Medical-Surgical RN A Prophecy Relias – 2025/2026
Medical-Surgical RN A Prophecy Relias
1. Which lifestyle change should a nurse encourage to help prevent hypertension?
A. Increase sodium intake
B. Increase physical activity
C. Limit fruits and vegetables
D. Avoid all fats
Answer: B. Increase physical activity
2. A nurse is assessing a patient with bronchitis. What is a common symptom to expect?
A. Dry cough
B. Productive cough with mucus
C. Chest pain
D. Wheezing only
Answer: B. Productive cough with mucus
3. A patient receiving chemotherapy presents with mouth sores. Which intervention should the
nurse consider first?
A. Administering acetaminophen
B. Assessing the pain level
C. Providing oral care instructions
D. Documenting the symptoms
Answer: C. Providing oral care instructions
4. A nurse is educating a patient about signs of hyperglycemia. Which symptom should the nurse
include?
A. Sweating
B. Dizziness
C. Frequent urination
D. Bradycardia
Answer: C. Frequent urination
5. A patient with bipolar disorder is expressing feelings of grandiosity and overconfidence. What is
your priority nursing diagnosis?
A. Anxiety
B. Risk for self-harm
C. Ineffective coping
D. Impaired social interaction
Answer: B. Risk for self-harm
6. The healthcare provider prescribes atorvastatin for a patient with high cholesterol. What should
the nurse teach the patient about this medication?
A. "You should take it on an empty stomach."
B. "Avoid grapefruit juice while taking this medication."
C. "It's safe to take during pregnancy."
,Medical-Surgical RN A Prophecy Relias – 2025/2026
D. "No side effects are expected."
Answer: B. "Avoid grapefruit juice while taking this medication."
7. A nurse is monitoring a patient’s INR levels who is on warfarin therapy. What level is considered
therapeutic?
A. 1-2
B. 2-3
C. 3-4
D. 4-5
Answer: B. 2-3
8. A patient scheduled for a colonoscopy needs medication for sedation. Which medication would
be administered?
A. Aspirin
B. Midazolam
C. Ibuprofen
D. Metoprolol
Answer: B. Midazolam
9. A patient with pneumonia is prescribed albuterol. What is the expected outcome of this
medication?
A. Decrease the cough reflex
B. Open the airways
C. Increase mucus production
D. Reduce fever
Answer: B. Open the airways
10. What should the nurse prioritize when caring for a patient with a diagnosis of pancreatitis?
A. Administering pain medication
B. Evaluating nutritional intake
C. Monitoring blood glucose levels
D. Encouraging oral fluids
Answer: A. Administering pain medication
11. When assessing a patient with a head injury, which symptom is most concerning?
A. Nausea
B. Confusion
C. Dizziness
D. Slow heart rate
Answer: B. Confusion
12. A patient complains of a dry cough while taking an ACE inhibitor. How should the nurse
respond?
A. "This is a serious side effect; you need to stop taking it."
B. "A dry cough is a common side effect, but you should inform your provider."
C. "You should take an antihistamine."
,Medical-Surgical RN A Prophecy Relias – 2025/2026
D. "Switching to a different medication will not help."
Answer: B. "A dry cough is a common side effect, but you should inform your provider."
13. A patient with hemophilia is undergoing dental surgery. What should the nurse ensure is done
prior to the procedure?
A. Confirm a blood transfusion is on hand
B. Administer fresh frozen plasma
C. Obtain a CBC
D. Assess vital signs
Answer: B. Administer fresh frozen plasma
14. Your patient is experiencing symptoms of an anaphylactic reaction after receiving antibiotic
therapy. What is the priority intervention?
A. Administer an antihistamine
B. Secure the airway and administer epinephrine
C. Monitor vital signs
D. Administer oxygen
Answer: B. Secure the airway and administer epinephrine
15. In caring for a geriatric patient, the nurse knows that which of the following is common in older
adults?
A. Increased metabolism
B. Decreased renal function
C. Decreased incidence of falls
D. Increased hydration
Answer: B. Decreased renal function
16. A patient diagnosed with atrial fibrillation is receiving anticoagulation therapy. What is the goal
of this treatment?
