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Prophecy Medical Surgical-Telemetry Exam A V
2025 Questions & Answers graded
A+
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 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 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
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 A patient suddenly complains of new onset of chest pain. The doctor is suspecting a possible?… What is most likely to be ordered? Morphine Duramorph, oxygen, nitrates, Aceticsalicylic acid, bayer buffered aspirin The Glasgow, scale ranges from: 3 to 15 You deserve the nurse aid removing her gloves and immediately using alcohol hand sanitizer in a room with a patient who has C-Diff. What education should you provide to the nurse aide And washing with soap and water is mandatory because alcohol based hand sanitizers do not kill C-diff Heart rate 80
Which of the following assessment findings should you report immediately to the physician for a patient who just had a bronchoscopy and biopsy? Sputum with streaks of blood NOT: increased salivation Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the following is the best nursing action? Compress the drain, then plug the bulb to establish suction Patient is admitted for shortness of breath. Do you notice the spouse adjusting the oxygen on the wall and she states “she always takes care of my husband” what would be an appropriate response? Educate the spouse on oxygen use as a medical device in the hospital 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? Discarded, then begin the 24 hour collection Which of the following lab values would you expect to see in a patient diagnosed with?…. Lipase – 196 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?
cardiac rhythm V-Tach Which of the following electrolyte value should be Addressed immediately by the nurse Potassium 2.5 mEq/L Which of the following medication may cause urine discoloration Rifampin 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 1520 When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing intervention is: Protecting the patient’s head and extremities from contact with surrounding objects 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? Assess the patient Not: start CPR Didn’t nurse ask you about the typical signs and symptoms of myocardial infarction
Women could have pain in their arm, neck, back or jaw 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 Refused to sign for the waste Cardiac strip Sinus rhythm with PAC You’re preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid? Canned meats Your patient complains of not being able to urinate since 0500. It is now 1900. What should be your next step? Perform a bladder scan The doctor ordered Lasix 40 mg IV push, 100mg/10 mL 4ml After a patient completes dialysis, you should anticipate seeing an improvement in which of the following lab values? NOT: ammonia
