Comprehensive Adult mediCAl-surgiCAl
nursing CertifiCAtion exAm: lAtest All
versions ACtuAl exAm Complete Questions
And CorreCt detAiled Answers (verified
Answers) | AlreAdy grAded A+ 2026/2027
with free prACtiCe test sets.
Section 1: Improved Original Questions
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 bathroom facilities from other household members.
C. Clean blood spills with a solution of 1 part bleach to 10 parts water.
D. Wear a mask when in the same room as other family members.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A. Wash dishes in hot, soapy water.
Rationale: Standard precautions in the home for a client with HIV include washing dishes and
utensils in hot, soapy water. HIV is not transmitted through casual contact, so separate
bathroom facilities (B) and masks (D) are not required. While a bleach solution is used for blood
spills, the standard recommendation is 1 part bleach to 9 parts water (C is incorrect).
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. "You should refrigerate leftovers within 4 hours of cooking."
B. "Do not leave perishable foods at room temperature for longer than 2 hours."
,C. "Thaw frozen meat on the kitchen counter."
D. "Rinse raw poultry with water before cooking it."
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B. "Do not leave perishable foods at
room temperature for longer than 2 hours."
Rationale: The "2-hour rule" is a critical food safety guideline to prevent bacterial growth.
Leftovers should be refrigerated within 2 hours (A is incorrect). Meat should be thawed in the
refrigerator, not on the counter (C is incorrect). Rinsing raw poultry can spread bacteria through
splashing, so it is not recommended (D is incorrect).
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 the client in a negative-pressure room.
B. Wear a surgical mask when providing care.
C. Place a surgical mask on the client when transporting them to other departments.
D. Ensure the client's door remains open for observation.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ C. Place a surgical mask on the client
when transporting them to other departments.
Rationale: Active tuberculosis requires airborne precautions. When transporting a client with
active TB, they must wear a surgical mask to contain respiratory droplets. The client should be in
an airborne infection isolation room (AIIR), which is a negative-pressure room (A is also a
correct measure, but C is the specific measure for transport). Nurses must wear an N95
respirator, not a surgical mask (B is incorrect). The door to the AIIR must remain closed (D is
incorrect).
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. Raise the client quickly to avoid swinging.
C. Lower the client into the chair from a high position.
D. Have the client wrap their arms around the nurse's neck.
,✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A. Place the lower edge of the sling
under the knees and the upper edge under the shoulders.
Rationale: Proper sling placement is crucial for safety. The sling should support the client from
the shoulders down to the knees. Raising the client quickly (B) can cause anxiety and swinging.
The client should be lowered slowly and gently into the chair (C is incorrect). The client should
not hold onto the nurse's neck, as this can cause injury to both parties (D is incorrect).
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 supports the client's head and neck with pillows.
B. The AP positions the client supine.
C. The AP encourages the client to use a pillow to splint the neck when coughing.
D. The AP provides a straw for the client to drink fluids.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B. The AP positions the client supine.
Rationale: Following a thyroidectomy, the client should be placed in a semi-Fowler's position
(head elevated) to reduce swelling and tension on the incision. Placing the client supine (flat) is
incorrect and requires intervention. Supporting the head and neck (A) and splinting the neck for
coughing (C) are correct actions. Using a straw (D) may be discouraged as it can introduce air
into the stomach, but supine positioning is a more immediate concern for airway and edema
management.
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. "You should receive the live attenuated vaccine."
B. "Make sure you receive the high-dose vaccine."
C. "You only need to receive this vaccine once in your lifetime."
D. "The vaccine will protect you from all types of flu."
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B. "Make sure you receive the high-dose
vaccine."
Rationale: The high-dose influenza vaccine is specifically recommended for adults 65 years and
, older to provide a stronger immune response. The live attenuated vaccine (A) is not
recommended for older adults. The vaccine is needed annually (C is incorrect) and protects
against the most common strains predicted for that season, not all types (D is incorrect).
7. A nurse is assisting with teaching a class of clients about health promotion and prevention.
Which of the following statements should the nurse make?
A. "You should receive a tetanus booster every 10 years."
B. "You should have a colonoscopy every 5 years starting at age 40."
C. "You should perform a breast self-exam monthly starting at age 50."
D. "You should have your blood pressure checked every 5 years."
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A. "You should receive a tetanus booster
every 10 years."
Rationale: A tetanus and diphtheria (Td) booster is recommended every 10 years for adults. A
colonoscopy is typically recommended every 10 years starting at age 45 (B is incorrect). Breast
self-exams are no longer routinely recommended as a screening tool, and mammograms
typically start at age 40-50 (C is incorrect). Blood pressure should be checked at least every 2
years if normal, or more frequently (D is incorrect).
8. A nurse is collecting data from a client who reports hearing loss. Which of the following
tests should the nurse perform to identify conductive hearing loss?
A. Rinne
B. Weber
C. Romberg
D. Snellen
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A. Rinne
Rationale: The Rinne test compares air conduction to bone conduction and helps differentiate
between conductive and sensorineural hearing loss. The Weber test (B) lateralizes sound but
does not differentiate the type of loss as clearly. The Romberg test (C) assesses balance. The
Snellen test (D) assesses visual acuity.
nursing CertifiCAtion exAm: lAtest All
versions ACtuAl exAm Complete Questions
And CorreCt detAiled Answers (verified
Answers) | AlreAdy grAded A+ 2026/2027
with free prACtiCe test sets.
