1|Page
PROPHECY CORE MANDATORY PART 1
ACTUAL EXAM PREP 2026 ALL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES ALREADY A GRADED WITH
EXPERT FEEDBACK |NEW AND REVISED
1. Which of the following is the most important action to prevent patient
identification errors?
A) Ask the patient their room number
B) Use two patient identifiers (e.g., name and date of birth) before
any procedure or medication
C) Rely on the wristband color
D) Ask family members to confirm identity
Rationale: The National Patient Safety Goals require at least two
patient identifiers (e.g., name, medical record number, date of birth) to
ensure the right patient receives the right care.
2. A nurse is preparing to administer a blood transfusion. Which of the
following is required?
A) One nurse verifies the blood product and patient identity
B) Two qualified staff members verify the blood product and patient
identity at the bedside
C) The laboratory alone verifies compatibility
D) Only the physician must verify
Rationale: Two licensed staff must verify the blood product label
against the patient's identification and the order to prevent transfusion
reactions.
3. A patient questions a medication you are about to administer, stating
it "doesn't look right." What is the nurse's priority action?
A) Administer the medication as ordered
,2|Page
B) Verify the patient's identity and the order against the medication
administration record (MAR)
C) Crush the pill and mix it with applesauce
D) Ask the patient's roommate if the patient usually takes it
Rationale: The nurse must immediately verify the patient's identity and
the order. Never administer if the patient questions it.
4. The "time-out" procedure before surgery is intended to:
A) Allow the surgeon to rest
B) Verify correct patient, procedure, site, and implants with the
entire team
C) Give anesthesia time to take effect
D) Document the patient's vital signs
Rationale: The universal protocol for preventing wrong-site surgery
includes a pre-operative time-out where the team confirms critical
information.
5. In many facilities, a patient with a yellow wristband indicates:
A) Fall risk
B) Do not resuscitate (DNR)
C) Latex allergy
D) Limb alert (e.g., no blood pressure or IV in that arm)
Rationale: Color-coded wristbands vary, but yellow commonly
indicates latex allergy. Red may indicate allergy; purple indicates
DNR; yellow for fall risk in some systems. Know your facility's policy.
6. Which of the following is a key component of safe medication
administration?
A) Right patient, right drug, right dose, right route, right time, right
documentation
B) Right room, right bed, right pill, right nurse
C) Right physician, right order, right pharmacy
D) Right insurance, right diagnosis
,3|Page
Rationale: The "six rights" are fundamental to medication safety.
Some add "right reason" and "right response."
7. A patient receiving a continuous IV heparin infusion requires which
safety measure?
A) Use an infusion pump with a dedicated "heparin" label
B) Check the patient's PTT/anti-Xa every shift only
C) Stop the infusion if the patient sneezes
D) No special precautions are needed
Rationale: High-alert medications like heparin require special
safeguards, including dedicated infusion pumps with clear labeling to
prevent errors.
8. Which of the following is a key component of fall prevention?
A) Keeping the patient in bed at all times
B) Placing the call light within reach and rounding hourly
C) Restraining the patient to the bed
D) Asking family to stay 24/7
Rationale: The most effective fall prevention includes patient
education, call light access, toileting assistance, and hourly rounding.
Restraints are a last resort.
9. Hazards associated with compressed gases include:
A) Oxygen displacement
B) Explosions
C) Toxic gas exposures
D) All of the above
Rationale: Compressed gases present multiple hazards including
oxygen displacement (risk of asphyxiation), explosions (from
pressure), and toxic gas exposures.
10. Which of the following statements regarding the use of gloves is
correct?
A) You do not need to wash your hands before putting on gloves
B) Turn gloves inside out when removing them
, 4|Page
C) It is acceptable to reuse gloves if you wash them first
D) It is acceptable to wear multiple layers of gloves and peel off each
layer between tasks
Rationale: Gloves should be turned inside out during removal to
contain contaminants. Hands must be washed before and after glove
use. Gloves are single-use only.
11. If a person is injured at the hospital during a natural disaster, a
correct action to take is:
A) Use a wheelchair or a stretcher to take the person to the
Emergency Department for treatment
B) Turn a person with a head injury onto his or her back
C) Report the accident only if the person had to go to the Emergency
Department
D) Try to move the person yourself
Rationale: The correct action is to use a wheelchair or stretcher to
transport the injured person to the Emergency Department for proper
treatment. Moving a person with a head injury onto their back could
worsen injury.
12. Before you use a chemical product, you must know certain important
information about it. Which of the choices below is information you do
NOT need to know?
A) Proper use of the product
B) What chemicals the product contains
C) Treatment if accidentally exposed to it
D) Precautions for safe handling
Rationale: You must know proper use, treatment for accidental
exposure, and precautions for safe handling. The specific chemical
composition is detailed on the Safety Data Sheet (SDS) but is not
required knowledge before each use.
