Medical-Surgical RN A Prophecy Relias –
2024/2025
1. 1.2 milligrams is equal to how many micrograms?
A. 1200 mcg
B. 120 mcg
C. 12,000 mcg
D. 1,200,000 mcg
Answer: A. 1200 mcg
2. Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure effective drain
function?
A. Keep the drain open
B. Compress the drain, then plug the bulb to establish suction
C. Leave the bulb disconnected
D. Change the bulb every hour
Answer: B. Compress the drain, then plug the bulb to establish suction
3. Your male patient complains of discomfort while inflating the balloon during insertion of an
indwelling urinary catheter. What would be the MOST appropriate action?
A. Deflate the balloon, advance the catheter further, then reinflate the balloon
B. Inflate the balloon more
C. Remove the catheter and let him rest
D. Call the physician
Answer: A. Deflate the balloon, advance the catheter further, then reinflate the balloon
,4. Your patient has symptomatic anemia but is refusing a blood transfusion for religious reasons.
What is an appropriate response?
A. Persuade him to take the transfusion
B. Respect his wishes and notify the provider
C. Ignore his choice
D. Document refusal only
Answer: B. Respect his wishes and notify the provider
5. Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered for the
patient?
A. Clear liquids
B. Broth, jello, soft fruit no skin
C. Full solid diet
D. High fiber diet
Answer: B. Broth, jello, soft fruit no skin
6. You were hired to work the medical unit, and when you arrive at work the charge nurse has
assigned you to the post-surgical unit since they are understaffed. Which is the MOST
appropriate action?
A. Refuse to go
B. Report to the post-surgical unit
C. Wait for another assignment
D. Ask for training on the medical unit
Answer: B. Report to the post-surgical unit
,7. What is a proton pump inhibitor, such as pantoprazole (Protonix), used for?
A. Blood pressure regulation
B. Acid reduction
C. Pain relief
D. Cholesterol management
Answer: B. Acid reduction
8. Which adaptive equipment would be MOST appropriate to use for a severely contracted patient
who is unable to bear weight when transferring from the bed to the chair?
A. Walker
B. Patient lift (e.g., Hoyer)
C. Bed rails
D. Wheelchair ramp
Answer: B. Patient lift (e.g., Hoyer)
9. Which tool should you use to assess pain in your 80-year-old patient with severe dementia?
A. Numeric scale
B. FACES scale
C. PAINAD scale
D. Wong-Baker scale
Answer: C. PAINAD scale
10. Your patient is admitted from the ED with failure to thrive and advanced dementia. You note he
is extremely underweight, appears unbathed for some time, and has a stage 4 pressure injury to
his coccyx. You were told in report that he lives at home with family members. What should you
do?
, A. Notify the charge nurse and social worker of your concerns
B. Document your findings
C. Wait for further orders
D. Discuss with the family
Answer: A. Notify the charge nurse and social worker of your concerns
11. Your 85-year-old patient with atrial fibrillation fell at home 3 days ago. You notice she has been
having several episodes of acute confusion since being admitted to your unit. What is the MOST
important order you should anticipate from the provider?
A. Routine blood work
B. Stat CT of head
C. MRI of the brain
D. X-ray of the pelvis
Answer: B. Stat CT of head
12. Your patient has a temp of 102.3 F, HR 122, and has had 15 mL of urine from the indwelling
urinary catheter in the last 2 hours. What is your patient MOST likely experiencing?
A. Dehydration
B. Heart failure
C. Sepsis
D. Fever
Answer: C. Sepsis
13. What type of personal protective equipment (PPE) is applied prior to entering a room for a
patient with C. diff?
A. Mask and gloves
2024/2025
1. 1.2 milligrams is equal to how many micrograms?
A. 1200 mcg
B. 120 mcg
C. 12,000 mcg
D. 1,200,000 mcg
Answer: A. 1200 mcg
2. Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure effective drain
function?
A. Keep the drain open
B. Compress the drain, then plug the bulb to establish suction
C. Leave the bulb disconnected
D. Change the bulb every hour
Answer: B. Compress the drain, then plug the bulb to establish suction
3. Your male patient complains of discomfort while inflating the balloon during insertion of an
indwelling urinary catheter. What would be the MOST appropriate action?
A. Deflate the balloon, advance the catheter further, then reinflate the balloon
B. Inflate the balloon more
C. Remove the catheter and let him rest
D. Call the physician
Answer: A. Deflate the balloon, advance the catheter further, then reinflate the balloon
,4. Your patient has symptomatic anemia but is refusing a blood transfusion for religious reasons.
What is an appropriate response?
A. Persuade him to take the transfusion
B. Respect his wishes and notify the provider
C. Ignore his choice
D. Document refusal only
Answer: B. Respect his wishes and notify the provider
5. Your patient is admitted with diverticulitis. What type of diet do you expect to be ordered for the
patient?
A. Clear liquids
B. Broth, jello, soft fruit no skin
C. Full solid diet
D. High fiber diet
Answer: B. Broth, jello, soft fruit no skin
6. You were hired to work the medical unit, and when you arrive at work the charge nurse has
assigned you to the post-surgical unit since they are understaffed. Which is the MOST
appropriate action?
A. Refuse to go
B. Report to the post-surgical unit
C. Wait for another assignment
D. Ask for training on the medical unit
Answer: B. Report to the post-surgical unit
,7. What is a proton pump inhibitor, such as pantoprazole (Protonix), used for?
A. Blood pressure regulation
B. Acid reduction
C. Pain relief
D. Cholesterol management
Answer: B. Acid reduction
8. Which adaptive equipment would be MOST appropriate to use for a severely contracted patient
who is unable to bear weight when transferring from the bed to the chair?
A. Walker
B. Patient lift (e.g., Hoyer)
C. Bed rails
D. Wheelchair ramp
Answer: B. Patient lift (e.g., Hoyer)
9. Which tool should you use to assess pain in your 80-year-old patient with severe dementia?
A. Numeric scale
B. FACES scale
C. PAINAD scale
D. Wong-Baker scale
Answer: C. PAINAD scale
10. Your patient is admitted from the ED with failure to thrive and advanced dementia. You note he
is extremely underweight, appears unbathed for some time, and has a stage 4 pressure injury to
his coccyx. You were told in report that he lives at home with family members. What should you
do?
, A. Notify the charge nurse and social worker of your concerns
B. Document your findings
C. Wait for further orders
D. Discuss with the family
Answer: A. Notify the charge nurse and social worker of your concerns
11. Your 85-year-old patient with atrial fibrillation fell at home 3 days ago. You notice she has been
having several episodes of acute confusion since being admitted to your unit. What is the MOST
important order you should anticipate from the provider?
A. Routine blood work
B. Stat CT of head
C. MRI of the brain
D. X-ray of the pelvis
Answer: B. Stat CT of head
12. Your patient has a temp of 102.3 F, HR 122, and has had 15 mL of urine from the indwelling
urinary catheter in the last 2 hours. What is your patient MOST likely experiencing?
A. Dehydration
B. Heart failure
C. Sepsis
D. Fever
Answer: C. Sepsis
13. What type of personal protective equipment (PPE) is applied prior to entering a room for a
patient with C. diff?
A. Mask and gloves
