2026/2027
California Household Movers Licensing
Exam Comprehensive Study Guide and
Test Bank Review 2026/2027 Edition for
BHGS Certification Preparation
Question 1:
A physician orders nutritional therapy administered via a central vein for a client who
cannot take oral food intake. What is this type of nutrition called?
A. Enteral feeding
B. Total parenteral nutrition
C. Peripheral parenteral nutrition
D. Tube feeding
Correct Answer: B. Total parenteral nutrition
Rationale: Total parenteral nutrition (TPN) is administered intravenously through a
central vein and is indicated for clients who cannot meet nutritional needs through the
gastrointestinal tract. Enteral feeding (A and D) uses the GI tract via tubes, while
peripheral parenteral nutrition (C) is delivered through peripheral veins and is not
suitable for long-term or full nutritional support.
Question 2:
Which client is most appropriate for total parenteral nutrition?
A. A client with mild gastritis
B. A client with colitis and bloody diarrhea
C. A client with controlled diabetes
D. A client with constipation
Correct Answer: B. A client with colitis and bloody diarrhea
Rationale: TPN is indicated when the gastrointestinal tract cannot be used effectively,
such as in severe inflammatory bowel conditions like colitis with bleeding. Mild
conditions (A, C, D) do not require parenteral nutrition as oral or enteral feeding
remains functional.
Question 3:
Which interventions help prevent pressure injuries in a high-risk client? (Select all
that apply)
,2026/2027
A. Turning every 2 hours
B. Encouraging fluid intake every 2 hours
C. Providing incontinent care every 2 hours
D. Restricting mobility
E. Increasing bed rest
Correct Answer: A, B, C
Rationale: Frequent repositioning (A), maintaining hydration (B), and managing
moisture through incontinent care (C) reduce pressure injury risk. Restricting mobility
and prolonged bed rest increase risk and are incorrect.
Question 4:
Which nursing interventions demonstrate correct use of heat or cold therapy? (Select
all that apply)
A. Checking skin frequently in elderly clients using heating pads
B. Filling ice bags two-thirds full
C. Covering cold packs with a cloth sleeve
D. Placing ice directly on skin for faster relief
Correct Answer: A, B, C
Rationale: Heat and cold therapy require protection of skin and proper application.
Elderly clients need frequent skin checks (A), ice bags should be partially filled (B),
and cold packs require protective covering (C). Direct ice application (D) may cause
tissue damage.
Question 5:
A client with an ankle sprain receives an ice pack. Which statement shows effective
teaching?
A. “I will apply ice directly to my skin.”
B. “I will use ice continuously for 4 hours.”
C. “I will place a cloth between my skin and the ice pack.”
D. “I will massage the area while icing.”
Correct Answer: C. “I will place a cloth between my skin and the ice pack.”
Rationale: Ice should never be applied directly to skin due to risk of tissue injury. A
protective barrier is essential. Continuous use and massage may worsen injury or
damage tissue.
Question 6:
,2026/2027
Which interventions help prevent thrombophlebitis? (Select all that apply)
A. Early ambulation
B. SCD use
C. Bed rest for 5 days
D. Range-of-motion exercises
E. Frequent repositioning
Correct Answer: A, B, D, E
Rationale: Movement, compression devices, and repositioning promote venous return
and prevent clot formation. Prolonged bed rest (C) increases thrombosis risk.
Question 7:
What type of range of motion is demonstrated when a client moves all joints
independently?
A. Passive ROM
B. Assisted ROM
C. Active ROM
D. Limited ROM
Correct Answer: C. Active ROM
Rationale: Active ROM occurs when a client independently moves joints. Passive
ROM involves nurse assistance, while assisted ROM involves partial support.
Question 8:
Which feeding tube is most appropriate for long-term feeding in a stroke client?
A. Nasogastric tube
B. Orogastric tube
C. Gastrostomy tube
D. Jejunostomy tube only
Correct Answer: C. Gastrostomy tube
Rationale: Gastrostomy tubes are used for long-term nutritional support. Nasogastric
tubes are short-term and uncomfortable for prolonged use.
Question 9:
What is the nurse’s best action when an unlicensed assistive personnel appears unsafe
transferring an obese client?
, 2026/2027
A. Allow UAP to proceed
B. Report immediately
C. Assist the UAP during transfer
D. Cancel the transfer
Correct Answer: C. Assist the UAP during transfer
Rationale: Patient safety requires immediate support. The nurse must ensure safe
handling rather than allowing unsafe practice or stopping care unnecessarily.
Question 10:
A client reports pain before scheduled ambulation. What should the nurse do?
A. Force ambulation
B. Cancel ambulation permanently
C. Administer analgesics and delay ambulation
D. Ignore pain
Correct Answer: C. Administer analgesics and delay ambulation
Rationale: Pain should be managed before mobility. This promotes participation and
prevents complications.
Question 11:
What is the first safety action for an older adult requesting restroom assistance?
A. Provide a walker
B. Assess need for assistance
C. Call family
D. Delay response
Correct Answer: B. Assess need for assistance
Rationale: Safety begins with assessing mobility risk to prevent falls.
Question 12:
Best nursing action for postoperative CABG client prescribed ambulation?
