HURST REVIEW NCLEX RN READINESS
EXAM 4 MATERNAL NEWBORN AND
PEDIATRIC NURSING 2026 FULL SOLUTION
GUIDE
◉ A nurse is planning to provide an education class on
preconception health care to a group of young women wishing to
become pregnant. What points should the nurse include in this
class?
1. Attain a healthy weight.
2. Make sure immunizations are up to date.
3. Avoid drinking alcohol.
4. Learn family health history.
5. Maintain folic acid intake at 200 micrograms/day.
Answer: 1,2,3,4
◉ The nurse will be admitting a client from the operating room
following a left total pneumonectomy for adenocarcinoma. Which
type of chest drainage should the nurse anticipate that the client will
have?
,1. Bilateral chest tubes.
2. One chest tube on the operative side
3. Two chest tubes on the operative side
4. No chest drainage will be necessary.
Answer: 4
◉ The nurse is caring for a client with pneumococcal pneumonia.
Which nursing observations would indicate a therapeutic response
to the treatment regime for the infection?
1. Dyspnea on exersion with nonproductive cough
2. Tachypnea with use of accessory muscles
3. Expectorating moderate amounts of thin, white sputum
4. White blood cell count of 18,000 cells per mcL
5. Crackles clearing with cough
Answer: 3,5
◉ A client arrives in the emergency department with fever, nuchal
rigidity, and seizures. What action should the nurse take first?
1. Administer Penicillin IVPB.
2. Obtain blood cultures from two sites.
,3. Place on droplet precautions.
4. Set up for lumbar puncture.
Answer: 3
◉ The nurse is teaching the client about benzodiazepines. Which
comments by the client indicate adequate understanding of the drug
effects/side effects?
1. I should not drive my car until I see how the medication affects
me.
2. I can expect my reaction time to be slowed in the beginning.
3. I may need to double the dose if I continue to be anxious.
4. I must be careful to take the medication for a limited time.
5. There is a risk for dependence on this medication.
Answer: 1,2,4,5
◉ A client tells the nurse, "I am dying from cancer. I have told my
primary healthcare provider that I do not want to be revived if my
heart stops beating or I stop breathing." What action should the
nurse take first to assure that the client's request is respected?
1. Ensure a do-not-resuscitate prescription has been provided.
2. Report client wishes during the end-of-shift report.
, 3. Have the client sign an advanced directive.
4. Ask the client who holds the durable power of attorney for health
care decisions.
Answer: 1
◉ A home care nurse is preparing to perform venipuncture to draw
blood. As the nurse gathers supplies, the client begins to experience
palpitations, trembling, nausea, shortness of breath and a feeling of
losing control. What should be the nurse's first action?
1. Hug the client to provide support.
2. Take the client to the emergency department for sedation.
3. Decrease stimuli in the room.
4. Teach the client deep breathing exercises.
Answer: 3
◉ A nurse is planning to teach a group of men about their sildenafil
prescription. What information should the nurse include?
1. Notify primary healthcare provider if prescribed an alpha-
adrenergic blocker.
2. This medication protects against sexually transmitted diseases.
3. Sildenafil should be taken only once per day if needed.
EXAM 4 MATERNAL NEWBORN AND
PEDIATRIC NURSING 2026 FULL SOLUTION
GUIDE
◉ A nurse is planning to provide an education class on
preconception health care to a group of young women wishing to
become pregnant. What points should the nurse include in this
class?
1. Attain a healthy weight.
2. Make sure immunizations are up to date.
3. Avoid drinking alcohol.
4. Learn family health history.
5. Maintain folic acid intake at 200 micrograms/day.
Answer: 1,2,3,4
◉ The nurse will be admitting a client from the operating room
following a left total pneumonectomy for adenocarcinoma. Which
type of chest drainage should the nurse anticipate that the client will
have?
,1. Bilateral chest tubes.
2. One chest tube on the operative side
3. Two chest tubes on the operative side
4. No chest drainage will be necessary.
Answer: 4
◉ The nurse is caring for a client with pneumococcal pneumonia.
Which nursing observations would indicate a therapeutic response
to the treatment regime for the infection?
1. Dyspnea on exersion with nonproductive cough
2. Tachypnea with use of accessory muscles
3. Expectorating moderate amounts of thin, white sputum
4. White blood cell count of 18,000 cells per mcL
5. Crackles clearing with cough
Answer: 3,5
◉ A client arrives in the emergency department with fever, nuchal
rigidity, and seizures. What action should the nurse take first?
1. Administer Penicillin IVPB.
2. Obtain blood cultures from two sites.
,3. Place on droplet precautions.
4. Set up for lumbar puncture.
Answer: 3
◉ The nurse is teaching the client about benzodiazepines. Which
comments by the client indicate adequate understanding of the drug
effects/side effects?
1. I should not drive my car until I see how the medication affects
me.
2. I can expect my reaction time to be slowed in the beginning.
3. I may need to double the dose if I continue to be anxious.
4. I must be careful to take the medication for a limited time.
5. There is a risk for dependence on this medication.
Answer: 1,2,4,5
◉ A client tells the nurse, "I am dying from cancer. I have told my
primary healthcare provider that I do not want to be revived if my
heart stops beating or I stop breathing." What action should the
nurse take first to assure that the client's request is respected?
1. Ensure a do-not-resuscitate prescription has been provided.
2. Report client wishes during the end-of-shift report.
, 3. Have the client sign an advanced directive.
4. Ask the client who holds the durable power of attorney for health
care decisions.
Answer: 1
◉ A home care nurse is preparing to perform venipuncture to draw
blood. As the nurse gathers supplies, the client begins to experience
palpitations, trembling, nausea, shortness of breath and a feeling of
losing control. What should be the nurse's first action?
1. Hug the client to provide support.
2. Take the client to the emergency department for sedation.
3. Decrease stimuli in the room.
4. Teach the client deep breathing exercises.
Answer: 3
◉ A nurse is planning to teach a group of men about their sildenafil
prescription. What information should the nurse include?
1. Notify primary healthcare provider if prescribed an alpha-
adrenergic blocker.
2. This medication protects against sexually transmitted diseases.
3. Sildenafil should be taken only once per day if needed.
