Page 1 of 35
HURST REVIEW READINESS EXAM QUIZ WITH
CORRECT ANSWERS,RATIONALES AND WHY
THE OTHERS ARE NOT CORRECT NEWEST 2026
EXAM VERIFIED 100 %
A client has received discharge education post extracapsular cataract surgery.
Which statement made by the client indicates to the nurse that further
teaching is needed?
1. "A protective eye patch will be needed for 24 hours."
2. "I will notify my primary heathcare provider for any amount of discharge,
redness or scratchy feeling because these symptoms are abnormal."
3. "I will clean the surgical eye with a clean tissue, wiping once from the inner
aspect of the closed eye to the outer eye."
4. "When sleeping, I will avoid lying on the same side of my affected eye."
2. "I will notify my primary healthcare provider for any amount of discharge, redness
or scratchy feeling because these symptoms are abnormal."
Why the Correct Option Is Right
• 2. "I will notify my primary healthcare provider for any amount of
discharge, redness or scratchy feeling because these symptoms are
abnormal."
o The Key Phrase: The question asks which statement indicates that
further teaching is needed (a negative-stem question).
o Clinical Reality: Following extracapsular cataract surgery, experiencing
a mild "scratchy" sensation, slight redness, and a small amount
of clear or crusty discharge upon waking are completely normal,
expected side effects of the procedure.
o The Misconception: Because the client incorrectly believes these
minor, expected symptoms are dangerous abnormalities, they need
additional teaching. The nurse must clarify that they should only
, Page 2 of 35
contact the healthcare provider for abnormal signs of complications,
such as severe, worsening eye pain, a sudden decrease in vision,
flashes of light, or thick, purulent (pus-like) drainage.
Why the Other Options Are Correct Practices (Do Not Need
Correction)
• ❌ 1. "A protective eye patch will be needed for 24 hours."
o This is a correct post-operative practice. Wearing a protective patch or
shield for the first 24 hours (and during sleep for several days) shields
the healing eye from accidental rubbing, bumping, or foreign debris.
• ❌ 3. "I will clean the surgical eye with a clean tissue, wiping once from
the inner aspect of the closed eye to the outer eye."
o This is a correct hygiene technique. Wiping gently from the inner
canthus to the outer canthus prevents pulling contamination from the
skin surface into the eye or tear duct. Using a single, clean tissue per
wipe maintains cleanliness.
• ❌ 4. "When sleeping, I will avoid lying on the same side of my affected
eye."
o This is a correct safety practice. Sleeping on the back or on the
unaffected side prevents putting direct mechanical pressure on the
surgical eye, lowering the risk of intraocular pressure spikes or wound
disruption.
The nurse is caring for a female client who is at risk for renal failure. The nurse
has completed the initial assessment of the most recent lab results so that any
concerns can be reported to the primary healthcare provider. Which
assessment finding warrants further action?
1. Hemoglobin of 12 g/dl (120 g/L)
2. Hematocrit of 38% (0.38)
3. Potassium levels of 5.2mEq/L (5.2 mmol/L)
4. BUN of 15 mg/dl. (5.35 mmol/L)
3. Potassium levels of 5.2mEq/L (5.2 mmol/L)
Why the Correct Option Is Right
• 3. Potassium levels of 5.2 mEq/L (5.2 mmol/L)
o Normal Lab Values: The normal reference range for serum potassium
is 3.5 to 5.0 mEq/L.
o Pathophysiology: The kidneys are the primary organs responsible for
excreting potassium from the body. When a client is at risk for renal
failure, their kidneys begin to lose their filtering ability, leading to
potassium retention.
o Clinical Danger: A level of 5.2 mEq/L indicates hyperkalemia (elevated
potassium). Even mild elevations in potassium can destabilize the
electrical conductivity of the heart muscle, placing the client at risk for
life-threatening cardiac arrhythmias. The nurse must report this finding
immediately to initiate corrective therapies.
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Why the Other Options Are Normal (Do Not Warrant Action)
• ❌ 1. Hemoglobin of 12 g/dL (120 g/L)
o This is a normal baseline laboratory value for an adult female (standard
normal range is approximately 12 to 16 g/dL). While advanced kidney
failure eventually causes anemia due to decreased erythropoietin
production, this client's level is currently safe.
