Medical-Surgical RN A Prophecy Relias – 2024/2025
1. A patient is having a reaction to a skin test for tuberculosis (TB). What size induration would
indicate a positive test?
A. 1 mm
B. 3 mm
C. 5 mm
D. 10 mm
Answer: D. 10 mm
2. You are assessing a patient for signs of dehydration. Which of the following findings would you
expect?
A. Increased urine output
B. Moist mucous membranes
C. Decreased skin turgor
D. Bradycardia
Answer: C. Decreased skin turgor
3. A nurse caring for a patient with hepatitis B must follow which standard precaution?
A. Gloves, gown, mask
B. Droplet precautions
C. Airborne precautions
D. Standard precautions
Answer: D. Standard precautions
4. The healthcare provider prescribes methylprednisolone for a patient with an autoimmune
disease. What is a common side effect of this medication?
A. Weight loss
B. Hypoglycemia
C. Fluid retention
D. Bradycardia
Answer: C. Fluid retention
5. Which assessment finding should the nurse monitor for a patient who is taking a calcium
channel blocker?
A. Decreased heart rate
B. Decreased blood pressure
C. Increased respiratory rate
D. Increased blood glucose
Answer: B. Decreased blood pressure
6. A patient with chronic pain is started on a pain management regimen that includes opioids.
What is a common concern that should be addressed with this patient?
A. Decreased appetite
B. Risk for dependency
C. Increased activity level
, D. Enhanced mood
Answer: B. Risk for dependency
7. Your patient is at high risk for developing venous thromboembolism (VTE). What preventive
measure should you prioritize?
A. Ambulation
B. Bed rest
C. High-protein diet
D. Restrict all activities
Answer: A. Ambulation
8. A patient newly diagnosed with diabetes asks the nurse how often they should check their blood
glucose levels. What is the most appropriate response?
A. "Once a day is sufficient."
B. "Check it after every meal."
C. "It depends on your treatment plan."
D. "Only when feeling symptoms."
Answer: C. "It depends on your treatment plan."
9. A nurse is caring for a patient with a tracheostomy. What is the priority nursing intervention?
A. Suctioning the tracheostomy regularly
B. Ensuring the tracheostomy is properly secured
C. Keeping the patient positioned at 30 degrees
D. Performing daily dressing changes
Answer: A. Suctioning the tracheostomy regularly
10. Your patient is under isolation precautions for a bacterial infection. What is an essential part of
the nurse's role?
A. Provide education on infection control measures
B. Avoiding hand hygiene before exiting the room
C. Decreasing the frequency of assessments
D. Disregarding health care worker recommendations
Answer: A. Provide education on infection control measures
11. A post-operative patient is being treated for nausea. Which medication class is commonly used
to manage this side effect?
A. Antihypertensives
B. Antiemetics
C. Antipyretics
D. Antibiotics
Answer: B. Antiemetics
12. A patient has a prescription for clopidogrel. What is the primary reason this medication is used?
A. To lower blood pressure
B. To prevent platelet aggregation
C. To dissolve blood clots
, D. To reduce cholesterol levels
Answer: B. To prevent platelet aggregation
13. A nurse is caring for a patient recovering from a hip replacement. Which assessment should the
nurse prioritize?
A. Pain level
B. Bowel sounds
C. Urine output
D. Skin integrity
Answer: A. Pain level
14. Your patient shows symptoms of dehydration, including thirst and dry mucous membranes.
What is the immediate nursing intervention?
A. Administer IV fluids
B. Document your findings
C. Obtain a urine sample
D. Provide oral fluids
Answer: A. Administer IV fluids
15. A patient with chronic bronchitis is complaining of shortness of breath. What assessment finding
would you expect?
A. Barrel chest
B. Decreased respiration rate
C. Clear lung sounds
D. Hypoxia
Answer: A. Barrel chest
16. You are explaining the purpose of a CT scan to your patient. Which of the following should you
include in your explanation?
A. It uses sound waves to create images.
B. It provides real-time imaging of organs.
C. It uses radiation to produce detailed cross-sectional images of the body.
D. It is only used for cancer diagnosis.
Answer: C. It uses radiation to produce detailed cross-sectional images of the body.
17. A nurse is caring for a patient with a high fever. Which intervention is appropriate first?
A. Administer an antipyretic
B. Obtain blood cultures
C. Assess the temperature
D. Cover with a warm blanket
Answer: C. Assess the temperature
18. The nurse is teaching a patient about the importance of vaccinations. What key point should the
nurse emphasize?
