Page 1 of 152
HURST REVIEW TEST , HURST READINESS
EXAM WITH CORRECT ANSWERS,RATIONALES
AND WHY THE OTHERS ARE NOT CORRECT
NEWEST 2026 EXAM VERIFIED 100 %
A nurse has reinforced teaching to a client about home dressing changes
using a clean technique. Which statement made by a client indicates to the
nurse that the client understands this technique?
1. "The wound should be cleaned using a washcloth, soap, and water."
2. "Povidone-iodine should be applied to the wound with each dressing
change."
3. "It is important that I wash my hands using soap and water before removing
my dressing."
4. "I will use sterile gloves to clean my wound and change the dressings."
3. Correct: Clean technique requires washing hands with soap and water prior to
removing the dressing.
1. Incorrect: The wound should be cleaned with 4x4's and sterile water. Soap can be
very drying to the wound. A washcloth may not be clean as it has been sitting in a
cabinet.
2. Incorrect: Povidone-iodine is harsh and damages healthy tissue, so should not be
applied to the wound.
, Page 2 of 152
4. Incorrect: Sterile gloves are not needed when using clean technique. Clean gloves
may be used.
When caring for a client on bedrest, which interventions should the nurse
implement to decrease the risk of deep vein thrombosis? (SATA)
1. Apply compression hose.
2. Place pillow under knees while supine.
3. Assist client to perform active foot and leg exercises.
4. Place client on intermittent pneumatic compression device.
5. Assess extremities for negative Homan's sign.
1., 3., & 4. Correct. The client will need compression or compression hose and/or
intermittent pneumatic compression device. The client should perform leg and foot
exercises to decrease stagnation of blood. Compression hose, foot and leg
exercises, as well as pneumatic compression devices increase venous return and
prevents stasis of blood. Other interventions to decrease deep vein thrombosis
(DVT) include early ambulation, passive and active range of motion, isometric
exercises, and anticoagulant drugs such as heparin.
2. Incorrect: Do not compromise blood flow by placing pillows under the knees,
crossing legs, or sitting for long periods of time. When pillows are left under the
knees for an extended time, venous return could be compromised. A pillow under the
knees is not a recommended intervention for DVT prevention.
5. Incorrect: Do not assess Homan's sign, as it may dislodge a clot. Homan's sign is
not a preventative intervention. Assessing a Homan's sign is considered to be
controversial, and this test may contribute to the release or dislodgement of a clot.
Which action, if done by a new LPN/VN, needs to be interrupted by the
precepting LPN/VN?
1. Mixes diazepam and hydromorphone in one syringe.
2. Administers diazepam before meals.
3. Raises side rails after administering hydromorphone.
4. Instructs client to call for assistance getting out of bed after administration
of diazepam.
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1. Correct: In this question, you are looking for the answer that is unsafe and should
not be done. Diazepam cannot be mixed with any other medication. The charge
nurse should intervene.
2. Incorrect: This is an appropriate action. Food in the stomach delays absorption of
diazepam, so it would need to be given before meals.
3. Incorrect: This would be an appropriate action. Hydromorphone is a narcotic and
can decrease level of consciousness (LOC) and increase the risk of falls, so the
nurse would be taking appropriate measures to ensure the client's safety.
4. Incorrect: This would be an appropriate action. Diazepam relaxes the muscles,
decreases LOC, and can increase the risk of falls.
A client with a history of congestive heart failure has an implantable
cardioverter defibrillator (ICD) surgically implanted. What teaching points
should the nurse reinforce with the client prior to discharge? (SATA)
1. Avoid hot baths and showers.
2. Increase intake of leafy green vegetable products.
3. Avoid magnets directly over the site.
4. Notify primary healthcare provider whenever a shock is delivered by the
ICD.
5. Driving is not recommended for 1 year after placement of an ICD.
3., & 4. Correct: Magnets can deactivate the defibrillator. Other transmitter devices
should also be avoided. Most arrhythmias need only one shock, but the healthcare
provider should be notified when a shock is delivered so that monitoring can
increase.
1. Incorrect: Hot baths or showers are not contraindicated with ICDs.
2. Incorrect: Increase of leafy green vegetable products would have no relation to the
ICD but should be avoided if the client is on warfarin.
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5. Incorrect: The client cannot drive for 6 months after implantation of an ICD and
cannot drive for 6 months after any shock therapy from the ICD.
The nurse is caring for a client with hyperemesis gravidarum. What electrolyte
imbalance is most likely?
1. Hypocalcemia
2. Hypomagnesemia
3. Hyponatremia
4. Hypokalemia
4. Correct: Hyperemesis gravidarum is characterized by persistent, severe
pregnancy related nausea and vomiting. There is a large amount of potassium in the
upper GI tract. A client with prolonged vomiting will lose potassium in the emesis.
Additionally, the client is unable to replace the lost potassium due to the persistent
nausea and vomiting.
1. Incorrect: Hypocalcemia results from any condition that causes a decrease in the
production of parathyroid hormone (PTH). Hyperemesis gravidarum does not affect
PTH levels.
2. Incorrect: The lower GI tract has a lot of magnesium. Therefore, this client is at
risk for hypomagnesemia, but not more than hypokalemia. The client with
hyperemesis gravidarum is losing upper GI contents.
3. Incorrect: The client with hyperemesis gravidarum is at high risk for being
dehydrated. The electrolyte imbalance associated with dehydration is hypernatremia,
not hyponatremia. Remember, this client's blood will be concentrated, and
concentrated makes numbers go up (i.e. sodium, hematocrit, and specific gravity).
The nurse is preparing the sterile field to assist the primary healthcare
provider with a procedure. Which flap of the sterile pack should the nurse
open first?
