PROPHECY RN A V2 EXAMINATION TEST
2026 FULL QUESTIONS AND SOLUTIONS
100% CORRECT
⩥ What do you consider to be a safe dose of intravenous fentanyl for an
adult who does not have tolerance to opioids? Answer: A) 1.5 miligrams
***B) 25 micrograms
C) 100 micrograms
D 25 miligrams
⩥ Your patient in the PACU has a blood pressure of 171/92 mmHg, a
heart rate of 120, respiratory rate of 24, is grimacing, restless, and
moaning in bed. What medication should you prepare to give FIRST?
Answer: A) 10 mg hydralazine IV push
***B) 50 mcg fentanyl IV push
C) 2 mg lorazepam IV push
D) 5 mg metoprolol IV push
⩥ You are about to discharge a day surgery patient with aphasia and you
discover the family members are not available for the discharge
instructions and are not responding to your phone calls. Business hours
are over and the PACU is about to close. How will you handle the
situation? Answer: ***A) Wait until the family returns
B) Leave the discharge education on voicemail and discharge patient
,C) Discharge patient with non-emergency transport
D) Take patient home yourself
⩥ You received a patient from OR post hip replacement surgery. The
anesthesiologist is planning a nerve block in PACU, but the patient did
not sign the consent for the nerve block. How will you proceed? Answer:
A) Wake up the patient to sign the consent
B) Ask a friend to sign the consent
***C) Obtain the consent from medical POA
D) Proceed with the procedure
⩥ What position would help alleviate headaches after spinal anesthesia?
Answer: A) Prone
B) Trendelenburg
C) Semi-fowlers
***D) Flat to supine
⩥ ***WRONG***
What is a physical manifestation of neuromuscular blockade (Roc,
succinylcholine)? Answer: A) Decreased consciousness
B) Decreased pupillary light reflex
C) Decreased respiratory effort
***WRONG***D) Decreased sensation of pain
, ⩥ The surgeon has ordered ampicillin (Ancef) for a patient. When you
check their chart, you see an allergy to penicillin. What is the BEST
action? Answer: A) Administer the medication with diphenhydramine
B) Ask the patient to describe their reaction to penicillin
C) Contact the pharmacist to clarify the order
***D) Contact the provider to question the order
⩥ You are receiving report for a patient who had a percutaneous
transluminal angioplasty for right lower extremity peripheral vascular
disease and is now recovering in the PACU. What type of surgical
dressing do you expect to find for this patient? Answer: A) JP drain
sutured in place near the lateral calf
B) Several small incisions in calf groin covered with gauze
***C) Clear dressing applied to the right groin
D) 3 in incision on the right upper thigh with bulky dressing
⩥ You are receiving a report on a post op patients from the OR nurse and
during the report when you asked for clarifications, the OR nurse
became angry, belligerent, and rude. She ended up not answering your
question. How will you proceed? Answer: ***A) Report the incident to
your charge nurse
B) Refuse to take the patient
C) Take the report as she gave it to you
D) Figure out the clarifications from computer
2026 FULL QUESTIONS AND SOLUTIONS
100% CORRECT
⩥ What do you consider to be a safe dose of intravenous fentanyl for an
adult who does not have tolerance to opioids? Answer: A) 1.5 miligrams
***B) 25 micrograms
C) 100 micrograms
D 25 miligrams
⩥ Your patient in the PACU has a blood pressure of 171/92 mmHg, a
heart rate of 120, respiratory rate of 24, is grimacing, restless, and
moaning in bed. What medication should you prepare to give FIRST?
Answer: A) 10 mg hydralazine IV push
***B) 50 mcg fentanyl IV push
C) 2 mg lorazepam IV push
D) 5 mg metoprolol IV push
⩥ You are about to discharge a day surgery patient with aphasia and you
discover the family members are not available for the discharge
instructions and are not responding to your phone calls. Business hours
are over and the PACU is about to close. How will you handle the
situation? Answer: ***A) Wait until the family returns
B) Leave the discharge education on voicemail and discharge patient
,C) Discharge patient with non-emergency transport
D) Take patient home yourself
⩥ You received a patient from OR post hip replacement surgery. The
anesthesiologist is planning a nerve block in PACU, but the patient did
not sign the consent for the nerve block. How will you proceed? Answer:
A) Wake up the patient to sign the consent
B) Ask a friend to sign the consent
***C) Obtain the consent from medical POA
D) Proceed with the procedure
⩥ What position would help alleviate headaches after spinal anesthesia?
Answer: A) Prone
B) Trendelenburg
C) Semi-fowlers
***D) Flat to supine
⩥ ***WRONG***
What is a physical manifestation of neuromuscular blockade (Roc,
succinylcholine)? Answer: A) Decreased consciousness
B) Decreased pupillary light reflex
C) Decreased respiratory effort
***WRONG***D) Decreased sensation of pain
, ⩥ The surgeon has ordered ampicillin (Ancef) for a patient. When you
check their chart, you see an allergy to penicillin. What is the BEST
action? Answer: A) Administer the medication with diphenhydramine
B) Ask the patient to describe their reaction to penicillin
C) Contact the pharmacist to clarify the order
***D) Contact the provider to question the order
⩥ You are receiving report for a patient who had a percutaneous
transluminal angioplasty for right lower extremity peripheral vascular
disease and is now recovering in the PACU. What type of surgical
dressing do you expect to find for this patient? Answer: A) JP drain
sutured in place near the lateral calf
B) Several small incisions in calf groin covered with gauze
***C) Clear dressing applied to the right groin
D) 3 in incision on the right upper thigh with bulky dressing
⩥ You are receiving a report on a post op patients from the OR nurse and
during the report when you asked for clarifications, the OR nurse
became angry, belligerent, and rude. She ended up not answering your
question. How will you proceed? Answer: ***A) Report the incident to
your charge nurse
B) Refuse to take the patient
C) Take the report as she gave it to you
D) Figure out the clarifications from computer
