MEDICAL-SURGICAL RN A ACTUAL
PROPHECY ASSESSMENT 2026 FULL
QUESTIONS COMPLETE SOLUTIONS
GRADED A+
⩥ Your patient is on contact precautions for active MRSA. What proper
PPE should you use before entering the room? Answer: Gown and
gloves
⩥ Your patient recently had a G-tube placed and intermittent enteral
feedings have been initiated. What symptoms may indicate intolerance
to the feedings? Answer: Vomiting and diarrhea
⩥ Upon entering your patient's room, you note that they are having a
seizure. What is your FIRST action? Answer: Position the patient on
their side to maintain the airway.
⩥ Your 18-year-old female patient was admitted with dehydration
secondary to anorexia nervosa. During your assessment you note she has
a flat affect and says, "I just want to die. I'm tired of my life." What
should be your FIRST intervention? Answer: Stay with the patient and
ask fi she has a plan to carry out this wish.
, ⩥ Your patient has a non-productive cough and presence of secretions in
his tracheostomy. Prior to suctioning the patient, what should you do
FIRST? Answer: Hyperoxygenate patient.
⩥ Your patient takes 5 mg of warfarn (Coumadin/Jantoven) daily and
reports having black colored stool today. What do you most likely
suspect? Answer: Gastrointestinal bleeding
⩥ Your new patient was admitted with blunt force trauma to the
abdomen following a motor vehicle accident (MVA). A NG tube is in
place for decompression; however, you note during the assessment that
the stomach is rigid and hard during palpation. What condition do you
suspect? Answer: Hemorrhage
⩥ Which of the following nursing diagnoses is MOST important for a
patient with chronic obstructive pulmonary disease (COPD)? Answer:
Impaired gas exchange
⩥ You have a patient going for dialysis. Their medications include
lisinopril (Prinivil), ondansetron (Zofran), famotidine (Pepcid), and
atorvastatin (Lipitor). Which medication would you possibly hold and
seek clarification? Answer: famotidine (Pepcid)
⩥ What is an early symptom that the patient is developing a
complication of heart failure? Answer: Edema in the legs and feet
PROPHECY ASSESSMENT 2026 FULL
QUESTIONS COMPLETE SOLUTIONS
GRADED A+
⩥ Your patient is on contact precautions for active MRSA. What proper
PPE should you use before entering the room? Answer: Gown and
gloves
⩥ Your patient recently had a G-tube placed and intermittent enteral
feedings have been initiated. What symptoms may indicate intolerance
to the feedings? Answer: Vomiting and diarrhea
⩥ Upon entering your patient's room, you note that they are having a
seizure. What is your FIRST action? Answer: Position the patient on
their side to maintain the airway.
⩥ Your 18-year-old female patient was admitted with dehydration
secondary to anorexia nervosa. During your assessment you note she has
a flat affect and says, "I just want to die. I'm tired of my life." What
should be your FIRST intervention? Answer: Stay with the patient and
ask fi she has a plan to carry out this wish.
, ⩥ Your patient has a non-productive cough and presence of secretions in
his tracheostomy. Prior to suctioning the patient, what should you do
FIRST? Answer: Hyperoxygenate patient.
⩥ Your patient takes 5 mg of warfarn (Coumadin/Jantoven) daily and
reports having black colored stool today. What do you most likely
suspect? Answer: Gastrointestinal bleeding
⩥ Your new patient was admitted with blunt force trauma to the
abdomen following a motor vehicle accident (MVA). A NG tube is in
place for decompression; however, you note during the assessment that
the stomach is rigid and hard during palpation. What condition do you
suspect? Answer: Hemorrhage
⩥ Which of the following nursing diagnoses is MOST important for a
patient with chronic obstructive pulmonary disease (COPD)? Answer:
Impaired gas exchange
⩥ You have a patient going for dialysis. Their medications include
lisinopril (Prinivil), ondansetron (Zofran), famotidine (Pepcid), and
atorvastatin (Lipitor). Which medication would you possibly hold and
seek clarification? Answer: famotidine (Pepcid)
⩥ What is an early symptom that the patient is developing a
complication of heart failure? Answer: Edema in the legs and feet
