PROPHECY CORE MANDATORY PART I, II, & III (NURSING)
RELIAS PRACTICE EXAM 200 COMPREHENSIVE QUESTIONS &
ANSWERS
TABLE OF CONTENTS
Section Domain Approx. Page
Questions Reference
Part I Safety & Compliance (HIPAA, 70 Sec 1
Fire, Radiation, Gases, Infection
Control)
Part II Patient Rights & Ethics (Rights, 70 Sec 2
Ethics, Sentinel Events,
Directives, NPSG)
Part III Clinical Practice (Abuse, 60 Sec 3
Violence, Restraints, Pain,
Culture)
PART I: SAFETY & COMPLIANCE (HIPAA, Fire Safety, Radiation Safety,
Compressed Gases, Infection Control)
(Questions 1 - 70)
1. A nurse leaves a computer screen unlocked in a patient care area.
Which regulatory standard is primarily violated?
A. Patient safety goals
B. HIPAA privacy rule
,C. Infection control policy
D. Fire safety code
Correct Answer: B. Rationale: Leaving a computer unlocked allows
unauthorized access to protected health information (PHI), violating
HIPAA privacy standards.
2. In the event of a fire in a patient room, what is the priority nursing
action according to the RACE acronym?
A. Activate the alarm
B. Rescue the patient
C. Contain the fire
D. Extinguish the fire
Correct Answer: B. Rationale: The first step in RACE is Rescue, meaning
removing the patient from immediate danger before doing anything
else.
3. A patient is scheduled for an x-ray. What is the primary principle of
radiation safety for the nurse?
A. Time, distance, and shielding
B. Monitoring, reporting, and documenting
C. Isolation, sterilization, and disposal
D. Assessment, intervention, and evaluation
Correct Answer: A. Rationale: The three basic principles of radiation
protection are minimizing time near the source, maximizing distance,
and using appropriate shielding.
4. A nurse is transporting a patient with an oxygen cylinder. What
safety measure is most critical?
A. Ensuring the cylinder is secured upright
B. Checking the oxygen flow rate
,C. Covering the cylinder with a blanket
D. Placing the cylinder on the stretcher bed
Correct Answer: A. Rationale: Compressed gas cylinders must be
secured upright to prevent falling, which could damage the valve and
cause a dangerous projectile.
5. Which action by a nurse demonstrates proper hand hygiene
according to CDC guidelines?
A. Using alcohol-based hand rub when hands are visibly soiled
B. Washing hands with soap and water for at least 15 seconds
C. Wearing gloves as a substitute for hand washing
D. Rinsing hands briefly under cold water after removing gloves
Correct Answer: B. Rationale: Soap and water should be used for at
least 15 seconds, especially when hands are visibly dirty or after caring
for patients with C. difficile.
6. A patient refuses to allow their name to be shared with family
members. This is protected under which part of HIPAA?
A. The Privacy Rule
B. The Security Rule
C. The Breach Notification Rule
D. The Enforcement Rule
Correct Answer: A. Rationale: The HIPAA Privacy Rule dictates how and
when protected health information (PHI) can be shared, including
honoring patient requests to restrict sharing.
7. What is the correct sequence when using a fire extinguisher (PASS)?
A. Pull, Aim, Squeeze, Sweep
B. Push, Aim, Spray, Stop
C. Pull, Alert, Squeeze, Sweep
, D. Point, Aim, Squeeze, Spray
Correct Answer: A. Rationale: PASS stands for Pull the pin, Aim at the
base of the fire, Squeeze the handle, and Sweep from side to side.
8. A nurse is caring for a patient receiving internal radiation therapy.
What is the primary nursing consideration?
A. Limit time spent in the room and maintain distance
B. Wear a lead apron at all times
C. Do not allow any visitors
D. Flush the toilet three times after use
Correct Answer: A. Rationale: For internal radiation, the principles of
time, distance, and shielding apply to the nurse to minimize exposure.
9. Which of the following is an example of a bloodborne pathogen
exposure?
A. Splashing blood into the eyes
B. Inhaling tuberculosis droplets
C. Touching a contaminated surface with intact skin
D. Sharing a water fountain with an infected patient
Correct Answer: A. Rationale: Bloodborne pathogens (like HIV, Hepatitis
B/C) are transmitted through contact with mucous membranes (eyes,
mouth) or broken skin.
10. When preparing a sterile field, which action requires immediate
intervention by the nurse?
