HURST READINESS EXAM 1 STUDY GUIDE
2026 CORRECT SOLUTIONS GRADED A+
⫸ The client is admitted to the hospital following a motor vehicle
accident and has sustained a closed chest wound. The nurse notes
paradoxical chest wall movement. Which problem does the nurse
suspect?
1. Mediastinal shift 2. Tension pneumothorax 3. Flail chest 4.
Pulmonary contusion. Answer: Rationale
3. Correct: Hallmark of flail chest is paradoxical chest wall
movement. This is often described as a see-saw effect when observing
the rise and fall of the chest. 1. Incorrect: A closed or open tension
pneumothorax results from the lung collapsing and air entering into
the pleural cavity. This results in pressure shifting toward the
unaffected pleural cavity. 2. Incorrect: Tension pneumothorax occurs
when there is an accumulation of air in the pleural cavity. The client
may exhibit dyspnea, tachycardia, or hypotension. 4. Incorrect: A
pulmonary contusion usually results from blunt trauma. Bruising of
lung would be demonstrated by pain but not paradoxical chest wall
movement.
⫸ Which client can a nurse manager safely transfer from the
telemetry unit to the obstetrical unit in order to receive a new admit?
1. Client admitted with possible tuberculosis (TB) awaiting skin test
results. 2. Client diagnosed with seizure disorder. 3. Client with a new
pacemaker scheduled to be discharged in the morning. 4. Client with a
,history of mild heart failure prescribed one unit of packed red blood
cells for anemia.. Answer: Rationale
2. Correct: OB nurses would have the appropriate knowledge needed
to care for a client with a seizure disorders, because they care for
clients who have eclampsia (seizures). 1. Incorrect: This client might
have tuberculosis (TB) and is not a good choice to move to the OB
floor, because of the risk for transmission of an infectious disease. 3.
Incorrect: This client is not the best one to be transferred to the OB
floor, because these nurses do not routinely care for clients with a new
pacemaker. The client is also likely to remain on a cardiac monitor
until discharge. 4. Incorrect: This client is at risk for fluid volume
overload since there is a history of heart failure and would require
close monitoring while receiving a blood transfusion.
⫸ The nurse is teaching a group of clients who have reduced
peripheral circulation how to care for their feet. What points should
the nurse include?
1. Check shoes for rough spots in the lining. 2. File toenails straight
across. 3. Cover feet and between toes with creams to moisten the
skin. 4. Break in new shoes gradually. 5. Use pumice stones to treat
calluses.. Answer: Rationale
1., 2., & 4. Correct: Rubbing from rough spots in the shoe can lead to
corns or calluses. File the toenails rather than cutting to avoid skin
injury. File nails straight across the ends of the toes. If the nails are
too thick or misshapen to file, consult podiatrist. Break in new shoes
gradually by increasing the wearing time 30-60 minutes each day. 3.
Incorrect: Cover the feet, except between the toes, with creams or
lotions to moisten the skin. Lotion will also soften calluses. A lotion
that reduces dryness effectively is a mixture of lanolin and mineral
,oil. 5. Incorrect: Avoid self-treatment of corns or calluses. Pumice
stones and some callus and corn applications are injurious to the skin.
Do not cut calluses or corns. Consult a podiatrist or primary
healthcare provider first.
⫸ When caring for young adult clients, which developmental tasks
would the nurse expect to see?
1. Satisfying and supporting the next generation. 2. Reflecting on life
accomplishments. 3. Developing meaningful and intimate
relationships. 4. Giving and sharing with an individual without asking
what will be given or shared in return. 5. Developing sense of
fulfillment by volunteering in the community.. Answer: Rationale
3. & 4. Correct: In young adulthood, the developmental tasks involve
intimacy versus isolation. Intimacy relates more to sharing than to
sex. Intimacy produces feelings of safety, closeness, and trust. 1.
Incorrect: Parenting is a primary task of middle adulthood. This is the
middle adulthood stage of Generativity versus Stagnation, where each
adult must find some way to satisfy and support the next generation.
