Prophecy Core Mandatory Part I, II, & III (Nursing) –
Relias Complete (Latest ):
Most Comprehensive Qs & Ans – Updated Version
150 fully original items | Exam-ready | 2025/2026 standards
SECTION I — CORE MANDATORY PART I (50 Questions)
Patient rights & ethical practice | EMTALA basics | HIPAA & confidentiality | Infection control &
standard precautions | Workplace safety | Cultural sensitivity | Communication standards
Question 1
A conscious 34-year-old patient asks to review their inpatient medical record. The most
appropriate initial action is to:
A. Provide the chart immediately
B. Explain the facility’s formal request process and assist with forms
C. Require a physician’s written consent
D. Offer a summary instead
Correct Answer: B
Rationale: Patients have a statutory right to access records; however, facilities may require a
written request and identity verification to ensure HIPAA compliance and document control.
Question 2
Under EMTALA, a hospital with an ED must provide a medical screening examination (MSE) to:
A. Any person who enters the ED requesting care
B. Only insured patients
C. Only persons arriving by ambulance
D. Only those triaged as high-acuity
Correct Answer: A
Rationale: EMTALA’s “come to the ED” clause obligates a screening exam for anyone on hospital
property requesting emergency care, regardless of payment method or acuity.
,Question 3
While documenting in the EMR, a nurse receives a phone call from a reporter asking for the
condition of a patient injured in a public incident. The nurse should:
A. Provide a one-word condition (e.g., stable)
B. Transfer the call to the hospital’s media-relations office
C. Read the most recent physician note
D. State “no information is available”
Correct Answer: B
Rationale: HIPAA allows only the hospital-designated media contact to release limited directory
information; bedside staff must defer to protect patient confidentiality.
Question 4
Standard precautions are implemented because:
A. All blood and body fluids are potentially infectious
B. Only patients with known infections require them
C. They replace transmission-based isolation
D. They are mandated only during outbreaks
Correct Answer: A
Rationale: Standard precautions treat all human blood and most body substances as potentially
infectious, ensuring consistent use of PPE and safe practices for every patient encounter.
Question 5
A nurse notices a colleague charting vitals she did not perform. This constitutes:
A. A privacy breach
B. Fraudulent documentation
C. An EMTALA violation
D. A billing error only
Correct Answer: B
Rationale: Recording data not collected misrepresents the medical record, undermines patient
safety, and is considered fraudulent practice subject to disciplinary action.
Question 6
When obtaining informed consent, the nurse’s primary role is to:
A. Witness the patient’s signature and ensure questions are answered
,B. Explain surgical risks in detail
C. Decide if the patient is competent
D. Obtain the physician’s signature
Correct Answer: A
Rationale: Nurses witness consent, confirm patient understanding, and facilitate
communication; explaining risks and determining competence remain the physician’s legal
responsibility.
Question 7
A Jehovah’s Witness patient refuses a life-saving blood transfusion. The ethical principle that
supports honoring this refusal is:
A. Beneficence
B. Non-maleficence
C. Autonomy
D. Justice
Correct Answer: C
Rationale: Autonomy respects a competent adult’s right to make decisions about their own
body, even if the choice risks death.
Question 8
Which action best demonstrates cultural sensitivity during care?
A. Assuming the patient speaks English
B. Using family members as interpreters without consent
C. Asking the patient how they prefer to be addressed and their communication needs
D. Avoiding discussion of religious beliefs
Correct Answer: C
Rationale: Actively inquiring about preferences, names, language, and spiritual needs shows
respect for individual cultural identities and fosters trust.
Question 9
A visitor slips on a wet floor near the ED. The first staff action is to:
A. Call security
B. Fill out an incident report after shift
, C. Secure the area and place warning signs
D. Assist the visitor to stand immediately
Correct Answer: C
Rationale: Securing the hazard prevents further injury and fulfills the duty of care; incident
reports follow once the scene is safe.
Question 10
The most effective way to verify that a patient understands discharge instructions is to:A. Ask,
“Do you understand?”
B. Provide written instructions only
C. Use the teach-back method
D. Repeat instructions once
Correct Answer: C
Rationale: Teach-back asks patients to explain instructions in their own words, revealing gaps
and allowing clarification, proven to improve adherence and safety.
Question 11
Under OSHA, employers must provide hepatitis B vaccination to employees who:
A. Have direct patient contact
B. Are potentially exposed to blood or OPIM
C. Work nights
D. Have not had the vaccine in childhood
Correct Answer: B
Rationale: OSHA’s Bloodborne Pathogens Standard mandates free HBV vaccine for all staff
whose job tasks involve reasonably anticipated exposure to blood or other potentially infectious
materials.
