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Medical-Surgical RN Prophecy & Relias Exam | Practice Questions & Answers

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Prepare for the Medical-Surgical RN Prophecy and Relias exams with this comprehensive study guide. Includes practice questions and answers covering patient care, pharmacology, lab values, and critical thinking scenarios.

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MEDICAL SURGICAL RN PROPHECY RELIAS EXAM
QUESTIONS WITH CORRECT VERIFIED SOLUTIONS
2026/2027, Exams of Medical Genetics




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



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,

,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? -
ANSWERAcid 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? -
ANSWERChange in level of consciousness



While in a supine position your patient states, "I'm tired and cannot
catch my breath." Physical assessment reveals jugular vein distention
and a third heart sound (S3). These symptoms are indicative of what
condition? - ANSWER -Heart failure



Your new admission presents with a cough, unintentional weight loss,
frequent night sweats, and bloody sputum. What type of isolation

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