Relias Prophecy Health Med-Surg Clinical
Assessment RN Exam 2025/2026 | Questions with
100% Verified Correct Answers
Medical-Surgical RN A Prophecy Exam | Patient Care Management, Disease Processes, Nursing
Interventions, Safety Protocols, Pharmacology, and Clinical Decision-Making | Expert-Verified
Q&A | Exam & Practice-Ready
Introduction
This document provides the complete and updated Relias Prophecy Health Med-Surg RN
Clinical Assessment Exam content for the 2025/2026 cycle. It includes carefully reviewed and
verified correct answers covering patient care priorities, disease management, clinical judgment,
pharmacological safety, and evidence-based nursing interventions. Designed to ensure
comprehensive mastery, this guide guarantees preparation for both clinical practice and
successful exam performance.
Answer Format
All correct answers are highlighted in bold and green, with rationales that reinforce critical
thinking, patient safety, and professional competency in medical-surgical nursing practice.
Relias Prophecy Health Med-Surg RN Exam Q&A | Verified 2025/2026 Content |
Exam-Aligned | Nursing Excellence & Guaranteed Success
Relias Prophecy Health Med-Surg Clinical Assessment RN Exam
Questions
1. 1.2 milligrams is equal to how many micrograms?
a) 120 mcg
b) 1,200 mcg
c) 12,000 mcg
d) 1,200,000 mcg
b) 1,200 mcg
Rationale: 1 milligram equals 1,000 micrograms, so 1.2 mg = 1,200 mcg. Accurate conversion
ensures safe medication administration.
2. Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you
ensure effective drain function?
a) Keep the drain open
b) Compress the drain, then plug the bulb to establish suction
c) Leave the bulb disconnected
,d) Change the bulb every hour
b) Compress the drain, then plug the bulb to establish suction
Rationale: Compressing and plugging the JP drain creates suction to remove fluid effectively,
preventing complications.
3. Your male patient complains of discomfort while inflating the balloon
during insertion of an indwelling urinary catheter. What would be the
MOST appropriate action?
a) Continue inflating the balloon
b) Deflate the balloon, advance the catheter further, then reinflate the balloon
c) Remove the catheter and inform the physician
d) Administer pain medication
b) Deflate the balloon, advance the catheter further, then reinflate the balloon
Rationale: Discomfort may indicate the balloon is in the urethra; deflating, advancing, and
reinflating ensures proper placement in the bladder.
4. Your new patient understands very limited English. How should you
communicate with them when completing the admission assessment?
a) Use hand gestures
b) Speak louder and slower
c) Use the organization’s interpreter services
d) Ask a bilingual staff member to assist
c) Use the organization’s interpreter services
Rationale: Interpreter services ensure accurate and professional communication, respecting
patient rights and safety.
5. You are caring for a patient with a history of diabetes mellitus. You walk
into the room and find the patient lethargic and diaphoretic. What is your
first action?
a) Call the physician
b) Obtain capillary blood glucose level
c) Administer insulin
d) Check vital signs
b) Obtain capillary blood glucose level
Rationale: Lethargy and diaphoresis suggest hypoglycemia or hyperglycemia; checking blood
glucose guides immediate intervention.
6. Your patient is 4 hours post-open appendectomy and has not voided yet.
You note his lower abdomen is distended. What should you do NEXT?
a) Perform a bladder scan
b) Insert a Foley catheter
c) Ask the patient to try to void
d) Notify the physician
a) Perform a bladder scan
, Rationale: A bladder scan assesses urine retention non-invasively, guiding further action
without premature catheterization.
7. A patient with peritonitis presents with tachycardia, hypotension, and
dehydration. What other assessment finding would you anticipate?
a) Bradypnea
b) Fever
c) Hypertension
d) Increased urine output
b) Fever
Rationale: Peritonitis often causes fever due to infection and inflammation, alongside
tachycardia, hypotension, and dehydration.
8. Your patient takes 5 mg of warfarin (Coumadin/Jantoven) daily and
reports black-colored stool today. What do you most likely suspect?
a) Gastritis
b) Hemorrhage
c) Bowel obstruction
d) Pneumonia
b) Hemorrhage
Rationale: Black, tarry stools in a patient on warfarin suggest gastrointestinal bleeding, a
serious complication requiring immediate attention.
9. Which nursing diagnosis is MOST important for a patient with chronic
obstructive pulmonary disease (COPD)?
a) Risk for falls
b) Impaired gas exchange
c) Knowledge deficit
d) Ineffective tissue perfusion
b) Impaired gas exchange
Rationale: Impaired gas exchange is the priority in COPD due to compromised oxygenation and
ventilation, critical to patient survival.
10. The patient has diltiazem HCl (Cardizem CD) ordered and is requesting
the capsule be mixed into her morning yogurt. How should you respond?
a) Mix the capsule contents with yogurt as requested
b) Explain it is a slow-release medication that cannot be opened or crushed
c) Crush the capsule and mix it with water instead
d) Administer the capsule with juice
b) Explain it is a slow-release medication that cannot be opened or crushed
Rationale: Diltiazem HCl (Cardizem CD) is a sustained-release formulation; crushing or
opening it alters its pharmacokinetics, risking toxicity or reduced efficacy.