• ❌ 2. Hematocrit of 38% (0.38)
o This is a perfectly normal laboratory value for an adult female (standard
normal range is approximately 37% to 47%). It shows an appropriate
volume balance of red blood cells.
• ❌ 4. BUN of 15 mg/dL (5.35 mmol/L)
o Blood Urea Nitrogen (BUN) is a primary marker used to evaluate
kidney function. A level of 15 mg/dL sits perfectly within the standard
normal reference range (10 to 20 mg/dL), indicating that metabolic
waste products are not yet building up to toxic levels in the blood
A client with hemophilia has been scheduled for extraction of wisdom teeth.
The nurse anticipates that the client will receive what priority intervention
before this procedure?
1. Prophylactic antibiotics
2. A unit of cryoprecipitate
3. Packed red blood cells
4. Fresh frozen plasma
2. A unit of cryoprecipitate
Why the Correct Option Is Right
• 2. A unit of cryoprecipitate
o Pathophysiology: Hemophilia is an inherited genetic bleeding disorder
characterized by a severe deficiency in specific clotting factors
(Hemophilia A lacks Factor VIII; Hemophilia B lacks Factor IX).
o The Clinical Priority: Dental extractions are highly vascular procedures
that pose a severe risk of prolonged, uncontrollable hemorrhage for a
hemophiliac client.
o The Targeted Intervention: Cryoprecipitate is a concentrated blood
product that is exceptionally rich in clotting factors, specifically Factor
VIII, von Willebrand factor, and fibrinogen. Administering
cryoprecipitate prophylactically before the surgery temporarily corrects
the clotting deficiency, enabling the client’s blood to form a stable clot
at the extraction site and preventing severe postoperative bleeding.
Why the Other Options Are Wrong
• ❌ 1. Prophylactic antibiotics
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o While preventing an infection at the surgical site is important, an
infection is a delayed, secondary complication. The absolute most
immediate, life-threatening danger for a client with hemophilia during
an invasive surgical procedure is acute, unmanageable bleeding.
• ❌ 3. Packed red blood cells
o Packed red blood cells (PRBCs) are administered to replace lost blood
volume and improve oxygen-carrying capacity in clients suffering from
acute, severe hemorrhage or symptomatic anemia. PRBCs contain red
cells, not the concentrated clotting factors needed to prevent a bleed
from starting.
• ❌ 4. Fresh frozen plasma
o Fresh Frozen Plasma (FFP) does contain all the clotting factors and is
often used for generalized bleeding disorders or warfarin reversals.
However, because FFP contains a high volume of liquid plasma, it
requires a much larger infusion volume to achieve the same clotting
effect as cryoprecipitate. Cryoprecipitate is the preferred, highly
concentrated choice to deliver a heavy dose of Factor VIII without
risking fluid overload.
Which action by a nurse requires intervention by the charge nurse?
1. The two-handed method is used to recap a needle.
2. A needleless system is used to give medication through an intravenous (IV).
3. A blunt cannula is used to withdraw medication from a vial.
4. An engineered sharp injury protective device is used to recap a used needle.
1. The two-handed method is used to recap a needle.
Why the Correct Option Is Right
• 1. The two-handed method is used to recap a needle.
o The Key Phrase: The question asks which action requires
intervention by the charge nurse (a negative-stem question).
o Clinical Danger: Using a two-handed technique to push a plastic cap
back onto an exposed needle is a highly dangerous practice. It is the
leading cause of accidental needle-stick injuries among healthcare
workers, exposing them to bloodborne pathogens like HIV, Hepatitis B,
and Hepatitis C.
o Standard Safety Rule: Nurses must never use two hands to recap a
contaminated needle. If a needle must be recapped in a rare scenario,
the single-handed "scoop" technique must be used.
Why the Other Options Are Correct Practices (Do Not Need
Intervention)
• ❌ 2. A needleless system is used to give medication through an
intravenous (IV).
o This is an excellent safety practice that aligns with OSHA standards.
Utilizing needleless connectors and ports completely eliminates the
presence of a sharp object during medication administration,
dramatically lowering the risk of accidental puncture wounds.
