Page 1 of 94
HURST QUESTIONS (CC4) EXAM WITH
CORRECT ANSWERS,RATIONALES AND WHY
THE OTHERS ARE NOT CORRECT NEWEST 2026
EXAM VERIFIED 100 %
client receiving chemotherapy for lung cancer reports increased fatigue. The
family confirms client is sleeping most of the day and night. What priority
action would the nurse take?
1. Discuss the risks of immobility with client and family.
2. Check current lab values of hematocrit and hemoglobin.
3. Suggest family seek counseling for the client's depression.
4. Request a referral from the healthcare provider for physical therapy.
2. Check current lab values of hematocrit and hemoglobin.
A palliative care client is suffering from persistent diarrhea. What foods should
the nurse suggest?
Select all that apply
1. Applesauce
2. Rice
3. Bananas
4. Tea
5. Yogurt
1. Applesauce
2. Rice
3. Bananas
, Page 2 of 94
What is the priority nursing action for a client that was admitted with tingling
of the toes and feet after having the flu for several days when the client begins
to have numbness in the legs and hips?
1. Notify the primary healthcare provider
2. Monitor for paresthesia in the fingers and hands
3. Insert an indwelling urinary catheter
4. Assist the client with performing passive range of motion
1. Notify the primary healthcare provider
The nurse is cleaning and dressing a foot ulcer of a diabetic client. Which
actions are appropriate?
Select all that apply
1. Uses a clean basin and washcloth to clean the ulcer.
2. Wears sterile gloves to clean the ulcer.
3. Cleans ulcer with normal saline.
4. Warms saline bottle in microwave for 1 minute.
5. Cleans ulcer in a full circle, beginning in the center and working toward the
outside.
2. Wears sterile gloves to clean the ulcer.
3. Cleans ulcer with normal saline.
5. Cleans ulcer in a full circle, beginning in the center and working toward the
outside.
The nurse is providing care to a client who has returned to the long-term
facility following cataract surgery. Which finding would indicate a possible
complication?
1. Slightly swollen eyelid
2. Slight discomfort of the eye
3. "Bloodshot" appearance of the eye
4. Extreme pain in the eye
4. Extreme pain in the eye
A client presents in the emergency department with acute onset of fever,
headache, stiff neck, nausea/vomiting, and mental status changes. What
interventions should the nurse initiate?
Select all that apply
1. Provide a quiet environment
, Page 3 of 94
2. Pad side rails
3. Place on droplet precautions
4. Maintain head in midline position
5. Place ice packs under axilla for fever greater than 101°F (38.3°C)
1. Provide a quiet environment
2. Pad side rails
3. Place on droplet precautions
4. Maintain head in midline position
The nurse is planning discharge teaching for a client with thrombocytopenia.
Which should the nurse include?
Select all that apply
1. Floss between teeth daily.
2. Eat soft foods.
3. Take docusate sodium daily to prevent straining
4. Wear well fitted shoes while ambulating.
5. Apply a cool compress to site with any soft tissue trauma.
2. Eat soft foods.
3. Take docusate sodium daily to prevent straining
4. Wear well fitted shoes while ambulating.
5. Apply a cool compress to site with any soft tissue trauma.
The nurse is caring for a client diagnosed with heat exhaustion. Which finding
by the nurse suggests a problem?
1. Temperature 101 degrees F (38.3 degrees C)
2. Hot, dry skin
3. Profuse sweating
4. Headache
2. Hot, dry skin
When shopping at the mall, a nurse witnesses an individual collapse in cardiac
arrest. A bystander begins CPR while the nurse opens an automatic external
defibrillator (AED) brought by security. What critical actions should the nurse
perform before delivering a shock?
Select all that apply
1. Apply defibrillator pads to bare skin.
2. Verify that synchronizer button is on.
, Page 4 of 94
3. Continue CPR until advised to deliver shock.
4. Stop CPR while machine analyzes the rhythm.
5. Shout "clear" prior to activating shock button.
6. Apply cream under de-fib pads to prevent burns.
1. Apply defibrillator pads to bare skin.
3. Continue CPR until advised to deliver shock.
4. Stop CPR while machine analyzes the rhythm.
5. Shout "clear" prior to activating shock button.
Which statement made by a 67 year old client who recently retired indicates to
the nurse that client has developed ego integrity?
1. "I want to make my mark on the world."
2. "I am satisfied with my life so far."
3. "I wish I could go back and fix the mistakes I have made."
4. "Life is too short. I have more living to do."
2. "I am satisfied with my life so far."
A client has just developed an abdominal wound evisceration post bowel
resection. In what position should the nurse place the client?
1. Sims' position.
2. Dorsal recumbent.
3. Right side lying in the fetal position.
4. Supine, head of bed at 15 degrees with knees and hips bent.
4. Supine, head of bed at 15 degrees with knees and hips bent.
A client newly diagnosed with Celiac disease is being instructed on a gluten-
free diet. What statement by the client would indicate to the nurse that further
teaching is needed?
1. "I will still have occasional abdominal discomfort."
2. "I may need to take iron or vitamin supplements."
3. "I can have eggs but no wheat toast for breakfast."
4. "I should avoid fresh apples and strawberries."
4. "I should avoid fresh apples and strawberries."
The nurse is planning an activity for the client who has a diagnosis of paranoid
schizophrenia. Which activity would be most appropriate for the client?
