RELIAS MEDICAL SURGICAL
TELEMETRY| HIGH YIELD EXAM
QUESTIONS AND VERIFIED ASWERS
IN 2025
1. Which adaptive equipment would be most appropriate to use for a severely
contracted patient who is unable to bear weight when transferring from bed
to chair - Answer Patient Lift example hoyer
2. What lab values are expected to be in a patient with end stage renal disease
on hemodialysis - Answer BUN 32, CREATNINE 8.32
3. Your 85 year old patient with atrial fibrillation fell at home 3 days ago. You
notice she has been having several episodes of acute confusion since being
admitted to your unit. What is the most important order you should
anticipate from the provider? You're? - Answer Hold wayfaring (coumadin)
for the next 48 hours
4. 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
5. Upon entering your patient's room you note that they are having a seizure.
What is your 1st action? - Answer Position the patient on their side to
maintain the airway
,6. You find your coworker looking through your patient's medical record.. She
States how is Mr. Smith doing? He is my best friend's dad. We are so
worried about him. What is the best course of action? - Answer Tell her you
cannot give her information and report her actions to your manager.
7. Your male patient complaints of discomfort while inflating the balloon
during insertion of a endwelling urinary catheter. What would be the most
appropriate action? - Answer Deflate the balloon, advance the catheter
further, then reinflate the balloon.
8. Your patient takes regular insulin and NPH twice A-day for glucose control.
What times should the patient be taught to be alert for signs of
hypoglycemia? - Answer Is late afternoon and early morning
9. What is a proton pump inhibitor, such as pantoprazole (protonix) used for? -
Answer Reduce gastric acid secretion
10.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
11.dietary teaching for a patient with chronic renal failure should include
choices that are: - Answer Low potassium, low protein, moderate fat
12.Which of the following nursing diagnosis is most important for a patient
with chronic obstructive pulmonary disease(COPD) - Answer Impaired gas
exchange
,13.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.
14.You have a patient going for dialysis. There are medications include
Lisinopril(prinivil), ondansetron (zofran), famotidine(pepcid) and
atorvastatin(lipitor). Which medication would you possibly hold and seek
clarification? - Answer LISINOPRIL(PRINIVIL)
15.What is the best indication of an acute neurological problem? - Answer
Change in level of consciousness
16.Your patient is admitted with diverticulitis. What type of diet do you expect
to be ordered for the patient? - Answer Clear liquids
17.Which tool should you use to assess pain in your 80 year old patient with
severe dementia? - Answer ?
18.Your post op patient has a Jackson - Pratt drain in place. how do you ensure
effective drain function? - Answer Compress the drain, then plug the bulb to
establish suction.
19.Is a patient with peritonitis Presents with tachycardia, hypotension , and
dehydration. What other assessment finding would you anticipate as part of
your physical assessment? - Answer Severe abdominal pain or rebound
tenderness
, 20.Your patient with a known history of diabetes is displaying symptoms of
diaphoresis, Cool skin, lethargy, And shakiness. What is your 1st action? -
Answer Check the patient's blood glucose level
21.a patient on warfarin(Coumadin/jantoven) has an INR of 6. Which
medication would you anticipate administering? - Answer Vitamin K
22.While in a supine position your patient States" I'm tired and cannot catch my
breath". Physical assessment reveals juggler vein distention and a 3rd heart
sound(S3). These symptoms are indicative of what condition? - Answer
Heart failure
23.Upon entry to your patient's room, you find her sitting in high Fowler's
Position and complaining of shortness of breath. Her respiratory rate is 34
breaths/minute And 02 sat is 84%. Which mode of oxygen delivery would
most likely reverse the symptoms? - Answer Non rebreather mask
24.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..
25.What is an early symptom that a patient is developing a complication of
heart failure? - Answer Edema in the legs and feet
26.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
TELEMETRY| HIGH YIELD EXAM
QUESTIONS AND VERIFIED ASWERS
IN 2025
1. Which adaptive equipment would be most appropriate to use for a severely
contracted patient who is unable to bear weight when transferring from bed
to chair - Answer Patient Lift example hoyer
2. What lab values are expected to be in a patient with end stage renal disease
on hemodialysis - Answer BUN 32, CREATNINE 8.32
3. Your 85 year old patient with atrial fibrillation fell at home 3 days ago. You
notice she has been having several episodes of acute confusion since being
admitted to your unit. What is the most important order you should
anticipate from the provider? You're? - Answer Hold wayfaring (coumadin)
for the next 48 hours
4. 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
5. Upon entering your patient's room you note that they are having a seizure.
What is your 1st action? - Answer Position the patient on their side to
maintain the airway
,6. You find your coworker looking through your patient's medical record.. She
States how is Mr. Smith doing? He is my best friend's dad. We are so
worried about him. What is the best course of action? - Answer Tell her you
cannot give her information and report her actions to your manager.
7. Your male patient complaints of discomfort while inflating the balloon
during insertion of a endwelling urinary catheter. What would be the most
appropriate action? - Answer Deflate the balloon, advance the catheter
further, then reinflate the balloon.
8. Your patient takes regular insulin and NPH twice A-day for glucose control.
What times should the patient be taught to be alert for signs of
hypoglycemia? - Answer Is late afternoon and early morning
9. What is a proton pump inhibitor, such as pantoprazole (protonix) used for? -
Answer Reduce gastric acid secretion
10.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
11.dietary teaching for a patient with chronic renal failure should include
choices that are: - Answer Low potassium, low protein, moderate fat
12.Which of the following nursing diagnosis is most important for a patient
with chronic obstructive pulmonary disease(COPD) - Answer Impaired gas
exchange
,13.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.
14.You have a patient going for dialysis. There are medications include
Lisinopril(prinivil), ondansetron (zofran), famotidine(pepcid) and
atorvastatin(lipitor). Which medication would you possibly hold and seek
clarification? - Answer LISINOPRIL(PRINIVIL)
15.What is the best indication of an acute neurological problem? - Answer
Change in level of consciousness
16.Your patient is admitted with diverticulitis. What type of diet do you expect
to be ordered for the patient? - Answer Clear liquids
17.Which tool should you use to assess pain in your 80 year old patient with
severe dementia? - Answer ?
18.Your post op patient has a Jackson - Pratt drain in place. how do you ensure
effective drain function? - Answer Compress the drain, then plug the bulb to
establish suction.
19.Is a patient with peritonitis Presents with tachycardia, hypotension , and
dehydration. What other assessment finding would you anticipate as part of
your physical assessment? - Answer Severe abdominal pain or rebound
tenderness
, 20.Your patient with a known history of diabetes is displaying symptoms of
diaphoresis, Cool skin, lethargy, And shakiness. What is your 1st action? -
Answer Check the patient's blood glucose level
21.a patient on warfarin(Coumadin/jantoven) has an INR of 6. Which
medication would you anticipate administering? - Answer Vitamin K
22.While in a supine position your patient States" I'm tired and cannot catch my
breath". Physical assessment reveals juggler vein distention and a 3rd heart
sound(S3). These symptoms are indicative of what condition? - Answer
Heart failure
23.Upon entry to your patient's room, you find her sitting in high Fowler's
Position and complaining of shortness of breath. Her respiratory rate is 34
breaths/minute And 02 sat is 84%. Which mode of oxygen delivery would
most likely reverse the symptoms? - Answer Non rebreather mask
24.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..
25.What is an early symptom that a patient is developing a complication of
heart failure? - Answer Edema in the legs and feet
26.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
