RELIAS MEDICAL SURGI CAL-

RELIAS MEDICAL SURGI CAL-

TELEMETRY EXAM

Question : 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 answer: The hospitals language interpreter

Question : You're reviewing the discharge medication

list of a patient diagnosed with gastric ulcer. Which of the following medication should you question?

Correct answer: Acetylsalicylic acid ( Bauer buffered

aspirin)

Question : When taking care of a patient with

pancreatitis, which of the following lab should be reviewed?

Correct answer: Lipase and amylase

Question : You're caring for a 12 hour postoperative

parathyroidectomy patient. Which assessment finding would indicate an emergency?

Correct answer: Laryngeal strider

Question : Which of the following actions would be

considered a violation of Hyppa?

Correct answer: Looking through the chart of a coworker

admitted to your unit

Question : 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 answer: 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

Question : 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 answer: Honor the patient's wishes

Question : 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 answer: Aspirate the fluid, advance the catheter

farther, then re-inflate the balloon

Question : When assessing a patient, you notice crepitus

on the right upper shoulder. You notify the physician and anticipate which diagnosis?

Correct answer: Subcutaneous emphysema

Question : 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?

Correct answer: Narcan

Question : 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:

Correct answer: Pulmonary embolism

Question : 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

Correct answer: Have the patient drink 120 ML's of

orange juice

Question : Which of the following food items would you

question in the menu of your patient who is diagnosed with celiac disease?

Correct answer: Wheat bread

Question : A postoperative laparoscopic appendectomy

patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose?

Correct answer: A respiratory rate of 8 breaths per

minute

Question : Your patient was admitted with severe

dehydration. Which of the following orders would you question

Correct answer: KCI 40 mEq IV push STAT

Question : A patient suddenly complains of new onset of

chest pain. The doctor is suspecting a possible?... What is most likely to be ordered?

Correct answer: Morphine Duramorph, oxygen, nitrates,

Aceticsalicylic acid, bayer buffered aspirin

Question : Which of the following assessment findings

should you report immediately to the physician for a patient who just had a bronchoscopy and biopsy?

Correct answer: Sputum with streaks of blood