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PROPHECY CORE MANDATORY PART 3 ACTUAL
EXAM PREP 2026 ALL QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES ALREADY
A GRADED WITH EXPERT FEEDBACK |NEW AND
REVISED
1. Which statement is accurate concerning the portability of advanced
healthcare directives (AHDs)?
A) Advanced healthcare directives are only valid in the state in which
they were written
B) In some cases, if laws are similar, a state will accept an AHD
written in another state
C) Advanced healthcare directives are not legally binding documents
D) All states automatically accept AHDs from any other state
Rationale: Portability of advanced healthcare directives varies by state.
Many states will accept an AHD written in another state if the laws are
similar, but this is not guaranteed. It is important to check state-
specific requirements.
2. Which of the following statements is NOT accurate regarding signs of
abuse?
A) Injuries inconsistent with the explanation may indicate abuse
B) Victims of physical abuse will always have visible cuts or bruises
C) Psychological abuse can occur without physical signs
D) Abuse can occur in any socioeconomic group
Rationale: Physical abuse does not always result in visible cuts or
bruises. Injuries may be hidden, healed, or not present. The absence of
visible signs does not rule out abuse. Inconsistencies between the
injury and the explanation are a key warning sign.
3. Hostile work environment sexual harassment involves harassment by
which of the following?
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A) Only a direct supervisor
B) Only a coworker
C) All of the above: direct supervisor, vendor, subordinate
D) Only a vendor
Rationale: A hostile work environment can be created by anyone in the
workplace, including supervisors, coworkers, subordinates, and even
non-employees such as vendors or contractors, if the conduct is severe
or pervasive enough to create an intimidating or offensive
environment.
4. Workplace violence is defined as threats, physical assaults, muggings,
and:
A) Bullying
B) Verbal disagreements
C) Performance evaluations
D) Policy violations
Rationale: Workplace violence encompasses a range of behaviors
including threats, physical assaults, muggings, and bullying. Bullying
includes repeated, health-harming mistreatment of one or more
persons by one or more perpetrators.
5. Which of the following statements is accurate regarding workplace
violence?
A) Workplace violence only affects the direct victim
B) Workplace violence can affect trust in management or coworkers
C) Workplace violence has no impact on organizational culture
D) Workplace violence is limited to physical assaults only
Rationale: Workplace violence can have far-reaching effects,
including erosion of trust in management and coworkers, decreased
morale, increased turnover, and negative impacts on patient care and
safety.
6. Which of the following statements is accurate concerning restraints?
A) Restraints are a first-line intervention for patient safety
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B) A belt restraint placed over the patient's chest may restrict
breathing
C) Restraints can be applied by any staff member
D) Restraints do not require a physician's order
Rationale: Belt restraints placed over the chest can restrict breathing
and are dangerous. Restraints should be applied only as a last resort,
with a physician's order, and by staff trained in their proper use. They
require frequent monitoring.
7. When caring for victims of abuse, you should:
A) Touch them to provide comfort regardless of their response
B) Avoid any physical contact
C) Touch them only with their permission
D) Assume they are comfortable with touch
Rationale: Victims of abuse may have experienced violations of
personal boundaries. It is essential to ask for permission before any
physical contact to respect their autonomy and avoid re-
traumatization.
8. The type of abuse that involves intimidating, ridiculing, or degrading
someone is called:
A) Physical abuse
B) Sexual abuse
C) Psychological abuse
D) Financial abuse
Rationale: Psychological abuse (also called emotional abuse) involves
behaviors that intimidate, ridicule, degrade, or humiliate another
person. It can be as damaging as physical abuse and often co-occurs
with other forms of abuse.
9. When caring for terminally ill patients, you should:
A) Avoid using opioids to prevent addiction
B) Use the same pain medication doses as for any other patient
C) Consider that larger doses of analgesia may be needed because of
, 4|Page
disease progression
D) Withhold pain medication to avoid sedation
Rationale: Terminally ill patients may develop tolerance to opioids and
may require higher doses for effective pain management as the disease
progresses. Pain control is a priority in end-of-life care.
10. Healthcare professionals are required to report suspected cases of
child and elder abuse:
A) Only in certain states
B) In all states
C) Only when there is visible evidence
D) Only if the victim requests it
Rationale: All healthcare professionals are mandated reporters in
every state. Suspected child or elder abuse must be reported to the
appropriate authorities, regardless of whether there is visible evidence.
11. If you suspect child abuse, which of the following is a correct action
to take?
A) Confront the caregiver immediately
B) Get permission from the state agency before letting a child leave
with the caregiver
C) Allow the child to leave with the caregiver without question
D) Call the police only if there are visible injuries
Rationale: If child abuse is suspected, healthcare professionals should
contact the appropriate state agency (e.g., Child Protective Services).
They should not allow the child to leave with the caregiver without
consulting the agency and obtaining permission.
