MEDICAL-SURGICAL RN A PROPHECY RELIAS
Exam Fully Solved & Updated 2025-2026 (Latest
Version Verified for Accuracy) Questions and
Answers Solved 100% Correct
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?
Patient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old
patient with severe dementia?
PAINAD scale
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?
Notify the charge nurse and social worker of your concerns.
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?
Stat CT of head
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.
, Sepsis
What type of personal protective equipment (PPE) is applied
prior to entering a room for a patient with C. diff?
Gown and gloves
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?
Request an order for soft mitts as they are the least restrictive
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?
Ask the patient when his last drink of alcohol was.
What is the BEST indication of an acute neurological
problem?
Change in level of consciousness
While in a supine position your patient states, "I'm tired and
cannot catch my breath." Physical assessment reveals
jugular vein distention and a third heart sound (S3). These
symptoms are indicative of what condition?
Heart failure
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?
Airborne precautions
Patients with diabetes are at high risk for complications from
damage to what body areas?
Nerve and kidney damage
Exam Fully Solved & Updated 2025-2026 (Latest
Version Verified for Accuracy) Questions and
Answers Solved 100% Correct
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?
Patient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old
patient with severe dementia?
PAINAD scale
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?
Notify the charge nurse and social worker of your concerns.
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?
Stat CT of head
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.
, Sepsis
What type of personal protective equipment (PPE) is applied
prior to entering a room for a patient with C. diff?
Gown and gloves
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?
Request an order for soft mitts as they are the least restrictive
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?
Ask the patient when his last drink of alcohol was.
What is the BEST indication of an acute neurological
problem?
Change in level of consciousness
While in a supine position your patient states, "I'm tired and
cannot catch my breath." Physical assessment reveals
jugular vein distention and a third heart sound (S3). These
symptoms are indicative of what condition?
Heart failure
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?
Airborne precautions
Patients with diabetes are at high risk for complications from
damage to what body areas?
Nerve and kidney damage
