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Medical Surgical-telemetry RN A Exam Questions with
Answers
1.You are to obtain informed consent for a Spanish-speaking patient sched- uled for surgery. You do
not speak Spanish and are having difficulty com- municating with your patient. Which of the following resources would be most appropriate to utilize in order to obtain consent?: 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?: Acetyl- salicylic acid ( Bauer buffered aspirin)
3.When taking care of a patient with pancreatitis, which of the following lab should be reviewed?:
Lipase and amylase
4.You're caring for a 12 hour postoperative parathyroidectomy patient. Which assessment finding
would indicate an emergency?: Laryngeal strider
5.Which of the following actions would be considered a violation of Hyppa?-
: Looking through the chart of a coworker admitted to your unit
6.: Sinus tachycardia
7.You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.
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
8.The nurse is taking care of a patient who is terminally ill and has a DNR on file. Their patient has a
2 / sudden cardiac arrest and family wants CPR initiated. How should you respond?: Honor the patient's wishes
9.: Not normal sinus rhythm into a flutter
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::
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?: 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?: Subcutaneous em- physema
13.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
14.: Normal sinus with VTach
15.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?: Narcan
16.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 experienc- ing:: Pulmonary embolism
17.Cardiac strip: Unable to determine
18.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: Have the patient drink 120 ML's of orange juice
4 / my husband" what would be an appropriate response?: Educate the spouse on oxygen use as a medical device in the hospital
30.Deposition has ordered for your patience to begin a 24 hour urine collec- tion. 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
31.Which of the following lab values would you expect to see in a patient diagnosed with?....:
Lipase - 196
32.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?: Upper G.I. bleed
33.Your COPD patient is complaining of wheezing and increased shortness of breath: Assess your
patient for a change in condition
34.What information is vital for you to know prior to administering an ordered dose of digoxin:
Heart rate
35.Your patient has been diagnosed with a hemorrhagic CVA: Heparin infusion per pharmacy
protocol
36.A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension, rapid
pulse, cough with bloody sputum, diaphoresis, and syn- cope. The symptoms are indicative of:: Pulmonary embolism? NOT: tuberculosis
37.You're reviewing the menu list of a patient on Warfran what food should they not eat?:
Spinach
38.Which of the following issues should be reported up the chain of com- mand: A coworker
arriving to work under the influence of alcohol
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39.You're providing discharge instructions to a CHF patient.: Increase short- ness of breath
40.Which of the following electrolyte value should be Addressed immediately by the nurse:
Potassium 2.5 mEq/L
41.Which of the following medication may cause urine discoloration: Rifampin
42.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
43.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
44.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
45.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
46.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
47.Cardiac strip: Sinus rhythm with PAC
48.You're preparing your patient for discharge need to provide dietary educa- tion related to his
diagnosis what should you instruct the patient to avoid?: - Canned meats
49.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
7 / NOT: Call a code blue
60.Your patient with cancer has a left upper arm PICC line. They report pain in their left arm,
shoulder, and tingling in their left hand. Upon assessment you note the left arm is significantly larger than the right arm. The left arm is red and warm to the touch. What do you suspect?: Thrombosis (Blood Clot) Air Embolism NOT: Infiltration
61.Furosemide (Lasix) IV should be pushed no faster than 10 mg/min to avoid what?: Tinnitus
-Ringing, buzzing or other unexplained noise in the ears Other: Pancreatitis Dehydration Electrolyte Imbalance Increased blood glucose Decreased urination Dry mouth Thirst Nausea; vomiting Weakness; Drowsiness; Confusion; muscle pain or cramps; or rapid or pounding heartbeats NOT: Dizziness
62.Your patient presents with CHF and has a potassium level of 5.8. What diuretic do you anticipate
being ordered by the provider?: bumetanide (Bumex)
8 / NOT: Spironolactone (Aldactone)
63.You are caring for your 80-year-old patient admitted for pneumonia. They have a history of heart
failure, cataracts, arthritis, and anxiety. They are re- ceiving scheduled furosemide (Lasix) and IV antibiotics. What are they at the HIGHEST risk for?: Ototoxicity Lung dryness Hypotension, dehydration, and electrolyte depletion NOT: VTE (DVT/PE)
64. You are caring for your patient with a temporary hemodialysis catheter who has not required
dialysis in 4 days. When you change the dressing you note the site appears red and edematous. What would you do NEXT?: (1) intravenous antibiotics alone
(2)prompt catheter removal with delayed placement of a new tunneled catheter
(3)exchange of the infected catheter with a new one over a guidewire
(4)use of an antibiotic lock.
NOT: Flush the catheters with 10 cc on normal saline
65.Your patient with asthma is prescribed budesonide and formoterol (Sym- bicort) twice daily. What
would you include in your patient education?: Take 2 puffs of SYMBICORT in the morning and 2 puffs in the evening Take your SYMBICORT inhaler out of the foil pouch and write the date on the box. If you are using your inhaler for the first time, you need to prime it. TO PRIME YOUR INHALER: Hold it in the upright position as shown Shake your
10 seconds, or for as long as it is comfortable. Before you breathe out (exhale), release your finger from the top of the counter. Keep your inhaler upright and remove it from your mouth. Step 5: Shake your inhaler again for 5 seconds and repeat steps 2 to 4. After using your SYMBICORT inhaler: Put the cover back on Rinse your mouth with water and spit it out Don't swallow the water Reading the actuation counter The actuation counter on top of the inhaler helps to monitor the amount of medication remaining and helps you know when to refill your prescription. The arrow points to the number of inhalations, or puffs remaining. Here's how to read it: After you have primed the inhaler for the first time, the counter will read either 120 or 60, depending on which size was provided to you Each time you release a puff from the inhaler, the counter will count down When the arrow gets close to 20, you will notice the beginning of the yellow zone, indicating that it is time to call for a refill Discard the inhaler when the arrow points to the red zone and reads zero (0), or 3 months after it is taken out of its pouch, whichever comes first Your inhaler may not feel empty and may continue to operate, but you will not get the right amount of medicine if you keep using it How to clean your SYMBICORT inhaler
11 You should clean the white mouthpiece of the SYMBICORT inhaler every 7 days Remove the gray mouthpiece cover by squeezing gently at both sides, then pulling out Use a clean, dry cloth to wipe the inside and outside of the white mouthpiece When you are finished cleaning the mouthpiece, place the cover back over the mouthpiece NOTE: Never put your SYMBICORT inhaler into water. Do not try to take the inhaler apart. NOT: Take one inhalation of Symbicort in the morning and one at night.
