Page 1 of 39
2026/2027 MEDICAL-SURGICAL RN A
PROPHECY RELIAS EXAM CURRENT TESTING
QUESTION AND DETAILED CORRECT ANSWER
(VERIFIED) GUARANTEED PASS/TOP-RATED A+.
MED-SURG RN A
Ace your preparation for the Medical-Surgical RN A Prophecy
Relias Exam by mastering key topics such as medical-surgical
nursing concepts, patient assessment, disease management,
pharmacology, and clinical decision-making. This exam
evaluates readiness to provide safe, evidence-based care in
diverse clinical settings. It is designed for registered nursing (RN)
students and practicing nurses focusing on medical-surgical
practice.
Which adaptive equipment would be most appropriate to
use for a severely contracted patient who is unable to bear
weight when transferring from bed to chair ...... ANSWER
....... Patient Lift example hoyer✓ ✓
What lab values are expected to be in a patient with end
stage renal disease on hemodialysis ...... ANSWER .......
BUN 32, CREATNINE 8.32✓ ✓
, Page 2 of 39
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? You're? ...... ANSWER ....... Hold wayfaring
(coumadin) for the next 48 hours✓ ✓
Your new admission presents with a cough, unintentional
weight loss, frequent knot sweats, and bloody sputum. What
type of isolation precautions should you initiate, if any? ......
ANSWER ....... Airborne precautions✓ ✓
Upon entering your patient's room you note that they are
having a seizure. What is your 1st action? ...... ANSWER
....... Position the patient on their side to maintain the
airway✓ ✓
You find your coworker looking through your patient's
medical record.. She States how is Mr. Smith doing? He is
my best friend's dad. We are so worried about him. What is
the best course of action? ...... ANSWER ....... Tell her you
cannot give her information and report her actions to
your manager. ✓ ✓
, Page 3 of 39
Your male patient complaints of discomfort while inflating
the balloon during insertion of a endwelling urinary catheter.
What would be the most appropriate action? ...... ANSWER
....... Deflate the balloon, advance the catheter further,
then reinflate the balloon. ✓ ✓
Your patient takes regular insulin and NPH twice A-day for
glucose control. What times should the patient be taught to
be alert for signs of hypoglycemia? ...... ANSWER ....... Is
late afternoon and early morning✓ ✓
What is a proton pump inhibitor, such as pantoprazole
(protonix) used for? ...... ANSWER ....... Reduce gastric
acid secretion✓ ✓
Your patient has a non productive cough and presence of
secretions in his tracheostomy. Prior to sectioning the
patient, what should you do 1st? ...... ANSWER .......
Hyperoxygenate patient✓ ✓
, Page 4 of 39
dietary teaching for a patient with chronic renal failure
should include choices that are: ...... ANSWER ....... Low
potassium, low protein, moderate fat✓ ✓
Which of the following nursing diagnosis is most important
for a patient with chronic obstructive pulmonary
disease(COPD) ...... ANSWER ....... Impaired gas
exchange✓ ✓
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. ✓ ✓
You have a patient going for dialysis. There are medications
include Lisinopril(prinivil), ondansetron (zofran),
famotidine(pepcid) and atorvastatin(lipitor). Which
medication would you possibly hold and seek clarification?
...... ANSWER ....... LISINOPRIL(PRINIVIL) ✓ ✓
2026/2027 MEDICAL-SURGICAL RN A
PROPHECY RELIAS EXAM CURRENT TESTING
QUESTION AND DETAILED CORRECT ANSWER
(VERIFIED) GUARANTEED PASS/TOP-RATED A+.
MED-SURG RN A
Ace your preparation for the Medical-Surgical RN A Prophecy
Relias Exam by mastering key topics such as medical-surgical
nursing concepts, patient assessment, disease management,
pharmacology, and clinical decision-making. This exam
evaluates readiness to provide safe, evidence-based care in
diverse clinical settings. It is designed for registered nursing (RN)
students and practicing nurses focusing on medical-surgical
practice.
Which adaptive equipment would be most appropriate to
use for a severely contracted patient who is unable to bear
weight when transferring from bed to chair ...... ANSWER
....... Patient Lift example hoyer✓ ✓
What lab values are expected to be in a patient with end
stage renal disease on hemodialysis ...... ANSWER .......
BUN 32, CREATNINE 8.32✓ ✓
, Page 2 of 39
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? You're? ...... ANSWER ....... Hold wayfaring
(coumadin) for the next 48 hours✓ ✓
Your new admission presents with a cough, unintentional
weight loss, frequent knot sweats, and bloody sputum. What
type of isolation precautions should you initiate, if any? ......
ANSWER ....... Airborne precautions✓ ✓
Upon entering your patient's room you note that they are
having a seizure. What is your 1st action? ...... ANSWER
....... Position the patient on their side to maintain the
airway✓ ✓
You find your coworker looking through your patient's
medical record.. She States how is Mr. Smith doing? He is
my best friend's dad. We are so worried about him. What is
the best course of action? ...... ANSWER ....... Tell her you
cannot give her information and report her actions to
your manager. ✓ ✓
, Page 3 of 39
Your male patient complaints of discomfort while inflating
the balloon during insertion of a endwelling urinary catheter.
What would be the most appropriate action? ...... ANSWER
....... Deflate the balloon, advance the catheter further,
then reinflate the balloon. ✓ ✓
Your patient takes regular insulin and NPH twice A-day for
glucose control. What times should the patient be taught to
be alert for signs of hypoglycemia? ...... ANSWER ....... Is
late afternoon and early morning✓ ✓
What is a proton pump inhibitor, such as pantoprazole
(protonix) used for? ...... ANSWER ....... Reduce gastric
acid secretion✓ ✓
Your patient has a non productive cough and presence of
secretions in his tracheostomy. Prior to sectioning the
patient, what should you do 1st? ...... ANSWER .......
Hyperoxygenate patient✓ ✓
, Page 4 of 39
dietary teaching for a patient with chronic renal failure
should include choices that are: ...... ANSWER ....... Low
potassium, low protein, moderate fat✓ ✓
Which of the following nursing diagnosis is most important
for a patient with chronic obstructive pulmonary
disease(COPD) ...... ANSWER ....... Impaired gas
exchange✓ ✓
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. ✓ ✓
You have a patient going for dialysis. There are medications
include Lisinopril(prinivil), ondansetron (zofran),
famotidine(pepcid) and atorvastatin(lipitor). Which
medication would you possibly hold and seek clarification?
...... ANSWER ....... LISINOPRIL(PRINIVIL) ✓ ✓