Question 12
A nurse receives a friend request on social media from a current patient. The best response is
to:
A. Accept but restrict posts
B. Ignore without response
C. Politely decline and explain professional boundaries
D. Report the patient to security
Relias Complete (Latest ):
Most Comprehensive Qs & Ans – Updated Version
150 fully original items | Exam-ready | 2025/2026 standards
SECTION I — CORE MANDATORY PART I (50 Questions)
Patient rights & ethical practice | EMTALA basics | HIPAA & confidentiality | Infection control &
standard precautions | Workplace safety | Cultural sensitivity | Communication standards
Question 1
A conscious 34-year-old patient asks to review their inpatient medical record. The most
appropriate initial action is to:
A. Provide the chart immediately
B. Explain the facility’s formal request process and assist with forms
C. Require a physician’s written consent
D. Offer a summary instead
Correct Answer: B
Rationale: Patients have a statutory right to access records; however, facilities may require a
written request and identity verification to ensure HIPAA compliance and document control.
Question 2
Under EMTALA, a hospital with an ED must provide a medical screening examination (MSE) to:
A. Any person who enters the ED requesting care
B. Only insured patients
C. Only persons arriving by ambulance
D. Only those triaged as high-acuity
Correct Answer: A
Rationale: EMTALA’s “come to the ED” clause obligates a screening exam for anyone on hospital
property requesting emergency care, regardless of payment method or acuity.
,Question 3
While documenting in the EMR, a nurse receives a phone call from a reporter asking for the
condition of a patient injured in a public incident. The nurse should:
A. Provide a one-word condition (e.g., stable)
B. Transfer the call to the hospital’s media-relations office
C. Read the most recent physician note
D. State “no information is available”
Correct Answer: B
Rationale: HIPAA allows only the hospital-designated media contact to release limited directory
information; bedside staff must defer to protect patient confidentiality.
Question 4
Standard precautions are implemented because:
A. All blood and body fluids are potentially infectious
B. Only patients with known infections require them
C. They replace transmission-based isolation
D. They are mandated only during outbreaks
Correct Answer: A
Rationale: Standard precautions treat all human blood and most body substances as potentially
infectious, ensuring consistent use of PPE and safe practices for every patient encounter.
Question 5
A nurse notices a colleague charting vitals she did not perform. This constitutes:
A. A privacy breach
B. Fraudulent documentation
C. An EMTALA violation
D. A billing error only
Correct Answer: B
Rationale: Recording data not collected misrepresents the medical record, undermines patient
safety, and is considered fraudulent practice subject to disciplinary action.
Question 6
When obtaining informed consent, the nurse’s primary role is to:
A. Witness the patient’s signature and ensure questions are answered
,B. Explain surgical risks in detail
C. Decide if the patient is competent
D. Obtain the physician’s signature
Correct Answer: A
Rationale: Nurses witness consent, confirm patient understanding, and facilitate
communication; explaining risks and determining competence remain the physician’s legal
responsibility.
Question 7
A Jehovah’s Witness patient refuses a life-saving blood transfusion. The ethical principle that
supports honoring this refusal is:
A. Beneficence
B. Non-maleficence
C. Autonomy
D. Justice
Correct Answer: C
Rationale: Autonomy respects a competent adult’s right to make decisions about their own
body, even if the choice risks death.
Question 8
Which action best demonstrates cultural sensitivity during care?
A. Assuming the patient speaks English
B. Using family members as interpreters without consent
C. Asking the patient how they prefer to be addressed and their communication needs
D. Avoiding discussion of religious beliefs
Correct Answer: C
Rationale: Actively inquiring about preferences, names, language, and spiritual needs shows
respect for individual cultural identities and fosters trust.
Question 9
A visitor slips on a wet floor near the ED. The first staff action is to:
A. Call security
B. Fill out an incident report after shift
, C. Secure the area and place warning signs
D. Assist the visitor to stand immediately
Correct Answer: C
Rationale: Securing the hazard prevents further injury and fulfills the duty of care; incident
reports follow once the scene is safe.
Question 10
The most effective way to verify that a patient understands discharge instructions is to:A. Ask,
“Do you understand?”
B. Provide written instructions only
C. Use the teach-back method
D. Repeat instructions once
Correct Answer: C
Rationale: Teach-back asks patients to explain instructions in their own words, revealing gaps
and allowing clarification, proven to improve adherence and safety.
Question 11
Under OSHA, employers must provide hepatitis B vaccination to employees who:
A. Have direct patient contact
B. Are potentially exposed to blood or OPIM
C. Work nights
D. Have not had the vaccine in childhood
Correct Answer: B
Rationale: OSHA’s Bloodborne Pathogens Standard mandates free HBV vaccine for all staff
whose job tasks involve reasonably anticipated exposure to blood or other potentially infectious
materials.
Question 12
A nurse receives a friend request on social media from a current patient. The best response is
to:
A. Accept but restrict posts
B. Ignore without response
C. Politely decline and explain professional boundaries
D. Report the patient to security
