PROPHECY CORE MANDATORY PARTS 1, 2 & 3 NURSING exam
verified with correct answers 2026/2027 version with rationales
1. A nurse should perform hand hygiene:
A. Only when hands appear dirty
B. Before and after every patient contact
C. Only after patient contact
D. Once at the beginning of a shift
Correct Answer: B. Before and after every patient contact
Rationale: Hand hygiene is one of the most effective ways to prevent the spread of infection.
2. Standard precautions should be used:
A. Only for patients with known infections
B. Only in the intensive care unit
C. For all patients
D. Only when handling blood
Correct Answer: C. For all patients
Rationale: Standard precautions apply to all patients regardless of their diagnosis or infection
status.
3. Which action is appropriate when a healthcare worker experiences a
needlestick injury?
A. Ignore it if there is no bleeding
B. Wash the area immediately and report the exposure
C. Apply a bandage and continue working
D. Wait until the end of the shift to report it
Correct Answer: B. Wash the area immediately and report the exposure
Rationale: Prompt cleansing, reporting, and evaluation reduce the risk of occupational infection.
4. A patient’s health information should be shared:
A. With anyone who asks
B. Only with authorized individuals involved in the patient’s care
C. With friends of the patient
D. On social media if the patient’s name is not mentioned
, Correct Answer: B. Only with authorized individuals involved in the patient’s care
Rationale: Patient information must be kept confidential and disclosed only according to
authorization and applicable privacy laws.
5. Which is an example of a patient identifier?
A. Room number only
B. Medical record number
C. Diagnosis only
D. Meal preference
Correct Answer: B. Medical record number
Rationale: Identifiers such as names, medical record numbers, and dates of birth can identify a
patient.
6. When using personal protective equipment (PPE), the nurse should:
A. Use the same gloves between patients
B. Select PPE based on the anticipated exposure
C. Wear PPE only when the patient requests it
D. Reuse disposable gloves
Correct Answer: B. Select PPE based on the anticipated exposure
Rationale: PPE should match the type of exposure risk anticipated.
7. A nurse notices a patient has a new pressure injury. The best action is to:
A. Hide the finding
B. Document and report the finding according to policy
C. Wait until the next shift
D. Blame the previous nurse
Correct Answer: B. Document and report the finding according to policy
Rationale: Accurate documentation and timely reporting promote patient safety and appropriate
treatment.
8. Which intervention helps prevent falls?
A. Keeping the bed in the highest position
B. Leaving the call light out of reach
C. Keeping frequently used items within reach
D. Turning off all lights
Correct Answer: C. Keeping frequently used items within reach
Rationale: Easy access to essential items reduces the need for patients to get up unnecessarily.
verified with correct answers 2026/2027 version with rationales
1. A nurse should perform hand hygiene:
A. Only when hands appear dirty
B. Before and after every patient contact
C. Only after patient contact
D. Once at the beginning of a shift
Correct Answer: B. Before and after every patient contact
Rationale: Hand hygiene is one of the most effective ways to prevent the spread of infection.
2. Standard precautions should be used:
A. Only for patients with known infections
B. Only in the intensive care unit
C. For all patients
D. Only when handling blood
Correct Answer: C. For all patients
Rationale: Standard precautions apply to all patients regardless of their diagnosis or infection
status.
3. Which action is appropriate when a healthcare worker experiences a
needlestick injury?
A. Ignore it if there is no bleeding
B. Wash the area immediately and report the exposure
C. Apply a bandage and continue working
D. Wait until the end of the shift to report it
Correct Answer: B. Wash the area immediately and report the exposure
Rationale: Prompt cleansing, reporting, and evaluation reduce the risk of occupational infection.
4. A patient’s health information should be shared:
A. With anyone who asks
B. Only with authorized individuals involved in the patient’s care
C. With friends of the patient
D. On social media if the patient’s name is not mentioned
, Correct Answer: B. Only with authorized individuals involved in the patient’s care
Rationale: Patient information must be kept confidential and disclosed only according to
authorization and applicable privacy laws.
5. Which is an example of a patient identifier?
A. Room number only
B. Medical record number
C. Diagnosis only
D. Meal preference
Correct Answer: B. Medical record number
Rationale: Identifiers such as names, medical record numbers, and dates of birth can identify a
patient.
6. When using personal protective equipment (PPE), the nurse should:
A. Use the same gloves between patients
B. Select PPE based on the anticipated exposure
C. Wear PPE only when the patient requests it
D. Reuse disposable gloves
Correct Answer: B. Select PPE based on the anticipated exposure
Rationale: PPE should match the type of exposure risk anticipated.
7. A nurse notices a patient has a new pressure injury. The best action is to:
A. Hide the finding
B. Document and report the finding according to policy
C. Wait until the next shift
D. Blame the previous nurse
Correct Answer: B. Document and report the finding according to policy
Rationale: Accurate documentation and timely reporting promote patient safety and appropriate
treatment.
8. Which intervention helps prevent falls?
A. Keeping the bed in the highest position
B. Leaving the call light out of reach
C. Keeping frequently used items within reach
D. Turning off all lights
Correct Answer: C. Keeping frequently used items within reach
Rationale: Easy access to essential items reduces the need for patients to get up unnecessarily.
