HURST REVIEW QUESTIONS AND ANSWERS | COMPLETE HURST NCLEX REVIEW
STUDY GUIDE 2026/2027
A low income family with children lives in an old, run-down apartment building situated close to a
salvage yard in a poor neighborhood. Which area of assessment would be most important for the home
health nurse?
1. Immunization status
2. School-related problems
3. Lead poisoning
4. Signs of child abuse - ✔✔Ans: 3. Lead Poisoning
Lead may be found in the soil around rusted cars and can cause lead exposure. Old paint contains lead.
Chips of paint may be consumed by young teething children. Old, run-down apartments may also have
pipes which contain lead. Exposure to and consuming even small amounts of lead can be harmful. No
safe lead level in children has been identified, and lead can affect nearly every system in the body.
Mental and physical development can be negatively impacted by lead in the body.
Which immunizations obtained by the age of two would indicate to the pediatric nurse that the child is
up-to-date on immunizations?
1. Diptheria-tetanus-pertussis (DTaP).
2. Inactivated polio (IPV).
3. Herpes zoster.
4. Meningococcal
5. Haemophilus influenza type B (Hib). - ✔✔Ans: 1., 2., & 5. Correct: By the age of two, the DTaP, IPV,
MMR, Hib, varicella, pneumococcal, and rotovirus vaccines should have been received. The nurse should
clarify this with the parent.
Two hours after a gastrectomy, a client has pink tinged drainage from the nasogastric (NG) tube, and the
tube appears occluded. What is the nurse's initial action at this time?
1. Call the primary healthcare provider.
2. Reposition the client.
3. Increase the suction level.
4. Irrigate the tube. - ✔✔Ans: 1. Correct: Do not tamper with fresh surgery tubes. Call the primary
healthcare provider for blood draining from the NG tube after gastrectomy.
A client with a history of command hallucinations was admitted to the hospital yesterday. What
questions are most important for the nurse to ask?
1. "Are you hearing voices today?"
2. "What are the voices saying?"
3. "How are you feeling today?"
4. "Did you have difficulty sleeping last night?"
, 5. "Are the voices telling you to harm yourself or anyone else?" - ✔✔Ans: 1., 2. & 5. Correct: The nurse
must assess for hallucinations. The nurse needs to know what the voices are saying to determine the
level of threat. The nurse needs to know if the command hallucination exists and whether it involves
harming self or others which must be reported. These answers are important to know, as the client has a
history of command hallucinations.
Which prescriptions would the nurse recognize as being appropriate for the client with shingles?
1. Private room
2. Negative pressure airflow
3. Respirator mask
4. Face Shield
5. Positive pressure room - ✔✔Ans: 1., 2. & 3. Correct: According to the current standards of Standard
Precautions per the CDC, the client with shingles should be placed on airborne precautions which
require the use of a private room with negative pressure airflow and a N-95 respirator mask.
A nurse is at highest risk for blood-borne exposure during which situation?
1. When removing a needle from the syringe.
2. While placing a suture needle into the self-locking foreceps.
3. Prior to inserting the intravenous (IV) line, the client moves causing a needle stick to the nurse.
4. A clean needle sticks the nurse through blood-soiled gloves. - ✔✔Ans: 4. Correct: A clean needle that
moves through blood-soiled gloves to stick the nurse is considered to be potentially contaminated and
results in a blood-borne exposure. All other answers are considered a clean stick.
A nurse from an adult unit was reassigned to the pediatric unit. Which client would be least appropriate
to assign to this nurse?
1. Ten year old with 2nd and 3rd degree burns.
2. Five year old that was in a MVA and has a femur fracture.
3. Six year old admitted for evaluation of possible sexual abuse by a parent
4. Two month old with bronchopulmonary dysplasia being admitted for reflux. - ✔✔Ans: 3. Correct: The
least appropriate client to assign the nurse from the adult unit would be the suspected sexual abuse.
Caring for an abused child requires skill that must be developed from understanding the dynamics of
abuse as well as working with a certain developmental level.
The nurse is working with a LPN/VN and an unlicensed assistive personnel (UAP). Which clients would be
appropriate for the nurse to assign to the LPN/VN?
1. In Bucks traction requiring frequent pain medication.
2. 24 hours post appendectomy.
3. Diagnosed with cholelithiasis and scheduled for surgery in the AM.
4. Admitted 6 hours ago in adrenal insufficiency.
5. Client newly diagnosed with Type 2 diabetes. - ✔✔Ans: 1., 2., & 3. Correct These clients are stable
and require predictable care that can be done appropriately by the LPN/VN.
