Prophecy Core Mandatory Parts I-III Nursing Relias Complete
Actual Exam 2026/2027 – Comprehensive Assessment with
Detailed Rationales | 100% Verified | Pass Guaranteed – A+
Graded
Section 1: Part I - Safety, Infection Control & OSHA (40 questions)
Q1: A nurse is caring for a patient with confirmed MRSA in a wound. Which PPE is
required before entering the room?
A. Surgical mask and face shield only
B. Gown and gloves
C. N95 respirator only
D. Standard precautions only, no additional PPE needed
Correct Answer: B
Rationale: MRSA requires contact precautions, which mandate the use of a gown and
gloves when entering the patient's room. The gown and gloves must be removed before
leaving the room to prevent transmission to other patients and surfaces.
Q2: A nurse finishes caring for a patient on contact precautions for C. difficile. What is
the correct hand hygiene method?
A. Alcohol-based hand rub
B. Soap and water only
C. Either alcohol-based rub or soap and water
D. No hand hygiene needed if gloves were worn
Correct Answer: B
Rationale: C. difficile spores are resistant to alcohol-based hand sanitizers. Soap and
water with mechanical friction is required for effective removal of spores. Alcohol-based
hand rub does not kill C. difficile spores and is insufficient.
Q3: A patient with suspected tuberculosis is admitted to the unit. Which isolation
precautions are required?
A. Droplet precautions with a surgical mask
B. Contact precautions with gown and gloves
C. Airborne precautions with an N95 respirator and negative-pressure room
,D. Standard precautions only
Correct Answer: C
Rationale: Tuberculosis is transmitted via airborne droplet nuclei. Airborne precautions
require an N95 respirator or higher-level protection and placement in a
negative-pressure room to prevent transmission to healthcare workers and other
patients.
Q4: When removing PPE after caring for a patient on contact precautions, which item
should be removed first?
A. Goggles or face shield
B. Gown
C. Gloves
D. Mask
Correct Answer: C
Rationale: The proper PPE removal sequence is gloves first, then goggles/face shield,
then gown, then mask. Gloves are removed first because they are the most
contaminated item, and removing them prevents contamination of other PPE and the
environment.
Q5: A nurse is disposing of a used syringe after administering an injection. According to
OSHA standards, the syringe should be:
A. Recapped with a two-handed technique
B. Broken or bent to prevent reuse
C. Disposed of immediately in a puncture-resistant sharps container
D. Placed in the regular trash
Correct Answer: C
Rationale: OSHA mandates that used sharps be disposed of immediately in
puncture-resistant containers. Needles should never be recapped, bent, or broken, as
these actions increase the risk of needlestick injuries and bloodborne pathogen
exposure.
Q6: A nurse is using a fire extinguisher on a small fire in a patient's room. Following the
PASS technique, the nurse should:
A. Pull the pin, Aim at the top of the flame, Squeeze the handle, Sweep side to side
B. Pull the pin, Aim at the base of the flame, Squeeze the handle, Sweep side to side
,C. Push the pin, Aim at the top, Squeeze gently, Sweep upward
D. Point and shoot without pulling the pin
Correct Answer: B
Rationale: The PASS technique for fire extinguisher use is: Pull the pin, Aim at the base
of the flame, Squeeze the handle, Sweep from side to side at the base of the flame.
Aiming at the base is essential for extinguishment.
Q7: A nurse discovers a fire in a patient's room. Following the RACE protocol, the nurse's
first action is to:
A. Pull the nearest fire alarm
B. Rescue anyone in immediate danger
C. Close all doors to contain the fire
D. Attempt to extinguish the fire
Correct Answer: B
Rationale: The RACE protocol for fire safety is: Rescue anyone in immediate danger,
Alarm (pull nearest alarm), Confine (close doors), Extinguish (if safe). Rescue is always
the first priority.
Q8: A patient's oxygen tubing catches fire. What is the nurse's first action?
A. Call for help
B. Turn off the oxygen source
C. Use a fire extinguisher on the patient
D. Move the patient to another room
Correct Answer: B
Rationale: If oxygen tubing catches fire, the first action is to turn off the oxygen source.
