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Medical-Surgical RN A Prophecy Relias Exam Questions & Verified Answers | Med-Surg Nursing, Critical Care, Sepsis, Dementia, Diabetes, Heart Failure, Isolation, Safety & Clinical Judgment | Updated 2026/2027 | Instant Download

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Prepare for the Medical-Surgical RN A Prophecy Relias exam with this comprehensive collection of exam questions and verified answers covering high-yield medical-surgical nursing concepts, clinical judgment, patient safety, prioritization, acute assessment, infection control, neurological emergencies, cardiovascular conditions, diabetes, gastrointestinal disorders, postoperative care, ethical decision-making, and nursing interventions. Key topics covered include: • Medication and dosage conversions • Milligrams to micrograms conversion • Jackson-Pratt (JP) drain management • Establishing suction with postoperative drains • Indwelling urinary catheter insertion • Urinary catheter balloon inflation and patient discomfort • Patient autonomy and refusal of blood transfusion • Religious considerations in patient care • Diverticulitis and therapeutic diet • Post-surgical unit assignment and nursing responsibilities • Proton pump inhibitors and acid reduction • Pantoprazole (Protonix) • Patient lifts and safe patient transfers • Mobility assistance for severely contracted patients • PAINAD pain assessment for advanced dementia • Dementia and failure to thrive • Pressure injuries and suspected neglect • Interprofessional collaboration and social work referral • Falls in older adults • Atrial fibrillation and acute confusion • Head injury and CT assessment • Sepsis recognition and clinical findings • Fever, tachycardia, and decreased urine output • C. difficile infection-control precautions • Gown and glove PPE • Least restrictive interventions and soft mitt restraints • Alcohol withdrawal assessment • Anxiety and restlessness in hospitalized patients • Acute neurological changes • Change in level of consciousness • Heart failure assessment • Jugular venous distention and S3 heart sound • Tuberculosis symptoms and airborne precautions • Diabetes complications • Diabetic neuropathy and kidney disease • Hypoglycemia recognition • Capillary blood glucose assessment • Code status and advance care preferences • Patient autonomy and informed decision-making • HIPAA and social media considerations • Interpreter services for limited English proficiency • Postoperative urinary retention • Bladder scanning • Peritonitis and abdominal assessment • Tachycardia, hypotension, and dehydration • Rebound tenderness and severe abdominal pain • Increased intracranial pressure (ICP) • Early neurological assessment and changes in consciousness This Medical-Surgical RN A resource emphasizes clinical judgment and practical nursing decision-making across cardiovascular, neurological, gastrointestinal, endocrine, infectious disease, geriatric, postoperative, and emergency care situations. Use the material to review patient prioritization, nursing assessment, safety interventions, infection-control precautions, ethical responsibilities, communication, delegation, acute deterioration, and evidence-based nursing responses relevant to medical-surgical nursing examinations.

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Medical-Surgical RN A
Prophecy Relias Exam
Questions Verified and
Provided with A+
Graded Answers |Latest
Updated 2026

,1.2 milligrams is equal to how many micrograms?


1200 mcg


Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure effective
drain function?


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?


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?


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?


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?


Report to the post-surgical unit.


What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?


Acid 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?


Patient lift (e.g., Hoyer)


Which tool should you use to assess pain in you 80-year-old patient with severe
dementia?


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?


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?


Stat CT of head

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