11. A patient with congestive heart failure (CHF) is prescribed furosemide
(Lasix) 40 mg IV. What should you monitor closely?
a) Blood glucose levels
Assessment RN Exam 2025/2026 | Questions with
100% Verified Correct Answers
Medical-Surgical RN A Prophecy Exam | Patient Care Management, Disease Processes, Nursing
Interventions, Safety Protocols, Pharmacology, and Clinical Decision-Making | Expert-Verified
Q&A | Exam & Practice-Ready
Introduction
This document provides the complete and updated Relias Prophecy Health Med-Surg RN
Clinical Assessment Exam content for the 2025/2026 cycle. It includes carefully reviewed and
verified correct answers covering patient care priorities, disease management, clinical judgment,
pharmacological safety, and evidence-based nursing interventions. Designed to ensure
comprehensive mastery, this guide guarantees preparation for both clinical practice and
successful exam performance.
Answer Format
All correct answers are highlighted in bold and green, with rationales that reinforce critical
thinking, patient safety, and professional competency in medical-surgical nursing practice.
Relias Prophecy Health Med-Surg RN Exam Q&A | Verified 2025/2026 Content |
Exam-Aligned | Nursing Excellence & Guaranteed Success
Relias Prophecy Health Med-Surg Clinical Assessment RN Exam
Questions
1. 1.2 milligrams is equal to how many micrograms?
a) 120 mcg
b) 1,200 mcg
c) 12,000 mcg
d) 1,200,000 mcg
b) 1,200 mcg
Rationale: 1 milligram equals 1,000 micrograms, so 1.2 mg = 1,200 mcg. Accurate conversion
ensures safe medication administration.
2. Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you
ensure effective drain function?
a) Keep the drain open
b) Compress the drain, then plug the bulb to establish suction
c) Leave the bulb disconnected
,d) Change the bulb every hour
b) Compress the drain, then plug the bulb to establish suction
Rationale: Compressing and plugging the JP drain creates suction to remove fluid effectively,
preventing complications.
3. Your male patient complains of discomfort while inflating the balloon
during insertion of an indwelling urinary catheter. What would be the
MOST appropriate action?
a) Continue inflating the balloon
b) Deflate the balloon, advance the catheter further, then reinflate the balloon
c) Remove the catheter and inform the physician
d) Administer pain medication
b) Deflate the balloon, advance the catheter further, then reinflate the balloon
Rationale: Discomfort may indicate the balloon is in the urethra; deflating, advancing, and
reinflating ensures proper placement in the bladder.
4. Your new patient understands very limited English. How should you
communicate with them when completing the admission assessment?
a) Use hand gestures
b) Speak louder and slower
c) Use the organization’s interpreter services
d) Ask a bilingual staff member to assist
c) Use the organization’s interpreter services
Rationale: Interpreter services ensure accurate and professional communication, respecting
patient rights and safety.
5. You are caring for a patient with a history of diabetes mellitus. You walk
into the room and find the patient lethargic and diaphoretic. What is your
first action?
a) Call the physician
b) Obtain capillary blood glucose level
c) Administer insulin
d) Check vital signs
b) Obtain capillary blood glucose level
Rationale: Lethargy and diaphoresis suggest hypoglycemia or hyperglycemia; checking blood
glucose guides immediate intervention.
6. Your patient is 4 hours post-open appendectomy and has not voided yet.
You note his lower abdomen is distended. What should you do NEXT?
a) Perform a bladder scan
b) Insert a Foley catheter
c) Ask the patient to try to void
d) Notify the physician
a) Perform a bladder scan
, Rationale: A bladder scan assesses urine retention non-invasively, guiding further action
without premature catheterization.
7. A patient with peritonitis presents with tachycardia, hypotension, and
dehydration. What other assessment finding would you anticipate?
a) Bradypnea
b) Fever
c) Hypertension
d) Increased urine output
b) Fever
Rationale: Peritonitis often causes fever due to infection and inflammation, alongside
tachycardia, hypotension, and dehydration.
8. Your patient takes 5 mg of warfarin (Coumadin/Jantoven) daily and
reports black-colored stool today. What do you most likely suspect?
a) Gastritis
b) Hemorrhage
c) Bowel obstruction
d) Pneumonia
b) Hemorrhage
Rationale: Black, tarry stools in a patient on warfarin suggest gastrointestinal bleeding, a
serious complication requiring immediate attention.
9. Which nursing diagnosis is MOST important for a patient with chronic
obstructive pulmonary disease (COPD)?
a) Risk for falls
b) Impaired gas exchange
c) Knowledge deficit
d) Ineffective tissue perfusion
b) Impaired gas exchange
Rationale: Impaired gas exchange is the priority in COPD due to compromised oxygenation and
ventilation, critical to patient survival.
10. The patient has diltiazem HCl (Cardizem CD) ordered and is requesting
the capsule be mixed into her morning yogurt. How should you respond?
a) Mix the capsule contents with yogurt as requested
b) Explain it is a slow-release medication that cannot be opened or crushed
c) Crush the capsule and mix it with water instead
d) Administer the capsule with juice
b) Explain it is a slow-release medication that cannot be opened or crushed
Rationale: Diltiazem HCl (Cardizem CD) is a sustained-release formulation; crushing or
opening it alters its pharmacokinetics, risking toxicity or reduced efficacy.
11. A patient with congestive heart failure (CHF) is prescribed furosemide
(Lasix) 40 mg IV. What should you monitor closely?
a) Blood glucose levels