A. "Vaccines are only needed for children."
B. "Vaccinations help prevent some diseases by building immunity."
C. "Vaccines can cause serious side effects and should be avoided."
, D. "Once you have a vaccine, you don’t need any others."
Answer: B. "Vaccinations help prevent some diseases by building immunity."
19. You are providing patient education about anti-hypertensive medications. Which statement by
the patient indicates understanding?
A. "I can stop taking this medication when my blood pressure is normal."
B. "I need to monitor my blood pressure regularly.”
C. "It is safe to take this medication with any other drugs."
D. "I don’t need to make any lifestyle changes."
Answer: B. "I need to monitor my blood pressure regularly.”
20. A nurse is monitoring a patient with gout. What dietary modification should be encouraged?
A. High protein diet
B. Increased hydration and low-purine foods
C. Decreased vitamin intake
D. Decreased carbohydrate intake
Answer: B. Increased hydration and low-purine foods
21. The priority nursing intervention for a patient with a newly diagnosed seizure disorder includes:
A. Medications teaching
B. Education about seizure triggers
C. Ensuring the patient's safety
D. Scheduling follow-up appointments
Answer: C. Ensuring the patient's safety
22. Your patient is experiencing severe anxiety before a medical procedure. What is the most
appropriate nursing intervention?
A. Tell the patient to calm down
B. Offer to stay with the patient and provide reassurance
C. Dismiss the patient’s concerns
D. Discuss the procedure details immediately
Answer: B. Offer to stay with the patient and provide reassurance
23. When caring for a patient with COPD, which teaching point should be included regarding
medication management?
A. "You do not need to worry about your inhalers."
B. "You should take your bronchodilator before your steroid inhaler."
C. "You may stop your medications once you feel better."
D. "It’s important to cut back on your physical activity."
Answer: B. "You should take your bronchodilator before your steroid inhaler."
24. A nurse is conducting an assessment on a patient with diabetes. What finding would suggest the
patient may be experiencing diabetic neuropathy?
A. Fluctuating blood glucose levels
B. Numbness or tingling in the feet
C. Increased thirst
1. A patient is having a reaction to a skin test for tuberculosis (TB). What size induration would
indicate a positive test?
A. 1 mm
B. 3 mm
C. 5 mm
D. 10 mm
Answer: D. 10 mm
2. You are assessing a patient for signs of dehydration. Which of the following findings would you
expect?
A. Increased urine output
B. Moist mucous membranes
C. Decreased skin turgor
D. Bradycardia
Answer: C. Decreased skin turgor
3. A nurse caring for a patient with hepatitis B must follow which standard precaution?
A. Gloves, gown, mask
B. Droplet precautions
C. Airborne precautions
D. Standard precautions
Answer: D. Standard precautions
4. The healthcare provider prescribes methylprednisolone for a patient with an autoimmune
disease. What is a common side effect of this medication?
A. Weight loss
B. Hypoglycemia
C. Fluid retention
D. Bradycardia
Answer: C. Fluid retention
5. Which assessment finding should the nurse monitor for a patient who is taking a calcium
channel blocker?
A. Decreased heart rate
B. Decreased blood pressure
C. Increased respiratory rate
D. Increased blood glucose
Answer: B. Decreased blood pressure
6. A patient with chronic pain is started on a pain management regimen that includes opioids.
What is a common concern that should be addressed with this patient?
A. Decreased appetite
B. Risk for dependency
C. Increased activity level
, D. Enhanced mood
Answer: B. Risk for dependency
7. Your patient is at high risk for developing venous thromboembolism (VTE). What preventive
measure should you prioritize?
A. Ambulation
B. Bed rest
C. High-protein diet
D. Restrict all activities
Answer: A. Ambulation
8. A patient newly diagnosed with diabetes asks the nurse how often they should check their blood
glucose levels. What is the most appropriate response?
A. "Once a day is sufficient."
B. "Check it after every meal."
C. "It depends on your treatment plan."
D. "Only when feeling symptoms."
Answer: C. "It depends on your treatment plan."