STUDY GUIDE 2026/2027
A low income family with children lives in an old, run-down apartment building situated close to a
salvage yard in a poor neighborhood. Which area of assessment would be most important for the home
health nurse?
1. Immunization status
2. School-related problems
3. Lead poisoning
4. Signs of child abuse - ✔✔Ans: 3. Lead Poisoning
Lead may be found in the soil around rusted cars and can cause lead exposure. Old paint contains lead.
Chips of paint may be consumed by young teething children. Old, run-down apartments may also have
pipes which contain lead. Exposure to and consuming even small amounts of lead can be harmful. No
safe lead level in children has been identified, and lead can affect nearly every system in the body.
Mental and physical development can be negatively impacted by lead in the body.
Which immunizations obtained by the age of two would indicate to the pediatric nurse that the child is
up-to-date on immunizations?
1. Diptheria-tetanus-pertussis (DTaP).
2. Inactivated polio (IPV).
3. Herpes zoster.
4. Meningococcal
5. Haemophilus influenza type B (Hib). - ✔✔Ans: 1., 2., & 5. Correct: By the age of two, the DTaP, IPV,
MMR, Hib, varicella, pneumococcal, and rotovirus vaccines should have been received. The nurse should
clarify this with the parent.
Two hours after a gastrectomy, a client has pink tinged drainage from the nasogastric (NG) tube, and the
tube appears occluded. What is the nurse's initial action at this time?
1. Call the primary healthcare provider.
2. Reposition the client.
3. Increase the suction level.
4. Irrigate the tube. - ✔✔Ans: 1. Correct: Do not tamper with fresh surgery tubes. Call the primary
healthcare provider for blood draining from the NG tube after gastrectomy.
A client with a history of command hallucinations was admitted to the hospital yesterday. What
questions are most important for the nurse to ask?
1. "Are you hearing voices today?"
2. "What are the voices saying?"
3. "How are you feeling today?"
4. "Did you have difficulty sleeping last night?"
, 5. "Are the voices telling you to harm yourself or anyone else?" - ✔✔Ans: 1., 2. & 5. Correct: The nurse
must assess for hallucinations. The nurse needs to know what the voices are saying to determine the
level of threat. The nurse needs to know if the command hallucination exists and whether it involves
harming self or others which must be reported. These answers are important to know, as the client has a
history of command hallucinations.
Which prescriptions would the nurse recognize as being appropriate for the client with shingles?
1. Private room
2. Negative pressure airflow
3. Respirator mask
4. Face Shield
5. Positive pressure room - ✔✔Ans: 1., 2. & 3. Correct: According to the current standards of Standard
Precautions per the CDC, the client with shingles should be placed on airborne precautions which
require the use of a private room with negative pressure airflow and a N-95 respirator mask.
A nurse is at highest risk for blood-borne exposure during which situation?
1. When removing a needle from the syringe.
2. While placing a suture needle into the self-locking foreceps.
3. Prior to inserting the intravenous (IV) line, the client moves causing a needle stick to the nurse.
4. A clean needle sticks the nurse through blood-soiled gloves. - ✔✔Ans: 4. Correct: A clean needle that
moves through blood-soiled gloves to stick the nurse is considered to be potentially contaminated and
results in a blood-borne exposure. All other answers are considered a clean stick.
A nurse from an adult unit was reassigned to the pediatric unit. Which client would be least appropriate
to assign to this nurse?
1. Ten year old with 2nd and 3rd degree burns.
2. Five year old that was in a MVA and has a femur fracture.
3. Six year old admitted for evaluation of possible sexual abuse by a parent
4. Two month old with bronchopulmonary dysplasia being admitted for reflux. - ✔✔Ans: 3. Correct: The
least appropriate client to assign the nurse from the adult unit would be the suspected sexual abuse.
Caring for an abused child requires skill that must be developed from understanding the dynamics of
abuse as well as working with a certain developmental level.
The nurse is working with a LPN/VN and an unlicensed assistive personnel (UAP). Which clients would be
appropriate for the nurse to assign to the LPN/VN?
1. In Bucks traction requiring frequent pain medication.
2. 24 hours post appendectomy.
3. Diagnosed with cholelithiasis and scheduled for surgery in the AM.
4. Admitted 6 hours ago in adrenal insufficiency.
5. Client newly diagnosed with Type 2 diabetes. - ✔✔Ans: 1., 2., & 3. Correct These clients are stable
and require predictable care that can be done appropriately by the LPN/VN.
