Medical-Surgical RN A Prophecy Relias Exam
2025–2026 Accurate Real Exam Questions and
Verified Correct Answers JUST RELEASED
What is clubbing of the fingers MOST likely associated with? -
answer>>>Chronic oxygen deficiency
A patient on warfarin (Coumadin/Jantoven) has an INR of 6. Which
medication would you anticipate administering? - answer>>>Vitamin K
To reduce the risk of infection and phlebitis in an adult patient with a
peripheral IV, what is the MINIMUM duration the catheter should remain in
place before ROUTINE replacement? - answer>>>72 hours
You are caring for a patient post lobectomy with a chest tube in place for
drainage. What is a priority in care for this patient? - answer>>>Encourage
the patient to cough and deep breathe.
What patient population is the pneumococcal vaccine, PPSV23 indicated for?
- answer>>>Adults aged 65 years and older
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
2025–2026 Accurate Real Exam Questions and
Verified Correct Answers JUST RELEASED
What is clubbing of the fingers MOST likely associated with? -
answer>>>Chronic oxygen deficiency
A patient on warfarin (Coumadin/Jantoven) has an INR of 6. Which
medication would you anticipate administering? - answer>>>Vitamin K
To reduce the risk of infection and phlebitis in an adult patient with a
peripheral IV, what is the MINIMUM duration the catheter should remain in
place before ROUTINE replacement? - answer>>>72 hours
You are caring for a patient post lobectomy with a chest tube in place for
drainage. What is a priority in care for this patient? - answer>>>Encourage
the patient to cough and deep breathe.
What patient population is the pneumococcal vaccine, PPSV23 indicated for?
- answer>>>Adults aged 65 years and older
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
