Page 1 of 88
“HURST REVIEW NCLEX-RN READINESS EXAM
2026 ”LATEST EXAM 2026 – 2027 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
100% GUARANTEE PASS
day 5
HURST REVIEW NCLEX-RN Readiness Exam
A client diagnosed with serotonin syndrome is admitted to the unit. The nurse
is familiar with this adverse reaction to the serotonin reuptake inhibitors.
Which symptoms can the nurse expect on assessment?
1. Fever and shivering
2. Agitation
3. Decreased body temperature
4. Constipation
5. Increased heart rate
1., 2. & 5. Correct: Serotonin syndrome is a group of symptoms that can result from
the use of certain serotonin reuptake inhibitors. These symptoms can range from
mild to severe and include high body temperature, agitation, increased reflexes,
diaphoresis, tremors, dilated pupils and diarrhea. The client is likely to experience
shivering with fever. Increased heart rate and blood pressure are also commonly
, Page 2 of 88
experienced. More severe symptoms, including muscle rigidity and seizures, can
occur. If not treated, serotonin syndrome can be fatal.
3. Incorrect: Increased body temperature is expected as is increased diaphoresis.
4. Incorrect: Diarrhea, not constipation, is a symptom of serotonin syndrome.
The emergency department nurse is assessing a client who presents with
severe epigastric pain. The client reports that three rolls of calcium carbonate
were consumed in the past eight hours to treat the indigestion. Which blood
gas report does the nurse associate with this situation?
1. pH - 7.49, pCO2 - 40, HCO3 - 30
2. pH - 7.32, pCO2 - 48, HCO3 - 20
3. pH - 7.38, pCO2 - 52, HCO3 - 32
4. pH - 7.29, pCO2 - 54, HCO3 - 26
1. Correct: These ABGs are indicative of metabolic alkalosis. The pH is high, the
pCO2 is within normal limits and the bicarb is high (alkalosis). So, the excess Tums
(calcium carbonate) could have caused metabolic alkalosis.
2. Incorrect: The client is not hypoventilating and would not be in metabolic acidosis
because he ate 3 rolls of Tums which is a base. These ABGs are indicative of
acidosis. The pH is low (acidosis), the pCO2 is high (acidosis) and the bicarb is low
(acidosis).
3. Incorrect: The client is not a long-term COPD client as these ABGs might suggest.
These ABGs are indicative of fully compensated respiratory acidosis. The pH is
normal. The pCO2 is high (as with chronic retention) and the bicarb is high to help
compensate.
4. Incorrect: These ABGs are the result of an acute ventilation problem. They are
indicative of respiratory acidosis. The pH is low, the pCO2 is high, and the bicarb is
normal. No compensation has begun at this point.
Which prescriptions would the nurse recognize as being appropriate for the
client with shingles?
1. Private room
, Page 3 of 88
2. Negative pressure airflow
3. Respirator mask
4. Face Shield
5. Positive pressure room
1., 2. & 3. Correct: According to the current standards of Standard Precautions per
the CDC, the client with shingles should be placed on airborne precautions which
require the use of a private room with negative pressure airflow and a N-95
respirator mask.
4. Incorrect: A face shield is used when there is risk of splashing or spraying of blood
or body fluids. This is not required for airborne precautions.
5. Incorrect: Negative pressure is required in order to prevent the airborne infection
from spreading outside of the room. Positive pressure is used only in protective
environments such as when immunocompromised clients require protection from
potential infectious agents outside of the room.
A healthy newborn has just been delivered and placed in the care of the nurse.
What nursing actions should the nurse initiate?
Place in the correct priority order.
Assess newborn's airway and breathing.
Bulb suction excessive mucus.
Assess newborn's heart rate.
Place identification bands on newborn and mom.
Administer sterile ophthalmic ointment containing 0.5% erythromycin.
