MEDICAL-SURGICAL RN A PROPHECY TESTS 2
EXAM SCRIPT 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉ 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? Answer: Airborne
precautions
◉ Patients with diabetes are at high risk for complications from
damage to what body areas? Answer: Nerve and kidney damage
◉ If your patient with a known history of diabetes is displaying
symptoms of diaphoresis, cool skin, lethargy, and shakiness. What is
your first action? Answer: Check the patient's blood glucose level.
◉ 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 wrist band that she is
a full code. What would be the MOST appropriate action? Answer:
Discuss code status with the patient and follow up with provider to
ensure the medical record reflects her wishes.
◉ 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? Answer: No action is necessary because no
PHI was displayed.
◉ Your new patient understands very limited English. How should
you communicate with them when completing the admission
assessment? Answer: Use the organization's interpreter services.
◉ 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? Answer: Obtain capillary blood glucose
level.
◉ 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? Answer: Perform a bladder scan
◉ A patient with peritonitis presents with tachycardia, hypotension,
and dehydration. What other assessment finding would you
anticipate as part of your physical assessment? Answer: Severe
abdominal pain or rebound tenderness
◉ What is the EARLIEST sign indicating increased intracranial
pressure (ICP)? Answer: Level of consciousness
, ◉ In addition to pain, pallor, and pulselessness, a neurovascular
assessment also includes checking for: Answer: Paresthesia and
paralysis
◉ You received a report on a patient that sustained a right
hemisphere CVA 48 hours ago. What do you expect the patient to
exhibit? Answer: Left sided weakness of the leg, arm, and face.
◉ You are ordered to give digoxin (Lanoxin). Your patients vital
signs are: BP 130/70, Temp 97.9F, HR 52, RR 16, O2 Sat 100% on
room air. What should you do NEXT? Answer: Hold digoxin
(Lanoxin) and call the provider
◉ Upon entry to your patient's room, you find her sitting in High
Fowler's position and complaining of shortness of breath. Her
respiratory rate is 34 breaths/min and O2 sat is 84%. Which mode
of oxygen delivery would MOST likely reverse these symptoms?
Answer: Non-rebreather mask
◉ Your patient is on contact precautions for active MRSA. What
proper PPE should you use before entering the room? Answer: Gown
and gloves
◉ Your patient recently had a G-tube placed and intermittent enteral
feedings have been initiated. What symptoms may indicate
intolerance to the feedings? Answer: Vomiting and diarrhea
EXAM SCRIPT 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉ 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? Answer: Airborne
precautions
◉ Patients with diabetes are at high risk for complications from
damage to what body areas? Answer: Nerve and kidney damage
◉ If your patient with a known history of diabetes is displaying
symptoms of diaphoresis, cool skin, lethargy, and shakiness. What is
your first action? Answer: Check the patient's blood glucose level.
◉ 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 wrist band that she is
a full code. What would be the MOST appropriate action? Answer:
Discuss code status with the patient and follow up with provider to
ensure the medical record reflects her wishes.
◉ 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? Answer: No action is necessary because no
PHI was displayed.
◉ Your new patient understands very limited English. How should
you communicate with them when completing the admission
assessment? Answer: Use the organization's interpreter services.
◉ 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? Answer: Obtain capillary blood glucose
level.
◉ 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? Answer: Perform a bladder scan
◉ A patient with peritonitis presents with tachycardia, hypotension,
and dehydration. What other assessment finding would you
anticipate as part of your physical assessment? Answer: Severe
abdominal pain or rebound tenderness
◉ What is the EARLIEST sign indicating increased intracranial
pressure (ICP)? Answer: Level of consciousness
, ◉ In addition to pain, pallor, and pulselessness, a neurovascular
assessment also includes checking for: Answer: Paresthesia and
paralysis
◉ You received a report on a patient that sustained a right
hemisphere CVA 48 hours ago. What do you expect the patient to
exhibit? Answer: Left sided weakness of the leg, arm, and face.
◉ You are ordered to give digoxin (Lanoxin). Your patients vital
signs are: BP 130/70, Temp 97.9F, HR 52, RR 16, O2 Sat 100% on
room air. What should you do NEXT? Answer: Hold digoxin
(Lanoxin) and call the provider
◉ Upon entry to your patient's room, you find her sitting in High
Fowler's position and complaining of shortness of breath. Her
respiratory rate is 34 breaths/min and O2 sat is 84%. Which mode
of oxygen delivery would MOST likely reverse these symptoms?
Answer: Non-rebreather mask
◉ Your patient is on contact precautions for active MRSA. What
proper PPE should you use before entering the room? Answer: Gown
and gloves
◉ Your patient recently had a G-tube placed and intermittent enteral
feedings have been initiated. What symptoms may indicate
intolerance to the feedings? Answer: Vomiting and diarrhea
