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Medical-Surgical RN Exam | 100+ Clinical Questions & Answers | Prophecy Relias 2025/2026 | Nursing 410

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This document features over 100 real-world clinical scenario questions and detailed answers for the Medical-Surgical RN Prophecy Relias Exam tailored for the 2025/2026 academic year. It is an essential test bank for students enrolled in Nursing 410 or related courses, designed to simulate actual clinical judgment assessments encountered in professional nursing practice. The material thoroughly covers high-yield topics including vital signs interpretation, infection control (e.g., C. diff, MRSA), wound care, neurological and cardiovascular emergencies, diabetes and insulin protocols, medication administration, blood transfusions, and critical prioritization and delegation scenarios. Each question is followed by a clearly marked correct answer with rationales, ensuring students not only memorize content but also understand the clinical reasoning behind each decision. Key concepts are aligned with NCLEX-RN domains such as Physiological Integrity, Safety and Infection Control, Pharmacological and Parenteral Therapies, and Psychosocial Integrity. This test bank is ideal for: BSN and ADN nursing students preparing for med-surg clinicals or final exams NCLEX-RN candidates seeking high-fidelity scenario-based practice International nurses training for U.S. licensure Nursing instructors creating quizzes or review modules Nursing programs implementing Relias or Prophecy-based assessments Whether you’re brushing up for your clinical rotation, preparing for licensure, or practicing for workplace competency exams, this resource delivers comprehensive support grounded in current best practices and exam expectations. Keywords: Prophecy Relias RN, medical surgical nursing, nursing 410, clinical judgment, NCLEX practice, infection control, JP drain care, diabetes management, insulin lispro, medication administration, sepsis signs, PPE nursing, catheter care, digoxin precautions, delirium, CHF symptoms, nursing prioritization, blood transfusion protocol, suicide precautions, dementia care, Braden scale interventions, patient neglect, VTE prophylaxis, COPD nursing care

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Medical-Surgical RN A Prophecy Relias
2025/2026 Exam Questions and Answers
| 100% Pass



1.2 milligrams is equal to how many micrograms? - 🧠 ANSWER ✔✔1200

mcg

Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you

ensure effective drain function? - 🧠 ANSWER ✔✔Compress the drain, then

plug the bulb to establish suction

Your male patient complains of discomfort while inflating the balloon during

insertion of an indwelling urinary catheter. What would be the MOST

appropriate action? - 🧠 ANSWER ✔✔Deflate the balloon, advance the

catheter further, then reinflate the balloon

,Your patient has symptomatic anemia but is refusing a blood transfusion for

religious reason. What is an appropriate response? - 🧠 ANSWER

✔✔Respect his wishes and notify the provider


Your patient is admitted with diverticulitis. What type of diet do you expect

to be ordered for the patient? - 🧠 ANSWER ✔✔broth, jello, soft fruit no skin,


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? - 🧠 ANSWER

✔✔Report to the post-surgical unit.


What is a proton pump inhibitor, such as pantoprazole (Protonix) used for?

- 🧠 ANSWER ✔✔Acid Reduction


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? - 🧠 ANSWER ✔✔Patient lift (e.g., Hoyer)


Which tool should you use to assess pain in you 80-year-old patient with

severe dementia? - 🧠 ANSWER ✔✔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? -

🧠 ANSWER ✔✔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? - 🧠 ANSWER ✔✔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. - 🧠 ANSWER ✔✔Sepsis


What type of personal protective equipment (PPE) is applied prior to

entering a room for a patient with C. diff? - 🧠 ANSWER ✔✔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



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