MEDICAL-SURGICAL RN A PROPHECY RELIAS
EXAM QUESTIONS AND CORRECT ANSWERS,
NURSING STUDY GUIDE 2026/2027 LATEST
UPDATE
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? - answerNotify 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? - answerStat 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. - answerSepsis
Page | 1
,What type of personal protective equipment (PPE) is applied prior to entering a
room for a patient with C. diff? - answerGown 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? -
answerRequest 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? - answerAsk the patient when his last drink of alcohol
was.
What is the BEST indication of an acute neurological problem? -
answerChange 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? - answerHeart failure
Page | 2
, 1.2 milligrams is equal to how many micrograms? - answer1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure
effective drain function? - answerCompress 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? - answerDeflate 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? - answerRespect 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? - answerbroth, jello, soft fruit no skin,
Page | 3
EXAM QUESTIONS AND CORRECT ANSWERS,
NURSING STUDY GUIDE 2026/2027 LATEST
UPDATE
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? - answerNotify 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? - answerStat 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. - answerSepsis
Page | 1
,What type of personal protective equipment (PPE) is applied prior to entering a
room for a patient with C. diff? - answerGown 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? -
answerRequest 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? - answerAsk the patient when his last drink of alcohol
was.
What is the BEST indication of an acute neurological problem? -
answerChange 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? - answerHeart failure
Page | 2
, 1.2 milligrams is equal to how many micrograms? - answer1200 mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure
effective drain function? - answerCompress 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? - answerDeflate 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? - answerRespect 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? - answerbroth, jello, soft fruit no skin,
Page | 3
