Course
Prophecy Core mandatory III 3
Question 1
A nurse is preparing to administer medication. Which action is most important for
preventing medication errors?
A. Asking the patient their room number
B. Following the rights of medication administration
C. Giving medications quickly to stay on schedule
D. Allowing another patient to identify the patient
Correct Answer: B. Following the rights of medication administration
Rationale: The rights of medication administration (right patient, medication, dose, route, time,
documentation, etc.) are essential safety measures that help prevent medication errors.
Question 2
A patient suddenly develops shortness of breath and chest pain. What is the nurse's priority
action?
A. Complete charting
B. Notify dietary services
C. Assess the patient and activate emergency response if needed
D. Finish medication pass
Correct Answer: C. Assess the patient and activate emergency response if needed
Rationale: Airway, breathing, and circulation (ABC) take priority. Acute chest pain and
shortness of breath may indicate a life-threatening emergency.
Question 3
Which patient requires immediate intervention?
A. Patient with blood pressure 128/76 mmHg
B. Patient with oxygen saturation of 84%
C. Patient requesting a blanket
D. Patient waiting for discharge instructions
,Correct Answer: B. Patient with oxygen saturation of 84%
Rationale: An oxygen saturation of 84% indicates significant hypoxemia requiring immediate
assessment and intervention.
Question 4
What is the best method for preventing healthcare-associated infections?
A. Wearing gloves at all times
B. Hand hygiene before and after patient contact
C. Wearing a face shield only
D. Using antibiotics routinely
Correct Answer: B. Hand hygiene before and after patient contact
Rationale: Proper hand hygiene remains the single most effective method for preventing
transmission of infections.
Question 5
A nurse discovers a patient has fallen. What is the first action?
A. Complete an incident report
B. Assess the patient for injuries and ensure safety
C. Call housekeeping
D. Document the fall immediately
Correct Answer: B. Assess the patient for injuries and ensure safety
Rationale: Patient assessment and stabilization always take priority before documentation and
reporting.
Question 6
Which action demonstrates patient confidentiality according to HIPAA guidelines?
A. Discussing patient information in a public elevator
B. Sharing information only with authorized healthcare personnel involved in care
C. Posting patient information on social media
D. Discussing patient conditions with friends
, Correct Answer: B. Sharing information only with authorized healthcare personnel involved in
care
Rationale: Protected health information should only be shared with individuals directly involved
in patient care.
Question 7
A nurse receives a verbal order from a provider. What action is required?
A. Ignore the order until written
B. Read back the order to verify accuracy
C. Ask another nurse to interpret it
D. Implement only part of the order
Correct Answer: B. Read back the order to verify accuracy
Rationale: Read-back verification helps prevent communication errors and ensures patient
safety.
Question 8
Which finding should the nurse report immediately to the provider?
A. Blood glucose 92 mg/dL
B. Temperature 98.6°F (37°C)
C. New onset confusion in an elderly patient
D. Heart rate 78 beats/min
Correct Answer: C. New onset confusion in an elderly patient
Rationale: Sudden confusion may indicate infection, hypoxia, stroke, or another serious
condition requiring prompt evaluation.
Question 9
What is the purpose of using two patient identifiers before providing care?
A. To reduce documentation time
B. To improve staff communication
C. To ensure the correct patient receives treatment
D. To satisfy insurance requirements