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PROPHECY MEDICAL SURGICAL TELEMETRY
EXAM | QUESTIONS AND VERIFIED 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.
Correct ANSWER: 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). Correct ANSWER: Acetylsalicylic acid (Bauer
buffered aspirin).
When taking care of a patient with pancreatitis, which of the following lab should be reviewed? Lipase and amylase. Correct
ANSWER: Lipase and amylase.
You're caring for a 12 hour postoperative parathyroidectomy patient. Which assessment finding would indicate an
emergency? Laryngeal stridor. Correct ANSWER: Laryngeal
stridor.
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Which of the following actions would be considered a violation of HIPAA? Looking through the chart of a coworker admitted to
your unit. Correct ANSWER: 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. Correct ANSWER: Due to the size of the kidney stone it
is an appropriate treatment.
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. Correct ANSWER: Honor the patient's
wishes.
Your patient began deteriorating rapidly after complaining of shortness of breath. An ABG was drawn and the results are pH?
HCO3 - 23. These values indicate the patient is experiencing:
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[Incomplete question, missing pH and PaCO2 values]. Correct
ANSWER: Unable to determine without complete ABG values.
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. Correct ANSWER: 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. Correct ANSWER:
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.
Correct ANSWER: Protonix is given as G.I. prophylaxis to
prevent stress ulcers.
The patient has a morphine PCA post operatively. On rounding you notice respirations at eight per minute O2 saturation of
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82%. What medication would be given in the situation? Narcan.
Correct ANSWER: Narcan.
You were caring for a patient who is 18 hours postop after a right BKA. They report sudden chest pain pulse ox at 86%. The
patient may be experiencing: Pulmonary embolism. Correct
ANSWER: Pulmonary embolism.
At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. The patient's blood sugar is currently
- Which of the following is the most appropriate intervention?
Have the patient drink 120 ML's of orange juice. Correct
ANSWER: Have the patient drink 120 ML's of orange juice.
Which of the following food items would you question in the menu of your patient who is diagnosed with celiac disease?
Wheat bread. Correct ANSWER: 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