A. Prevent hypertension
B. Reduce the risk of stroke
C. Treat anemia
D. Control heart rate
Answer: B. Reduce the risk of stroke
17. What is the primary purpose of a fillable patient information form when a patient is admitted to
the hospital?
A. To gather payment information
B. To ensure compliance with hospital policies
C. To gather relevant medical history and demographics
D. To communicate with insurance providers
Answer: C. To gather relevant medical history and demographics
18. A nurse recognizes that research shows what is the most effective way to reduce ventilator-
associated pneumonia?
A. Frequent suctioning
, Medical-Surgical RN A Prophecy Relias – 2025/2026
B. Elevating the head of the bed
C. Sedation protocols
D. Daily sedation vacations
Answer: B. Elevating the head of the bed
19. You are providing discharge instructions for a patient who had laparoscopic cholecystectomy.
What should be included in the education?
A. "You can eat anything as soon as you get home."
B. "You should avoid fatty foods while healing."
C. "You can resume normal activities right away."
D. "It's okay to lift heavy objects."
Answer: B. "You should avoid fatty foods while healing."
20. For a patient with a prior myocardial infarction, which lifestyle modification should be
reinforced?
A. Increase intensity of exercise
B. Smoking cessation
C. High protein diet
D. High carbohydrate intake
Answer: B. Smoking cessation
21. A patient has chronic pain and is being considered for transcutaneous electrical nerve
stimulation (TENS) therapy. What is the goal of using TENS?
A. Increase blood pressure
B. Decrease pain perception
C. Reduce inflammation
D. Improve mobility
Answer: B. Decrease pain perception
22. A patient with stage 3 breast cancer is receiving palliative care. What is the primary focus of this
type of care?
A. Cure the disease
B. Provide comfort and maintain quality of life
C. Delay treatment
D. Assess for every possible intervention
Answer: B. Provide comfort and maintain quality of life
23. A nurse is administering insulin to a patient with type 1 diabetes. What is essential for the nurse
to check prior to administration?
A. Patient's carbohydrate intake
B. Patient's blood glucose level
C. Patient's blood pressure
D. Patient's weight
Answer: B. Patient's blood glucose level
Medical-Surgical RN A Prophecy Relias
1. Which lifestyle change should a nurse encourage to help prevent hypertension?
A. Increase sodium intake
B. Increase physical activity
C. Limit fruits and vegetables
D. Avoid all fats
Answer: B. Increase physical activity
2. A nurse is assessing a patient with bronchitis. What is a common symptom to expect?
A. Dry cough
B. Productive cough with mucus
C. Chest pain
D. Wheezing only
Answer: B. Productive cough with mucus
3. A patient receiving chemotherapy presents with mouth sores. Which intervention should the
nurse consider first?
A. Administering acetaminophen
B. Assessing the pain level
C. Providing oral care instructions
D. Documenting the symptoms
Answer: C. Providing oral care instructions
4. A nurse is educating a patient about signs of hyperglycemia. Which symptom should the nurse
include?
A. Sweating
B. Dizziness
C. Frequent urination
D. Bradycardia
Answer: C. Frequent urination
5. A patient with bipolar disorder is expressing feelings of grandiosity and overconfidence. What is
your priority nursing diagnosis?
A. Anxiety
B. Risk for self-harm
C. Ineffective coping
D. Impaired social interaction
Answer: B. Risk for self-harm
6. The healthcare provider prescribes atorvastatin for a patient with high cholesterol. What should
the nurse teach the patient about this medication?
A. "You should take it on an empty stomach."
B. "Avoid grapefruit juice while taking this medication."
C. "It's safe to take during pregnancy."
,Medical-Surgical RN A Prophecy Relias – 2025/2026
D. "No side effects are expected."
Answer: B. "Avoid grapefruit juice while taking this medication."
7. A nurse is monitoring a patient’s INR levels who is on warfarin therapy. What level is considered
therapeutic?
A. 1-2
B. 2-3
C. 3-4
D. 4-5
Answer: B. 2-3
8. A patient scheduled for a colonoscopy needs medication for sedation. Which medication would
be administered?
A. Aspirin
B. Midazolam
C. Ibuprofen
D. Metoprolol
Answer: B. Midazolam
9. A patient with pneumonia is prescribed albuterol. What is the expected outcome of this
medication?
