,Prophecy Core Mandatory Part II | Final Exam Study Guide 2026/2027
Score-Focused, Detailed Q&A
Format: Question, followed by multiple-choice options. The correct answer is marked with a
check (✓) and a brief, detailed explanation is provided.
Section 1: Patient Safety & Rights
1. What is the PRIMARY purpose of using two patient identifiers before administering
medication or performing a procedure?
a) To save time for the nurse.
b) To comply with hospital policy.
c) To ensure the right patient receives the right intervention. ✓
d) To satisfy documentation requirements.
Explanation: The core goal is to prevent errors and enhance patient safety by accurately
matching the patient to the intended treatment.
2. Which of the following is NOT considered an acceptable patient identifier?
a) Patient's full name.
b) Medical record number.
c) Room number. ✓
d) Date of birth.
Explanation: Room numbers are not unique and can change, making them unreliable for positive
identification. JCAHO/CMS standards mandate unique identifiers like name, DOB, or MRN.
3. A patient with a history of falls attempts to get out of bed unassisted. What is the nurse's
BEST initial action?
a) Apply a vest restraint.
b) Yell for the patient to stop.
c) Assist the patient safely and assess the reason for getting up. ✓
d) Document the event after the patient is back in bed.
Explanation: Safety is the priority. The nurse must first safely assist to prevent a fall, then assess
the cause (e.g., pain, bathroom need) to address the underlying issue.
4. What is the correct order of donning (putting on) PPE for contact precautions?
a) Gown, Mask, Gloves, Goggles.
b) Gown, Gloves, Mask.
c) Gown, Mask, Goggles, Gloves. ✓
d) Gloves, Gown, Mask.
,Explanation: This sequence ensures PPE protects the healthcare worker. Gloves are always last
on, first off.
5. What is the correct order of doffing (taking off) PPE for a patient on droplet precautions?
a) Gloves, Goggles, Gown, Mask/Respirator.
b) Gloves, Gown, Goggles, Mask/Respirator. ✓
c) Goggles, Mask, Gloves, Gown.
d) Mask, Goggles, Gloves, Gown.
Explanation: This sequence minimizes self-contamination. Remove the most contaminated items
(gloves) first, followed by gown, then face/eye protection, and finally the mask/respirator away
from the face.
6. The National Patient Safety Goal for improving staff communication focuses on:
a) Using abbreviations to save time.
b) Carrying out a standardized "hand-off" communication process. ✓
c) Using personal cell phones for urgent messages.
d) Relying solely on electronic medical record alerts.
Explanation: A standardized hand-off (like SBAR) ensures critical information is accurately
transferred during care transitions, reducing errors.
7. When a patient refuses a treatment, the nurse's responsibility is to:
a) Convince the patient to change their mind.
b) Document the refusal and notify the physician. ✓
c) Administer the treatment as it is medically necessary.
d) Tell the patient they must sign an "Against Medical Advice" (AMA) form.
Explanation: Patients have the right to refuse. The nurse must document the refusal, the
education provided about risks, and inform the provider so alternative plans can be discussed.
Section 2: Infection Prevention & Control
8. The single most effective way to prevent the spread of infection is:
a) Wearing gloves.
b) Hand hygiene (washing with soap/water or using alcohol-based rub). ✓
c) Isolating all infectious patients.
d) Wearing a gown.
Explanation: Hand hygiene is the cornerstone of infection control, breaking the chain of
transmission.
, 9. Standard Precautions are based on the principle that:
a) All patients are colonized with MRSA.
b) All blood, body fluids, secretions, and non-intact skin may contain transmissible pathogens.
✓
c) Only patients with a diagnosed infection are contagious.
d) PPE is only needed for patients in isolation.
Explanation: Standard Precautions apply to all patients, regardless of diagnosis, to protect both
healthcare workers and patients.
10. Contact Precautions are required for a patient with which condition?
a) Pulmonary Tuberculosis.
b) Methicillin-resistant Staphylococcus aureus (MRSA) in a wound. ✓
c) Influenza.
d) Meningitis.
Explanation: MRSA is spread by direct contact with the patient or contaminated surfaces/items.
Gown and gloves are required for room entry.
11. Droplet Precautions require the use of:
a) N95 respirator.
b) Surgical mask upon entry to the patient's room. ✓
c) Negative pressure room.
d) Gloves only.
Explanation: Droplets (from coughs, sneezes) travel short distances. A surgical mask protects the
mucous membranes of the wearer. An N95 is required for airborne diseases like TB.
12. The proper technique for performing hand hygiene with alcohol-based gel is:
a) Apply gel only to the palms.
b) Rub all surfaces of hands until dry (about 20 seconds). ✓
c) Rinse hands with water after applying gel.
d) Use a paper towel to wipe off excess gel.
Explanation: Rubbing all surfaces ensures full coverage, and letting it dry allows for proper
antimicrobial action.
Section 3: Clinical Emergencies & Response
13. The universal sign for choking is:
a) Coughing violently.
b) Clutching the neck with one or both hands. ✓
c) Pointing to the mouth.