9. A nurse is caring for a patient with a tracheostomy. What is the priority nursing intervention?
A. Suctioning the tracheostomy regularly
B. Ensuring the tracheostomy is properly secured
C. Keeping the patient positioned at 30 degrees
D. Performing daily dressing changes
Answer: A. Suctioning the tracheostomy regularly
10. Your patient is under isolation precautions for a bacterial infection. What is an essential part of
the nurse's role?
A. Provide education on infection control measures
B. Avoiding hand hygiene before exiting the room
C. Decreasing the frequency of assessments
D. Disregarding health care worker recommendations
Answer: A. Provide education on infection control measures
11. A post-operative patient is being treated for nausea. Which medication class is commonly used
to manage this side effect?
A. Antihypertensives
B. Antiemetics
C. Antipyretics
D. Antibiotics
Answer: B. Antiemetics
12. A patient has a prescription for clopidogrel. What is the primary reason this medication is used?
A. To lower blood pressure
B. To prevent platelet aggregation
C. To dissolve blood clots
, D. To reduce cholesterol levels
Answer: B. To prevent platelet aggregation
13. A nurse is caring for a patient recovering from a hip replacement. Which assessment should the
nurse prioritize?
A. Pain level
B. Bowel sounds
C. Urine output
D. Skin integrity
Answer: A. Pain level
14. Your patient shows symptoms of dehydration, including thirst and dry mucous membranes.
What is the immediate nursing intervention?
A. Administer IV fluids
B. Document your findings
C. Obtain a urine sample
D. Provide oral fluids
Answer: A. Administer IV fluids
15. A patient with chronic bronchitis is complaining of shortness of breath. What assessment finding
would you expect?
A. Barrel chest
B. Decreased respiration rate
C. Clear lung sounds
D. Hypoxia
Answer: A. Barrel chest
16. You are explaining the purpose of a CT scan to your patient. Which of the following should you
include in your explanation?
A. It uses sound waves to create images.
B. It provides real-time imaging of organs.
C. It uses radiation to produce detailed cross-sectional images of the body.
D. It is only used for cancer diagnosis.
Answer: C. It uses radiation to produce detailed cross-sectional images of the body.
17. A nurse is caring for a patient with a high fever. Which intervention is appropriate first?
A. Administer an antipyretic
B. Obtain blood cultures
C. Assess the temperature
D. Cover with a warm blanket
Answer: C. Assess the temperature
18. The nurse is teaching a patient about the importance of vaccinations. What key point should the
nurse emphasize?
A. "Vaccines are only needed for children."
B. "Vaccinations help prevent some diseases by building immunity."
C. "Vaccines can cause serious side effects and should be avoided."
, D. "Once you have a vaccine, you don’t need any others."
Answer: B. "Vaccinations help prevent some diseases by building immunity."
19. You are providing patient education about anti-hypertensive medications. Which statement by
the patient indicates understanding?
A. "I can stop taking this medication when my blood pressure is normal."
B. "I need to monitor my blood pressure regularly.”
C. "It is safe to take this medication with any other drugs."
D. "I don’t need to make any lifestyle changes."
Answer: B. "I need to monitor my blood pressure regularly.”
20. A nurse is monitoring a patient with gout. What dietary modification should be encouraged?
A. High protein diet
B. Increased hydration and low-purine foods
C. Decreased vitamin intake
D. Decreased carbohydrate intake
Answer: B. Increased hydration and low-purine foods
21. The priority nursing intervention for a patient with a newly diagnosed seizure disorder includes:
A. Medications teaching
B. Education about seizure triggers
C. Ensuring the patient's safety
D. Scheduling follow-up appointments
Answer: C. Ensuring the patient's safety
22. Your patient is experiencing severe anxiety before a medical procedure. What is the most
appropriate nursing intervention?
A. Tell the patient to calm down
B. Offer to stay with the patient and provide reassurance
C. Dismiss the patient’s concerns
D. Discuss the procedure details immediately
Answer: B. Offer to stay with the patient and provide reassurance
23. When caring for a patient with COPD, which teaching point should be included regarding
medication management?
A. "You do not need to worry about your inhalers."
B. "You should take your bronchodilator before your steroid inhaler."
C. "You may stop your medications once you feel better."
D. "It’s important to cut back on your physical activity."
Answer: B. "You should take your bronchodilator before your steroid inhaler."
24. A nurse is conducting an assessment on a patient with diabetes. What finding would suggest the
patient may be experiencing diabetic neuropathy?
A. Fluctuating blood glucose levels
B. Numbness or tingling in the feet
C. Increased thirst