A. Decrease the cough reflex
B. Open the airways
C. Increase mucus production
D. Reduce fever
Answer: B. Open the airways
10. What should the nurse prioritize when caring for a patient with a diagnosis of pancreatitis?
A. Administering pain medication
B. Evaluating nutritional intake
C. Monitoring blood glucose levels
D. Encouraging oral fluids
Answer: A. Administering pain medication
11. When assessing a patient with a head injury, which symptom is most concerning?
A. Nausea
B. Confusion
C. Dizziness
D. Slow heart rate
Answer: B. Confusion
12. A patient complains of a dry cough while taking an ACE inhibitor. How should the nurse
respond?
A. "This is a serious side effect; you need to stop taking it."
B. "A dry cough is a common side effect, but you should inform your provider."
C. "You should take an antihistamine."
,Medical-Surgical RN A Prophecy Relias – 2025/2026
D. "Switching to a different medication will not help."
Answer: B. "A dry cough is a common side effect, but you should inform your provider."
13. A patient with hemophilia is undergoing dental surgery. What should the nurse ensure is done
prior to the procedure?
A. Confirm a blood transfusion is on hand
B. Administer fresh frozen plasma
C. Obtain a CBC
D. Assess vital signs
Answer: B. Administer fresh frozen plasma
14. Your patient is experiencing symptoms of an anaphylactic reaction after receiving antibiotic
therapy. What is the priority intervention?
A. Administer an antihistamine
B. Secure the airway and administer epinephrine
C. Monitor vital signs
D. Administer oxygen
Answer: B. Secure the airway and administer epinephrine
15. In caring for a geriatric patient, the nurse knows that which of the following is common in older
adults?
A. Increased metabolism
B. Decreased renal function
C. Decreased incidence of falls
D. Increased hydration
Answer: B. Decreased renal function
16. A patient diagnosed with atrial fibrillation is receiving anticoagulation therapy. What is the goal
of this treatment?
A. Prevent hypertension
B. Reduce the risk of stroke
C. Treat anemia
D. Control heart rate
Answer: B. Reduce the risk of stroke
17. What is the primary purpose of a fillable patient information form when a patient is admitted to
the hospital?
A. To gather payment information
B. To ensure compliance with hospital policies
C. To gather relevant medical history and demographics
D. To communicate with insurance providers
Answer: C. To gather relevant medical history and demographics
18. A nurse recognizes that research shows what is the most effective way to reduce ventilator-
associated pneumonia?
A. Frequent suctioning
, Medical-Surgical RN A Prophecy Relias – 2025/2026
B. Elevating the head of the bed
C. Sedation protocols
D. Daily sedation vacations
Answer: B. Elevating the head of the bed
19. You are providing discharge instructions for a patient who had laparoscopic cholecystectomy.
What should be included in the education?
A. "You can eat anything as soon as you get home."
B. "You should avoid fatty foods while healing."
C. "You can resume normal activities right away."
D. "It's okay to lift heavy objects."
Answer: B. "You should avoid fatty foods while healing."
20. For a patient with a prior myocardial infarction, which lifestyle modification should be
reinforced?
A. Increase intensity of exercise
B. Smoking cessation
C. High protein diet
D. High carbohydrate intake
Answer: B. Smoking cessation
21. A patient has chronic pain and is being considered for transcutaneous electrical nerve
stimulation (TENS) therapy. What is the goal of using TENS?
A. Increase blood pressure
B. Decrease pain perception
C. Reduce inflammation
D. Improve mobility
Answer: B. Decrease pain perception
22. A patient with stage 3 breast cancer is receiving palliative care. What is the primary focus of this
type of care?
A. Cure the disease
B. Provide comfort and maintain quality of life
C. Delay treatment
D. Assess for every possible intervention
Answer: B. Provide comfort and maintain quality of life
23. A nurse is administering insulin to a patient with type 1 diabetes. What is essential for the nurse
to check prior to administration?
A. Patient's carbohydrate intake
B. Patient's blood glucose level
C. Patient's blood pressure
D. Patient's weight
Answer: B. Patient's blood glucose level
