HURST REVIEW QUESTIONS (6) AND ANSWERS | COMPLETE HURST REVIEW 6
NCLEX STUDY GUIDE 2026/2027
A nurse is caring for a client who has chest pain. Which statement made by the client leads the nurse to
suspect angina instead of a myocardial infarction (MI)?
1. I became dizzy when I stood up.
2. I was nauseated and began vomiting.
3. The pain started in my chest and stopped after I sat down.
4. The pain was not relieved after taking 3 nitroglycerine tablets. - correct answer ✔✔3. The pain started
in my chest and stopped after I sat down.
A client who has a history of major depression is in the emergency department. Which statement would
demonstrate a risk for suicide or self-directed injury?
1. "I can't do anything right anymore."
2. "I am not sure what to do anymore."
3. "I just cannot take this loneliness anymore."
4. "No one cares about me." - correct answer ✔✔3. "I just cannot take this loneliness anymore."
A newborn is admitted to the nursery with a diagnosis of rule out cytomegalovirus (CMV). Which of the
following RNs should not be assigned to this baby?
1. A nurse just back from maternity leave.
2. A nurse who is 10 weeks pregnant.
3. A nurse who is breastfeeding her 4 month old.
4. A nurse who is on hormone replacement therapy. - correct answer ✔✔2. A nurse who is 10 weeks
pregnant.
A nurse is caring for a client who has been prescribed prednisone. What education should the nurse
provide to the client?
Select all that apply
1. Avoid crossing legs.
2. Eat a low calcium diet.
3. Take prednisone with food.
4. Taper prednisone dose prior to completion.
5. Instruct the client to use arm rests when rising from a chair. - correct answer ✔✔1. Avoid crossing
legs.
3. Take prednisone with food.
4. Taper prednisone dose prior to completion.
5. Instruct the client to use arm rests when rising from a chair.
What signs/symptoms would the nurse expect to assess in a client diagnosed with Guillain-Barre'
Syndrome?
Select all that apply
1. Opisthotonos
2. Seizures
3. Paresthesia
,4. Hemiplegia
5. Hypotonia
6. Muscle aches - correct answer ✔✔3. Paresthesia
5. Hypotonia
6. Muscle aches
Which client would be appropriate for the RN to assign to the LPN?
Select all that apply
1. Client scheduled for an MRI of the kidneys.
2. Client requiring administration of antineoplastic medications.
3. Client one day post open cholecystectomy with moderate amount serous drainage on dressing.
4. Client post ileal conduit surgery this AM without drainage in the drainage bag.
5. Client diagnosed with osteoarthritis reporting frequent joint stiffness. - correct answer ✔✔1. Client
scheduled for an MRI of the kidneys.
3. Client one day post open cholecystectomy with moderate amount serous drainage on dressing.
5. Client diagnosed with osteoarthritis reporting frequent joint stiffness.
A client weighing 140 pounds (63.64 kg) has been admitted to the telemetry unit with a diagnosis of
Class III pulmonary hypertension. The primary healthcare provider prescribes digoxin. How many
micrograms should the nurse administer now? Round to the whole number. - correct answer ✔✔477
63.64 X 15 = 477.27
The nurse is caring for a client who has a history of sleep apnea. The client is scheduled for a colon
resection the following morning and asks if the sleep apnea machine should be brought to the hospital.
What is the nurse's best response?
1. Yes, bring the sleep apnea machine.
2. No, do not bring the sleep apnea machine.
3. It is your choice.
4. Call your primary healthcare provider. - correct answer ✔✔1. Yes, bring the sleep apnea machine.
The nurse is preparing to administer subcutaneous injection. Place an X over the correct syringe position
for this injection. - correct answer ✔✔45 Degree angle
A nurse is caring for a multipara client in active labor who received morphine 4 mg IVP for pain. Thirty
minutes later, the client had a precipitous delivery. What should the nurse prepare to administer to the
newborn?
1. Oxygen
2. Naloxone
3. Glucose
4. Vitamin K - correct answer ✔✔2. Naloxone
A client is to be discharged following cataract removal with lens implantation. What statement by the
client indicates to the nurse that teaching has been successful?
1. "I must keep both eyes covered till my check-up."
2. "I should only have pain for about two days."
