PN VATI AdulT MedIcAl SurgIcAl
lATeST All VerSIONS AcTuAl eXAM
cOMPleTe QueSTIONS ANd cOrrecT
deTAIled ANSWerS (VerIFIed
ANSWerS) |AlreAdY grAded A+
2026/2027 WITH Free PrAcTIce TeST
SeTS
Question 1
A home health nurse is reinforcing teaching with a client who has human immunodeficiency
virus (HIV). Which of the following instructions should the nurse reinforce to maintain infection
control in the client's home?
A) Wash dishes in hot soapy water.
B) Use separate dishes for the client.
C) Rinse dishes in cold water only.
D) Dispose of dishes after each use.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) Wash dishes in hot soapy water.
Rationale: The nurse should instruct the client to wash dishes in hot soapy water to maintain
infection control in the home. HIV is not transmitted through casual contact or sharing dishes.
Using hot soapy water effectively cleans dishes and prevents the spread of opportunistic
,infections. Using separate dishes or disposing of dishes is unnecessary and can lead to stigma.
Rinsing in cold water only is insufficient for proper cleaning.
Question 2
A nurse is reinforcing discharge teaching with a client regarding food safety in the home. Which
of the following statements should the nurse include?
A) Do not leave perishable foods at room temperature for longer than 2 hours.
B) You can leave perishable foods at room temperature for up to 6 hours.
C) Refrigerate perishable foods only after they have cooled completely.
D) Frozen foods can be thawed at room temperature on the counter.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) Do not leave perishable foods at room
temperature for longer than 2 hours.
Rationale: The nurse should instruct the client to not leave perishable foods at room
temperature for longer than 2 hours because bacteria multiply rapidly at room temperature,
increasing the risk of foodborne illness. Leaving food out for 6 hours is unsafe. Perishable foods
should be refrigerated promptly, not after complete cooling. Frozen foods should be thawed in
the refrigerator, not at room temperature.
Question 3
A nurse is implementing transmission prevention measures for a client who has active
tuberculosis. Which of the following measures should the nurse include?
A) Place a surgical mask on the client when transporting them to other departments.
B) Place the client in a room with positive air pressure.
C) Wear a surgical mask when entering the client's room.
D) Keep the client's door open to improve ventilation.
,✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) Place a surgical mask on the client
when transporting them to other departments.
Rationale: The nurse should place a surgical mask on the client when transporting them to
other departments to prevent the spread of airborne droplets containing Mycobacterium
tuberculosis. The client should be placed in a negative-pressure room, not positive-pressure.
The nurse should wear an N95 respirator, not a surgical mask, when entering the room. The
client's door should remain closed to maintain negative pressure.
Question 4
A nurse is transferring a client who has lower extremity paralysis from a bed to a chair using a
transportable hydraulic lift. Which of the following actions should the nurse take to help prevent
injury to the client during the transfer?
A) Place the lower edge of the sling under the knees and the upper edge under the shoulders.
B) Position the sling under the client's arms for better support.
C) Attach the sling straps loosely to allow for movement.
D) Raise the client quickly to minimize transfer time.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) Place the lower edge of the sling
under the knees and the upper edge under the shoulders.
Rationale: The nurse should place the lower edge of the sling under the knees and the upper
edge under the shoulders to ensure proper body alignment and prevent injury during the
transfer. Positioning the sling under the arms does not provide adequate support. Straps should
be securely attached, not loose. Raising the client quickly can cause injury and should be done
slowly and smoothly.
Question 5
, A nurse is observing an assistive personnel (AP) provide care to a client in the immediate
postoperative period following a subtotal thyroidectomy. Which of the following actions by the
AP requires intervention by the nurse?
A) The AP positions the client supine.
B) The AP places a pillow under the client's head.
C) The AP encourages the client to cough and deep breathe.
D) The AP monitors the client's incision for drainage.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) The AP positions the client supine.
Rationale: The nurse should intervene if the AP positions the client supine because after a
subtotal thyroidectomy, the client should be placed in a semi-Fowler's position with the head
elevated to reduce swelling and tension on the incision. Positioning the client supine increases
the risk of airway obstruction and respiratory compromise. Placing a pillow under the head,
encouraging coughing and deep breathing, and monitoring the incision are appropriate actions.
Question 6
A nurse is reinforcing teaching with an older adult client about the influenza vaccine. Which of
the following statements should the nurse make?
A) "Make sure you receive the high-dose vaccine."
B) "You should receive the live attenuated vaccine."
C) "You only need the vaccine every 5 years."
D) "The vaccine is contraindicated for older adults."
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) "Make sure you receive the high-dose
vaccine."
