PN VATI MEDICAL SURGICAL D EXAM SCRIPT
2026 TEST PAPER QUESTIONS AND
SOLUTIONS GRADED A+
◉ A nurse enters a client's room and finds that smoke is coming
from an electrical outlet. After assisting the client out of the room,
which of the following actions should the nurse take next?
Answer: Pull the nearest fire alarm.
The greatest risk to this dlient is injury from burns and smoke
inhalation. Therefore, when using the RACE method for fire
response, the next action the nurse should take is to sound the
alarm. Then, the nurse should attempt to contain the fire by sealing
off the doors and windows and turning off all electrical equipment.
Lastly, the nurse should attempt to extinguish the fire.
◉ A nurse smells alcohol on the breath of another nurse while
discussing a client's condition. Which of the following actions should
the nurse take?
Answer: Notify the charge nurse of the situation.
The nurse has an ethical responsibility to protect clients report
suspected substance use. The nurse should notify the charge nurse
,of the incident, which would allow the charge nurse to investigate
further and take actions to maintain the safety of clients.
◉ A nurse is assisting with an interdisciplinary team to use clinical
data to improve outcomes. Which of the following competencies of
Quality and Safety Education for Nurses (QSEN) is the nurse
demonstrating?
Answer: Quality improvement
This QSEN competency involves the use of data to track outcomes
and improvement processes to devise a plan to improve the safety of
health care services and improve clients' outcomes.
◉ The partner of a client who has been receiving dialysis tells the
nurse that the client has stated a desire to end treatment. The
client's partner is upset and asks the nurse for help. Which of the
following responses should the nurse make?
Answer: "You seem upset. Tell me more about their reasons for
making this decision."
This is a therapeutic response that demonstrates that the nurse
recognizes the partner's feelings and respects the client's autonomy.
◉ A nurse is reinforcing discharge teaching with a client who is
recovering from a stroke and has hemiparesis along with dysphagia.
, Which of the following instructions should the nurse include in the
teaching?
Answer: Place food in the stronger side of mouth.
The nurse should instruct the client to place food in the unaffected
side of their mouth. This aids in the chewing and swallowing of food
and reduces the risk for aspiration.
◉ A nurse in a long-term care facility is preparing assignments for
the upcoming shift. Which of the following tasks should the nurse
delegate to an assistive personnel (AP)?
Answer: Provide postmortem care for a client.
The nurse should delegate postmortem care to the AP. This task is
within the range of function of an AP.
◉ A nurse is assisting in assigning care for a group of clients. Which
of the following tasks should the nurse delegate to an assistive
personnel (AP)?
Answer: Measure the vital signs of a client who is 24 hr
postoperative following a cholecystectomy.
Measuring vital signs is within the AP's range of function. The nurse
should collect data from the client to ensure the client is stable prior
2026 TEST PAPER QUESTIONS AND
SOLUTIONS GRADED A+
◉ A nurse enters a client's room and finds that smoke is coming
from an electrical outlet. After assisting the client out of the room,
which of the following actions should the nurse take next?
Answer: Pull the nearest fire alarm.
The greatest risk to this dlient is injury from burns and smoke
inhalation. Therefore, when using the RACE method for fire
response, the next action the nurse should take is to sound the
alarm. Then, the nurse should attempt to contain the fire by sealing
off the doors and windows and turning off all electrical equipment.
Lastly, the nurse should attempt to extinguish the fire.
◉ A nurse smells alcohol on the breath of another nurse while
discussing a client's condition. Which of the following actions should
the nurse take?
Answer: Notify the charge nurse of the situation.
The nurse has an ethical responsibility to protect clients report
suspected substance use. The nurse should notify the charge nurse
,of the incident, which would allow the charge nurse to investigate
further and take actions to maintain the safety of clients.
◉ A nurse is assisting with an interdisciplinary team to use clinical
data to improve outcomes. Which of the following competencies of
Quality and Safety Education for Nurses (QSEN) is the nurse
demonstrating?
Answer: Quality improvement
This QSEN competency involves the use of data to track outcomes
and improvement processes to devise a plan to improve the safety of
health care services and improve clients' outcomes.
◉ The partner of a client who has been receiving dialysis tells the
nurse that the client has stated a desire to end treatment. The
client's partner is upset and asks the nurse for help. Which of the
following responses should the nurse make?
Answer: "You seem upset. Tell me more about their reasons for
making this decision."
This is a therapeutic response that demonstrates that the nurse
recognizes the partner's feelings and respects the client's autonomy.
◉ A nurse is reinforcing discharge teaching with a client who is
recovering from a stroke and has hemiparesis along with dysphagia.
, Which of the following instructions should the nurse include in the
teaching?
Answer: Place food in the stronger side of mouth.
The nurse should instruct the client to place food in the unaffected
side of their mouth. This aids in the chewing and swallowing of food
and reduces the risk for aspiration.
◉ A nurse in a long-term care facility is preparing assignments for
the upcoming shift. Which of the following tasks should the nurse
delegate to an assistive personnel (AP)?
Answer: Provide postmortem care for a client.
The nurse should delegate postmortem care to the AP. This task is
within the range of function of an AP.
◉ A nurse is assisting in assigning care for a group of clients. Which
of the following tasks should the nurse delegate to an assistive
personnel (AP)?
Answer: Measure the vital signs of a client who is 24 hr
postoperative following a cholecystectomy.
Measuring vital signs is within the AP's range of function. The nurse
should collect data from the client to ensure the client is stable prior