1. Closest to the nurse.
2. To the left of the nurse.
HURST REVIEW TEST , HURST READINESS
EXAM WITH CORRECT ANSWERS,RATIONALES
AND WHY THE OTHERS ARE NOT CORRECT
NEWEST 2026 EXAM VERIFIED 100 %
A nurse has reinforced teaching to a client about home dressing changes
using a clean technique. Which statement made by a client indicates to the
nurse that the client understands this technique?
1. "The wound should be cleaned using a washcloth, soap, and water."
2. "Povidone-iodine should be applied to the wound with each dressing
change."
3. "It is important that I wash my hands using soap and water before removing
my dressing."
4. "I will use sterile gloves to clean my wound and change the dressings."
3. Correct: Clean technique requires washing hands with soap and water prior to
removing the dressing.
1. Incorrect: The wound should be cleaned with 4x4's and sterile water. Soap can be
very drying to the wound. A washcloth may not be clean as it has been sitting in a
cabinet.
2. Incorrect: Povidone-iodine is harsh and damages healthy tissue, so should not be
applied to the wound.
, Page 2 of 152
4. Incorrect: Sterile gloves are not needed when using clean technique. Clean gloves
may be used.
When caring for a client on bedrest, which interventions should the nurse
implement to decrease the risk of deep vein thrombosis? (SATA)
1. Apply compression hose.
2. Place pillow under knees while supine.
3. Assist client to perform active foot and leg exercises.
4. Place client on intermittent pneumatic compression device.
5. Assess extremities for negative Homan's sign.
1., 3., & 4. Correct. The client will need compression or compression hose and/or
intermittent pneumatic compression device. The client should perform leg and foot
exercises to decrease stagnation of blood. Compression hose, foot and leg
exercises, as well as pneumatic compression devices increase venous return and
prevents stasis of blood. Other interventions to decrease deep vein thrombosis
(DVT) include early ambulation, passive and active range of motion, isometric
exercises, and anticoagulant drugs such as heparin.
2. Incorrect: Do not compromise blood flow by placing pillows under the knees,
crossing legs, or sitting for long periods of time. When pillows are left under the
knees for an extended time, venous return could be compromised. A pillow under the
knees is not a recommended intervention for DVT prevention.
5. Incorrect: Do not assess Homan's sign, as it may dislodge a clot. Homan's sign is
not a preventative intervention. Assessing a Homan's sign is considered to be
controversial, and this test may contribute to the release or dislodgement of a clot.
Which action, if done by a new LPN/VN, needs to be interrupted by the
precepting LPN/VN?
1. Mixes diazepam and hydromorphone in one syringe.
2. Administers diazepam before meals.
3. Raises side rails after administering hydromorphone.
4. Instructs client to call for assistance getting out of bed after administration
of diazepam.
, Page 3 of 152
1. Correct: In this question, you are looking for the answer that is unsafe and should
not be done. Diazepam cannot be mixed with any other medication. The charge
nurse should intervene.
2. Incorrect: This is an appropriate action. Food in the stomach delays absorption of
diazepam, so it would need to be given before meals.
3. Incorrect: This would be an appropriate action. Hydromorphone is a narcotic and
can decrease level of consciousness (LOC) and increase the risk of falls, so the
nurse would be taking appropriate measures to ensure the client's safety.
4. Incorrect: This would be an appropriate action. Diazepam relaxes the muscles,
decreases LOC, and can increase the risk of falls.
A client with a history of congestive heart failure has an implantable
cardioverter defibrillator (ICD) surgically implanted. What teaching points
should the nurse reinforce with the client prior to discharge? (SATA)
1. Avoid hot baths and showers.
2. Increase intake of leafy green vegetable products.
3. Avoid magnets directly over the site.
4. Notify primary healthcare provider whenever a shock is delivered by the
ICD.
5. Driving is not recommended for 1 year after placement of an ICD.
3., & 4. Correct: Magnets can deactivate the defibrillator. Other transmitter devices
should also be avoided. Most arrhythmias need only one shock, but the healthcare
provider should be notified when a shock is delivered so that monitoring can
increase.
1. Incorrect: Hot baths or showers are not contraindicated with ICDs.
2. Incorrect: Increase of leafy green vegetable products would have no relation to the
ICD but should be avoided if the client is on warfarin.
, Page 4 of 152
5. Incorrect: The client cannot drive for 6 months after implantation of an ICD and
cannot drive for 6 months after any shock therapy from the ICD.
The nurse is caring for a client with hyperemesis gravidarum. What electrolyte
imbalance is most likely?
1. Hypocalcemia
2. Hypomagnesemia
3. Hyponatremia
4. Hypokalemia
4. Correct: Hyperemesis gravidarum is characterized by persistent, severe
pregnancy related nausea and vomiting. There is a large amount of potassium in the
upper GI tract. A client with prolonged vomiting will lose potassium in the emesis.
Additionally, the client is unable to replace the lost potassium due to the persistent
nausea and vomiting.
1. Incorrect: Hypocalcemia results from any condition that causes a decrease in the
production of parathyroid hormone (PTH). Hyperemesis gravidarum does not affect
PTH levels.
2. Incorrect: The lower GI tract has a lot of magnesium. Therefore, this client is at
risk for hypomagnesemia, but not more than hypokalemia. The client with
hyperemesis gravidarum is losing upper GI contents.
3. Incorrect: The client with hyperemesis gravidarum is at high risk for being
dehydrated. The electrolyte imbalance associated with dehydration is hypernatremia,
not hyponatremia. Remember, this client's blood will be concentrated, and
concentrated makes numbers go up (i.e. sodium, hematocrit, and specific gravity).
The nurse is preparing the sterile field to assist the primary healthcare
provider with a procedure. Which flap of the sterile pack should the nurse
open first?
1. Closest to the nurse.
2. To the left of the nurse.