3. "I will no longer have to wear reading glasses."
, 4. "My vision will be blurry for a couple weeks." - correct answer ✔✔4. "My vision will be blurry for a
couple weeks."
The crisis line nurse answers a call from a client who is voicing intent to commit suicide. The client tells
the nurse, "I am sitting here with a bottle of pain killers in my hand." What is the nurse's most
appropriate response?
Select all that apply
1. "I want to help you to resolve the problem."
2. "You should drive yourself to the emergency room."
3. "You did the right thing by calling."
4. "I want you to stay on the phone with me."
5. "Have another person call 911 for an ambulance." - correct answer ✔✔1. "I want to help you to
resolve the problem."
3. "You did the right thing by calling."
4. "I want you to stay on the phone with me."
5. "Have another person call 911 for an ambulance."
Following a large hurricane, multiple clients arrive at the emergency room for treatment. The charge
nurse must triage and assign clients to appropriate staff. Which clients could be assigned to an LPN?
Select all that apply
1. Child with superficial burns on both upper arms.
2. Adolescent with bruising to left upper quadrant.
3. Crying toddler missing both upper front teeth.
4. Adult reporting headache and blurred vision.
5. Elderly adult reporting nausea and heartburn. - correct answer ✔✔1. Child with superficial burns on
both upper arms.
3. Crying toddler missing both upper front teeth.
A client is being discharged with halo traction. What should the nurse teach about home care of this
traction?
Select all that apply
1. Showering is permitted.
2. Apply baby powder under the halo vest to prevent irritation.
3. Never pull on any part of the halo traction.
4. Clean around pins at least twice a day using sterile technique.
5. Driving is allowed after discharge. - correct answer ✔✔3. Never pull on any part of the halo traction.
4. Clean around pins at least twice a day using sterile technique.
Which food selections would need to be removed from the tray by the nurse for a client recovering from
thyroidectomy?
1. Roasted almonds
2. Mashed vegetables
3. Scrambled eggs
4. Ice cream - correct answer ✔✔1. Roasted almonds
The nurse is preparing to administer Sunday's 1600 medications to a client. How many mg of Warfarin
should the nurse administer? Answer using numbers only.
NCLEX STUDY GUIDE 2026/2027
A nurse is caring for a client who has chest pain. Which statement made by the client leads the nurse to
suspect angina instead of a myocardial infarction (MI)?
1. I became dizzy when I stood up.
2. I was nauseated and began vomiting.
3. The pain started in my chest and stopped after I sat down.
4. The pain was not relieved after taking 3 nitroglycerine tablets. - correct answer ✔✔3. The pain started
in my chest and stopped after I sat down.
A client who has a history of major depression is in the emergency department. Which statement would
demonstrate a risk for suicide or self-directed injury?
1. "I can't do anything right anymore."
2. "I am not sure what to do anymore."
3. "I just cannot take this loneliness anymore."
4. "No one cares about me." - correct answer ✔✔3. "I just cannot take this loneliness anymore."
A newborn is admitted to the nursery with a diagnosis of rule out cytomegalovirus (CMV). Which of the
following RNs should not be assigned to this baby?
1. A nurse just back from maternity leave.
2. A nurse who is 10 weeks pregnant.
3. A nurse who is breastfeeding her 4 month old.
4. A nurse who is on hormone replacement therapy. - correct answer ✔✔2. A nurse who is 10 weeks
pregnant.
A nurse is caring for a client who has been prescribed prednisone. What education should the nurse
provide to the client?
Select all that apply
1. Avoid crossing legs.
2. Eat a low calcium diet.
3. Take prednisone with food.
4. Taper prednisone dose prior to completion.
5. Instruct the client to use arm rests when rising from a chair. - correct answer ✔✔1. Avoid crossing
legs.
3. Take prednisone with food.
4. Taper prednisone dose prior to completion.
5. Instruct the client to use arm rests when rising from a chair.
What signs/symptoms would the nurse expect to assess in a client diagnosed with Guillain-Barre'
Syndrome?
Select all that apply
1. Opisthotonos
2. Seizures
3. Paresthesia
,4. Hemiplegia
5. Hypotonia
6. Muscle aches - correct answer ✔✔3. Paresthesia
5. Hypotonia
6. Muscle aches
Which client would be appropriate for the RN to assign to the LPN?