Oxygen supports combustion, and removing the oxygen supply is the most effective
way to extinguish the fire and prevent further injury.
Q9: A nurse is lifting a heavy box of supplies from the floor. According to proper body
mechanics, the nurse should:
A. Bend at the waist and lift with the back
B. Keep the back straight, bend at the knees, and lift with the legs
C. Twist the body while lifting to use momentum
D. Lift quickly to minimize strain
Correct Answer: B
, Rationale: Proper body mechanics for lifting require keeping the back straight, bending
at the knees, and using leg muscles to lift. The legs are stronger than the back muscles,
and this technique prevents lumbar strain and back injuries.
Q10: A nurse is transferring a patient from bed to wheelchair. The patient attempts to
hold onto the nurse's neck for support. The nurse should:
A. Allow the patient to hold on for stability
B. Instruct the patient not to hold the neck or shoulders and use proper transfer
techniques with assistive devices
C. Lift the patient by the arms
D. Pull the patient up by the hands
Correct Answer: B
Rationale: Patients should never be allowed to hold onto the nurse's neck or shoulders
during transfers, as this can cause serious neck and back injuries to the nurse. Proper
transfer techniques using gait belts, slide boards, or mechanical lifts should be used.
Q11: During a hospital evacuation, which patients should be evacuated first?
A. Bedfast patients requiring stretchers
B. Wheelchair-bound patients
C. Ambulatory patients who can walk independently
D. Patients on ventilators
Correct Answer: C
Rationale: The standard evacuation order is ambulatory patients first, then wheelchair
patients, then bedfast patients last. This allows the most mobile patients to exit quickly
while resources are focused on those requiring more assistance.
Q12: A nurse sustains a chemical splash to the eyes. What is the appropriate immediate
response?
A. Rub the eyes to remove the chemical
B. Rinse the eyes with water or saline for at least 15 minutes
C. Wait for medical evaluation before rinsing
D. Apply eye drops and cover with a patch
Correct Answer: B
Actual Exam 2026/2027 – Comprehensive Assessment with
Detailed Rationales | 100% Verified | Pass Guaranteed – A+
Graded
Section 1: Part I - Safety, Infection Control & OSHA (40 questions)
Q1: A nurse is caring for a patient with confirmed MRSA in a wound. Which PPE is
required before entering the room?
A. Surgical mask and face shield only
B. Gown and gloves
C. N95 respirator only
D. Standard precautions only, no additional PPE needed
Correct Answer: B
Rationale: MRSA requires contact precautions, which mandate the use of a gown and
gloves when entering the patient's room. The gown and gloves must be removed before
leaving the room to prevent transmission to other patients and surfaces.
Q2: A nurse finishes caring for a patient on contact precautions for C. difficile. What is
the correct hand hygiene method?
A. Alcohol-based hand rub
B. Soap and water only
C. Either alcohol-based rub or soap and water
D. No hand hygiene needed if gloves were worn
Correct Answer: B
Rationale: C. difficile spores are resistant to alcohol-based hand sanitizers. Soap and
water with mechanical friction is required for effective removal of spores. Alcohol-based
hand rub does not kill C. difficile spores and is insufficient.
Q3: A patient with suspected tuberculosis is admitted to the unit. Which isolation
precautions are required?
A. Droplet precautions with a surgical mask
B. Contact precautions with gown and gloves
C. Airborne precautions with an N95 respirator and negative-pressure room
,D. Standard precautions only
Correct Answer: C
Rationale: Tuberculosis is transmitted via airborne droplet nuclei. Airborne precautions
require an N95 respirator or higher-level protection and placement in a
negative-pressure room to prevent transmission to healthcare workers and other
patients.
Q4: When removing PPE after caring for a patient on contact precautions, which item
should be removed first?
A. Goggles or face shield
B. Gown
C. Gloves
D. Mask
Correct Answer: C
Rationale: The proper PPE removal sequence is gloves first, then goggles/face shield,
then gown, then mask. Gloves are removed first because they are the most
contaminated item, and removing them prevents contamination of other PPE and the
environment.
