RELIAS PROPHECY RN MEDICAL EXAM 2024/2025 EXAM
QUESTIONS WITH ACCURATE VERIFIEDANSWERS (ACCURATE
SOLUTIONS) A+ PASSED
1. You were hired to work the medical unit and when you arrive at work the charge nurse
has assigned you to the post-surgical unit since they are understaffed. Which is the
MOST appropriate action?
ANS Report to the post-surgical unit.
2. What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?
ANS Acid reduction.
3. Which adaptive equipment would be MOST appropriate to use for a severely
contracted patient who is unable to bear weight when transferring from the bed to the
chair?
ANS Patient lift (e.g., Hoyer).
1
,4. Which tool should you use to assess pain in your 80-year-old patient with severe
dementia?
ANS PAINAD scale.
5. Your patient is admitted from the ED with failure to thrive and advanced dementia.
You note he is extremely underweight, appears unbathed for some time, and has a stage 4
pressure injury to his coccyx. You were told in report that he lives at home with family
members. What should you do?
ANS Notify the charge nurse and social worker of your concerns.
6. Your 85-year-old patient with atrial fibrillation fell at home 3 days ago. You notice she
has been having several episodes of acute confusion since being admitted to your unit.
What is the MOST important order you should anticipate from the provider?
ANS Stat CT of head.
7. Your patient has a temp of 102.3 F, HR 122, and has had 15 mL of urine from the
indwelling urinary catheter in the last 2 hours. What is your patient MOST likely
experiencing?
ANS Sepsis.
2
, 8. What type of personal protective equipment (PPE) is applied prior to entering a room
for a patient with C. diff?
ANS Gown and gloves.
9. Your patient continues to pull at their IV site located in their left forearm despite
verbal reminders and increased observation. The nursing assistant recommends using soft
mitt restraints on the patient. What is your recommendation?
ANS Request an order for soft mitts as they are the least restrictive.
10. Your patient was admitted for a hypertensive crisis and has a history of HTN,
Parkinson's disease, depression, and alcohol use. On his second hospitalized day, you
notice he is more anxious and restless than his baseline. What would be your FIRST
nursing intervention?
ANS Ask the patient when his last drink of alcohol was.
11. What is the BEST indication of an acute neurological problem?
ANS Change in level of consciousness.
3
QUESTIONS WITH ACCURATE VERIFIEDANSWERS (ACCURATE
SOLUTIONS) A+ PASSED
1. You were hired to work the medical unit and when you arrive at work the charge nurse
has assigned you to the post-surgical unit since they are understaffed. Which is the
MOST appropriate action?
ANS Report to the post-surgical unit.
2. What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?
ANS Acid reduction.
3. Which adaptive equipment would be MOST appropriate to use for a severely
contracted patient who is unable to bear weight when transferring from the bed to the
chair?
ANS Patient lift (e.g., Hoyer).
1
,4. Which tool should you use to assess pain in your 80-year-old patient with severe
dementia?
ANS PAINAD scale.
5. Your patient is admitted from the ED with failure to thrive and advanced dementia.
You note he is extremely underweight, appears unbathed for some time, and has a stage 4
pressure injury to his coccyx. You were told in report that he lives at home with family
members. What should you do?
ANS Notify the charge nurse and social worker of your concerns.
6. Your 85-year-old patient with atrial fibrillation fell at home 3 days ago. You notice she
has been having several episodes of acute confusion since being admitted to your unit.
What is the MOST important order you should anticipate from the provider?
ANS Stat CT of head.
7. Your patient has a temp of 102.3 F, HR 122, and has had 15 mL of urine from the
indwelling urinary catheter in the last 2 hours. What is your patient MOST likely
experiencing?
ANS Sepsis.
2
, 8. What type of personal protective equipment (PPE) is applied prior to entering a room
for a patient with C. diff?
ANS Gown and gloves.
9. Your patient continues to pull at their IV site located in their left forearm despite
verbal reminders and increased observation. The nursing assistant recommends using soft
mitt restraints on the patient. What is your recommendation?
ANS Request an order for soft mitts as they are the least restrictive.
10. Your patient was admitted for a hypertensive crisis and has a history of HTN,
Parkinson's disease, depression, and alcohol use. On his second hospitalized day, you
notice he is more anxious and restless than his baseline. What would be your FIRST
nursing intervention?
ANS Ask the patient when his last drink of alcohol was.
11. What is the BEST indication of an acute neurological problem?
ANS Change in level of consciousness.
3
