PROPHECY RN CORE MANDATORY PART
II PRACTICE TEST 1 QUESTIONS AND
CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2025
- What is the best initial response if you discover a small fire in a
patient’s room?
a) Try to extinguish it by yourself
b) Remove the patient from the room
c) Pull the fire alarm after extinguishing
d) Call housekeeping for help
Rationale: Removing the patient is the priority for safety before
attempting to contain the fire.
- A nurse observes a coworker wasting narcotics without a witness.
What should the nurse do?
a) Ignore the situation
b) Report it at the end of the shift 1 / 4
c) Talk to the coworker later
d) Report the incident immediately to a supervisor
Rationale: Proper medication waste must be witnessed; failure to do
so can indicate diversion and must be reported immediately.
- Which is the best way to maintain patient confidentiality?
a) Discussing patient info at the nurses’ station
b) Using first names only in public areas
c) Only sharing patient information with those directly involved in
care
d) Letting family know all results
Rationale: HIPAA requires that information be disclosed only to those
who need to know for care.
- Which of the following is a sign of patient abuse?
a) Bruising consistent with accidental falls
b) An elderly patient who is confused
c) Unexplained injuries in various stages of healing
d) A patient with chronic illness
Rationale: Multiple injuries in different stages can indicate repeated
abuse.
- The nurse receives a bomb threat by phone. What should be done
first?
a) Hang up immediately
b) Argue with the caller 2 / 4
c) Remain calm and gather as much information as possible
d) Call security after hanging up
Rationale: Gathering information (location, time, description) is
crucial before alerting authorities.
- Which practice reduces the risk of needle stick injuries?
a) Recapping needles after use
b) Bending needles before disposal
c) Using safety devices and disposing of needles in sharps containers
immediately
d) Handing needles to another nurse uncapped
Rationale: Proper sharps handling prevents accidental exposure to
bloodborne pathogens.
- A nurse must transport a patient with airborne precautions. Which
PPE is necessary for the patient?
a) Gown
b) Sterile gloves
c) Surgical mask
d) Face shield only
Rationale: Patients on airborne precautions should wear a mask to
reduce transmission.
- The nurse finds a patient on the floor. What is the priority action?
a) Call the family
b) Complete an incident report 3 / 4
c) Assess the patient for injury
d) Blame the CNA
Rationale: Always assess the patient’s condition first after a fall.
- A patient begins to have a seizure. What should the nurse do first?
a) Restrain the patient
b) Protect the patient from injury
c) Insert an oral airway
d) Leave to call the doctor
Rationale: Safety is the priority — clear the area and protect the
patient.
- Which item should be disposed of in a red biohazard bag?
a) Paper wrappers
b) Blood-soaked gauze
c) IV tubing without blood
d) Food trays
Rationale: Items saturated with blood are regulated medical waste.
- Which action demonstrates infection control?
a) Wearing gloves for non-contaminated tasks
b) Using alcohol gel once a shift
c) Performing hand hygiene before and after patient contact
d) Only washing hands if they look dirty
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