Section 1: Improved Original Questions
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 bathroom facilities from other household members.
C. Clean blood spills with a solution of 1 part bleach to 10 parts water.
D. Wear a mask when in the same room as other family members.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A. Wash dishes in hot, soapy water.
Rationale: Standard precautions in the home for a client with HIV include washing dishes and
utensils in hot, soapy water. HIV is not transmitted through casual contact, so separate
bathroom facilities (B) and masks (D) are not required. While a bleach solution is used for blood
spills, the standard recommendation is 1 part bleach to 9 parts water (C is incorrect).
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. "You should refrigerate leftovers within 4 hours of cooking."
B. "Do not leave perishable foods at room temperature for longer than 2 hours."
,C. "Thaw frozen meat on the kitchen counter."
D. "Rinse raw poultry with water before cooking it."
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B. "Do not leave perishable foods at
room temperature for longer than 2 hours."
Rationale: The "2-hour rule" is a critical food safety guideline to prevent bacterial growth.
Leftovers should be refrigerated within 2 hours (A is incorrect). Meat should be thawed in the
refrigerator, not on the counter (C is incorrect). Rinsing raw poultry can spread bacteria through
splashing, so it is not recommended (D is incorrect).
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 the client in a negative-pressure room.
B. Wear a surgical mask when providing care.
C. Place a surgical mask on the client when transporting them to other departments.
D. Ensure the client's door remains open for observation.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ C. Place a surgical mask on the client
when transporting them to other departments.
Rationale: Active tuberculosis requires airborne precautions. When transporting a client with
active TB, they must wear a surgical mask to contain respiratory droplets. The client should be in
an airborne infection isolation room (AIIR), which is a negative-pressure room (A is also a
correct measure, but C is the specific measure for transport). Nurses must wear an N95
respirator, not a surgical mask (B is incorrect). The door to the AIIR must remain closed (D is
incorrect).
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. Raise the client quickly to avoid swinging.
C. Lower the client into the chair from a high position.
D. Have the client wrap their arms around the nurse's neck.
,✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A. Place the lower edge of the sling
under the knees and the upper edge under the shoulders.
Rationale: Proper sling placement is crucial for safety. The sling should support the client from
the shoulders down to the knees. Raising the client quickly (B) can cause anxiety and swinging.
The client should be lowered slowly and gently into the chair (C is incorrect). The client should
not hold onto the nurse's neck, as this can cause injury to both parties (D is incorrect).
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 supports the client's head and neck with pillows.
B. The AP positions the client supine.
C. The AP encourages the client to use a pillow to splint the neck when coughing.
D. The AP provides a straw for the client to drink fluids.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B. The AP positions the client supine.
Rationale: Following a thyroidectomy, the client should be placed in a semi-Fowler's position
(head elevated) to reduce swelling and tension on the incision. Placing the client supine (flat) is
incorrect and requires intervention. Supporting the head and neck (A) and splinting the neck for
coughing (C) are correct actions. Using a straw (D) may be discouraged as it can introduce air
into the stomach, but supine positioning is a more immediate concern for airway and edema
management.
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. "You should receive the live attenuated vaccine."
B. "Make sure you receive the high-dose vaccine."
C. "You only need to receive this vaccine once in your lifetime."
D. "The vaccine will protect you from all types of flu."
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B. "Make sure you receive the high-dose
vaccine."
Rationale: The high-dose influenza vaccine is specifically recommended for adults 65 years and
, older to provide a stronger immune response. The live attenuated vaccine (A) is not
recommended for older adults. The vaccine is needed annually (C is incorrect) and protects
against the most common strains predicted for that season, not all types (D is incorrect).
7. A nurse is assisting with teaching a class of clients about health promotion and prevention.
Which of the following statements should the nurse make?
A. "You should receive a tetanus booster every 10 years."
B. "You should have a colonoscopy every 5 years starting at age 40."
C. "You should perform a breast self-exam monthly starting at age 50."
D. "You should have your blood pressure checked every 5 years."
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A. "You should receive a tetanus booster
every 10 years."
Rationale: A tetanus and diphtheria (Td) booster is recommended every 10 years for adults. A
colonoscopy is typically recommended every 10 years starting at age 45 (B is incorrect). Breast
self-exams are no longer routinely recommended as a screening tool, and mammograms
typically start at age 40-50 (C is incorrect). Blood pressure should be checked at least every 2
years if normal, or more frequently (D is incorrect).
8. A nurse is collecting data from a client who reports hearing loss. Which of the following
tests should the nurse perform to identify conductive hearing loss?
A. Rinne
B. Weber
C. Romberg
D. Snellen
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A. Rinne
Rationale: The Rinne test compares air conduction to bone conduction and helps differentiate
between conductive and sensorineural hearing loss. The Weber test (B) lateralizes sound but
does not differentiate the type of loss as clearly. The Romberg test (C) assesses balance. The
Snellen test (D) assesses visual acuity.
