PROPHECY MEDICAL SURGICAL
ADVANCED FINAL SCRIPT 2026
COMPLETE QUESTIONS AND CORRECT
ANSWERS
⩥ 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 recommendation? Answer: Request 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? Answer: Ask
the patient when his last drink of alcohol was.
⩥ What is the BEST indication of an acute neurological problem?
Answer: Change 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? Answer: Heart failure
ADVANCED FINAL SCRIPT 2026
COMPLETE QUESTIONS AND CORRECT
ANSWERS
⩥ 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 recommendation? Answer: Request 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? Answer: Ask
the patient when his last drink of alcohol was.
⩥ What is the BEST indication of an acute neurological problem?
Answer: Change 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? Answer: Heart failure
