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RELIAS MEDICAL SURGICAL-TELEMETRY EXAM A AND B BANK 2024/2025 | ACCURATE REAL EXAM VERSIONS WITH ACCURATE QUESTIONS AND DETAILED ANSWERS WITH RATIONALES AND A STUDY GUIDE | EXPERT VERIFIED FOR GUARANTEED PASS | LATEST UPDATE

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RELIAS MEDICAL SURGICAL-TELEMETRY EXAM A AND B
BANK 2024/2025 | ACCURATE REAL EXAM VERSIONS WITH
ACCURATE QUESTIONS AND DETAILED ANSWERS WITH
RATIONALES AND A STUDY GUIDE | EXPERT VERIFIED FOR
GUARANTEED PASS | LATEST UPDATE

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, and 650 mL urine in a Foley
catheter. What is the total intake?
A) 1400 mL
B) 1520 mL
C) 1600 mL
D) 1300 mL
Correct Answer: B) 1520 mL
To calculate total intake, convert ounces of Sprite to milliliters (24 ounces = 710 mL), then add:

Normal saline: 750 mL
Sprite: 710 mL
Levaquin: 50 mL
Total intake = 750 + 710 + 50 = 1510 mL.
When caring for a patient experiencing a tonic-clonic seizure, the most appropriate nursing
intervention is:
A) Protecting the patient's head and extremities from contact with surrounding objects
B) Restraining the patient to prevent injury
C) Placing a tongue depressor in the patient's mouth
D) Administering oxygen immediately
Correct Answer: A) Protecting the patient's head and extremities from contact with surrounding
objects
Ensuring patient safety by preventing injury during a seizure is paramount. Restraining or
placing objects in the mouth can cause harm.

1|Page

,You went to the room of a 58-year-old female. You find that the patient's cardiac monitor shows
asystole. What should be your first action?
A) Start CPR
B) Assess the patient
C) Call for help
D) Administer epinephrine
Correct Answer: B) Assess the patient
Confirming asystole through assessment is crucial before initiating CPR, as it ensures that
appropriate interventions are implemented based on the patient's actual condition.

The nurse asks you about the typical signs and symptoms of myocardial infarction. What should
you mention?
A) Chest pain that radiates to the left arm
B) Sudden weakness in the legs
C) Nausea without any other symptoms
D) Fever and chills
Correct Answer: A) Chest pain that radiates to the left arm
Classic signs of myocardial infarction include chest pain or discomfort that may radiate to the
arms, back, neck, or jaw, among other symptoms.

While performing the narcotic count at the end of the shift, your coworker admits to something.
What should you do?
A) Ignore it; it’s not a big deal
B) Agree to not report it
C) Report the incident to the supervisor
D) Confront the coworker directly
Correct Answer: C) Report the incident to the supervisor
Reporting any discrepancies or admissions regarding narcotics is crucial for maintaining
compliance and safety in the healthcare environment.

2|Page

,You are preparing your patient for discharge and need to provide dietary education related to
their diagnosis. What should you instruct the patient to avoid?
A) Fresh fruits
B) Canned meats
C) Whole grains
D) Low-fat dairy products
Correct Answer: B) Canned meats
Canned meats can be high in sodium and preservatives, which may not be suitable for all
patients, particularly those with specific dietary restrictions.

Your patient complains of not being able to urinate since 0500. It is now 1900. What should be
your next step?
A) Notify the physician immediately
B) Perform a bladder scan
C) Insert a Foley catheter
D) Encourage fluid intake
Correct Answer: B) Perform a bladder scan
A bladder scan helps assess for urinary retention and determines whether catheterization is
necessary.

The doctor ordered Lasix 40 mg IV push, 100 mg/10 mL. What volume should you administer?
A) 2 mL
B) 4 mL
C) 6 mL
D) 8 mL
Correct Answer: B) 4 mL
To find the volume, use the ratio: 40 mg = X mL. Since 100 mg = 10 mL, 40 mg is 4 mL.

3|Page

, After a patient completes dialysis, you should anticipate seeing an improvement in which of the
following lab values?
A) Potassium levels
B) Sodium levels
C) BUN and creatinine
D) Calcium levels
Correct Answer: C) BUN and creatinine
Dialysis is primarily used to remove waste products, so BUN (Blood Urea Nitrogen) and
creatinine levels should improve following treatment.

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.
What should be your first response?
A) Call a rapid response
B) Monitor vital signs
C) Provide oxygen
D) Assess for further injuries
Correct Answer: A) Call a rapid response
These vital signs suggest possible severe head trauma or neurological compromise, necessitating
immediate escalation of care.

Which of the following antidiabetic medications is contraindicated 48 hours after receiving
contrast dye?
A) Insulin
B) Metformin
C) Glyburide
D) Sitagliptin
Correct Answer: B) Metformin
Metformin is contraindicated after contrast dye administration due to the risk of lactic acidosis,
especially in patients with impaired renal function.

4|Page

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RELIAS MEDICAL SURGICAL-TELEMETRY EXAM A AND B BANK 2024/2025 | ACCURATE REAL EXAM VERSIONS WITH ACCURATE QUESTIONS AND DETAILED ANSWERS WITH RATIONALES AND A STUDY GUIDE | EXPERT VERIFIED FOR GUARANTEED PASS | LATEST UPDATE

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