Page 1 of 140
Prophecy Core Mandatory – Part I, II, & III
(Nursing) Relias Complete – Latest 2025 /
2026 Edition 100% Verified Exam
Questions & Answers Most
Comprehensive Study Pack | Graded A+
Q1. Which of the following is the most important action to
prevent patient identification errors?
a) Ask the patient their room number
b) Use two patient identifiers (e.g., name and date of birth)
before any procedure or medication
c) Rely on the wristband color
d) Ask family members to confirm identity
Answer: b
Rationale: The National Patient Safety Goals require at least
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two identifiers (e.g., name, medical record number, date of birth)
to ensure the right patient receives the right care.
Q2. A nurse is preparing to administer a blood transfusion.
Which of the following is required?
a) One nurse verifies the blood product and patient identity
b) Two qualified staff members verify the blood product and
patient identity at the bedside
c) The laboratory alone verifies compatibility
d) Only the physician must verify
Answer: b
Rationale: Two licensed staff must verify the blood product label
against the patient’s identification and the order to prevent
transfusion reactions.
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Q3. A patient has a new order for a high-alert medication (e.g.,
heparin). Which safety measure is most important?
a) Administer the medication as soon as possible
b) Use independent double-check verification with another nurse
c) Rely on the automated dispensing cabinet
d) Document after administration only
Answer: b
Rationale: High-alert medications require an independent
double-check by two qualified nurses to reduce the risk of
harmful errors.
Q4. (Scenario) A nurse is about to give oral metoprolol to a
patient. The patient says, “I don’t take that pill; it’s not mine.”
What should the nurse do first?
a) Insist the patient take the medication as ordered
b) Stop, re-verify the patient’s identity and the medication order,
, Page 4 of 140
and check the electronic MAR
c) Crush the pill and mix it with applesauce
d) Ask the patient’s roommate if the patient usually takes it
Answer: b
Rationale: The nurse must immediately verify the patient’s
identity and the order. Never administer if the patient questions
it.
Q5. The “time-out” procedure before surgery is intended to:
a) Allow the surgeon to rest
b) Verify correct patient, procedure, site, and implants with the
entire team
c) Give anesthesia time to take effect
d) Document the patient’s vital signs
Answer: b
Rationale: The universal protocol for preventing wrong-site
Prophecy Core Mandatory – Part I, II, & III
(Nursing) Relias Complete – Latest 2025 /
2026 Edition 100% Verified Exam
Questions & Answers Most
Comprehensive Study Pack | Graded A+
Q1. Which of the following is the most important action to
prevent patient identification errors?
a) Ask the patient their room number
b) Use two patient identifiers (e.g., name and date of birth)
before any procedure or medication
c) Rely on the wristband color
d) Ask family members to confirm identity
Answer: b
Rationale: The National Patient Safety Goals require at least
,Page 2 of 140
two identifiers (e.g., name, medical record number, date of birth)
to ensure the right patient receives the right care.
Q2. A nurse is preparing to administer a blood transfusion.
Which of the following is required?
a) One nurse verifies the blood product and patient identity
b) Two qualified staff members verify the blood product and
patient identity at the bedside
c) The laboratory alone verifies compatibility
d) Only the physician must verify
Answer: b
Rationale: Two licensed staff must verify the blood product label
against the patient’s identification and the order to prevent
transfusion reactions.
,Page 3 of 140
Q3. A patient has a new order for a high-alert medication (e.g.,
heparin). Which safety measure is most important?
a) Administer the medication as soon as possible
b) Use independent double-check verification with another nurse
c) Rely on the automated dispensing cabinet
d) Document after administration only
Answer: b
Rationale: High-alert medications require an independent
double-check by two qualified nurses to reduce the risk of
harmful errors.
Q4. (Scenario) A nurse is about to give oral metoprolol to a
patient. The patient says, “I don’t take that pill; it’s not mine.”
What should the nurse do first?
a) Insist the patient take the medication as ordered
b) Stop, re-verify the patient’s identity and the medication order,
, Page 4 of 140
and check the electronic MAR
c) Crush the pill and mix it with applesauce
d) Ask the patient’s roommate if the patient usually takes it
Answer: b
Rationale: The nurse must immediately verify the patient’s
identity and the order. Never administer if the patient questions
it.
Q5. The “time-out” procedure before surgery is intended to:
a) Allow the surgeon to rest
b) Verify correct patient, procedure, site, and implants with the
entire team
c) Give anesthesia time to take effect
d) Document the patient’s vital signs
Answer: b
Rationale: The universal protocol for preventing wrong-site