1. A game of Scrabble with peers
2. A group game of basketball.
HURST QUESTIONS (CC4) EXAM WITH
CORRECT ANSWERS,RATIONALES AND WHY
THE OTHERS ARE NOT CORRECT NEWEST 2026
EXAM VERIFIED 100 %
client receiving chemotherapy for lung cancer reports increased fatigue. The
family confirms client is sleeping most of the day and night. What priority
action would the nurse take?
1. Discuss the risks of immobility with client and family.
2. Check current lab values of hematocrit and hemoglobin.
3. Suggest family seek counseling for the client's depression.
4. Request a referral from the healthcare provider for physical therapy.
2. Check current lab values of hematocrit and hemoglobin.
A palliative care client is suffering from persistent diarrhea. What foods should
the nurse suggest?
Select all that apply
1. Applesauce
2. Rice
3. Bananas
4. Tea
5. Yogurt
1. Applesauce
2. Rice
3. Bananas
, Page 2 of 94
What is the priority nursing action for a client that was admitted with tingling
of the toes and feet after having the flu for several days when the client begins
to have numbness in the legs and hips?
1. Notify the primary healthcare provider
2. Monitor for paresthesia in the fingers and hands
3. Insert an indwelling urinary catheter
4. Assist the client with performing passive range of motion
1. Notify the primary healthcare provider
The nurse is cleaning and dressing a foot ulcer of a diabetic client. Which
actions are appropriate?
Select all that apply
1. Uses a clean basin and washcloth to clean the ulcer.
2. Wears sterile gloves to clean the ulcer.
3. Cleans ulcer with normal saline.
4. Warms saline bottle in microwave for 1 minute.
5. Cleans ulcer in a full circle, beginning in the center and working toward the
outside.
2. Wears sterile gloves to clean the ulcer.
3. Cleans ulcer with normal saline.
5. Cleans ulcer in a full circle, beginning in the center and working toward the
outside.
The nurse is providing care to a client who has returned to the long-term
facility following cataract surgery. Which finding would indicate a possible
complication?
1. Slightly swollen eyelid
2. Slight discomfort of the eye
3. "Bloodshot" appearance of the eye
4. Extreme pain in the eye
4. Extreme pain in the eye
A client presents in the emergency department with acute onset of fever,
headache, stiff neck, nausea/vomiting, and mental status changes. What
interventions should the nurse initiate?
Select all that apply
1. Provide a quiet environment
, Page 3 of 94
2. Pad side rails
3. Place on droplet precautions
4. Maintain head in midline position
5. Place ice packs under axilla for fever greater than 101°F (38.3°C)
1. Provide a quiet environment
2. Pad side rails
3. Place on droplet precautions
4. Maintain head in midline position
The nurse is planning discharge teaching for a client with thrombocytopenia.
Which should the nurse include?
Select all that apply
1. Floss between teeth daily.
2. Eat soft foods.
3. Take docusate sodium daily to prevent straining
4. Wear well fitted shoes while ambulating.
5. Apply a cool compress to site with any soft tissue trauma.
2. Eat soft foods.
3. Take docusate sodium daily to prevent straining
4. Wear well fitted shoes while ambulating.
5. Apply a cool compress to site with any soft tissue trauma.
The nurse is caring for a client diagnosed with heat exhaustion. Which finding
by the nurse suggests a problem?
1. Temperature 101 degrees F (38.3 degrees C)
2. Hot, dry skin
3. Profuse sweating
4. Headache
2. Hot, dry skin
When shopping at the mall, a nurse witnesses an individual collapse in cardiac
arrest. A bystander begins CPR while the nurse opens an automatic external
defibrillator (AED) brought by security. What critical actions should the nurse
perform before delivering a shock?
Select all that apply
1. Apply defibrillator pads to bare skin.
2. Verify that synchronizer button is on.
, Page 4 of 94
3. Continue CPR until advised to deliver shock.
4. Stop CPR while machine analyzes the rhythm.
5. Shout "clear" prior to activating shock button.
6. Apply cream under de-fib pads to prevent burns.
1. Apply defibrillator pads to bare skin.
3. Continue CPR until advised to deliver shock.
4. Stop CPR while machine analyzes the rhythm.
5. Shout "clear" prior to activating shock button.
Which statement made by a 67 year old client who recently retired indicates to
the nurse that client has developed ego integrity?
1. "I want to make my mark on the world."
2. "I am satisfied with my life so far."
3. "I wish I could go back and fix the mistakes I have made."
4. "Life is too short. I have more living to do."
2. "I am satisfied with my life so far."
A client has just developed an abdominal wound evisceration post bowel
resection. In what position should the nurse place the client?
1. Sims' position.
2. Dorsal recumbent.
3. Right side lying in the fetal position.
4. Supine, head of bed at 15 degrees with knees and hips bent.
4. Supine, head of bed at 15 degrees with knees and hips bent.
A client newly diagnosed with Celiac disease is being instructed on a gluten-
free diet. What statement by the client would indicate to the nurse that further
teaching is needed?
1. "I will still have occasional abdominal discomfort."
2. "I may need to take iron or vitamin supplements."
3. "I can have eggs but no wheat toast for breakfast."
4. "I should avoid fresh apples and strawberries."
4. "I should avoid fresh apples and strawberries."
The nurse is planning an activity for the client who has a diagnosis of paranoid
schizophrenia. Which activity would be most appropriate for the client?
1. A game of Scrabble with peers
2. A group game of basketball.