HURST REVIEW READINESS EXAM QUIZ WITH
CORRECT ANSWERS,RATIONALES AND WHY
THE OTHERS ARE NOT CORRECT NEWEST 2026
EXAM VERIFIED 100 %
A client has received discharge education post extracapsular cataract surgery.
Which statement made by the client indicates to the nurse that further
teaching is needed?
1. "A protective eye patch will be needed for 24 hours."
2. "I will notify my primary heathcare provider for any amount of discharge,
redness or scratchy feeling because these symptoms are abnormal."
3. "I will clean the surgical eye with a clean tissue, wiping once from the inner
aspect of the closed eye to the outer eye."
4. "When sleeping, I will avoid lying on the same side of my affected eye."
2. "I will notify my primary healthcare provider for any amount of discharge, redness
or scratchy feeling because these symptoms are abnormal."
Why the Correct Option Is Right
• 2. "I will notify my primary healthcare provider for any amount of
discharge, redness or scratchy feeling because these symptoms are
abnormal."
o The Key Phrase: The question asks which statement indicates that
further teaching is needed (a negative-stem question).
o Clinical Reality: Following extracapsular cataract surgery, experiencing
a mild "scratchy" sensation, slight redness, and a small amount
of clear or crusty discharge upon waking are completely normal,
expected side effects of the procedure.
o The Misconception: Because the client incorrectly believes these
minor, expected symptoms are dangerous abnormalities, they need
additional teaching. The nurse must clarify that they should only
, Page 2 of 35
contact the healthcare provider for abnormal signs of complications,
such as severe, worsening eye pain, a sudden decrease in vision,
flashes of light, or thick, purulent (pus-like) drainage.
Why the Other Options Are Correct Practices (Do Not Need
Correction)
• ❌ 1. "A protective eye patch will be needed for 24 hours."
o This is a correct post-operative practice. Wearing a protective patch or
shield for the first 24 hours (and during sleep for several days) shields
the healing eye from accidental rubbing, bumping, or foreign debris.
• ❌ 3. "I will clean the surgical eye with a clean tissue, wiping once from
the inner aspect of the closed eye to the outer eye."
o This is a correct hygiene technique. Wiping gently from the inner
canthus to the outer canthus prevents pulling contamination from the
skin surface into the eye or tear duct. Using a single, clean tissue per
wipe maintains cleanliness.
• ❌ 4. "When sleeping, I will avoid lying on the same side of my affected
eye."
o This is a correct safety practice. Sleeping on the back or on the
unaffected side prevents putting direct mechanical pressure on the
surgical eye, lowering the risk of intraocular pressure spikes or wound
disruption.
The nurse is caring for a female client who is at risk for renal failure. The nurse
has completed the initial assessment of the most recent lab results so that any
concerns can be reported to the primary healthcare provider. Which
assessment finding warrants further action?
1. Hemoglobin of 12 g/dl (120 g/L)
2. Hematocrit of 38% (0.38)
3. Potassium levels of 5.2mEq/L (5.2 mmol/L)
4. BUN of 15 mg/dl. (5.35 mmol/L)
3. Potassium levels of 5.2mEq/L (5.2 mmol/L)
Why the Correct Option Is Right
• 3. Potassium levels of 5.2 mEq/L (5.2 mmol/L)
o Normal Lab Values: The normal reference range for serum potassium
is 3.5 to 5.0 mEq/L.
o Pathophysiology: The kidneys are the primary organs responsible for
excreting potassium from the body. When a client is at risk for renal
failure, their kidneys begin to lose their filtering ability, leading to
potassium retention.
o Clinical Danger: A level of 5.2 mEq/L indicates hyperkalemia (elevated
potassium). Even mild elevations in potassium can destabilize the
electrical conductivity of the heart muscle, placing the client at risk for
life-threatening cardiac arrhythmias. The nurse must report this finding
immediately to initiate corrective therapies.
, Page 3 of 35
Why the Other Options Are Normal (Do Not Warrant Action)
• ❌ 1. Hemoglobin of 12 g/dL (120 g/L)
o This is a normal baseline laboratory value for an adult female (standard
normal range is approximately 12 to 16 g/dL). While advanced kidney
failure eventually causes anemia due to decreased erythropoietin
production, this client's level is currently safe.