2. Incorrect: During late adulthood, there is refection on life
accomplishments. This is the maturity stage of Ego Integrity versus
Despair, where there is a reflection of one's life. 5. Incorrect: During
middle age, a sense of fulfillment can be found by volunteering in the
community. This is part of middle age, where the adult is finding
ways to support others.
⫸ What symptoms does the nurse expect to see in a client with
bulimia nervosa?
, 1. Amenorrhea 2. Feelings of self-worth unduly influenced by weight
3. Recurrent episodes of binge eating 4. Recurrent inappropriate
compensatory behavior to prevent weight gain 5. Lack of exercise.
Answer: Rationale
2., 3. & 4. Correct: Diagnostic criteria for bulimia nervosa are
recurrent episodes of binge eating: recurrent inappropriate
compensatory behavior to prevent weight gain such as laxative,
diuretic, or enema use, induced vomiting, fasting, and excessive
exercise; and feeling of self-worth unduly influenced by weight.
Amenorrhea is found in anorexia nervosa. 1. Incorrect: Amenorrhea is
found in anorexia nervosa. 5. Incorrect: Excessive exercise is found in
bulimia nervosa as a means to compensate for the binge eating.
⫸ A client who has had a laparoscopic cholecystectomy develops
pain in the left shoulder. Vital signs, laboratory studies, and an
electrocardiogram are within normal limits. What does the nurse
recognize as a contributing cause of the pain?
1. Surgical cannulation of the bile duct is causing spasm and pain. 2.
Carbon dioxide used intraperitoneally is irritating the phrenic nerve.
3. Large abdominal retractors used in the procedure compressed a
nerve. 4. Side lying position in the operating room generated pressure
damage.. Answer: Rationale
2. Correct: Phrenic nerve irritation can result in referred pain to the
left shoulder. Carbon dioxide (CO2) is used to inflate the
abdominal/chest wall during the procedure for better visualization of
the internal organs. If the CO2 irritates the phrenic nerve, it radiates to
the shoulder. 1. Incorrect: Surgical cannulation of the bile duct is not
performed during a laparoscopic cholecystectomy. 3. Incorrect: Large
abdominal retractors are not used during this procedure. This is done
2026 CORRECT SOLUTIONS GRADED A+
⫸ The client is admitted to the hospital following a motor vehicle
accident and has sustained a closed chest wound. The nurse notes
paradoxical chest wall movement. Which problem does the nurse
suspect?
1. Mediastinal shift 2. Tension pneumothorax 3. Flail chest 4.
Pulmonary contusion. Answer: Rationale
3. Correct: Hallmark of flail chest is paradoxical chest wall
movement. This is often described as a see-saw effect when observing
the rise and fall of the chest. 1. Incorrect: A closed or open tension
pneumothorax results from the lung collapsing and air entering into
the pleural cavity. This results in pressure shifting toward the
unaffected pleural cavity. 2. Incorrect: Tension pneumothorax occurs
when there is an accumulation of air in the pleural cavity. The client
may exhibit dyspnea, tachycardia, or hypotension. 4. Incorrect: A
pulmonary contusion usually results from blunt trauma. Bruising of
lung would be demonstrated by pain but not paradoxical chest wall
movement.
⫸ Which client can a nurse manager safely transfer from the
telemetry unit to the obstetrical unit in order to receive a new admit?
1. Client admitted with possible tuberculosis (TB) awaiting skin test
results. 2. Client diagnosed with seizure disorder. 3. Client with a new
pacemaker scheduled to be discharged in the morning. 4. Client with a
,history of mild heart failure prescribed one unit of packed red blood
cells for anemia.. Answer: Rationale
2. Correct: OB nurses would have the appropriate knowledge needed
to care for a client with a seizure disorders, because they care for
clients who have eclampsia (seizures). 1. Incorrect: This client might
have tuberculosis (TB) and is not a good choice to move to the OB
floor, because of the risk for transmission of an infectious disease. 3.
Incorrect: This client is not the best one to be transferred to the OB
floor, because these nurses do not routinely care for clients with a new
pacemaker. The client is also likely to remain on a cardiac monitor
until discharge. 4. Incorrect: This client is at risk for fluid volume
overload since there is a history of heart failure and would require
close monitoring while receiving a blood transfusion.
