Medical-Surgical RN A Prophecy Relias Test, Questions
& Answers Latest Update 2025/2026
Medical-Surgical RN A
Prophecy Relias Test,
Questions & Answers
Latest Update 2023
Two days after surgery, your 72-year-old patient is showing signs of agitation and confusion, which is not his
baseline. The severity fluctuates throughout the day. His medications include hydromorphone (Dilaudid),
amlodipine (Norvasc), alprazolam (Xanax), and carbidopa-levodopa (Sinemet). What condition do you MOST
likely suspect?
- Delirium
What is the proper technique when suctioning a tracheostomy?
Suction in a circular motion while the catheter is being pulled out -.
Your new patient admitted for cholecystitis expresses she has a history of anxiety disorder. She is feeling
panicked and does not think she can handle staying in the hospital for her surgery. What action is MOST
appropriate for you to take?
Sit calmly next to her and offer her compassion and a sense of security -.
The provider orders and IV infusion of D5W 1000 mL to infuse over the next 6 hours. How many mLs per
hour should the IV pump be set to?
167 mL/hr -
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?
1
,Medical-Surgical RN A Prophecy Relias Test, Questions
& Answers Latest Update 2025/2026
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 -
2
, Medical-Surgical RN A Prophecy Relias Test, Questions &
Answers Latest Update 2025/2026
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?
Left lower quadrant -
Which of the following is MOST important in preventing a catheter associated urinary tract infection (CAUTI)?
- 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 .
& Answers Latest Update 2025/2026
Medical-Surgical RN A
Prophecy Relias Test,
Questions & Answers
Latest Update 2023
Two days after surgery, your 72-year-old patient is showing signs of agitation and confusion, which is not his
baseline. The severity fluctuates throughout the day. His medications include hydromorphone (Dilaudid),
amlodipine (Norvasc), alprazolam (Xanax), and carbidopa-levodopa (Sinemet). What condition do you MOST
likely suspect?
- Delirium
What is the proper technique when suctioning a tracheostomy?
Suction in a circular motion while the catheter is being pulled out -.
Your new patient admitted for cholecystitis expresses she has a history of anxiety disorder. She is feeling
panicked and does not think she can handle staying in the hospital for her surgery. What action is MOST
appropriate for you to take?
Sit calmly next to her and offer her compassion and a sense of security -.
The provider orders and IV infusion of D5W 1000 mL to infuse over the next 6 hours. How many mLs per
hour should the IV pump be set to?
167 mL/hr -
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?
1
,Medical-Surgical RN A Prophecy Relias Test, Questions
& Answers Latest Update 2025/2026
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 -
2
, Medical-Surgical RN A Prophecy Relias Test, Questions &
Answers Latest Update 2025/2026
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?
Left lower quadrant -
Which of the following is MOST important in preventing a catheter associated urinary tract infection (CAUTI)?
- 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 .