Q5: A nurse is disposing of a used syringe after administering an injection. According to
OSHA standards, the syringe should be:
A. Recapped with a two-handed technique
B. Broken or bent to prevent reuse
C. Disposed of immediately in a puncture-resistant sharps container
D. Placed in the regular trash
Correct Answer: C
Rationale: OSHA mandates that used sharps be disposed of immediately in
puncture-resistant containers. Needles should never be recapped, bent, or broken, as
these actions increase the risk of needlestick injuries and bloodborne pathogen
exposure.
Q6: A nurse is using a fire extinguisher on a small fire in a patient's room. Following the
PASS technique, the nurse should:
A. Pull the pin, Aim at the top of the flame, Squeeze the handle, Sweep side to side
B. Pull the pin, Aim at the base of the flame, Squeeze the handle, Sweep side to side
,C. Push the pin, Aim at the top, Squeeze gently, Sweep upward
D. Point and shoot without pulling the pin
Correct Answer: B
Rationale: The PASS technique for fire extinguisher use is: Pull the pin, Aim at the base
of the flame, Squeeze the handle, Sweep from side to side at the base of the flame.
Aiming at the base is essential for extinguishment.
Q7: A nurse discovers a fire in a patient's room. Following the RACE protocol, the nurse's
first action is to:
A. Pull the nearest fire alarm
B. Rescue anyone in immediate danger
C. Close all doors to contain the fire
D. Attempt to extinguish the fire
Correct Answer: B
Rationale: The RACE protocol for fire safety is: Rescue anyone in immediate danger,
Alarm (pull nearest alarm), Confine (close doors), Extinguish (if safe). Rescue is always
the first priority.
Q8: A patient's oxygen tubing catches fire. What is the nurse's first action?
A. Call for help
B. Turn off the oxygen source
C. Use a fire extinguisher on the patient
D. Move the patient to another room
Correct Answer: B
Rationale: If oxygen tubing catches fire, the first action is to turn off the oxygen source.
Oxygen supports combustion, and removing the oxygen supply is the most effective
way to extinguish the fire and prevent further injury.
Q9: A nurse is lifting a heavy box of supplies from the floor. According to proper body
mechanics, the nurse should:
A. Bend at the waist and lift with the back
B. Keep the back straight, bend at the knees, and lift with the legs
C. Twist the body while lifting to use momentum
D. Lift quickly to minimize strain
Correct Answer: B
, Rationale: Proper body mechanics for lifting require keeping the back straight, bending
at the knees, and using leg muscles to lift. The legs are stronger than the back muscles,
and this technique prevents lumbar strain and back injuries.
Q10: A nurse is transferring a patient from bed to wheelchair. The patient attempts to
hold onto the nurse's neck for support. The nurse should:
A. Allow the patient to hold on for stability
B. Instruct the patient not to hold the neck or shoulders and use proper transfer
techniques with assistive devices
C. Lift the patient by the arms
D. Pull the patient up by the hands
Correct Answer: B
Rationale: Patients should never be allowed to hold onto the nurse's neck or shoulders
during transfers, as this can cause serious neck and back injuries to the nurse. Proper
transfer techniques using gait belts, slide boards, or mechanical lifts should be used.
Q11: During a hospital evacuation, which patients should be evacuated first?
A. Bedfast patients requiring stretchers
B. Wheelchair-bound patients
C. Ambulatory patients who can walk independently
D. Patients on ventilators
Correct Answer: C
Rationale: The standard evacuation order is ambulatory patients first, then wheelchair
patients, then bedfast patients last. This allows the most mobile patients to exit quickly
while resources are focused on those requiring more assistance.
Q12: A nurse sustains a chemical splash to the eyes. What is the appropriate immediate
response?
A. Rub the eyes to remove the chemical
B. Rinse the eyes with water or saline for at least 15 minutes
C. Wait for medical evaluation before rinsing
D. Apply eye drops and cover with a patch
Correct Answer: B