Select all that apply
1. Client scheduled for an MRI of the kidneys.
2. Client requiring administration of antineoplastic medications.
3. Client one day post open cholecystectomy with moderate amount serous drainage on dressing.
4. Client post ileal conduit surgery this AM without drainage in the drainage bag.
5. Client diagnosed with osteoarthritis reporting frequent joint stiffness. - correct answer ✔✔1. Client
scheduled for an MRI of the kidneys.
3. Client one day post open cholecystectomy with moderate amount serous drainage on dressing.
5. Client diagnosed with osteoarthritis reporting frequent joint stiffness.
A client weighing 140 pounds (63.64 kg) has been admitted to the telemetry unit with a diagnosis of
Class III pulmonary hypertension. The primary healthcare provider prescribes digoxin. How many
micrograms should the nurse administer now? Round to the whole number. - correct answer ✔✔477
63.64 X 15 = 477.27
The nurse is caring for a client who has a history of sleep apnea. The client is scheduled for a colon
resection the following morning and asks if the sleep apnea machine should be brought to the hospital.
What is the nurse's best response?
1. Yes, bring the sleep apnea machine.
2. No, do not bring the sleep apnea machine.
3. It is your choice.
4. Call your primary healthcare provider. - correct answer ✔✔1. Yes, bring the sleep apnea machine.
The nurse is preparing to administer subcutaneous injection. Place an X over the correct syringe position
for this injection. - correct answer ✔✔45 Degree angle
A nurse is caring for a multipara client in active labor who received morphine 4 mg IVP for pain. Thirty
minutes later, the client had a precipitous delivery. What should the nurse prepare to administer to the
newborn?
1. Oxygen
2. Naloxone
3. Glucose
4. Vitamin K - correct answer ✔✔2. Naloxone
A client is to be discharged following cataract removal with lens implantation. What statement by the
client indicates to the nurse that teaching has been successful?
1. "I must keep both eyes covered till my check-up."
2. "I should only have pain for about two days."
3. "I will no longer have to wear reading glasses."
, 4. "My vision will be blurry for a couple weeks." - correct answer ✔✔4. "My vision will be blurry for a
couple weeks."
The crisis line nurse answers a call from a client who is voicing intent to commit suicide. The client tells
the nurse, "I am sitting here with a bottle of pain killers in my hand." What is the nurse's most
appropriate response?
Select all that apply
1. "I want to help you to resolve the problem."
2. "You should drive yourself to the emergency room."
3. "You did the right thing by calling."
4. "I want you to stay on the phone with me."
5. "Have another person call 911 for an ambulance." - correct answer ✔✔1. "I want to help you to
resolve the problem."
3. "You did the right thing by calling."
4. "I want you to stay on the phone with me."
5. "Have another person call 911 for an ambulance."
Following a large hurricane, multiple clients arrive at the emergency room for treatment. The charge
nurse must triage and assign clients to appropriate staff. Which clients could be assigned to an LPN?
Select all that apply
1. Child with superficial burns on both upper arms.
2. Adolescent with bruising to left upper quadrant.
3. Crying toddler missing both upper front teeth.
4. Adult reporting headache and blurred vision.
5. Elderly adult reporting nausea and heartburn. - correct answer ✔✔1. Child with superficial burns on
both upper arms.
3. Crying toddler missing both upper front teeth.
A client is being discharged with halo traction. What should the nurse teach about home care of this
traction?
Select all that apply
1. Showering is permitted.
2. Apply baby powder under the halo vest to prevent irritation.
3. Never pull on any part of the halo traction.
4. Clean around pins at least twice a day using sterile technique.
5. Driving is allowed after discharge. - correct answer ✔✔3. Never pull on any part of the halo traction.
4. Clean around pins at least twice a day using sterile technique.
Which food selections would need to be removed from the tray by the nurse for a client recovering from
thyroidectomy?
1. Roasted almonds
2. Mashed vegetables
3. Scrambled eggs
4. Ice cream - correct answer ✔✔1. Roasted almonds
The nurse is preparing to administer Sunday's 1600 medications to a client. How many mg of Warfarin
should the nurse administer? Answer using numbers only.
