Medical-Surgical RN A Prophecy Relias Test, Questions
& Answers Latest Update 2025
Medical-Surgical RN A
Prophecy Relias Test,
Questions & Answers
Latest Update
You are assigned a new admission and note a Braden score of 11 after completing your assessment.
Which interventions would be MOST appropriate based on your assessment?
Turn q 2hours, request nutrition consult, request low airloss mattress -.
Your patient may have tuberculosis TB) and is placed in airborne precautions. What test would you
expect to be ordered?
Acid-fast bacilli sputum -
Your patient starts to complain of difficulty breathing while laying down, and states that he has been
coughing up pink sputum. While performing your assessment, you notice jugular vein distention and
coarse crackles in both lungs on auscultation. What diagnosis do you suspect?
Congestive heart failure -
You received a patient post op transurethral resection of the prostate (TURP). Which of the following
symptoms would cause you the MOST concern?
Hemorrhage and hypotension -
Your patient with C. diff (Clostridioides difficile) has a family member about to leave the room. What
education about performing hand hygiene should you give?
Hand hygiene with soap and water -
1
, Medical-Surgical RN A Prophecy Relias Test, Questions
& Answers Latest Update 2023
Your patient has a diagnosis of urinary tract infection (UTI) and is currently taking medication that has
recently made her urine reddish-orange. Which of the following medications would cause this side effect?
Phenazopyridine (Pyridium) -
Your patient is taking digoxin (Lanoxin) and has a potassium level of 3.0. How might this affect the
patient?
Increase risk of digoxin toxicity -
You are preparing to hang 1 unit PRBC's to administer to your patient. The patient states, "I don't take
blood products." What is the MOST appropriate response? - "You have the right to refuse the blood
transfusion. I will inform the provider of your decision."
An older adult patient arrives on the unit looking emaciated, disheveled, and with soiled clothes. The
patient claims that his daughter cares for him at home. What would you suspect? - Neglect
You just left your patient's room with her husband at bedside. You then receive a phone call from
someone states that she is your patient's mother and demands updates about your patient. What should
you do NEXT?
Verify your patient's consent to release information to her mother -.
The provider orders Heparin 4 units/kg SQ. Your patient weighs 176 pounds. How many units should you
administer?
320 units -
What diagnostic finding would support a diagnosis of deep vein thrombosis?
Positive D-dimer -
You are caring for a combative 85-year-old male with a history of dementia, CHF, UTI, and anemia. The
family states he appears to be more confused than his baseline.
What tests do you expect the provider to order?
You notice your patient who recently had a stroke is coughing intermittently during meals. What is the
MOST likely cause of this?
He could be aspirating. -
A patient with acute diverticulitis is MOST likely to complain of abdominal pain with what quadrant?
- Urinalysis with cultures, CBC
A patient has recently been diagnosed with terminal cancer. Her responses are caustic
and abrasive. What
her isfeelings,
the BESTunderstanding
way to respond?
14
- Acknowledge this is expected in the grieving
process .
Medical-Surgical RN A Prophecy Relias Test, Questions
& Answers Latest Update 2025
, Medical-Surgical RN A Prophecy Relias Test, Questions
& Answers Latest Update 2025
Left lower quadrant -
Which of the following is MOST important in preventing a catheter associated urinary tract infection
(CAUTI)?
Using sterile technique when inserting the cathete -r
The provider orders a Heparin infusion of 900 units/hr. Your IV medication on hand has 25,000 units of
Heparin in 500 mL of D5W. How many mL/hr will you infuse?
18 mL/hr -
Your patient has developed a productive cough and fever. The provider is suspecting influenza. Which
actions should you take FIRST?
Initiate droplet precautions -
What medication would you anticipate to be ordered for a patient who has a LDL > 200 mg/dL?
- Statin
Fifteen minutes after starting a blood transfusion, the patient complains of lower back pain, shortness of
breath, and chills. What is your FIRST action?
Stop the tranfusion -.
Your patient had a transurethral resection of the prostate (TURP) 24 hours ago. What signs require further
intervention?
Bright red urine -
What condition (not medication related) might cause an elevation in the patients PT/INR level?
Liver disease -
Your patient admitted for small bowel obstruction has been vomiting for the last 3 days. What electrolyte
imbalance would you expect to be associated with this patient?
Hypokalemia -
Digoxin (Lanoxin) 125 mcg is equivalent to how many mg?
