PROPHECY MEDICAL
SURGICAL-TELEMETRY PRACTICE
EXAMINATION 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ 1.2 Milligrams is equal to how many micrograms.
Answer: 1200 mcg
◍ You are caring for a patient with history of diabetes mellitus. You walk into
the room and find the patient lethargic and diaphoretic. What is your 1st
action?.
Answer: Obtain capillary blood glucose level
◍ You are caring for a patient post lobotomy With a chest tube in place for
drainage. What is a priority in caring for this patient?.
Answer: Encourage the patient to cough and deep breathe.
◍ Your patient has a temp of 102.3 F, HR 122, and has had 15ml of urine from
the indwelling urinary catheter in the last 2 hours. What is your patient most
likely experiencing?.
Answer: Sepsis
◍ Your new patient understands very limited English. How should you
communicate with them when completing the admission assessment?.
Answer: Use the organizations interpreter services
◍ When providing care to a patient in the PACU who is receiving placement
of a new permanent vascular access graft, what finding should you report
immediately to the surgeon?.
Answer: Inability to palpate a thrill
◍ What is an early symptom that a patient is developing a complication of
, heart failure?.
Answer: Edema in the legs and feet
◍ **WRONG**After surgery, a sleepy yet responsive patient with an intact
gag reflex has a large amount of salivary secretions. What should you do?.
Answer: **WRONG**A) Turn the patient on their sideB) Provide oral
suctioningC) Contact the anesthesia providerD) Insert an oral airway
◍ Your patient takes 5 mg of warfarin(coumadin) day and reports having black
cored stool today. What do you most likely suspect?.
Answer: Gastrointestinal bleeding
◍ Your patient tells you I hope I don't die, but if I do I don't want to be
brought back. You notice on her chart and wrist band that she is a full code.
What would be the most appropriate action?.
Answer: Discuss code status with the patient and follow up with the
provider to ensure the medical record reflects her wishes
◍ Your new admission presents with a cough, unintentional weight loss,
frequent knot sweats, and bloody sputum. What type of isolation precautions
should you initiate, if any?.
Answer: Airborne precautions
◍ 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
◍ What position would help alleviate headaches after spinal anesthesia?.
Answer: A) ProneB) TrendelenburgC) Semi-fowlers***D) Flat to supine
◍ Your patient is admitted with diverticulitis. What type of diet do you expect
to be ordered for the patient?.
Answer: Clear liquids
, ◍ **WRONG**When caring for a patient who is recovering from placement
of a new arteriovenous fistula in their right arm, you observe the presence of
mild edema at the site. What should you do?.
Answer: A) Hold pressure on the anastomosis graftB) Elevate the right arm
above the heart**WRONG**C) Apply an ice pack to the armD) Contact the
surgical team
◍ **WRONG**You are caring for a patient when suddenly their ECG
monitor shows coarse ventricular fibrillation. They become unable to rouse
and pulseless. What is the PRIORITY intervention for this patient?.
Answer: A) IV EpiB) IV AmioC) Chest compressions (probs
correct)***WRONG**D) Defib
◍ Your patient has a non productive cough and presence of secretions in his
tracheostomy. Prior to sectioning the patient, what should you do 1st?.
Answer: Hyperoxygenate patient
◍ What condition increases a patient's risk of respiratory depression when
using a PCA pump?.
Answer: Sleep apnea
◍ Your 68 year old patient is a is a Type one diabetic with a history of
schizophrenia And exhibit signs and symptoms of tardiness dyskinesia. Is
what long term medication is associated with signs and symptoms of tardive
dyskinesia?.
Answer: Chlorpromazine(thorazine)
◍ Your coworker posted photos on social media from a birthday party they
had for her in the unit break room. What should be your next course of
action?.
Answer: No action is necessary because no PHI was displayed.
◍ You were hired to work the medical unit and when you arrive at work the
charge nurse has assigned you to the post surgical unit since they are under
staffed. Which is the most appropriate action?.
