Prophecy Core Mandatory Nursing Actual Exam Questions and
Answers |Fall 2025/2026 Update | 100% Correct
QUESTION 1:
A nurse is reviewing a patient’s intravenous (IV) fluid order. The provider has prescribed 0.9%
sodium chloride at 125 mL/hr. What type of solution is 0.9% sodium chloride?
A. Hypotonic
B. Hypertonic
C. Isotonic
D. Colloidal
CORRECT ANSWER: C
Isotonic solutions such as 0.9% sodium chloride have the same osmolarity as plasma and are
used to expand extracellular fluid without causing fluid shifts.
QUESTION 2:
Standard precautions should be used with:
A. Only patients with known infections
B. Only patients with open wounds
C. All patients, regardless of diagnosis
D. Only immunocompromised patients
CORRECT ANSWER: C
Standard precautions apply to all patients, as some carriers of infectious diseases may be
asymptomatic. This ensures consistent infection prevention.
QUESTION 3:
When performing hand hygiene using alcohol-based hand rub, which statement is correct?
A. Hands must be rinsed with water afterward
B. Apply enough product to keep hands wet for at least 20 seconds
C. Use only if visible soil is present
D. Dry hands immediately with a paper towel
, CORRECT ANSWER: B
Proper hand hygiene with an alcohol-based rub requires friction for at least 20 seconds until
hands are dry to ensure effective microbial reduction.
QUESTION 4:
A nurse is preparing to help a patient ambulate with a gait belt. Where should the nurse stand?
A. Behind the patient on the weaker side
B. Directly in front of the patient
C. To the patient’s stronger side
D. Behind the patient on the stronger side
CORRECT ANSWER: A
Standing behind and slightly to the patient’s weaker side provides maximum support and allows
quick assistance if the patient loses balance.
QUESTION 5:
The most effective way to prevent the spread of infection in healthcare settings is:
A. Using sterile gloves
B. Proper hand hygiene
C. Wearing face masks
D. Disinfecting patient rooms daily
CORRECT ANSWER: B
Hand hygiene remains the most critical infection control measure across all healthcare
environments.
QUESTION 6:
A nurse notices an electrical cord on a piece of equipment is frayed. What action should the
nurse take?
A. Continue using it until maintenance arrives
B. Unplug it and report it to maintenance
C. Tape over the frayed cord
D. Plug it into a different outlet
, CORRECT ANSWER: B
Damaged electrical equipment must be removed from service immediately and reported to
prevent electrical hazards.
QUESTION 7:
A patient with tuberculosis (TB) is admitted to the hospital. What type of precautions are
necessary?
A. Droplet precautions
B. Airborne precautions
C. Contact precautions
D. Standard precautions only
CORRECT ANSWER: B
TB is transmitted via airborne particles; therefore, a negative pressure room and N95 respirator
are required.
QUESTION 8:
Which organization sets and enforces safety regulations in the workplace, including healthcare?
A. CDC
B. OSHA
C. FDA
D. ANA
CORRECT ANSWER: B
The Occupational Safety and Health Administration (OSHA) develops and enforces safety
standards to protect workers.
QUESTION 9:
A nurse is reprimanded for an error made during patient care. Which of the following best
reflects accountability?
A. Blaming the nursing assistant
B. Denying the mistake
C. Reporting and documenting the error accurately
D. Avoiding telling the supervisor
, CORRECT ANSWER: C
Accountability means taking ownership of errors and ensuring transparency to protect patient
safety.
QUESTION 10:
What is the first step a nurse should take when discovering a fire in a patient care area?
A. Extinguish the fire
B. Evacuate patients
C. Activate the alarm
D. Rescue anyone in immediate danger
CORRECT ANSWER: D
Following the RACE protocol — Rescue, Alarm, Contain, Extinguish — the priority is rescuing
individuals in immediate danger.
QUESTION 11:
A nurse is performing a sterile dressing change. During the procedure, the nurse’s glove
accidentally touches the patient’s gown. What should the nurse do next?
A. Continue the procedure carefully
B. Replace the contaminated glove immediately
C. Ask another nurse to finish the procedure
D. Apply extra antiseptic to the patient’s wound
CORRECT ANSWER: B
Once a sterile glove is contaminated, sterility is broken. A new glove must be donned before
continuing to maintain aseptic technique.
QUESTION 12:
The nurse finds an unconscious patient on the floor. What is the first action the nurse should
take?
