MEDICAL SURGICAL RN PROPHECY RELIAS EXAM QUESTIONS
AND ANSWERS (VERIFIESD AND WELL DETAILED ANSWERS)
LATEST UPDATE 2025/2026
1.2 milligrams is equal to how many micrograms? - CORRECT ANSWER - 1200
mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure
effective drain function? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER - Report to the post-
surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? -
CORRECT 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? - CORRECT ANSWER - Patient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old patient with severe
dementia? - CORRECT 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? - CORRECT 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? - CORRECT 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. - CORRECT ANSWER - Sepsis
, What type of personal protective equipment (PPE) is applied prior to entering a
room for a patient with C. diff? - CORRECT 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? -
CORRECT 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? - CORRECT ANSWER - Ask the patient when his
last drink of alcohol was.
What is the BEST indication of an acute neurological problem? - CORRECT
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? - CORRECT ANSWER -
Heart failure
Your new admission presents with a cough, unintentional weight loss, frequent
night sweats, and bloody sputum. What type of isolation precautions should you
initiate, if any? - CORRECT ANSWER - Airborne precautions
Patients with diabetes are at high risk for complications from damage to what body
areas? - CORRECT ANSWER - Nerve and kidney damage
AND ANSWERS (VERIFIESD AND WELL DETAILED ANSWERS)
LATEST UPDATE 2025/2026
1.2 milligrams is equal to how many micrograms? - CORRECT ANSWER - 1200
mcg
Your post-op patient has a Jackson-Pratt (JP) drain in place. How do you ensure
effective drain function? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER - Report to the post-
surgical unit.
What is a proton pump inhibitor, such as pantoprazole (Protonix) used for? -
CORRECT 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? - CORRECT ANSWER - Patient lift (e.g., Hoyer)
Which tool should you use to assess pain in you 80-year-old patient with severe
dementia? - CORRECT 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? - CORRECT 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? - CORRECT 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. - CORRECT ANSWER - Sepsis
, What type of personal protective equipment (PPE) is applied prior to entering a
room for a patient with C. diff? - CORRECT 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? -
CORRECT 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? - CORRECT ANSWER - Ask the patient when his
last drink of alcohol was.
What is the BEST indication of an acute neurological problem? - CORRECT
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? - CORRECT ANSWER -
Heart failure
Your new admission presents with a cough, unintentional weight loss, frequent
night sweats, and bloody sputum. What type of isolation precautions should you
initiate, if any? - CORRECT ANSWER - Airborne precautions
Patients with diabetes are at high risk for complications from damage to what body
areas? - CORRECT ANSWER - Nerve and kidney damage