Remember Maslow's hierarchy of needs will guide your assessment. First, Assess
newborn's airway and breathing. The most critical change that a newborn must make
physiologically is the initiation of breathing. The nurse should assess the newborn's
crying. If the cry is weak, it may indicate a respiratory disturbance. Other signs of
respiratory compromise may include: stridor, grunting, retractions, apnea or
diminished breath sounds. Normal respiration are 30 - 60 breaths a minute.
, Page 4 of 88
Second, Bulb suction excessive mucus. It is important to assure that the throat and
nose are kept clean of secretions to prevent respiratory distress.
Third, Assess newborn's heart rate. If there is no respiratory distress, the nurse
continues the assessment by checking the heart rate and other vital signs.
Fourth, Place identification bands on newborn and mom. These are critical for
ensuring babies and moms will be appropriately matched at all times but does not
take priority over respiration and circulation.
Fifth, Administer sterile ophthalmic ointment containing 0.5% erythromycin. This is a
legally required prophylactic eye treatment to prevent Neisseria gonorrhea. However,
this would never be a priority over Maslow's hierarchy of needs.
What information should a nurse include when educating a client regarding
buccal administration of a medication?
1. This route allows the medication to get into the bloodstream faster than the
oral route.
2. Stinging may occur after placing the medication in the cheek.
3. If swallowed, the medication may be inactivated by gastric secretions.
4. The buccal dose of medication will need to be increased from the oral dose.
5. Remove the tablet from buccal area after 15 seconds.
1., 2., & 3. Correct: These are correct statements about buccal administration of
medication. Buccal administration involves the medication being placed between the
gums and cheek, where it dissolves and becomes absorbed into the bloodstream.
The cheek area has many capillaries that allow the medication to be absorbed
quickly without having to pass through the digestive system. The degree of stinging
experienced depends on the medication being administered. Some effects of certain
medications can be lessened by digestive processes.
4. Incorrect: When given by the buccal route, the medication does not go through the
digestive system. This means that the medication is not metabolized through the
liver, and thus a lower dose can be used.
“HURST REVIEW NCLEX-RN READINESS EXAM
2026 ”LATEST EXAM 2026 – 2027 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
100% GUARANTEE PASS
day 5
HURST REVIEW NCLEX-RN Readiness Exam
A client diagnosed with serotonin syndrome is admitted to the unit. The nurse
is familiar with this adverse reaction to the serotonin reuptake inhibitors.
Which symptoms can the nurse expect on assessment?
1. Fever and shivering
2. Agitation
3. Decreased body temperature
4. Constipation
5. Increased heart rate
1., 2. & 5. Correct: Serotonin syndrome is a group of symptoms that can result from
the use of certain serotonin reuptake inhibitors. These symptoms can range from
mild to severe and include high body temperature, agitation, increased reflexes,
diaphoresis, tremors, dilated pupils and diarrhea. The client is likely to experience
shivering with fever. Increased heart rate and blood pressure are also commonly
, Page 2 of 88
experienced. More severe symptoms, including muscle rigidity and seizures, can
occur. If not treated, serotonin syndrome can be fatal.
3. Incorrect: Increased body temperature is expected as is increased diaphoresis.
4. Incorrect: Diarrhea, not constipation, is a symptom of serotonin syndrome.
The emergency department nurse is assessing a client who presents with
severe epigastric pain. The client reports that three rolls of calcium carbonate
were consumed in the past eight hours to treat the indigestion. Which blood
gas report does the nurse associate with this situation?
1. pH - 7.49, pCO2 - 40, HCO3 - 30
2. pH - 7.32, pCO2 - 48, HCO3 - 20
3. pH - 7.38, pCO2 - 52, HCO3 - 32
4. pH - 7.29, pCO2 - 54, HCO3 - 26
1. Correct: These ABGs are indicative of metabolic alkalosis. The pH is high, the
pCO2 is within normal limits and the bicarb is high (alkalosis). So, the excess Tums
(calcium carbonate) could have caused metabolic alkalosis.