• ❌ 2. Hematocrit of 38% (0.38)
o This is a perfectly normal laboratory value for an adult female (standard
normal range is approximately 37% to 47%). It shows an appropriate
volume balance of red blood cells.
• ❌ 4. BUN of 15 mg/dL (5.35 mmol/L)
o Blood Urea Nitrogen (BUN) is a primary marker used to evaluate
kidney function. A level of 15 mg/dL sits perfectly within the standard
normal reference range (10 to 20 mg/dL), indicating that metabolic
waste products are not yet building up to toxic levels in the blood
A client with hemophilia has been scheduled for extraction of wisdom teeth.
The nurse anticipates that the client will receive what priority intervention
before this procedure?
1. Prophylactic antibiotics
2. A unit of cryoprecipitate
3. Packed red blood cells
4. Fresh frozen plasma
2. A unit of cryoprecipitate
Why the Correct Option Is Right
• 2. A unit of cryoprecipitate
o Pathophysiology: Hemophilia is an inherited genetic bleeding disorder
characterized by a severe deficiency in specific clotting factors
(Hemophilia A lacks Factor VIII; Hemophilia B lacks Factor IX).
o The Clinical Priority: Dental extractions are highly vascular procedures
that pose a severe risk of prolonged, uncontrollable hemorrhage for a
hemophiliac client.
o The Targeted Intervention: Cryoprecipitate is a concentrated blood
product that is exceptionally rich in clotting factors, specifically Factor
VIII, von Willebrand factor, and fibrinogen. Administering
cryoprecipitate prophylactically before the surgery temporarily corrects
the clotting deficiency, enabling the client’s blood to form a stable clot
at the extraction site and preventing severe postoperative bleeding.
Why the Other Options Are Wrong
• ❌ 1. Prophylactic antibiotics
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o While preventing an infection at the surgical site is important, an
infection is a delayed, secondary complication. The absolute most
immediate, life-threatening danger for a client with hemophilia during
an invasive surgical procedure is acute, unmanageable bleeding.
• ❌ 3. Packed red blood cells
o Packed red blood cells (PRBCs) are administered to replace lost blood
volume and improve oxygen-carrying capacity in clients suffering from
acute, severe hemorrhage or symptomatic anemia. PRBCs contain red
cells, not the concentrated clotting factors needed to prevent a bleed
from starting.
• ❌ 4. Fresh frozen plasma
o Fresh Frozen Plasma (FFP) does contain all the clotting factors and is
often used for generalized bleeding disorders or warfarin reversals.
However, because FFP contains a high volume of liquid plasma, it
requires a much larger infusion volume to achieve the same clotting
effect as cryoprecipitate. Cryoprecipitate is the preferred, highly
concentrated choice to deliver a heavy dose of Factor VIII without
risking fluid overload.
Which action by a nurse requires intervention by the charge nurse?
1. The two-handed method is used to recap a needle.
2. A needleless system is used to give medication through an intravenous (IV).
3. A blunt cannula is used to withdraw medication from a vial.
4. An engineered sharp injury protective device is used to recap a used needle.
1. The two-handed method is used to recap a needle.
Why the Correct Option Is Right
• 1. The two-handed method is used to recap a needle.
o The Key Phrase: The question asks which action requires
intervention by the charge nurse (a negative-stem question).
o Clinical Danger: Using a two-handed technique to push a plastic cap
back onto an exposed needle is a highly dangerous practice. It is the
leading cause of accidental needle-stick injuries among healthcare
workers, exposing them to bloodborne pathogens like HIV, Hepatitis B,
and Hepatitis C.
o Standard Safety Rule: Nurses must never use two hands to recap a
contaminated needle. If a needle must be recapped in a rare scenario,
the single-handed "scoop" technique must be used.
Why the Other Options Are Correct Practices (Do Not Need
Intervention)
• ❌ 2. A needleless system is used to give medication through an
intravenous (IV).
o This is an excellent safety practice that aligns with OSHA standards.
Utilizing needleless connectors and ports completely eliminates the
presence of a sharp object during medication administration,
dramatically lowering the risk of accidental puncture wounds.
