, belligerent, and rude. She ended up not answering your question.
How will you proceed?.
Answer: ***A) Report the incident to your charge nurseB) Refuse to take
the patientC) Take the report as she gave it to youD) Figure out the
clarifications from computer
◍ What lab values are expected to be in a patient with end stage renal disease
on hemodialysis.
Answer: BUN 32, CREATNINE 8.32
◍ You received a patient from OR post hip replacement surgery. The
anesthesiologist is planning a nerve block in PACU, but the patient did not
sign the consent for the nerve block. How will you proceed?.
Answer: A) Wake up the patient to sign the consent B) Ask a friend to sign
the consent***C) Obtain the consent from medical POAD) Proceed with the
procedure
◍ When caring for a patient who is receiving outpatient surgery, what is the
BEST way to know that a patient's post-operative blood pressure is
sufficient for discharge to home?.
Answer: A) The pressure is greater than 100 mmHg SBP***B) It is +/- 20%
of baseline pre-operative levelsC) Adhere to professional standardsD)
Follow the anesthesia order set