3
& Answers Latest Update 2025
Medical-Surgical RN A
Prophecy Relias Test,
Questions & Answers
Latest Update
You are assigned a new admission and note a Braden score of 11 after completing your assessment.
Which interventions would be MOST appropriate based on your assessment?
Turn q 2hours, request nutrition consult, request low airloss mattress -.
Your patient may have tuberculosis TB) and is placed in airborne precautions. What test would you
expect to be ordered?
Acid-fast bacilli sputum -
Your patient starts to complain of difficulty breathing while laying down, and states that he has been
coughing up pink sputum. While performing your assessment, you notice jugular vein distention and
coarse crackles in both lungs on auscultation. What diagnosis do you suspect?
Congestive heart failure -
You received a patient post op transurethral resection of the prostate (TURP). Which of the following
symptoms would cause you the MOST concern?
Hemorrhage and hypotension -
Your patient with C. diff (Clostridioides difficile) has a family member about to leave the room. What
education about performing hand hygiene should you give?
Hand hygiene with soap and water -
1
, Medical-Surgical RN A Prophecy Relias Test, Questions
& Answers Latest Update 2023
Your patient has a diagnosis of urinary tract infection (UTI) and is currently taking medication that has
recently made her urine reddish-orange. Which of the following medications would cause this side effect?
Phenazopyridine (Pyridium) -
Your patient is taking digoxin (Lanoxin) and has a potassium level of 3.0. How might this affect the
patient?
Increase risk of digoxin toxicity -
You are preparing to hang 1 unit PRBC's to administer to your patient. The patient states, "I don't take
blood products." What is the MOST appropriate response? - "You have the right to refuse the blood
transfusion. I will inform the provider of your decision."
An older adult patient arrives on the unit looking emaciated, disheveled, and with soiled clothes. The
patient claims that his daughter cares for him at home. What would you suspect? - Neglect
You just left your patient's room with her husband at bedside. You then receive a phone call from
someone states that she is your patient's mother and demands updates about your patient. What should
you do NEXT?
Verify your patient's consent to release information to her mother -.
The provider orders Heparin 4 units/kg SQ. Your patient weighs 176 pounds. How many units should you
administer?
320 units -
What diagnostic finding would support a diagnosis of deep vein thrombosis?
Positive D-dimer -
You are caring for a combative 85-year-old male with a history of dementia, CHF, UTI, and anemia. The
family states he appears to be more confused than his baseline.
What tests do you expect the provider to order?
You notice your patient who recently had a stroke is coughing intermittently during meals. What is the
MOST likely cause of this?
He could be aspirating. -
A patient with acute diverticulitis is MOST likely to complain of abdominal pain with what quadrant?
- Urinalysis with cultures, CBC
A patient has recently been diagnosed with terminal cancer. Her responses are caustic
and abrasive. What
her isfeelings,
the BESTunderstanding
way to respond?
14
- Acknowledge this is expected in the grieving
process .
Medical-Surgical RN A Prophecy Relias Test, Questions
& Answers Latest Update 2025
, Medical-Surgical RN A Prophecy Relias Test, Questions
& Answers Latest Update 2025
Left lower quadrant -
Which of the following is MOST important in preventing a catheter associated urinary tract infection
(CAUTI)?
Using sterile technique when inserting the cathete -r
The provider orders a Heparin infusion of 900 units/hr. Your IV medication on hand has 25,000 units of
Heparin in 500 mL of D5W. How many mL/hr will you infuse?
18 mL/hr -
Your patient has developed a productive cough and fever. The provider is suspecting influenza. Which
actions should you take FIRST?
Initiate droplet precautions -
What medication would you anticipate to be ordered for a patient who has a LDL > 200 mg/dL?
- Statin
Fifteen minutes after starting a blood transfusion, the patient complains of lower back pain, shortness of
breath, and chills. What is your FIRST action?
Stop the tranfusion -.
Your patient had a transurethral resection of the prostate (TURP) 24 hours ago. What signs require further
intervention?
Bright red urine -
What condition (not medication related) might cause an elevation in the patients PT/INR level?
Liver disease -
Your patient admitted for small bowel obstruction has been vomiting for the last 3 days. What electrolyte
imbalance would you expect to be associated with this patient?
Hypokalemia -
Digoxin (Lanoxin) 125 mcg is equivalent to how many mg?
3
