RELIAS PROPHECY RN MEDICAL SURGICAL A EXAM
2025-2026 QUESTIONS AND CORRECT ANSWERS
ACCURATE REAL EXAM
Your patient has symptomatic anemia but is refusing a blood transfusion for religious
reason. What is an appropriate response? - answer>>>Respect his wishes and notify the
provider
Your patient is admitted with diverticulitis. What type of diet do you expect to be
ordered for the patient? - answer>>>broth, jello, soft fruit no skin,
1.2 milligrams is equal to how many micrograms? - answer>>>1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure effective
drain function? - answer>>>Compress the drain, then plug the bulb to establish suction
Your male patient complains of discomfort while inflating the balloon during insertion of
an indwelling urinary catheter. What would be the MOST appropriate action? -
answer>>>Deflate the balloon, advance the catheter further, then reinflate the balloon
You were hired to work the medical unit and when you arrive at work the charge nurse
has assigned you to the post-surgical unit since they are understaffed. Which is the
MOST appropriate action? - answer>>>Report to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? -
answer>>>Acid Reduction
Which adaptive equipment would be MOST appropriate to use for a severely contracted
patient who is unable to bear weight when transferring from the bed to the chair? -
answer>>>Patient lift (e.g., Hoyer)
, Which tool should you use to assess pain in you 80-year-old patient with severe
dementia? - answer>>>PAINAD scale
Your patient is admitted from the ED with failure to thrive and advanced dementia. You
note he is extremely underweight, appears unbathed for some time, and has a stage 4
pressure injury to his coccyx. You were told in report that he lives at home with family
members. What should you do? - answer>>>Notify the charge nurse and social worker of
your concerns.
Your 85-year-old patient with atrial fibrillation fell at home 3 days ago. You notice she
has been having several episodes of acute confusion since being admitted to your unit.
What is the MOST important order you should anticipate from the provider? -
answer>>>Stat CT of head
Your patient has a temp of 102.3 F, HR 122, and has had 15 mL of urine from the
indwelling urinary catheter in the last 2 hours. What is your patient MOST likely
experiencing. - answer>>>Sepsis
What type of personal protective equipment (PPE) is applied prior to entering a room
for a patient with C. diff? - answer>>>Gown and gloves
Your patient continues to pull at their IV site located in their left forearm despite verbal
reminders and increased observation. The nursing assistant recommends using soft mitt
restraints on the patient. What is your recommendation? - answer>>>Request an order
for soft mitts as they are the least restrictive
Your patient was admitted for a hypertensive crisis and has a history of HTN, Parkinson's
disease, depression, and alcohol use. On his second hospitalized day, you notice he is
more anxious and restless than his baseline. What would be your FIRST nursing
intervention? - answer>>>Ask the patient when his last drink of alcohol was.
What is the BEST indication of an acute neurological problem? - answer>>>Change in
level of consciousness
2025-2026 QUESTIONS AND CORRECT ANSWERS
ACCURATE REAL EXAM
Your patient has symptomatic anemia but is refusing a blood transfusion for religious
reason. What is an appropriate response? - answer>>>Respect his wishes and notify the
provider
Your patient is admitted with diverticulitis. What type of diet do you expect to be
ordered for the patient? - answer>>>broth, jello, soft fruit no skin,
1.2 milligrams is equal to how many micrograms? - answer>>>1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure effective
drain function? - answer>>>Compress the drain, then plug the bulb to establish suction
Your male patient complains of discomfort while inflating the balloon during insertion of
an indwelling urinary catheter. What would be the MOST appropriate action? -
answer>>>Deflate the balloon, advance the catheter further, then reinflate the balloon
You were hired to work the medical unit and when you arrive at work the charge nurse
has assigned you to the post-surgical unit since they are understaffed. Which is the
MOST appropriate action? - answer>>>Report to the post-surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? -
answer>>>Acid Reduction
Which adaptive equipment would be MOST appropriate to use for a severely contracted
patient who is unable to bear weight when transferring from the bed to the chair? -
answer>>>Patient lift (e.g., Hoyer)
, Which tool should you use to assess pain in you 80-year-old patient with severe
dementia? - answer>>>PAINAD scale
Your patient is admitted from the ED with failure to thrive and advanced dementia. You
note he is extremely underweight, appears unbathed for some time, and has a stage 4
pressure injury to his coccyx. You were told in report that he lives at home with family
members. What should you do? - answer>>>Notify the charge nurse and social worker of
your concerns.
Your 85-year-old patient with atrial fibrillation fell at home 3 days ago. You notice she
has been having several episodes of acute confusion since being admitted to your unit.
What is the MOST important order you should anticipate from the provider? -
answer>>>Stat CT of head
Your patient has a temp of 102.3 F, HR 122, and has had 15 mL of urine from the
indwelling urinary catheter in the last 2 hours. What is your patient MOST likely
experiencing. - answer>>>Sepsis
What type of personal protective equipment (PPE) is applied prior to entering a room
for a patient with C. diff? - answer>>>Gown and gloves
Your patient continues to pull at their IV site located in their left forearm despite verbal
reminders and increased observation. The nursing assistant recommends using soft mitt
restraints on the patient. What is your recommendation? - answer>>>Request an order
for soft mitts as they are the least restrictive
Your patient was admitted for a hypertensive crisis and has a history of HTN, Parkinson's
disease, depression, and alcohol use. On his second hospitalized day, you notice he is
more anxious and restless than his baseline. What would be your FIRST nursing
intervention? - answer>>>Ask the patient when his last drink of alcohol was.
What is the BEST indication of an acute neurological problem? - answer>>>Change in
level of consciousness