12. Which of the following is true about opioid use?
A) Patients never develop tolerance to opioids
B) Patients may develop a tolerance for opioids over time and may
need higher dosages for pain relief
C) Opioids are always the first-line treatment for chronic pain
D) Opioid tolerance is not a concern in healthcare
PROPHECY CORE MANDATORY PART 3 ACTUAL
EXAM PREP 2026 ALL QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES ALREADY
A GRADED WITH EXPERT FEEDBACK |NEW AND
REVISED
1. Which statement is accurate concerning the portability of advanced
healthcare directives (AHDs)?
A) Advanced healthcare directives are only valid in the state in which
they were written
B) In some cases, if laws are similar, a state will accept an AHD
written in another state
C) Advanced healthcare directives are not legally binding documents
D) All states automatically accept AHDs from any other state
Rationale: Portability of advanced healthcare directives varies by state.
Many states will accept an AHD written in another state if the laws are
similar, but this is not guaranteed. It is important to check state-
specific requirements.
2. Which of the following statements is NOT accurate regarding signs of
abuse?
A) Injuries inconsistent with the explanation may indicate abuse
B) Victims of physical abuse will always have visible cuts or bruises
C) Psychological abuse can occur without physical signs
D) Abuse can occur in any socioeconomic group
Rationale: Physical abuse does not always result in visible cuts or
bruises. Injuries may be hidden, healed, or not present. The absence of
visible signs does not rule out abuse. Inconsistencies between the
injury and the explanation are a key warning sign.
3. Hostile work environment sexual harassment involves harassment by
which of the following?
,2|Page
A) Only a direct supervisor
B) Only a coworker
C) All of the above: direct supervisor, vendor, subordinate
D) Only a vendor
Rationale: A hostile work environment can be created by anyone in the
workplace, including supervisors, coworkers, subordinates, and even
non-employees such as vendors or contractors, if the conduct is severe
or pervasive enough to create an intimidating or offensive
environment.
4. Workplace violence is defined as threats, physical assaults, muggings,
and:
A) Bullying
B) Verbal disagreements
C) Performance evaluations
D) Policy violations
Rationale: Workplace violence encompasses a range of behaviors
including threats, physical assaults, muggings, and bullying. Bullying
includes repeated, health-harming mistreatment of one or more
persons by one or more perpetrators.
5. Which of the following statements is accurate regarding workplace
violence?
A) Workplace violence only affects the direct victim
B) Workplace violence can affect trust in management or coworkers
C) Workplace violence has no impact on organizational culture
D) Workplace violence is limited to physical assaults only
Rationale: Workplace violence can have far-reaching effects,
including erosion of trust in management and coworkers, decreased
morale, increased turnover, and negative impacts on patient care and
safety.
6. Which of the following statements is accurate concerning restraints?
A) Restraints are a first-line intervention for patient safety
,3|Page
B) A belt restraint placed over the patient's chest may restrict
breathing
C) Restraints can be applied by any staff member
D) Restraints do not require a physician's order
Rationale: Belt restraints placed over the chest can restrict breathing
and are dangerous. Restraints should be applied only as a last resort,
with a physician's order, and by staff trained in their proper use. They
require frequent monitoring.
7. When caring for victims of abuse, you should:
A) Touch them to provide comfort regardless of their response
B) Avoid any physical contact
C) Touch them only with their permission
D) Assume they are comfortable with touch
Rationale: Victims of abuse may have experienced violations of
personal boundaries. It is essential to ask for permission before any
physical contact to respect their autonomy and avoid re-
traumatization.
8. The type of abuse that involves intimidating, ridiculing, or degrading
someone is called:
A) Physical abuse
B) Sexual abuse
C) Psychological abuse
D) Financial abuse
Rationale: Psychological abuse (also called emotional abuse) involves
behaviors that intimidate, ridicule, degrade, or humiliate another
person. It can be as damaging as physical abuse and often co-occurs
with other forms of abuse.
9. When caring for terminally ill patients, you should:
A) Avoid using opioids to prevent addiction
B) Use the same pain medication doses as for any other patient
C) Consider that larger doses of analgesia may be needed because of
, 4|Page
disease progression
D) Withhold pain medication to avoid sedation
Rationale: Terminally ill patients may develop tolerance to opioids and
may require higher doses for effective pain management as the disease
progresses. Pain control is a priority in end-of-life care.
10. Healthcare professionals are required to report suspected cases of
child and elder abuse:
A) Only in certain states
B) In all states
C) Only when there is visible evidence
D) Only if the victim requests it
Rationale: All healthcare professionals are mandated reporters in
every state. Suspected child or elder abuse must be reported to the
appropriate authorities, regardless of whether there is visible evidence.
11. If you suspect child abuse, which of the following is a correct action
to take?
A) Confront the caregiver immediately
B) Get permission from the state agency before letting a child leave
with the caregiver
C) Allow the child to leave with the caregiver without question
D) Call the police only if there are visible injuries
Rationale: If child abuse is suspected, healthcare professionals should
contact the appropriate state agency (e.g., Child Protective Services).
They should not allow the child to leave with the caregiver without
consulting the agency and obtaining permission.
12. Which of the following is true about opioid use?
A) Patients never develop tolerance to opioids
B) Patients may develop a tolerance for opioids over time and may
need higher dosages for pain relief
C) Opioids are always the first-line treatment for chronic pain
D) Opioid tolerance is not a concern in healthcare