A. Call a code and check for breathing and pulse
B. Record the event in the chart
C. Move the patient into bed
D. Check for any witnesses
Answers |Fall 2025/2026 Update | 100% Correct
QUESTION 1:
A nurse is reviewing a patient’s intravenous (IV) fluid order. The provider has prescribed 0.9%
sodium chloride at 125 mL/hr. What type of solution is 0.9% sodium chloride?
A. Hypotonic
B. Hypertonic
C. Isotonic
D. Colloidal
CORRECT ANSWER: C
Isotonic solutions such as 0.9% sodium chloride have the same osmolarity as plasma and are
used to expand extracellular fluid without causing fluid shifts.
QUESTION 2:
Standard precautions should be used with:
A. Only patients with known infections
B. Only patients with open wounds
C. All patients, regardless of diagnosis
D. Only immunocompromised patients
CORRECT ANSWER: C
Standard precautions apply to all patients, as some carriers of infectious diseases may be
asymptomatic. This ensures consistent infection prevention.
QUESTION 3:
When performing hand hygiene using alcohol-based hand rub, which statement is correct?
A. Hands must be rinsed with water afterward
B. Apply enough product to keep hands wet for at least 20 seconds
C. Use only if visible soil is present
D. Dry hands immediately with a paper towel
, CORRECT ANSWER: B
Proper hand hygiene with an alcohol-based rub requires friction for at least 20 seconds until
hands are dry to ensure effective microbial reduction.
QUESTION 4:
A nurse is preparing to help a patient ambulate with a gait belt. Where should the nurse stand?
A. Behind the patient on the weaker side
B. Directly in front of the patient
C. To the patient’s stronger side
D. Behind the patient on the stronger side
CORRECT ANSWER: A
Standing behind and slightly to the patient’s weaker side provides maximum support and allows
quick assistance if the patient loses balance.
QUESTION 5:
The most effective way to prevent the spread of infection in healthcare settings is:
A. Using sterile gloves
B. Proper hand hygiene
C. Wearing face masks
D. Disinfecting patient rooms daily
CORRECT ANSWER: B
Hand hygiene remains the most critical infection control measure across all healthcare
environments.
QUESTION 6:
A nurse notices an electrical cord on a piece of equipment is frayed. What action should the
nurse take?
A. Continue using it until maintenance arrives
B. Unplug it and report it to maintenance
C. Tape over the frayed cord
D. Plug it into a different outlet
, CORRECT ANSWER: B
Damaged electrical equipment must be removed from service immediately and reported to
prevent electrical hazards.
QUESTION 7:
A patient with tuberculosis (TB) is admitted to the hospital. What type of precautions are
necessary?
A. Droplet precautions
B. Airborne precautions
C. Contact precautions
D. Standard precautions only
CORRECT ANSWER: B
TB is transmitted via airborne particles; therefore, a negative pressure room and N95 respirator
are required.
QUESTION 8:
Which organization sets and enforces safety regulations in the workplace, including healthcare?
A. CDC
B. OSHA
C. FDA
D. ANA
CORRECT ANSWER: B
The Occupational Safety and Health Administration (OSHA) develops and enforces safety
standards to protect workers.
QUESTION 9:
A nurse is reprimanded for an error made during patient care. Which of the following best
reflects accountability?
A. Blaming the nursing assistant
B. Denying the mistake
C. Reporting and documenting the error accurately
D. Avoiding telling the supervisor
, CORRECT ANSWER: C
Accountability means taking ownership of errors and ensuring transparency to protect patient
safety.
QUESTION 10:
What is the first step a nurse should take when discovering a fire in a patient care area?
A. Extinguish the fire
B. Evacuate patients
C. Activate the alarm
D. Rescue anyone in immediate danger
CORRECT ANSWER: D
Following the RACE protocol — Rescue, Alarm, Contain, Extinguish — the priority is rescuing
individuals in immediate danger.
QUESTION 11:
A nurse is performing a sterile dressing change. During the procedure, the nurse’s glove
accidentally touches the patient’s gown. What should the nurse do next?
A. Continue the procedure carefully
B. Replace the contaminated glove immediately
C. Ask another nurse to finish the procedure
D. Apply extra antiseptic to the patient’s wound
CORRECT ANSWER: B
Once a sterile glove is contaminated, sterility is broken. A new glove must be donned before
continuing to maintain aseptic technique.
QUESTION 12:
The nurse finds an unconscious patient on the floor. What is the first action the nurse should
take?
A. Call a code and check for breathing and pulse
B. Record the event in the chart
C. Move the patient into bed
D. Check for any witnesses
