Actual RN Medical-Surgical Exam 2026 | 100% Verified Questions & Answers with
Detailed Rationales | Pass First Attempt
,Question: 100 of 100
"A nurse is caring for a client who requires protective isolation following a hematopoietic stem cell
transplant. Which of the following interventions should the nurse implement to protect the client
from infection?" The options are:
• Make sure the client’s room has positive-pressure airflow.
• Make sure dietary plates and utensils are disposable.
• Wear an N95 respirator when providing direct client care.
• Monitor the client’s temperature once every 6 hr.
Correct Answer:
The correct answer is "Make sure the client’s room has positive-pressure airflow." Rationale:
Positive-pressure airflow is used in protective isolation to prevent outside airborne particles from
entering the room, thus reducing the risk of infection for immunocompromised clients, such as those
undergoing a hematopoietic stem cell transplant. This measure ensures that air flows out of the room
rather than into it, keeping contaminants away.
The other options, such as using disposable utensils and monitoring temperature, are helpful but do
not provide the level of protection needed for clients in protective isolation. An N95 respirator is used
for clients in negative-pressure rooms (e.g., for those with airborne infections like tuberculosis), not
for protective isolation.
,Question: 99 of 100
"A nurse is assessing a client who is postoperative following an open reduction and internal fixation
(ORIF) of the femur. Which of the following assessments should be the nurse's priority?" The
options are:
• Neurovascular assessment
• Braden scale
• Pain assessment
, • Morse Fall Risk scale
Correct Answer:
The correct answer is "Neurovascular assessment." Rationale:
Following an open reduction and internal fixation (ORIF) of the femur, the priority assessment is
neurovascular status. This is crucial to assess circulation, sensation, and movement distal to the
surgical site, ensuring that there is no compromise in blood flow or nerve function. While pain
assessment and fall risk are important, neurovascular compromise could lead to permanent
damage, making it the priority in this situation. The Braden scale assesses risk for skin breakdown,
which is not the immediate priority in this case.
Detailed Rationales | Pass First Attempt
,Question: 100 of 100
"A nurse is caring for a client who requires protective isolation following a hematopoietic stem cell
transplant. Which of the following interventions should the nurse implement to protect the client
from infection?" The options are:
• Make sure the client’s room has positive-pressure airflow.
• Make sure dietary plates and utensils are disposable.
• Wear an N95 respirator when providing direct client care.
• Monitor the client’s temperature once every 6 hr.
Correct Answer:
The correct answer is "Make sure the client’s room has positive-pressure airflow." Rationale:
Positive-pressure airflow is used in protective isolation to prevent outside airborne particles from
entering the room, thus reducing the risk of infection for immunocompromised clients, such as those
undergoing a hematopoietic stem cell transplant. This measure ensures that air flows out of the room
rather than into it, keeping contaminants away.
The other options, such as using disposable utensils and monitoring temperature, are helpful but do
not provide the level of protection needed for clients in protective isolation. An N95 respirator is used
for clients in negative-pressure rooms (e.g., for those with airborne infections like tuberculosis), not
for protective isolation.
,Question: 99 of 100
"A nurse is assessing a client who is postoperative following an open reduction and internal fixation
(ORIF) of the femur. Which of the following assessments should be the nurse's priority?" The
options are:
• Neurovascular assessment
• Braden scale
• Pain assessment
, • Morse Fall Risk scale
Correct Answer:
The correct answer is "Neurovascular assessment." Rationale:
Following an open reduction and internal fixation (ORIF) of the femur, the priority assessment is
neurovascular status. This is crucial to assess circulation, sensation, and movement distal to the
surgical site, ensuring that there is no compromise in blood flow or nerve function. While pain
assessment and fall risk are important, neurovascular compromise could lead to permanent
damage, making it the priority in this situation. The Braden scale assesses risk for skin breakdown,
which is not the immediate priority in this case.