2. Incorrect: The client is not hypoventilating and would not be in metabolic acidosis
because he ate 3 rolls of Tums which is a base. These ABGs are indicative of
acidosis. The pH is low (acidosis), the pCO2 is high (acidosis) and the bicarb is low
(acidosis).
3. Incorrect: The client is not a long-term COPD client as these ABGs might suggest.
These ABGs are indicative of fully compensated respiratory acidosis. The pH is
normal. The pCO2 is high (as with chronic retention) and the bicarb is high to help
compensate.
4. Incorrect: These ABGs are the result of an acute ventilation problem. They are
indicative of respiratory acidosis. The pH is low, the pCO2 is high, and the bicarb is
normal. No compensation has begun at this point.
Which prescriptions would the nurse recognize as being appropriate for the
client with shingles?
1. Private room
, Page 3 of 88
2. Negative pressure airflow
3. Respirator mask
4. Face Shield
5. Positive pressure room
1., 2. & 3. Correct: According to the current standards of Standard Precautions per
the CDC, the client with shingles should be placed on airborne precautions which
require the use of a private room with negative pressure airflow and a N-95
respirator mask.
4. Incorrect: A face shield is used when there is risk of splashing or spraying of blood
or body fluids. This is not required for airborne precautions.
5. Incorrect: Negative pressure is required in order to prevent the airborne infection
from spreading outside of the room. Positive pressure is used only in protective
environments such as when immunocompromised clients require protection from
potential infectious agents outside of the room.
A healthy newborn has just been delivered and placed in the care of the nurse.
What nursing actions should the nurse initiate?
Place in the correct priority order.
Assess newborn's airway and breathing.
Bulb suction excessive mucus.
Assess newborn's heart rate.
Place identification bands on newborn and mom.
Administer sterile ophthalmic ointment containing 0.5% erythromycin.
Remember Maslow's hierarchy of needs will guide your assessment. First, Assess
newborn's airway and breathing. The most critical change that a newborn must make
physiologically is the initiation of breathing. The nurse should assess the newborn's
crying. If the cry is weak, it may indicate a respiratory disturbance. Other signs of
respiratory compromise may include: stridor, grunting, retractions, apnea or
diminished breath sounds. Normal respiration are 30 - 60 breaths a minute.
, Page 4 of 88
Second, Bulb suction excessive mucus. It is important to assure that the throat and
nose are kept clean of secretions to prevent respiratory distress.
Third, Assess newborn's heart rate. If there is no respiratory distress, the nurse
continues the assessment by checking the heart rate and other vital signs.
Fourth, Place identification bands on newborn and mom. These are critical for
ensuring babies and moms will be appropriately matched at all times but does not
take priority over respiration and circulation.
Fifth, Administer sterile ophthalmic ointment containing 0.5% erythromycin. This is a
legally required prophylactic eye treatment to prevent Neisseria gonorrhea. However,
this would never be a priority over Maslow's hierarchy of needs.
What information should a nurse include when educating a client regarding
buccal administration of a medication?
1. This route allows the medication to get into the bloodstream faster than the
oral route.
2. Stinging may occur after placing the medication in the cheek.
3. If swallowed, the medication may be inactivated by gastric secretions.
4. The buccal dose of medication will need to be increased from the oral dose.
5. Remove the tablet from buccal area after 15 seconds.
1., 2., & 3. Correct: These are correct statements about buccal administration of
medication. Buccal administration involves the medication being placed between the
gums and cheek, where it dissolves and becomes absorbed into the bloodstream.
The cheek area has many capillaries that allow the medication to be absorbed
quickly without having to pass through the digestive system. The degree of stinging
experienced depends on the medication being administered. Some effects of certain
medications can be lessened by digestive processes.
4. Incorrect: When given by the buccal route, the medication does not go through the
digestive system. This means that the medication is not metabolized through the
liver, and thus a lower dose can be used.