Score-Focused, Detailed Q&A
Format: Question, followed by multiple-choice options. The correct answer is marked with a
check (✓) and a brief, detailed explanation is provided.
Section 1: Patient Safety & Rights
1. What is the PRIMARY purpose of using two patient identifiers before administering
medication or performing a procedure?
a) To save time for the nurse.
b) To comply with hospital policy.
c) To ensure the right patient receives the right intervention. ✓
d) To satisfy documentation requirements.
Explanation: The core goal is to prevent errors and enhance patient safety by accurately
matching the patient to the intended treatment.
2. Which of the following is NOT considered an acceptable patient identifier?
a) Patient's full name.
b) Medical record number.
c) Room number. ✓
d) Date of birth.
Explanation: Room numbers are not unique and can change, making them unreliable for positive
identification. JCAHO/CMS standards mandate unique identifiers like name, DOB, or MRN.
3. A patient with a history of falls attempts to get out of bed unassisted. What is the nurse's
BEST initial action?
a) Apply a vest restraint.
b) Yell for the patient to stop.
c) Assist the patient safely and assess the reason for getting up. ✓
d) Document the event after the patient is back in bed.
Explanation: Safety is the priority. The nurse must first safely assist to prevent a fall, then assess
the cause (e.g., pain, bathroom need) to address the underlying issue.
4. What is the correct order of donning (putting on) PPE for contact precautions?
a) Gown, Mask, Gloves, Goggles.
b) Gown, Gloves, Mask.
c) Gown, Mask, Goggles, Gloves. ✓
d) Gloves, Gown, Mask.
,Explanation: This sequence ensures PPE protects the healthcare worker. Gloves are always last
on, first off.
5. What is the correct order of doffing (taking off) PPE for a patient on droplet precautions?
a) Gloves, Goggles, Gown, Mask/Respirator.
b) Gloves, Gown, Goggles, Mask/Respirator. ✓
c) Goggles, Mask, Gloves, Gown.
d) Mask, Goggles, Gloves, Gown.
Explanation: This sequence minimizes self-contamination. Remove the most contaminated items
(gloves) first, followed by gown, then face/eye protection, and finally the mask/respirator away
from the face.
6. The National Patient Safety Goal for improving staff communication focuses on:
a) Using abbreviations to save time.
b) Carrying out a standardized "hand-off" communication process. ✓
c) Using personal cell phones for urgent messages.
d) Relying solely on electronic medical record alerts.
Explanation: A standardized hand-off (like SBAR) ensures critical information is accurately
transferred during care transitions, reducing errors.
7. When a patient refuses a treatment, the nurse's responsibility is to:
a) Convince the patient to change their mind.
b) Document the refusal and notify the physician. ✓
c) Administer the treatment as it is medically necessary.
d) Tell the patient they must sign an "Against Medical Advice" (AMA) form.
Explanation: Patients have the right to refuse. The nurse must document the refusal, the
education provided about risks, and inform the provider so alternative plans can be discussed.
Section 2: Infection Prevention & Control
8. The single most effective way to prevent the spread of infection is:
a) Wearing gloves.
b) Hand hygiene (washing with soap/water or using alcohol-based rub). ✓
c) Isolating all infectious patients.
d) Wearing a gown.
Explanation: Hand hygiene is the cornerstone of infection control, breaking the chain of
transmission.
, 9. Standard Precautions are based on the principle that:
a) All patients are colonized with MRSA.
b) All blood, body fluids, secretions, and non-intact skin may contain transmissible pathogens.
✓
c) Only patients with a diagnosed infection are contagious.
d) PPE is only needed for patients in isolation.
Explanation: Standard Precautions apply to all patients, regardless of diagnosis, to protect both
healthcare workers and patients.
10. Contact Precautions are required for a patient with which condition?
a) Pulmonary Tuberculosis.
b) Methicillin-resistant Staphylococcus aureus (MRSA) in a wound. ✓
c) Influenza.
d) Meningitis.
Explanation: MRSA is spread by direct contact with the patient or contaminated surfaces/items.
Gown and gloves are required for room entry.
11. Droplet Precautions require the use of:
a) N95 respirator.
b) Surgical mask upon entry to the patient's room. ✓
c) Negative pressure room.
d) Gloves only.
Explanation: Droplets (from coughs, sneezes) travel short distances. A surgical mask protects the
mucous membranes of the wearer. An N95 is required for airborne diseases like TB.
12. The proper technique for performing hand hygiene with alcohol-based gel is:
a) Apply gel only to the palms.
b) Rub all surfaces of hands until dry (about 20 seconds). ✓
c) Rinse hands with water after applying gel.
d) Use a paper towel to wipe off excess gel.
Explanation: Rubbing all surfaces ensures full coverage, and letting it dry allows for proper
antimicrobial action.
Section 3: Clinical Emergencies & Response
13. The universal sign for choking is:
a) Coughing violently.
b) Clutching the neck with one or both hands. ✓
c) Pointing to the mouth.
