(Nursing) - Relias Complete Practice
Exam Questions with Answers and
Rationales
This comprehensive practice exam is designed to help you prepare for the
Prophecy Core Mandatory Nursing Exam administered through Relias. It
covers the three parts of the exam: Part I (Safety, Infection Control, OSHA,
Fire Safety), Part II (HIPAA, Bloodborne Pathogens, Patient Rights), and Part
III (Ethics, Cultural Competency, Professional Conduct).
EXAM OVERVIEW
Part Content Area Approximate Focus
Part I Core Mandatory Safety, OSHA,
Nursing Infection Control, Fire
Safety
Part II HIPAA, Bloodborne Privacy, Infectious
Pathogens, Patient Disease Prevention,
Rights Patient Protections
Part III Nursing Ethics, Ethical Dilemmas,
Cultural Competency, Cultural Sensitivity,
Professional Conduct Professional
Boundaries
,SECTION 1: PART I – SAFETY, INFECTION CONTROL,
OSHA & FIRE SAFETY (Questions 1-80)
Infection Control & Standard Precautions
Question 1
What is the single most important practice in preventing infection?
A) Wearing gloves at all times
B) Using alcohol-based sanitizer
C) Hand-washing
D) Wearing a mask
Answer: C) Hand-washing
Rationale: Proper hand hygiene is widely recognized as the single most
effective measure to prevent the transmission of infection in healthcare
settings. It removes transient microorganisms acquired through contact
with patients or contaminated surfaces.
Question 2
Which type of transmission precaution is required for a patient with
Tuberculosis (TB)?
A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Standard precautions only
Answer: C) Airborne precautions
,Rationale: TB spreads via airborne particles that remain suspended in the
air. It requires an N95 respirator (or higher) and a negative-pressure room to
prevent contamination of the surrounding air.
Question 3
When entering a patient's isolation room for MRSA (Methicillin-resistant
Staphylococcus aureus) precautions, which PPE is required?
A) Gloves only
B) Mask and gloves
C) Gown and gloves
D) Goggles only
Answer: C) Gown and gloves
Rationale: MRSA requires contact precautions. This means you must wear
a gown and gloves when entering the room to prevent the spread of the
organism via skin-to-skin contact or contaminated surfaces.
Question 4
Standard precautions apply to which patients?
A) Patients with known infections
B) Surgical patients only
C) All patients, regardless of diagnosis
D) Immunocompromised patients only
Answer: C) All patients, regardless of diagnosis
Rationale: Standard precautions assume that all blood, body fluids,
secretions, and excretions (except sweat) are potentially infectious. This
universal application prevents transmission from both known and unknown
infections.
, Question 5
Which of the following statements regarding the use of gloves is correct?
A) You do not need to wash your hands before putting on gloves
B) Turn gloves inside out when removing them
C) It is acceptable to reuse gloves if you wash them first
D) It is acceptable to wear multiple layers of gloves and peel off each layer
between tasks
Answer: B) Turn gloves inside out when removing them
Rationale: Turning gloves inside out during removal helps contain any
contaminants on the exterior of the glove, preventing them from contacting
your skin.
Question 6
Which of the following statements regarding sharps is correct?
A) Never bend or break needles after use
B) Sharps disposal containers should be sealed and removed only when
completely full
C) You can carry a used sharp in a pocket if it is capped
D) Always recap contaminated needles
Answer: A) Never bend or break needles after use
Rationale: Bending or breaking needles increases the risk of accidental
needlestick injury. Used needles should be disposed of immediately in a
puncture-resistant sharps container.
Question 7
What color bag is used for infectious waste disposal?