AND 3 EXAM 2026 WITH ACTUAL CORRECT
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PROPHECY CORE MANDATORY PART 1
1. A client’s blood pressure is 85/50 mmHg, and they feel dizzy when standing. What
should you do first?
A. Have them sit or lie down immediately
B. Encourage them to walk to the bathroom
C. Give them water and wait
D. Call family
2. A client complains of sudden shortness of breath. Your first action is:
A. Document and continue routine care
B. Assess airway, breathing, and oxygen saturation
C. Administer medications without nurse approval
D. Ask them to rest for 10 minutes
3. When performing hand hygiene, the most important step is:
A. Wash hands only if visibly dirty
B. Wash hands for at least 20 seconds using soap and water
C. Rinse quickly with water
D. Use gloves instead of washing
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, 4. A client with limited mobility is at risk for pressure injuries. How often should they be
repositioned?
A. Every 2 hours
B. Every 6 hours
C. Only when complaining of discomfort
D. Once per shift
5. Which action best prevents falls in a client’s room?
A. Keep walkways clear and use proper lighting
B. Encourage client to walk without assistance
C. Place obstacles to train balance
D. Ignore spills until next shift
6. A client refuses a bath. The PSW should:
A. Force the bath to maintain hygiene
B. Respect client choice and offer alternatives
C. Ignore hygiene for the day
D. Insist they bathe immediately
7. When assisting a client with a wheelchair transfer, you should:
A. Use proper body mechanics and explain the process
B. Pull the client quickly to save time
C. Lift without assistance
D. Skip gait belt usage
8. During a feeding, a client starts coughing. Immediate action is:
A. Continue feeding slowly
B. Stop feeding and assess for choking
C. Give water immediately
D. Ignore, assuming it will pass
9. A client’s skin is red and tender over the sacrum. What should you do?
A. Document and report immediately
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, B. Massage the area vigorously
C. Apply lotion without notifying nurse
D. Ignore until next shift
10. A client shows signs of hypoglycemia. Your first step is:
A. Give sugar or glucose per care plan
B. Wait to see if it resolves
C. Call family before action
D. Ignore until nurse arrives
11. Proper oral care for an unconscious client includes:
A. Using suction to prevent aspiration
B. Allowing water rinse
C. Brushing aggressively
D. Keeping the head flat
12. When providing foot care, which is most important?
A. Inspect for wounds or redness
B. Use hot water to relax client
C. Massage regardless of pain
D. Trim nails aggressively
13. A client is unsteady on their feet. What should you use?
A. Walker or gait belt
B. Wheelchair only
C. No assistance
D. Let them practice balance alone
14. What is the safest way to remove PPE?
A. Remove gloves first, then gown, mask, then perform hand hygiene
B. Remove mask first, then gloves
C. Remove in any order
D. Skip hand hygiene if gloves removed
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