PCU / Telemetry Quiz
RNs and LPNs must complete this quiz to be able to work on any Med-Surg unit. 80% is the lowest passing grade.
TELEMETRY NURSE - Name
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Today's Date
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1. The goal of treatment for acute glomerulonephritis is to:
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a. Encourage activity
b. Encourage high protein diet
c. Maintain fluid balance
d. Teach intermittent catheterization
2. Gout is disease of the joints by accumulation of what waste product in a person’s joint:
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a. Urine
b. Nitric Acid
c. Uric Acid
d. None of the above
3. A patient who received spinal anesthesia 4 hours ago during surgery is transferred to the surgical unit and after 1.5 hour, now reports severe incisional pain. The BP is 170/90 mmHg, HR 108, T 99F, R 30 bpm. Skin is pale and surgical dressing is dry/intact. What is most appropriate nursing response?
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a. Medicate patient for pain
b. Place paint in high fowler and administer 02
c. Place patient in reverse Trendelenburg and open IV line
d. Report the findings to provider
4. To prevent common, adverse effect of prolonged use of Dilantin, patients are instructed to:
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a. Avoid crowds and obtain flu shot
b. Drink at least 2L of fluids daily, 8-10 glasses of water
c. Eat potassium rich diet
d. Practice good dental hygiene and report gum swelling/bleeding
5. Most common and preventable complication of abdominal surgery is:
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a. Atelectasis
b. Fluid and electrolyte imbalance
c. Thrombophlebitis
d. Urinary retention
6. 78 yr old patient scheduled for transition to home after treatment for heart disease, patients spouse has COPD and plans to care for patient at home. The spouse says that their adult children will help also. The best approach to discharge planning is:
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a. Arrange for nursing home placement
b. Consult spouses healthcare provider about the ability to care for patient
c. Contact children to ascertain commitment to help
d. Discuss community resources with spouse and offer to make referrals
7. During an assessment of a patient who sustained head injury 24 hours ago, the nurse notes development of slurred speech and disorientation. The nurses should:
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a. Continue hourly neuro checks
b. Inform neurosurgeon of status
c. Prepare patient for surgery
d. Recheck neuro status in 15 min
8. To prepare a patient for bronchoscopy procedure, the nurses administers IV sedative then instructs the LPN to:
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a. Educate patient on pending procedure
b. Give small sips of water
c. Measure BP and HR
d. Take patient to bathroom
9. Which response is associated with surgery related stress:
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a. Bronchial constriction
b. Decreased cortisol level
c. Peripheral vasodilation
d. Sodium and water retention
10. Which statement by the patient with diabetes indicates an understanding of insulin Lantus?
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a. Causes weight loss
b. Only used at night
c. Lasts only 6 hours
d. There is no peak for lantus
11. Which is primarily a developmental task of middle age:
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a. Learning new skills and information
b. Rediscovering or developing satisfaction in ones relationships
c. Relying strongly upon spiritual beliefs
d. Risk taking and its perceived consequences
12. A nurse is caring for a patient with new diagnosis of cancer, observes patient become angry with provider and nurse. The best approach to diffuse situation:
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a. Allow patient and family time alone
b. Arrange time for patient to speak with another patient with cancer
c. Direct discussion and validate emotions
d. Request consult from social worker
13. Hospital policy is to assess and record HR before digoxin administration. By auditing the charts to determine the frequency of compliance, the quality assessment and improvement committee is conducting:
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a. Process analysis
b. Quality analysis
c. System analysis
d. Outcome analysis
14. The nursing diagnosis for myocardial infarction is activity imbalance. The plan of care includes:
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a. Agreeing to d/c smoking
b. Ambulating 50 feet without dyspnea
c. No dyspnea on exertion
d. Tolerate activity well
15. Nursing department in an acute care setting decides to redesign its practice based on theoretical framework. Feedback from patients, families, and staff reflect that caring is a key element. Which theorist best supports this concept?
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a. Erikson
b. Maslow
c. Rogers
d. Watson
16. Which statement demonstrates understanding about herbal supplements:
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a. Herbs may interact with prescribed meds but not with other herbs
b. Most herbs have been tested and found to be safe
c. The food and drug administration regulates all herbs
d. There is no standardization among herb manufacturing in the USA
17. For a patient with Crohn’s disease, the nurse recommends this diet:
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a. High in fiber, low protein / carbs
b. High potassium
c. Low fiber / high protein and calories
d. Low potassium
18. When examining patient who is paralyzed below T4 level, the nurse expects:
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a. Flaccidity of upper extremities
b. Hyperreflexia and spasticity of upper extremities
c. Impaired diaphragmatic function requiring ventilator support
d. Independent use of upper extremities and efficient cough
19. After completing a thorough neuro and physical assessment for suspected stroke, the nurse anticipates the next immediate step is:
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a. Administer tissue plasminogen activator
b. Obtain CT exam of head without contrast
c. Obtain neuro consult
d. Prepare for carotid Doppler ultrasound
20. The client with a history of cardiac disease is due for a morning dose of furosemide (Lasix). The nurse reviews the clients record and reports which of the following serum potassium levels before administering the dose of furosemide?
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a. 3.8 mEq/L
b. 3.2 mEq/L
c. 4.8 mEq/L
d. 4.2 mEq/L
21. Correctly identify the following Telemetry strip:
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a. Normal Sinus Rhythm (NSR)
b. Bradycardia
c. Tachycardia
d. Normal Sinus Rhythm with a PVC
22. Correctly identify the following Telemetry strip:
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a. Normal Sinus Rhythm
b. Atrial Fibrillation (A-fib)
c. Sinus Tachycardia
d. None of the above
23. Correctly identify the following Telemetry strip:
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a. Ventricular Fibrillation (V-fib)
b. Sinus Tachycardia
c. Supraventricular Tachycardia (SVT)
d. Atrial Fibrillation (A-Fib)
24. Correctly identify the following Telemetry strip:
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a. Normal Sinus Rhythm
b. Sinus Tachycardia
c. Supraventricular Tachycardia (SVT)
d. Ventricular Tachycardia (V-tach)
25. Correctly identify the following Telemetry strip:
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a. Normal Sinus Rhythm
b. Sinus Bradycardia
c. First Degree Heart Block
d. Second Degree Heart Block
26. A patient presents with the following rhythm on the monitor. Which continuous IV drip would you expect the physician to order?
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a. Epinephrine
b. Dopamine
c. Diltiazem
d. Digoxin
27. A patient has sustained hypotension following a heart cath procedure. Despite fluid, the patient’s urine output remains low. If the physician wishes to keep the patient out of the ICU; what drip may be ordered that can increase this patient’s blood pressure?
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a. Dopamine
b. Dobutamine
c. Diltiazem
d. Nitroglycerin
28. If a patient is on a heparin drip; how often should PT/PTT levels be drawn when on the drip and their levels are NOT therapeutic.
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a. Q 2 hours
b. Q 4 hours
c. Q 6 hours
d. Q 8 hours
29. A patient admitted to the hospital for elevated blood pressure. The physician wishes to start them on a continuous IV infusion to control their blood pressure. Which medication do you expect them to start?
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a. Dopuamtine
b. Nicardipine
c. Dopamine
d. Epinephrine
30. A patient presents with the following ECG strip. Which medication would the physician likely order by continuous IV infusion?
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a. Dopamine
b. Dobutamine
c. Nicardipine
d. Amiodarone
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