Prophecy medical surgical-telemetry
question with answers
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 patient began deteriorating rapidly after complaining of shortness of
breath. And ABG was drawn and the results are pH? HCO3 - 23. These values
indicate the patient is experiencing: - -
, -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
-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 - -Have the patient drink 120 ML's of
orange juice
- - -Ventricular tachycardia
- - -Normal sinus rhythm
-Which of the following food items would you question in the menu of your
patient who is diagnosed with celiac disease? - -Wheat bread
-A postoperative laparoscopic appendectomy patient is receiving morphine
PCA for pain findings with alert you to the potential of a narcotic overdose? -
-A respiratory rate of 8 breaths per minute
- - -Paced rhythm
-Your patient was admitted with severe dehydration. Which of the following
orders would you question - -KCI 40 mEq IV push STAT
-What is the first sign of increased intracranial pressure? - -Change in LOC
question with answers
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 patient began deteriorating rapidly after complaining of shortness of
breath. And ABG was drawn and the results are pH? HCO3 - 23. These values
indicate the patient is experiencing: - -
, -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
-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 - -Have the patient drink 120 ML's of
orange juice
- - -Ventricular tachycardia
- - -Normal sinus rhythm
-Which of the following food items would you question in the menu of your
patient who is diagnosed with celiac disease? - -Wheat bread
-A postoperative laparoscopic appendectomy patient is receiving morphine
PCA for pain findings with alert you to the potential of a narcotic overdose? -
-A respiratory rate of 8 breaths per minute
- - -Paced rhythm
-Your patient was admitted with severe dehydration. Which of the following
orders would you question - -KCI 40 mEq IV push STAT
-What is the first sign of increased intracranial pressure? - -Change in LOC