⫸ The nurse is teaching a group of clients who have reduced
peripheral circulation how to care for their feet. What points should
the nurse include?
1. Check shoes for rough spots in the lining. 2. File toenails straight
across. 3. Cover feet and between toes with creams to moisten the
skin. 4. Break in new shoes gradually. 5. Use pumice stones to treat
calluses.. Answer: Rationale
1., 2., & 4. Correct: Rubbing from rough spots in the shoe can lead to
corns or calluses. File the toenails rather than cutting to avoid skin
injury. File nails straight across the ends of the toes. If the nails are
too thick or misshapen to file, consult podiatrist. Break in new shoes
gradually by increasing the wearing time 30-60 minutes each day. 3.
Incorrect: Cover the feet, except between the toes, with creams or
lotions to moisten the skin. Lotion will also soften calluses. A lotion
that reduces dryness effectively is a mixture of lanolin and mineral
,oil. 5. Incorrect: Avoid self-treatment of corns or calluses. Pumice
stones and some callus and corn applications are injurious to the skin.
Do not cut calluses or corns. Consult a podiatrist or primary
healthcare provider first.
⫸ When caring for young adult clients, which developmental tasks
would the nurse expect to see?
1. Satisfying and supporting the next generation. 2. Reflecting on life
accomplishments. 3. Developing meaningful and intimate
relationships. 4. Giving and sharing with an individual without asking
what will be given or shared in return. 5. Developing sense of
fulfillment by volunteering in the community.. Answer: Rationale
3. & 4. Correct: In young adulthood, the developmental tasks involve
intimacy versus isolation. Intimacy relates more to sharing than to
sex. Intimacy produces feelings of safety, closeness, and trust. 1.
Incorrect: Parenting is a primary task of middle adulthood. This is the
middle adulthood stage of Generativity versus Stagnation, where each
adult must find some way to satisfy and support the next generation.
2. Incorrect: During late adulthood, there is refection on life
accomplishments. This is the maturity stage of Ego Integrity versus
Despair, where there is a reflection of one's life. 5. Incorrect: During
middle age, a sense of fulfillment can be found by volunteering in the
community. This is part of middle age, where the adult is finding
ways to support others.
⫸ What symptoms does the nurse expect to see in a client with
bulimia nervosa?
, 1. Amenorrhea 2. Feelings of self-worth unduly influenced by weight
3. Recurrent episodes of binge eating 4. Recurrent inappropriate
compensatory behavior to prevent weight gain 5. Lack of exercise.
Answer: Rationale
2., 3. & 4. Correct: Diagnostic criteria for bulimia nervosa are
recurrent episodes of binge eating: recurrent inappropriate
compensatory behavior to prevent weight gain such as laxative,
diuretic, or enema use, induced vomiting, fasting, and excessive
exercise; and feeling of self-worth unduly influenced by weight.
Amenorrhea is found in anorexia nervosa. 1. Incorrect: Amenorrhea is
found in anorexia nervosa. 5. Incorrect: Excessive exercise is found in
bulimia nervosa as a means to compensate for the binge eating.
⫸ A client who has had a laparoscopic cholecystectomy develops
pain in the left shoulder. Vital signs, laboratory studies, and an
electrocardiogram are within normal limits. What does the nurse
recognize as a contributing cause of the pain?
1. Surgical cannulation of the bile duct is causing spasm and pain. 2.
Carbon dioxide used intraperitoneally is irritating the phrenic nerve.
3. Large abdominal retractors used in the procedure compressed a
nerve. 4. Side lying position in the operating room generated pressure
damage.. Answer: Rationale
2. Correct: Phrenic nerve irritation can result in referred pain to the
left shoulder. Carbon dioxide (CO2) is used to inflate the
abdominal/chest wall during the procedure for better visualization of
the internal organs. If the CO2 irritates the phrenic nerve, it radiates to
the shoulder. 1. Incorrect: Surgical cannulation of the bile duct is not
performed during a laparoscopic cholecystectomy. 3. Incorrect: Large
abdominal retractors are not used during this procedure. This is done
