MEDICAL-SURGICAL RN A PROPHECY RELIAS
2026 FINAL ASSESSMENT TESTED CONTENT
WITH ACCURATE SOLUTIONS
◉ Your patient with stave IV terminal lung cancer continues to
experience increasing pain as each day passes. What would you
anticipate the provider ordering for this patient? Answer: Palliative
care consult
◉ The provider gives you a telephone order to explain a surgical
procedure to your patient and obtain surgical consent. How should
you respond? Answer: Inform the provider that explaining the
procedure is outside the nurse's scope of practice.
◉ The patient has diltiazem HCl (Cardizem CD) ordered and is
requesting the capsule be mixed into her morning yogurt. How
should you respond? Answer: "Sorry, it is a slow-release medication
that cannot be opened or crushed."
◉ Your 72-year-old male patient is admitted for colon cancer related
complications and has a history of CHF, stroke, and a recent knee
replacement. Based on your patient's risk assessment, you
determine he is at risk for venous thromboembolism (VTE). What is
an appropriate VTE prophylaxis order for this patient? Answer:
, Enoxaparin (Lovenox) once daily and intermittent pneumatic
compressions (IPC)
◉ You receive a provider's order that is not consistent with
evidence-based practice. What is your FIRST step? Answer: Clarify
the order with the provider.
◉ When would sucralfate (Carafate) 4 times daily be scheduled for?
Answer: 1 hour before meals and at bedtime
◉ Your patient's morning labs revealed a hemoglobin level of 6.3
and hematocrit of 18. What blood product do you expect to
administer? Answer: PRBCs
◉ Your 68-year-old patient is a Type 1 diabetic with a history of
schizophrenia and exhibits signs and symptoms of tardive
dyskinesia. What long-term medication is associated with signs and
symptoms of tardive dyskinesia? Answer: risperidone, olanzapine,
quetiapine, ziprasidone, aripiprazole, paliperidone, lurasidone,
chlorpromazine, fluphenazine, haloperidol, perphenazine
◉ Your 80-year-old patient is being discharged home post CVA. She
lives alone, yet still requires assistance with ADLs. What referral is
MOST appropriate to ensure her needs are met? Answer: Case
Manager
2026 FINAL ASSESSMENT TESTED CONTENT
WITH ACCURATE SOLUTIONS
◉ Your patient with stave IV terminal lung cancer continues to
experience increasing pain as each day passes. What would you
anticipate the provider ordering for this patient? Answer: Palliative
care consult
◉ The provider gives you a telephone order to explain a surgical
procedure to your patient and obtain surgical consent. How should
you respond? Answer: Inform the provider that explaining the
procedure is outside the nurse's scope of practice.
◉ The patient has diltiazem HCl (Cardizem CD) ordered and is
requesting the capsule be mixed into her morning yogurt. How
should you respond? Answer: "Sorry, it is a slow-release medication
that cannot be opened or crushed."
◉ Your 72-year-old male patient is admitted for colon cancer related
complications and has a history of CHF, stroke, and a recent knee
replacement. Based on your patient's risk assessment, you
determine he is at risk for venous thromboembolism (VTE). What is
an appropriate VTE prophylaxis order for this patient? Answer:
, Enoxaparin (Lovenox) once daily and intermittent pneumatic
compressions (IPC)
◉ You receive a provider's order that is not consistent with
evidence-based practice. What is your FIRST step? Answer: Clarify
the order with the provider.
◉ When would sucralfate (Carafate) 4 times daily be scheduled for?
Answer: 1 hour before meals and at bedtime
◉ Your patient's morning labs revealed a hemoglobin level of 6.3
and hematocrit of 18. What blood product do you expect to
administer? Answer: PRBCs
◉ Your 68-year-old patient is a Type 1 diabetic with a history of
schizophrenia and exhibits signs and symptoms of tardive
dyskinesia. What long-term medication is associated with signs and
symptoms of tardive dyskinesia? Answer: risperidone, olanzapine,
quetiapine, ziprasidone, aripiprazole, paliperidone, lurasidone,
chlorpromazine, fluphenazine, haloperidol, perphenazine
◉ Your 80-year-old patient is being discharged home post CVA. She
lives alone, yet still requires assistance with ADLs. What referral is
MOST appropriate to ensure her needs are met? Answer: Case
Manager
