HURST QUESTION BANK QUESTIONS AND ANSWERS | COMPLETE
HURST QUESTION BANK NCLEX STUDY GUIDE 2026/2027
Vaccination for Older Adults - ANS ✔✔Influenza
Single dose Herpes zoster for people >60 yr
TDaP: tetanus, diphtheria (bacterial infection), pertussis
Adults should get one dose of Tetanus and diphtheria (Td) every 10 years
If adults need protection against whopping cough, they can get TDAP anytime
Pneumococcal vaccine: all adults >65
OLDER ADULTS DO NOT NEED MMR
Dabigatran - ANS ✔✔Anticoagulant
Do not take with other anticoagulant bc it will increase bleeding risk
This medication decreases risk of stroke and embolism in clients with atrial fibrillation
Take this with food to decrease gastric effects (PPI and histamin2 blockers can decrease this as well)
Do NOT store this in weekly pill organizer. This is sensitive to moisture and should be kept in the
manufactoring box
Post Thyroidectomy Complications - ANS ✔✔Check for hypocalcemia bc they may have removed the
parathyroids when taking out the thyroid
Ballottement - ANS ✔✔examines the abdomen when ascites is present
Palpate the abdomen to detect excessive amounts of fluid
Apex hears which heart sound best? - ANS ✔✔S1 (first heart sound)
Can the nurse advise a client to put off surgery? - ANS ✔✔NO! This has to be discussed between patient
and HCP
Kernig's Sign - ANS ✔✔supine client that is unable to straighten the leg when it is fully flexed at knee and
hip
Pain and resistance= positive Kernig sign
Brudzinski's Sign - ANS ✔✔involuntary flexion of hip and knee when neck is passively flexed
,Meningitis S/S - ANS ✔✔Photophobia
Severe headache
Nichal rigidity
Positive Brudzinski sign
Positive Kernig sign
ET tube cuff assessment/checking - ANS ✔✔should be done by a RN, not a LPN
If the question doesn't confirm the diagnosis... - ANS ✔✔then you need to identify client's symptoms
first
For example: What is the first nursing action that should be taken in caring for a client with SYMPTOMS
of tb?
It doesn't say that the client has TB... it says the client has symptoms of TB
1 Year Old - ANS ✔✔Gets to a standing position without help
Can assist in getting dressed by putting out arm or leg
18 months - ANS ✔✔are able to say several single words
are able to pull toys while walking
Timolol - ANS ✔✔beta blocker
decreases aqueous humor production
Miotics - ANS ✔✔medications that cause pupillary constriction
Miosis: constriction of pupils
Alzheimer's - ANS ✔✔water heater should be set <120 degrees
limit size and number of mirrors at home --> this causes them confusion
make floors and walls different colors
Principles of Crisis Intervention - ANS ✔✔Be specific and use concise statements
Encourage expression of feelings
Offer a calm, controlled precense
, Allow sufficient time for individuals to process information
Let them know that others in similar situations have similar emotions
*Clarify distortions by getting person to look at situation realisitcally*
Empower person by allowing them to make informed choices
Assist person in confronting reality
Zolpidem - ANS ✔✔used for insomnia
Client may do things in sleep that they will not remember the next day (like sleep drive, make phone
calls, prepare food while asleep, have no memory of activity)
S/S
-daytime drowsiness
-dizziness
Signs of Anemia in Children - ANS ✔✔Paleness
Fatigue
Aphasia and Pain - ANS ✔✔Global aphasia is the inability to communicate at all
A stroke pt might not be able to explain and describe or accurately locate the pain
You cannot use face scales bc communication is impaired
You need to assess for nonverbal cues
Dilsulfiram - ANS ✔✔works by reacting with alcohol to produce negative side effects
these side effects can last up to 2 weeks after discontinuation of drug
client should not consume any alcohol (even in mouthwash and cough syrup)
not a cure for alcoholism
Dilsulfiram can increase side effects of caffeine so avoid chocolate and other caffeine containing
substances
Dementia - ANS ✔✔slow progressive deterioration of cognitive functioning
personality changes