A. The nurse holds sterile items above waist level
B. The nurse turns their back to the sterile field
C. The nurse opens sterile packages away from the body
D. The nurse drops sterile items onto the field from 6 inches away
Correct Answer: B. Rationale: Turning one's back to a sterile field
RELIAS PRACTICE EXAM 200 COMPREHENSIVE QUESTIONS &
ANSWERS
TABLE OF CONTENTS
Section Domain Approx. Page
Questions Reference
Part I Safety & Compliance (HIPAA, 70 Sec 1
Fire, Radiation, Gases, Infection
Control)
Part II Patient Rights & Ethics (Rights, 70 Sec 2
Ethics, Sentinel Events,
Directives, NPSG)
Part III Clinical Practice (Abuse, 60 Sec 3
Violence, Restraints, Pain,
Culture)
PART I: SAFETY & COMPLIANCE (HIPAA, Fire Safety, Radiation Safety,
Compressed Gases, Infection Control)
(Questions 1 - 70)
1. A nurse leaves a computer screen unlocked in a patient care area.
Which regulatory standard is primarily violated?
A. Patient safety goals
B. HIPAA privacy rule
,C. Infection control policy
D. Fire safety code
Correct Answer: B. Rationale: Leaving a computer unlocked allows
unauthorized access to protected health information (PHI), violating
HIPAA privacy standards.
2. In the event of a fire in a patient room, what is the priority nursing
action according to the RACE acronym?
A. Activate the alarm
B. Rescue the patient
C. Contain the fire
D. Extinguish the fire
Correct Answer: B. Rationale: The first step in RACE is Rescue, meaning
removing the patient from immediate danger before doing anything
else.
3. A patient is scheduled for an x-ray. What is the primary principle of
radiation safety for the nurse?
A. Time, distance, and shielding
B. Monitoring, reporting, and documenting
C. Isolation, sterilization, and disposal
D. Assessment, intervention, and evaluation
Correct Answer: A. Rationale: The three basic principles of radiation
protection are minimizing time near the source, maximizing distance,
and using appropriate shielding.
4. A nurse is transporting a patient with an oxygen cylinder. What
safety measure is most critical?
A. Ensuring the cylinder is secured upright
B. Checking the oxygen flow rate
,C. Covering the cylinder with a blanket
D. Placing the cylinder on the stretcher bed
Correct Answer: A. Rationale: Compressed gas cylinders must be
secured upright to prevent falling, which could damage the valve and
cause a dangerous projectile.
5. Which action by a nurse demonstrates proper hand hygiene
according to CDC guidelines?
A. Using alcohol-based hand rub when hands are visibly soiled
B. Washing hands with soap and water for at least 15 seconds
C. Wearing gloves as a substitute for hand washing
D. Rinsing hands briefly under cold water after removing gloves
Correct Answer: B. Rationale: Soap and water should be used for at
least 15 seconds, especially when hands are visibly dirty or after caring
for patients with C. difficile.
6. A patient refuses to allow their name to be shared with family
members. This is protected under which part of HIPAA?
A. The Privacy Rule
B. The Security Rule
C. The Breach Notification Rule
D. The Enforcement Rule
Correct Answer: A. Rationale: The HIPAA Privacy Rule dictates how and
when protected health information (PHI) can be shared, including
honoring patient requests to restrict sharing.
7. What is the correct sequence when using a fire extinguisher (PASS)?
A. Pull, Aim, Squeeze, Sweep
B. Push, Aim, Spray, Stop
C. Pull, Alert, Squeeze, Sweep
, D. Point, Aim, Squeeze, Spray
Correct Answer: A. Rationale: PASS stands for Pull the pin, Aim at the
base of the fire, Squeeze the handle, and Sweep from side to side.
8. A nurse is caring for a patient receiving internal radiation therapy.
What is the primary nursing consideration?
A. Limit time spent in the room and maintain distance
B. Wear a lead apron at all times
C. Do not allow any visitors
D. Flush the toilet three times after use
Correct Answer: A. Rationale: For internal radiation, the principles of
time, distance, and shielding apply to the nurse to minimize exposure.
9. Which of the following is an example of a bloodborne pathogen
exposure?
A. Splashing blood into the eyes
B. Inhaling tuberculosis droplets
C. Touching a contaminated surface with intact skin
D. Sharing a water fountain with an infected patient
Correct Answer: A. Rationale: Bloodborne pathogens (like HIV, Hepatitis
B/C) are transmitted through contact with mucous membranes (eyes,
mouth) or broken skin.
10. When preparing a sterile field, which action requires immediate
intervention by the nurse?
A. The nurse holds sterile items above waist level
B. The nurse turns their back to the sterile field
C. The nurse opens sterile packages away from the body
D. The nurse drops sterile items onto the field from 6 inches away
Correct Answer: B. Rationale: Turning one's back to a sterile field
