Medical Surgical RN A Prophecy Relias
Actual Exam 2025 RN A Prophecy Relias Med
Surg Exam Update Latest 2025 Questions
and Correct Answers Rated A+
1. 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?
A. Routine blood work
B. Stat CT of head
C. MRI of the brain
D. X-ray of the pelvis
Answer: B. Stat CT of head
2. Your patient has a temp of 102.3 F, HR 122, and has had 15 mL of urine from the indwelling
urinary catheter in the last 2 hours. What is your patient MOST likely experiencing?
A. Dehydration
B. Heart failure
C. Sepsis
D. Fever
Answer: C. Sepsis
3. What type of personal protective equipment (PPE) is applied prior to entering a room for a
patient with C. diff?
A. Mask and gloves
, B. Gown and gloves
C. Face shield and goggles
D. No PPE required
Answer: B. Gown and gloves
4. Your patient continues to pull at their IV site located in their left forearm despite verbal
reminders and increased observation. The nursing assistant recommends using soft mitt restraints
on the patient. What is your recommendation?
A. Request an order for soft mitts as they are the least restrictive
B. Use hard restraints
C. Ignore the recommendation
D. Allow the patient to pull at their IV
Answer: A. Request an order for soft mitts as they are the least restrictive
5. Your patient was admitted for a hypertensive crisis and has a history of HTN, Parkinson's
disease, depression, and alcohol use. On his second hospitalized day, you notice he is more
anxious and restless than his baseline. What would be your FIRST nursing intervention?
A. Ask the patient when his last drink of alcohol was
B. Administer anxiety medication
C. Call the psychiatrist
D. Document your observations
Answer: A. Ask the patient when his last drink of alcohol was
6. What is the BEST indication of an acute neurological problem?
A. Change in level of consciousness
B. Severe headache
, C. Loss of motor function
D. Tingling sensations
Answer: A. Change in level of consciousness
7. While in a supine position your patient states, "I'm tired and cannot catch my breath." Physical
assessment reveals jugular vein distention and a third heart sound (S3). These symptoms are
indicative of what condition?
A. Myocardial infarction
B. Heart failure
C. Pulmonary embolism
D. Pneumothorax
Answer: B. Heart failure
8. Your new admission presents with a cough, unintentional weight loss, frequent night sweats, and
bloody sputum. What type of isolation precautions should you initiate, if any?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. No isolation required
Answer: C. Airborne precautions
9. Patients with diabetes are at high risk for complications from damage to what body areas?
A. Lungs and heart
B. Skin and muscles
C. Nerve and kidney damage
, D. Liver and pancreas
Answer: C. Nerve and kidney damage
10. If your patient with a known history of diabetes is displaying symptoms of diaphoresis, cool
skin, lethargy, and shakiness. What is your first action?
A. Administer insulin
B. Check the patient's blood glucose level
C. Call the physician
D. Document findings
Answer: B. Check the patient's blood glucose level
11. Your patient tells you, "I hope I don't die, but if I do, I don't want to be brought back." You
notice on her chart and wristband that she is a full code. What would be the MOST appropriate
action?
A. Contact a family member
B. Discuss code status with the patient and follow up with the provider to ensure the medical
record reflects her wishes
C. Ignore her comment
D. Reassure her she will be fine
Answer: B. Discuss code status with the patient and follow up with the provider to ensure
the medical record reflects her wishes
12. Your coworker posted photos on social media from a birthday party they had for her in the unit
breakroom. What should be your NEXT course of action?
A. Report to HR immediately
B. No action is necessary because no PHI was displayed
Actual Exam 2025 RN A Prophecy Relias Med
Surg Exam Update Latest 2025 Questions
and Correct Answers Rated A+
1. 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?
A. Routine blood work
B. Stat CT of head
C. MRI of the brain
D. X-ray of the pelvis
Answer: B. Stat CT of head
2. Your patient has a temp of 102.3 F, HR 122, and has had 15 mL of urine from the indwelling
urinary catheter in the last 2 hours. What is your patient MOST likely experiencing?
A. Dehydration
B. Heart failure
C. Sepsis
D. Fever
Answer: C. Sepsis
3. What type of personal protective equipment (PPE) is applied prior to entering a room for a
patient with C. diff?
A. Mask and gloves
, B. Gown and gloves
C. Face shield and goggles
D. No PPE required
Answer: B. Gown and gloves
4. Your patient continues to pull at their IV site located in their left forearm despite verbal
reminders and increased observation. The nursing assistant recommends using soft mitt restraints
on the patient. What is your recommendation?
A. Request an order for soft mitts as they are the least restrictive
B. Use hard restraints
C. Ignore the recommendation
D. Allow the patient to pull at their IV
Answer: A. Request an order for soft mitts as they are the least restrictive
5. Your patient was admitted for a hypertensive crisis and has a history of HTN, Parkinson's
disease, depression, and alcohol use. On his second hospitalized day, you notice he is more
anxious and restless than his baseline. What would be your FIRST nursing intervention?
A. Ask the patient when his last drink of alcohol was
B. Administer anxiety medication
C. Call the psychiatrist
D. Document your observations
Answer: A. Ask the patient when his last drink of alcohol was
6. What is the BEST indication of an acute neurological problem?
A. Change in level of consciousness
B. Severe headache
, C. Loss of motor function
D. Tingling sensations
Answer: A. Change in level of consciousness
7. While in a supine position your patient states, "I'm tired and cannot catch my breath." Physical
assessment reveals jugular vein distention and a third heart sound (S3). These symptoms are
indicative of what condition?
A. Myocardial infarction
B. Heart failure
C. Pulmonary embolism
D. Pneumothorax
Answer: B. Heart failure
8. Your new admission presents with a cough, unintentional weight loss, frequent night sweats, and
bloody sputum. What type of isolation precautions should you initiate, if any?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. No isolation required
Answer: C. Airborne precautions
9. Patients with diabetes are at high risk for complications from damage to what body areas?
A. Lungs and heart
B. Skin and muscles
C. Nerve and kidney damage
, D. Liver and pancreas
Answer: C. Nerve and kidney damage
10. If your patient with a known history of diabetes is displaying symptoms of diaphoresis, cool
skin, lethargy, and shakiness. What is your first action?
A. Administer insulin
B. Check the patient's blood glucose level
C. Call the physician
D. Document findings
Answer: B. Check the patient's blood glucose level
11. Your patient tells you, "I hope I don't die, but if I do, I don't want to be brought back." You
notice on her chart and wristband that she is a full code. What would be the MOST appropriate
action?
A. Contact a family member
B. Discuss code status with the patient and follow up with the provider to ensure the medical
record reflects her wishes
C. Ignore her comment
D. Reassure her she will be fine
Answer: B. Discuss code status with the patient and follow up with the provider to ensure
the medical record reflects her wishes
12. Your coworker posted photos on social media from a birthday party they had for her in the unit
breakroom. What should be your NEXT course of action?
A. Report to HR immediately
B. No action is necessary because no PHI was displayed