difficulty paying attention
HURST QUESTION BANK NCLEX STUDY GUIDE 2026/2027
Vaccination for Older Adults - ANS ✔✔Influenza
Single dose Herpes zoster for people >60 yr
TDaP: tetanus, diphtheria (bacterial infection), pertussis
Adults should get one dose of Tetanus and diphtheria (Td) every 10 years
If adults need protection against whopping cough, they can get TDAP anytime
Pneumococcal vaccine: all adults >65
OLDER ADULTS DO NOT NEED MMR
Dabigatran - ANS ✔✔Anticoagulant
Do not take with other anticoagulant bc it will increase bleeding risk
This medication decreases risk of stroke and embolism in clients with atrial fibrillation
Take this with food to decrease gastric effects (PPI and histamin2 blockers can decrease this as well)
Do NOT store this in weekly pill organizer. This is sensitive to moisture and should be kept in the
manufactoring box
Post Thyroidectomy Complications - ANS ✔✔Check for hypocalcemia bc they may have removed the
parathyroids when taking out the thyroid
Ballottement - ANS ✔✔examines the abdomen when ascites is present
Palpate the abdomen to detect excessive amounts of fluid
Apex hears which heart sound best? - ANS ✔✔S1 (first heart sound)
Can the nurse advise a client to put off surgery? - ANS ✔✔NO! This has to be discussed between patient
and HCP
Kernig's Sign - ANS ✔✔supine client that is unable to straighten the leg when it is fully flexed at knee and
hip
Pain and resistance= positive Kernig sign
Brudzinski's Sign - ANS ✔✔involuntary flexion of hip and knee when neck is passively flexed
,Meningitis S/S - ANS ✔✔Photophobia
Severe headache
Nichal rigidity
Positive Brudzinski sign
Positive Kernig sign
ET tube cuff assessment/checking - ANS ✔✔should be done by a RN, not a LPN
If the question doesn't confirm the diagnosis... - ANS ✔✔then you need to identify client's symptoms
first
For example: What is the first nursing action that should be taken in caring for a client with SYMPTOMS
of tb?
It doesn't say that the client has TB... it says the client has symptoms of TB
1 Year Old - ANS ✔✔Gets to a standing position without help
Can assist in getting dressed by putting out arm or leg
18 months - ANS ✔✔are able to say several single words
are able to pull toys while walking
Timolol - ANS ✔✔beta blocker
decreases aqueous humor production
Miotics - ANS ✔✔medications that cause pupillary constriction
Miosis: constriction of pupils
Alzheimer's - ANS ✔✔water heater should be set <120 degrees
limit size and number of mirrors at home --> this causes them confusion
make floors and walls different colors
Principles of Crisis Intervention - ANS ✔✔Be specific and use concise statements
Encourage expression of feelings
Offer a calm, controlled precense
, Allow sufficient time for individuals to process information
Let them know that others in similar situations have similar emotions
*Clarify distortions by getting person to look at situation realisitcally*
Empower person by allowing them to make informed choices
Assist person in confronting reality
Zolpidem - ANS ✔✔used for insomnia
Client may do things in sleep that they will not remember the next day (like sleep drive, make phone
calls, prepare food while asleep, have no memory of activity)
S/S
-daytime drowsiness
-dizziness
Signs of Anemia in Children - ANS ✔✔Paleness
Fatigue
Aphasia and Pain - ANS ✔✔Global aphasia is the inability to communicate at all
A stroke pt might not be able to explain and describe or accurately locate the pain
You cannot use face scales bc communication is impaired
You need to assess for nonverbal cues
Dilsulfiram - ANS ✔✔works by reacting with alcohol to produce negative side effects
these side effects can last up to 2 weeks after discontinuation of drug
client should not consume any alcohol (even in mouthwash and cough syrup)
not a cure for alcoholism
Dilsulfiram can increase side effects of caffeine so avoid chocolate and other caffeine containing
substances
Dementia - ANS ✔✔slow progressive deterioration of cognitive functioning
personality changes
difficulty paying attention