13. Healthcare workers who must comply with HIPAA privacy
requirements are:
PROPHECY CORE MANDATORY PART 1
ACTUAL EXAM PREP 2026 ALL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES ALREADY A GRADED WITH
EXPERT FEEDBACK |NEW AND REVISED
1. Which of the following is the most important action to prevent patient
identification errors?
A) Ask the patient their room number
B) Use two patient identifiers (e.g., name and date of birth) before
any procedure or medication
C) Rely on the wristband color
D) Ask family members to confirm identity
Rationale: The National Patient Safety Goals require at least two
patient identifiers (e.g., name, medical record number, date of birth) to
ensure the right patient receives the right care.
2. A nurse is preparing to administer a blood transfusion. Which of the
following is required?
A) One nurse verifies the blood product and patient identity
B) Two qualified staff members verify the blood product and patient
identity at the bedside
C) The laboratory alone verifies compatibility
D) Only the physician must verify
Rationale: Two licensed staff must verify the blood product label
against the patient's identification and the order to prevent transfusion
reactions.
3. A patient questions a medication you are about to administer, stating
it "doesn't look right." What is the nurse's priority action?
A) Administer the medication as ordered
,2|Page
B) Verify the patient's identity and the order against the medication
administration record (MAR)
C) Crush the pill and mix it with applesauce
D) Ask the patient's roommate if the patient usually takes it
Rationale: The nurse must immediately verify the patient's identity and
the order. Never administer if the patient questions it.
4. The "time-out" procedure before surgery is intended to:
A) Allow the surgeon to rest
B) Verify correct patient, procedure, site, and implants with the
entire team
C) Give anesthesia time to take effect
D) Document the patient's vital signs
Rationale: The universal protocol for preventing wrong-site surgery
includes a pre-operative time-out where the team confirms critical
information.
5. In many facilities, a patient with a yellow wristband indicates:
A) Fall risk
B) Do not resuscitate (DNR)
C) Latex allergy
D) Limb alert (e.g., no blood pressure or IV in that arm)
Rationale: Color-coded wristbands vary, but yellow commonly
indicates latex allergy. Red may indicate allergy; purple indicates
DNR; yellow for fall risk in some systems. Know your facility's policy.
6. Which of the following is a key component of safe medication
administration?
A) Right patient, right drug, right dose, right route, right time, right
documentation
B) Right room, right bed, right pill, right nurse
C) Right physician, right order, right pharmacy
D) Right insurance, right diagnosis
,3|Page
Rationale: The "six rights" are fundamental to medication safety.
Some add "right reason" and "right response."
7. A patient receiving a continuous IV heparin infusion requires which
safety measure?
A) Use an infusion pump with a dedicated "heparin" label
B) Check the patient's PTT/anti-Xa every shift only
C) Stop the infusion if the patient sneezes
D) No special precautions are needed
Rationale: High-alert medications like heparin require special
safeguards, including dedicated infusion pumps with clear labeling to
prevent errors.
8. Which of the following is a key component of fall prevention?
A) Keeping the patient in bed at all times
B) Placing the call light within reach and rounding hourly
C) Restraining the patient to the bed
D) Asking family to stay 24/7
Rationale: The most effective fall prevention includes patient
education, call light access, toileting assistance, and hourly rounding.
Restraints are a last resort.
9. Hazards associated with compressed gases include:
A) Oxygen displacement
B) Explosions
C) Toxic gas exposures
D) All of the above
Rationale: Compressed gases present multiple hazards including
oxygen displacement (risk of asphyxiation), explosions (from
pressure), and toxic gas exposures.
10. Which of the following statements regarding the use of gloves is
correct?
A) You do not need to wash your hands before putting on gloves
B) Turn gloves inside out when removing them
, 4|Page
C) It is acceptable to reuse gloves if you wash them first
D) It is acceptable to wear multiple layers of gloves and peel off each
layer between tasks
Rationale: Gloves should be turned inside out during removal to
contain contaminants. Hands must be washed before and after glove
use. Gloves are single-use only.
11. If a person is injured at the hospital during a natural disaster, a
correct action to take is:
A) Use a wheelchair or a stretcher to take the person to the
Emergency Department for treatment
B) Turn a person with a head injury onto his or her back
C) Report the accident only if the person had to go to the Emergency
Department
D) Try to move the person yourself
Rationale: The correct action is to use a wheelchair or stretcher to
transport the injured person to the Emergency Department for proper
treatment. Moving a person with a head injury onto their back could
worsen injury.
12. Before you use a chemical product, you must know certain important
information about it. Which of the choices below is information you do
NOT need to know?
A) Proper use of the product
B) What chemicals the product contains
C) Treatment if accidentally exposed to it
D) Precautions for safe handling
Rationale: You must know proper use, treatment for accidental
exposure, and precautions for safe handling. The specific chemical
composition is detailed on the Safety Data Sheet (SDS) but is not
required knowledge before each use.
13. Healthcare workers who must comply with HIPAA privacy
requirements are:
