1
PROPHECY CORE MANDATORY PART I, II, & III (NURSING) RELIAS
COMPLETE (LATEST ): MOST COMPREHENSIVE QS & ANS
- TO PASS THE EXAM, 100% VERIFIED
1. A nurse accidentally punctures their finger with a used needle while disposing of
it in a sharps container. What is the first action the nurse should take to reduce the
risk of infection?
A. Notify the charge nurse or supervisor immediately
B. Wash the puncture site thoroughly with soap and warm water
C. Report to Employee Health for post-exposure evaluation
D. Apply an antiseptic ointment and cover the wound with a bandage
Answer: B. Wash the puncture site thoroughly with soap and warm water
Rationale: The immediate priority following any needle-stick injury is to wash the
affected area with soap and running water to help remove potential bloodborne
pathogens such as HIV, HBV, or HCV from the surface of the skin. Reporting the
incident and completing post-exposure protocols come next, but immediate
cleansing is the most effective first-line response to reduce microbial load and
potential transmission risk.
2. Standard Precautions should be applied by healthcare workers when caring for
which type of patient?
A. Only patients who are known to be infectious
B. Only patients with visible blood or body fluids present
C. All patients, regardless of their diagnosis or infection status
D. Patients in airborne isolation precautions
Answer: C. All patients, regardless of their diagnosis or infection status
Rationale: According to the CDC and OSHA guidelines, Standard Precautions are
designed to prevent the spread of infection from both recognized and unrecognized
sources. They require all healthcare personnel to treat every patient as potentially
, 2
infectious and to use appropriate protective barriers such as gloves, gowns, and
masks whenever there is a possibility of contact with blood, secretions, or non-
intact skin. This universal approach provides a consistent and essential level of
protection for both the patient and the healthcare provider.
3. A nurse receives a fax containing a patient’s laboratory results at a shared nurses’
station. What is the most appropriate action to protect the patient’s privacy and
remain compliant with HIPAA regulations?
A. Leave the document on the counter for the provider to collect
B. Secure the document by placing it face down or in a locked area until reviewed
C. Dispose of the fax immediately after reading it to maintain confidentiality
D. Share the results verbally with staff members on the same unit
Answer: B. Secure the document by placing it face down or in a locked area
until reviewed
Rationale: Under the Health Insurance Portability and Accountability Act
(HIPAA), protected health information (PHI) must be safeguarded at all times to
prevent unauthorized access or disclosure. Leaving a faxed report in plain sight
could expose sensitive patient data to individuals who are not directly involved in
care. Therefore, the nurse should ensure the document is secured, stored in a
confidential manner, and only accessed by authorized healthcare personnel
involved in the patient’s treatment.
4. During a fire emergency in a healthcare facility, the acronym RACE is used to
guide staff response. What does the acronym RACE represent?
A. Run, Alert, Contain, Evacuate
B. Rescue, Alarm, Contain, Extinguish
C. Remove, Alert, Clear, Evacuate
D. Rescue, Alert, Confine, Evacuate
Answer: B. Rescue, Alarm, Contain, Extinguish
Rationale: The RACE acronym outlines the proper sequence of actions for fire
response in healthcare settings: first, Rescue anyone in immediate danger, then
Alarm by activating the fire alarm system, next Contain the fire by closing doors
to prevent the spread of smoke and flames, and finally Extinguish the fire if it is
, 3
small and manageable, using a fire extinguisher. Following this sequence ensures
that safety, rapid communication, and fire control measures are prioritized in a
coordinated and effective manner.
5. Before using an electrical device on a patient, what is the nurse’s safest and most
responsible action?
A. Plug the equipment into any nearby outlet
B. Verify the device has a current inspection sticker and intact grounding wire
C. Use an extension cord if the outlet is not easily accessible
D. Proceed with care if the device appears to be working properly
Answer: B. Verify the device has a current inspection sticker and intact
grounding wire
Rationale: Electrical safety is a critical component of patient and staff protection
within all healthcare environments. The nurse must inspect the equipment for a
valid biomedical inspection tag and ensure that it is properly grounded before use.
Grounding minimizes the risk of electric shock or sparks, especially in areas where
oxygen or other flammable materials are present. Never use damaged cords,
untagged equipment, or unapproved extension cords, as these can create serious
fire and electrocution hazards in clinical areas.
6. A nurse observes a coworker taking medication from the automated dispensing
cabinet without scanning a patient’s ID or documenting administration. What is the
most appropriate nursing action?
A. Ignore the situation and assume the coworker will document later
B. Report the incident to the charge nurse or supervisor immediately
C. Confront the coworker privately and demand an explanation
D. Inform other nurses so they can watch the coworker’s behavior
Answer: B. Report the incident to the charge nurse or supervisor immediately
Rationale: When a nurse witnesses potential drug diversion or medication theft,
they have an ethical and legal obligation to report it through the appropriate chain
of command. Reporting ensures immediate investigation and helps maintain
patient safety, medication accountability, and professional integrity. Failure to
, 4
report can make the witness complicit in a potential violation of state and federal
regulations, compromising the trust essential to nursing practice.
7. A nurse working on a medical-surgical unit notices that a patient’s IV pump has
a frayed power cord. What should the nurse do first?
A. Unplug the pump immediately and label it as defective equipment
B. Continue to use the pump until a replacement is available
C. Attempt to repair the cord using electrical tape
D. Notify the patient’s family that equipment may be malfunctioning
Answer: A. Unplug the pump immediately and label it as defective equipment
Rationale: Any electrical device that shows signs of damage, such as frayed cords
or sparks, must be removed from service to prevent electric shock, burns, or fires.
The nurse should tag the equipment as “out of service,” notify the biomedical
department, and obtain a replacement. Continuing to use faulty equipment poses a
serious risk to both the patient and the healthcare provider.
8. Which of the following actions best demonstrates cultural competence when
providing patient care?
A. Avoid discussing cultural beliefs to maintain professional distance
B. Provide the same care plan to all patients to ensure equality
C. Ask about and incorporate the patient’s cultural and spiritual preferences into
care
D. Assume the patient will volunteer cultural information if it is important
Answer: C. Ask about and incorporate the patient’s cultural and spiritual
preferences into care
Rationale: Cultural competence requires active listening, respect, and the
integration of patients’ cultural, spiritual, and linguistic needs into individualized
care plans. A nurse demonstrates competence by directly asking patients about
preferences and beliefs that affect health decisions and adapting care accordingly.
This approach fosters trust, improves outcomes, and reduces health disparities.
PROPHECY CORE MANDATORY PART I, II, & III (NURSING) RELIAS
COMPLETE (LATEST ): MOST COMPREHENSIVE QS & ANS
- TO PASS THE EXAM, 100% VERIFIED
1. A nurse accidentally punctures their finger with a used needle while disposing of
it in a sharps container. What is the first action the nurse should take to reduce the
risk of infection?
A. Notify the charge nurse or supervisor immediately
B. Wash the puncture site thoroughly with soap and warm water
C. Report to Employee Health for post-exposure evaluation
D. Apply an antiseptic ointment and cover the wound with a bandage
Answer: B. Wash the puncture site thoroughly with soap and warm water
Rationale: The immediate priority following any needle-stick injury is to wash the
affected area with soap and running water to help remove potential bloodborne
pathogens such as HIV, HBV, or HCV from the surface of the skin. Reporting the
incident and completing post-exposure protocols come next, but immediate
cleansing is the most effective first-line response to reduce microbial load and
potential transmission risk.
2. Standard Precautions should be applied by healthcare workers when caring for
which type of patient?
A. Only patients who are known to be infectious
B. Only patients with visible blood or body fluids present
C. All patients, regardless of their diagnosis or infection status
D. Patients in airborne isolation precautions
Answer: C. All patients, regardless of their diagnosis or infection status
Rationale: According to the CDC and OSHA guidelines, Standard Precautions are
designed to prevent the spread of infection from both recognized and unrecognized
sources. They require all healthcare personnel to treat every patient as potentially
, 2
infectious and to use appropriate protective barriers such as gloves, gowns, and
masks whenever there is a possibility of contact with blood, secretions, or non-
intact skin. This universal approach provides a consistent and essential level of
protection for both the patient and the healthcare provider.
3. A nurse receives a fax containing a patient’s laboratory results at a shared nurses’
station. What is the most appropriate action to protect the patient’s privacy and
remain compliant with HIPAA regulations?
