Download PROPHECY MEDICAL SURGICAL-TELEMETRY EXAM GRADE A+ 2024. and more Exams Medical imaging in PDF only on Docsity! PROPHECY MEDICAL SURGICAL-TELEMETRY EXAM GRADE A+ 2024. 1) 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? - Correct Answers: The hospitals language interpreter 2) You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Which of the following medication should you question? - Correct Answers: Acetylsalicylic acid ( Bauer buffered aspirin) 3) When taking care of a patient with pancreatitis, which of the following lab should be reviewed? - Correct Answers: Lipase and amylase 4) You're caring for a 12 hour postoperative parathyroidectomy patient. Which assessment finding would indicate an emergency? - Correct Answers: Laryngeal strider 5) Which of the following actions would be considered a violation of Hyppa? - Correct Answers: Looking through the chart of a coworker admitted to your unit - Correct Answers: Sinus tachycardia 6) 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? - Correct Answers: 7) 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 8) 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? - Correct Answers: Honor the patient's wishes - Correct Answers: Not normal sinus rhythm into a flutter 9) Correct answer is ventricular fibrillation 10) 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: - Correct Answers: 11) Your inserting a urinary catheter into a male patient. As you inflate a balloon, the patient complains of discomfort what is the best action? - Correct Answers: Aspirate the fluid, advance the catheter farther, then re- inflate the balloon 12) When assessing a patient, you notice crepitus on the right upper shoulder. You notify the physician and anticipate which diagnosis? - Correct Answers: Subcutaneous emphysema 13) You are providing patient education to a patient prior to administering IV Protonix.... When there is no history of GERD - Correct Answers: Protonix is given as G.I. prophylaxis to prevent stress ulcers - Correct Answers: Normal sinus with VTach my husband" what would be an appropriate response? - Correct Answers: Educate the spouse on oxygen use as a medical device in the hospital 31) 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? - Correct Answers: Discarded, then begin the 24 hour collection 32) Which of the following lab values would you expect to see in a patient diagnosed with?.... - Correct Answers: Lipase - 196 33) You were caring for a patient admitted with abdominal pain. Your patient has a bowel movement and you know dark tarry stool what would be the diagnosis? - Correct Answers: Upper G.I. bleed 34) Your COPD patient is complaining of wheezing and increased shortness of breath - Correct Answers: Assess your patient for a change in condition 35) What information is vital for you to know prior to administering an ordered dose of digoxin - Correct Answers: Heart rate 36) Your patient has been diagnosed with a hemorrhagic CVA - Correct Answers: Heparin infusion per pharmacy protocol 37) 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: - Correct Answers: Pulmonary embolism? 38) NOT: tuberculosis 39) You're reviewing the menu list of a patient on Warfran what food should they not eat? - Correct Answers: Spinach 40) Which of the following issues should be reported up the chain of command - Correct Answers: A coworker arriving to work under the influence of alcohol 41) You're providing discharge instructions to a CHF patient. - Correct Answers: Increase shortness of breath 42) cardiac rhythm - Correct Answers: V-Tach 43) Which of the following electrolyte value should be Addressed immediately by the nurse - Correct Answers: Potassium 2.5 mEq/L 44) Which of the following medication may cause urine discoloration - Correct Answers: Rifampin 45) 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 - Correct Answers: 1520 46) When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing intervention is: - Correct Answers: Protecting the patient's head and extremities from contact with surrounding objects 47) You went to the room of a 58-year-old female. You find that the patient's cardiac monitor shows asystolye, what should be your first action? - Correct Answers: Assess the patient 48) Not: start CPR 49) Didn't nurse ask you about the typical signs and symptoms of myocardial infarction - Correct Answers: Women could have pain in their arm, neck, back or jaw 50) While performing the narcotic count at the end of the shift, my coworker admits to something, coworker to sign for the ways that you did not witness - Correct Answers: Refused to sign for the waste 51) Cardiac strip - Correct Answers: Sinus rhythm with PAC 52) You're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid? - Correct Answers: Canned meats 53) Your patient complains of not being able to urinate since 0500. It is now 1900. What should be your next step? - Correct Answers: Perform a bladder scan 54) The doctor ordered Lasix 40 mg IV push, 100mg/10 mL - Correct Answers: 4ml 55) After a patient completes dialysis, you should anticipate seeing an improvement in which of the following lab values? - Correct Answers: NOT: ammonia 56) Your patient fell and hit his head on the bed rail during a physical therapy session. Upon initial assessment you observe a blood pressure of 90/45, heart rate of 28, and a constricted pupil. The patient is lying in a supine position. What should be your first response? - Correct Answers: Call a rapid response