A. Allow independent walking
B. Provide full assistance without explanation
C. Discuss need for assistance during ambulation
D. Delay ambulation indefinitely
Correct Answer: C. Discuss need for assistance during ambulation
California Household Movers Licensing
Exam Comprehensive Study Guide and
Test Bank Review 2026/2027 Edition for
BHGS Certification Preparation
Question 1:
A physician orders nutritional therapy administered via a central vein for a client who
cannot take oral food intake. What is this type of nutrition called?
A. Enteral feeding
B. Total parenteral nutrition
C. Peripheral parenteral nutrition
D. Tube feeding
Correct Answer: B. Total parenteral nutrition
Rationale: Total parenteral nutrition (TPN) is administered intravenously through a
central vein and is indicated for clients who cannot meet nutritional needs through the
gastrointestinal tract. Enteral feeding (A and D) uses the GI tract via tubes, while
peripheral parenteral nutrition (C) is delivered through peripheral veins and is not
suitable for long-term or full nutritional support.
Question 2:
Which client is most appropriate for total parenteral nutrition?
A. A client with mild gastritis
B. A client with colitis and bloody diarrhea
C. A client with controlled diabetes
D. A client with constipation
Correct Answer: B. A client with colitis and bloody diarrhea
Rationale: TPN is indicated when the gastrointestinal tract cannot be used effectively,
such as in severe inflammatory bowel conditions like colitis with bleeding. Mild
conditions (A, C, D) do not require parenteral nutrition as oral or enteral feeding
remains functional.
Question 3:
Which interventions help prevent pressure injuries in a high-risk client? (Select all
that apply)
,2026/2027
A. Turning every 2 hours
B. Encouraging fluid intake every 2 hours
C. Providing incontinent care every 2 hours
D. Restricting mobility
E. Increasing bed rest
Correct Answer: A, B, C
Rationale: Frequent repositioning (A), maintaining hydration (B), and managing
moisture through incontinent care (C) reduce pressure injury risk. Restricting mobility
and prolonged bed rest increase risk and are incorrect.
Question 4:
Which nursing interventions demonstrate correct use of heat or cold therapy? (Select
all that apply)
A. Checking skin frequently in elderly clients using heating pads
B. Filling ice bags two-thirds full
C. Covering cold packs with a cloth sleeve
D. Placing ice directly on skin for faster relief
Correct Answer: A, B, C
Rationale: Heat and cold therapy require protection of skin and proper application.
Elderly clients need frequent skin checks (A), ice bags should be partially filled (B),
and cold packs require protective covering (C). Direct ice application (D) may cause
tissue damage.
Question 5:
A client with an ankle sprain receives an ice pack. Which statement shows effective
teaching?
A. “I will apply ice directly to my skin.”
B. “I will use ice continuously for 4 hours.”
C. “I will place a cloth between my skin and the ice pack.”
D. “I will massage the area while icing.”
Correct Answer: C. “I will place a cloth between my skin and the ice pack.”
Rationale: Ice should never be applied directly to skin due to risk of tissue injury. A
protective barrier is essential. Continuous use and massage may worsen injury or
damage tissue.
Question 6:
,2026/2027
Which interventions help prevent thrombophlebitis? (Select all that apply)
A. Early ambulation
B. SCD use
C. Bed rest for 5 days
D. Range-of-motion exercises
E. Frequent repositioning
Correct Answer: A, B, D, E
Rationale: Movement, compression devices, and repositioning promote venous return
and prevent clot formation. Prolonged bed rest (C) increases thrombosis risk.
Question 7:
What type of range of motion is demonstrated when a client moves all joints
independently?
A. Passive ROM
B. Assisted ROM
C. Active ROM
D. Limited ROM
Correct Answer: C. Active ROM
Rationale: Active ROM occurs when a client independently moves joints. Passive
ROM involves nurse assistance, while assisted ROM involves partial support.
Question 8:
Which feeding tube is most appropriate for long-term feeding in a stroke client?
A. Nasogastric tube
B. Orogastric tube
C. Gastrostomy tube
D. Jejunostomy tube only
Correct Answer: C. Gastrostomy tube
Rationale: Gastrostomy tubes are used for long-term nutritional support. Nasogastric
tubes are short-term and uncomfortable for prolonged use.
Question 9:
What is the nurse’s best action when an unlicensed assistive personnel appears unsafe
transferring an obese client?
, 2026/2027
A. Allow UAP to proceed
B. Report immediately
C. Assist the UAP during transfer
D. Cancel the transfer
Correct Answer: C. Assist the UAP during transfer
Rationale: Patient safety requires immediate support. The nurse must ensure safe
handling rather than allowing unsafe practice or stopping care unnecessarily.
Question 10:
A client reports pain before scheduled ambulation. What should the nurse do?
A. Force ambulation
B. Cancel ambulation permanently
C. Administer analgesics and delay ambulation
D. Ignore pain
Correct Answer: C. Administer analgesics and delay ambulation
Rationale: Pain should be managed before mobility. This promotes participation and
prevents complications.
Question 11:
What is the first safety action for an older adult requesting restroom assistance?
A. Provide a walker
B. Assess need for assistance
C. Call family
D. Delay response
Correct Answer: B. Assess need for assistance
Rationale: Safety begins with assessing mobility risk to prevent falls.
Question 12:
Best nursing action for postoperative CABG client prescribed ambulation?
A. Allow independent walking
B. Provide full assistance without explanation
C. Discuss need for assistance during ambulation
D. Delay ambulation indefinitely
Correct Answer: C. Discuss need for assistance during ambulation