A. Leave the document on the counter for the provider to collect
B. Secure the document by placing it face down or in a locked area until reviewed
C. Dispose of the fax immediately after reading it to maintain confidentiality
D. Share the results verbally with staff members on the same unit
Answer: B. Secure the document by placing it face down or in a locked area
until reviewed
Rationale: Under the Health Insurance Portability and Accountability Act
(HIPAA), protected health information (PHI) must be safeguarded at all times to
prevent unauthorized access or disclosure. Leaving a faxed report in plain sight
could expose sensitive patient data to individuals who are not directly involved in
care. Therefore, the nurse should ensure the document is secured, stored in a
confidential manner, and only accessed by authorized healthcare personnel
involved in the patient’s treatment.
4. During a fire emergency in a healthcare facility, the acronym RACE is used to
guide staff response. What does the acronym RACE represent?
A. Run, Alert, Contain, Evacuate
B. Rescue, Alarm, Contain, Extinguish
C. Remove, Alert, Clear, Evacuate
D. Rescue, Alert, Confine, Evacuate
Answer: B. Rescue, Alarm, Contain, Extinguish
Rationale: The RACE acronym outlines the proper sequence of actions for fire
response in healthcare settings: first, Rescue anyone in immediate danger, then
Alarm by activating the fire alarm system, next Contain the fire by closing doors
to prevent the spread of smoke and flames, and finally Extinguish the fire if it is
, 3
small and manageable, using a fire extinguisher. Following this sequence ensures
that safety, rapid communication, and fire control measures are prioritized in a
coordinated and effective manner.
5. Before using an electrical device on a patient, what is the nurse’s safest and most
responsible action?
A. Plug the equipment into any nearby outlet
B. Verify the device has a current inspection sticker and intact grounding wire
C. Use an extension cord if the outlet is not easily accessible
D. Proceed with care if the device appears to be working properly
Answer: B. Verify the device has a current inspection sticker and intact
grounding wire
Rationale: Electrical safety is a critical component of patient and staff protection
within all healthcare environments. The nurse must inspect the equipment for a
valid biomedical inspection tag and ensure that it is properly grounded before use.
Grounding minimizes the risk of electric shock or sparks, especially in areas where
oxygen or other flammable materials are present. Never use damaged cords,
untagged equipment, or unapproved extension cords, as these can create serious
fire and electrocution hazards in clinical areas.
6. A nurse observes a coworker taking medication from the automated dispensing
cabinet without scanning a patient’s ID or documenting administration. What is the
most appropriate nursing action?
A. Ignore the situation and assume the coworker will document later
B. Report the incident to the charge nurse or supervisor immediately
C. Confront the coworker privately and demand an explanation
D. Inform other nurses so they can watch the coworker’s behavior
Answer: B. Report the incident to the charge nurse or supervisor immediately
Rationale: When a nurse witnesses potential drug diversion or medication theft,
they have an ethical and legal obligation to report it through the appropriate chain
of command. Reporting ensures immediate investigation and helps maintain
patient safety, medication accountability, and professional integrity. Failure to
, 4
report can make the witness complicit in a potential violation of state and federal
regulations, compromising the trust essential to nursing practice.
7. A nurse working on a medical-surgical unit notices that a patient’s IV pump has
a frayed power cord. What should the nurse do first?
A. Unplug the pump immediately and label it as defective equipment
B. Continue to use the pump until a replacement is available
C. Attempt to repair the cord using electrical tape
D. Notify the patient’s family that equipment may be malfunctioning
Answer: A. Unplug the pump immediately and label it as defective equipment
Rationale: Any electrical device that shows signs of damage, such as frayed cords
or sparks, must be removed from service to prevent electric shock, burns, or fires.
The nurse should tag the equipment as “out of service,” notify the biomedical
department, and obtain a replacement. Continuing to use faulty equipment poses a
serious risk to both the patient and the healthcare provider.
8. Which of the following actions best demonstrates cultural competence when
providing patient care?
A. Avoid discussing cultural beliefs to maintain professional distance
B. Provide the same care plan to all patients to ensure equality
C. Ask about and incorporate the patient’s cultural and spiritual preferences into
care
D. Assume the patient will volunteer cultural information if it is important
Answer: C. Ask about and incorporate the patient’s cultural and spiritual
preferences into care
Rationale: Cultural competence requires active listening, respect, and the
integration of patients’ cultural, spiritual, and linguistic needs into individualized
care plans. A nurse demonstrates competence by directly asking patients about
preferences and beliefs that affect health decisions and adapting care accordingly.
This approach fosters trust, improves outcomes, and reduces health disparities.
