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Medical-Surgical RN A Prophecy Relias Exam | Practice Questions & Answers with Rationale | 2025 Updated

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This comprehensive study resource includes updated 2025 Medical-Surgical RN A Prophecy Relias Exam practice questions and accurate answers with rationales. Perfect for registered nurses preparing for the Prophecy Relias assessment. Covers critical concepts such as cardiac care, wound management, patient safety, pain management, and more. Designed for self-study, test simulation, and last-minute revision. A valuable tool for improving clinical reasoning and passing with confidence.

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20 Multiple choice questions

Definition 1 of 20
Obtain capillary blood glucose level.

You are caring for a patient with a history of diabetes mellitus. You walk into the room and
find the patient lethargic and diaphoretic. What is your first action?

Your male patient complains of discomfort while inflating the balloon during insertion of an
indwelling urinary catheter. What would be the MOST appropriate action?

Your patient recently had a G-tube placed and intermittent enteral feedings have been
initiated. What symptoms may indicate intolerance to the feedings?

You are caring for a combative 85-year-old male with a history of dementia, CHF, UTI, and
anemia. The family states he appears to be more confused than his baseline. What tests do
you expect the provider to order?

Definition 2 of 20

Airborne precautions

Your new patient understands very limited English. How should you communicate with them
when completing the admission assessment?

Your patient with CHF states, "I can still eat the same food, I just have to weight myself
everyday." Based on this statement, which nursing diagnosis would be appropriate?


Your new admission presents with a cough, unintentional weight loss, frequent night sweats,
and bloody sputum. What type of isolation precautions should you initiate, if any?


Your patient takes 5 mg of warfarn (Coumadin/Jantoven) daily and reports having black
colored stool today. What do you most likely suspect?

, Term 3 of 20

Your patient is taking digoxin (Lanoxin) and has a potassium level of 3.0. How might this affect the
patient?

Have no effect on the patient's condition.


Increase risk of digoxin toxicity

Decrease the effectiveness of digoxin.


Lower the risk of heart complications.

Definition 4 of 20

Verify your patient's consent to release information to her mother.

You are caring for a combative 85-year-old male with a history of dementia, CHF, UTI, and
anemia. The family states he appears to be more confused than his baseline. What tests do
you expect the provider to order?

Your new patient admitted for cholecystitis expresses she has a history of anxiety disorder.
She is feeling panicked and does not think she can handle staying in the hospital for her
surgery. What action is MOST appropriate for you to take?

You just left your patient's room with her husband at bedside. You then receive a phone call
from someone states that she is your patient's mother and demands updates about your
patient. What should you do NEXT?


Your patient is currently under 1:1 observation for suicide precautions. He states he needs to
have a bowel movement and would like some privacy to use the bathroom. What is the
MOST appropriate response?

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