Answer: Report to the post surgical unit
SURGICAL-TELEMETRY PRACTICE
EXAMINATION 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ 1.2 Milligrams is equal to how many micrograms.
Answer: 1200 mcg
◍ You are caring for a patient with history of diabetes mellitus. You walk into
the room and find the patient lethargic and diaphoretic. What is your 1st
action?.
Answer: Obtain capillary blood glucose level
◍ You are caring for a patient post lobotomy With a chest tube in place for
drainage. What is a priority in caring for this patient?.
Answer: Encourage the patient to cough and deep breathe.
◍ Your patient has a temp of 102.3 F, HR 122, and has had 15ml of urine from
the indwelling urinary catheter in the last 2 hours. What is your patient most
likely experiencing?.
Answer: Sepsis
◍ Your new patient understands very limited English. How should you
communicate with them when completing the admission assessment?.
Answer: Use the organizations interpreter services
◍ When providing care to a patient in the PACU who is receiving placement
of a new permanent vascular access graft, what finding should you report
immediately to the surgeon?.
Answer: Inability to palpate a thrill
◍ What is an early symptom that a patient is developing a complication of
, heart failure?.
Answer: Edema in the legs and feet
◍ **WRONG**After surgery, a sleepy yet responsive patient with an intact
gag reflex has a large amount of salivary secretions. What should you do?.
Answer: **WRONG**A) Turn the patient on their sideB) Provide oral
suctioningC) Contact the anesthesia providerD) Insert an oral airway
◍ Your patient takes 5 mg of warfarin(coumadin) day and reports having black
cored stool today. What do you most likely suspect?.
Answer: Gastrointestinal bleeding
◍ Your patient tells you I hope I don't die, but if I do I don't want to be
brought back. You notice on her chart and wrist band that she is a full code.
What would be the most appropriate action?.
Answer: Discuss code status with the patient and follow up with the
provider to ensure the medical record reflects her wishes
◍ Your new admission presents with a cough, unintentional weight loss,
frequent knot sweats, and bloody sputum. What type of isolation precautions
should you initiate, if any?.
Answer: Airborne precautions
◍ 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
◍ What position would help alleviate headaches after spinal anesthesia?.
Answer: A) ProneB) TrendelenburgC) Semi-fowlers***D) Flat to supine
◍ Your patient is admitted with diverticulitis. What type of diet do you expect
to be ordered for the patient?.
Answer: Clear liquids
, ◍ **WRONG**When caring for a patient who is recovering from placement
of a new arteriovenous fistula in their right arm, you observe the presence of
mild edema at the site. What should you do?.
Answer: A) Hold pressure on the anastomosis graftB) Elevate the right arm
above the heart**WRONG**C) Apply an ice pack to the armD) Contact the
surgical team
◍ **WRONG**You are caring for a patient when suddenly their ECG
monitor shows coarse ventricular fibrillation. They become unable to rouse
and pulseless. What is the PRIORITY intervention for this patient?.
Answer: A) IV EpiB) IV AmioC) Chest compressions (probs
correct)***WRONG**D) Defib
◍ Your patient has a non productive cough and presence of secretions in his
tracheostomy. Prior to sectioning the patient, what should you do 1st?.
Answer: Hyperoxygenate patient
◍ What condition increases a patient's risk of respiratory depression when
using a PCA pump?.
Answer: Sleep apnea
◍ Your 68 year old patient is a is a Type one diabetic with a history of
schizophrenia And exhibit signs and symptoms of tardiness dyskinesia. Is
what long term medication is associated with signs and symptoms of tardive
dyskinesia?.
Answer: Chlorpromazine(thorazine)
◍ Your coworker posted photos on social media from a birthday party they
had for her in the unit break room. What should be your next course of
action?.
Answer: No action is necessary because no PHI was displayed.
◍ You were hired to work the medical unit and when you arrive at work the
charge nurse has assigned you to the post surgical unit since they are under
staffed. Which is the most appropriate action?.
Answer: Report to the post surgical unit