Rationale: The nurse should instruct the older adult client to receive the high-dose influenza
vaccine because it contains a higher antigen content, which provides a stronger immune
response in older adults. The live attenuated vaccine is not recommended for older adults due
lATeST All VerSIONS AcTuAl eXAM
cOMPleTe QueSTIONS ANd cOrrecT
deTAIled ANSWerS (VerIFIed
ANSWerS) |AlreAdY grAded A+
2026/2027 WITH Free PrAcTIce TeST
SeTS
Question 1
A home health nurse is reinforcing teaching with a client who has human immunodeficiency
virus (HIV). Which of the following instructions should the nurse reinforce to maintain infection
control in the client's home?
A) Wash dishes in hot soapy water.
B) Use separate dishes for the client.
C) Rinse dishes in cold water only.
D) Dispose of dishes after each use.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) Wash dishes in hot soapy water.
Rationale: The nurse should instruct the client to wash dishes in hot soapy water to maintain
infection control in the home. HIV is not transmitted through casual contact or sharing dishes.
Using hot soapy water effectively cleans dishes and prevents the spread of opportunistic
,infections. Using separate dishes or disposing of dishes is unnecessary and can lead to stigma.
Rinsing in cold water only is insufficient for proper cleaning.
Question 2
A nurse is reinforcing discharge teaching with a client regarding food safety in the home. Which
of the following statements should the nurse include?
A) Do not leave perishable foods at room temperature for longer than 2 hours.
B) You can leave perishable foods at room temperature for up to 6 hours.
C) Refrigerate perishable foods only after they have cooled completely.
D) Frozen foods can be thawed at room temperature on the counter.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) Do not leave perishable foods at room
temperature for longer than 2 hours.
Rationale: The nurse should instruct the client to not leave perishable foods at room
temperature for longer than 2 hours because bacteria multiply rapidly at room temperature,
increasing the risk of foodborne illness. Leaving food out for 6 hours is unsafe. Perishable foods
should be refrigerated promptly, not after complete cooling. Frozen foods should be thawed in
the refrigerator, not at room temperature.
Question 3
A nurse is implementing transmission prevention measures for a client who has active
tuberculosis. Which of the following measures should the nurse include?
A) Place a surgical mask on the client when transporting them to other departments.
B) Place the client in a room with positive air pressure.
C) Wear a surgical mask when entering the client's room.
D) Keep the client's door open to improve ventilation.
,✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) Place a surgical mask on the client
when transporting them to other departments.
Rationale: The nurse should place a surgical mask on the client when transporting them to
other departments to prevent the spread of airborne droplets containing Mycobacterium
tuberculosis. The client should be placed in a negative-pressure room, not positive-pressure.
The nurse should wear an N95 respirator, not a surgical mask, when entering the room. The
client's door should remain closed to maintain negative pressure.
Question 4
A nurse is transferring a client who has lower extremity paralysis from a bed to a chair using a
transportable hydraulic lift. Which of the following actions should the nurse take to help prevent
injury to the client during the transfer?
A) Place the lower edge of the sling under the knees and the upper edge under the shoulders.
B) Position the sling under the client's arms for better support.
C) Attach the sling straps loosely to allow for movement.
D) Raise the client quickly to minimize transfer time.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) Place the lower edge of the sling
under the knees and the upper edge under the shoulders.
Rationale: The nurse should place the lower edge of the sling under the knees and the upper
edge under the shoulders to ensure proper body alignment and prevent injury during the
transfer. Positioning the sling under the arms does not provide adequate support. Straps should
be securely attached, not loose. Raising the client quickly can cause injury and should be done
slowly and smoothly.
Question 5
, A nurse is observing an assistive personnel (AP) provide care to a client in the immediate
postoperative period following a subtotal thyroidectomy. Which of the following actions by the
AP requires intervention by the nurse?
A) The AP positions the client supine.
B) The AP places a pillow under the client's head.
C) The AP encourages the client to cough and deep breathe.
D) The AP monitors the client's incision for drainage.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) The AP positions the client supine.
Rationale: The nurse should intervene if the AP positions the client supine because after a
subtotal thyroidectomy, the client should be placed in a semi-Fowler's position with the head
elevated to reduce swelling and tension on the incision. Positioning the client supine increases
the risk of airway obstruction and respiratory compromise. Placing a pillow under the head,
encouraging coughing and deep breathing, and monitoring the incision are appropriate actions.
Question 6
A nurse is reinforcing teaching with an older adult client about the influenza vaccine. Which of
the following statements should the nurse make?
A) "Make sure you receive the high-dose vaccine."
B) "You should receive the live attenuated vaccine."
C) "You only need the vaccine every 5 years."
D) "The vaccine is contraindicated for older adults."
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) "Make sure you receive the high-dose
vaccine."
Rationale: The nurse should instruct the older adult client to receive the high-dose influenza
vaccine because it contains a higher antigen content, which provides a stronger immune
response in older adults. The live attenuated vaccine is not recommended for older adults due