1|Page
Hurst NCLEX-RN review Exam ||Just Out!!!
The nurse is working with a committee at the local school to
develop an emergency preparedness plan for tornados. What
should be included in the plan? - 1. Identification of safe zones.
2. Methods for accounting for all people present in the
building.
3. Warning system activation.
4. Identification of the gymnasium as the routine safe place.
5. Regular practice protocols.
1,2,3,5-correct
A client has been admitted for exacerbation of ulcerative colitis
with severe dehydration. What is the best indicator that this
client has an actual fluid deficit? - 1. Stool count of 10 episodes
of diarrhea in 24 hours.
2. Weight increase of 2 kg and a 24 hour output of 1000 mL.
3. Admission weight of 74.3 kg and 2 days later a weight of 72
kg.
4. Daily intake of 2400 mL and an output of 1600 mL, plus
diarrheal stools.
,2|Page
3-correct
The nurse is caring for a client on the surgical unit. The primary
healthcare provider prescribed morphine sulfate 20 mg IM one
time dose. The nurse has available: morphine sulfate in a 20 mL
vial, labeled 15 mg per mL. How many mL should the nurse
administer? Record answer using one decimal place. - 1.3
A postoperative surgical client has a prescription for monitoring
of intake and output (I&O). The I&O sheet has been picked up
by the unlicensed assistive personnel (UAP) for the 7AM-3PM
shift.
Intake Output
IV fluid-1025 mL Urine - 1350 mL
PRBC-250 mL NG tube - 75 mL
Jackson Pratt - 22 mL - Output for the day - 1447
A home health nurse inspects the home of a client scheduled to
be discharged home after receiving care for a cerebrovascular
accident with generalized weakness.
,3|Page
What safety interventions should the nurse recommend based
on findings within the home? - 1. Place ramp over the front
steps.
2. Move client's bedroom downstairs.
3. Remove throw rugs.
4. Secure furniture so client can use for support.
5. Apply nonskid strips to shower stall.
1,2,3,5- correct
A female client taking captopril for hypertension tells the clinic
nurse that she is planning to get pregnant. What
recommendation should the nurse make? - 1. "Captopril can be
taken safely during pregnancy, but we will need to decrease
your dose so you do not become hypotensive."
2. "We will need to increase your dose of captopril once you
become pregnant."
3. "In order to prevent neural tube defects, start taking folic
acid."
4. "Captopril can cause serious harm to an unborn baby, so you
must prevent pregnancy while taking this medication. "
4-correct
, 4|Page
A 70 year old client was admitted to the vascular surgery unit
during the night shift with chronic hypertension. At 0830, the
unlicensed nursing assistant (UAP) reports that the client's BP is
198/94. What would be the best action for the charge nurse to
delegate at this time? - 1. Ask the UAP to put the client back in
bed immediately.
2. Tell the UAP to take the BP in the opposite arm in 15
minutes.
3. Have the LPN/LVN administer the 0900 furosemide and
enalapril now.
4. Ask the LPN/LVN to assess the client for pain.
3- correct
The nurse is planning care for a pediatric client reporting acute
pain with sickle cell crisis? What should the nurse identify as an
appropriate goal for this client? - 1. Client will report a pain
level of less than 2 on a Faces scale.
2. The nurse will administer prescribed pain meds around the
clock.
3. Client will only take breakthrough pain medication.
4. Client will use distraction instead of pain medication.
Hurst NCLEX-RN review Exam ||Just Out!!!
The nurse is working with a committee at the local school to
develop an emergency preparedness plan for tornados. What
should be included in the plan? - 1. Identification of safe zones.
2. Methods for accounting for all people present in the
building.
3. Warning system activation.
4. Identification of the gymnasium as the routine safe place.
5. Regular practice protocols.
1,2,3,5-correct
A client has been admitted for exacerbation of ulcerative colitis
with severe dehydration. What is the best indicator that this
client has an actual fluid deficit? - 1. Stool count of 10 episodes
of diarrhea in 24 hours.
2. Weight increase of 2 kg and a 24 hour output of 1000 mL.
3. Admission weight of 74.3 kg and 2 days later a weight of 72
kg.
4. Daily intake of 2400 mL and an output of 1600 mL, plus
diarrheal stools.
,2|Page
3-correct
The nurse is caring for a client on the surgical unit. The primary
healthcare provider prescribed morphine sulfate 20 mg IM one
time dose. The nurse has available: morphine sulfate in a 20 mL
vial, labeled 15 mg per mL. How many mL should the nurse
administer? Record answer using one decimal place. - 1.3
A postoperative surgical client has a prescription for monitoring
of intake and output (I&O). The I&O sheet has been picked up
by the unlicensed assistive personnel (UAP) for the 7AM-3PM
shift.
Intake Output
IV fluid-1025 mL Urine - 1350 mL
PRBC-250 mL NG tube - 75 mL
Jackson Pratt - 22 mL - Output for the day - 1447
A home health nurse inspects the home of a client scheduled to
be discharged home after receiving care for a cerebrovascular
accident with generalized weakness.
,3|Page
What safety interventions should the nurse recommend based
on findings within the home? - 1. Place ramp over the front
steps.
2. Move client's bedroom downstairs.
3. Remove throw rugs.
4. Secure furniture so client can use for support.
5. Apply nonskid strips to shower stall.
1,2,3,5- correct
A female client taking captopril for hypertension tells the clinic
nurse that she is planning to get pregnant. What
recommendation should the nurse make? - 1. "Captopril can be
taken safely during pregnancy, but we will need to decrease
your dose so you do not become hypotensive."
2. "We will need to increase your dose of captopril once you
become pregnant."
3. "In order to prevent neural tube defects, start taking folic
acid."
4. "Captopril can cause serious harm to an unborn baby, so you
must prevent pregnancy while taking this medication. "
4-correct
, 4|Page
A 70 year old client was admitted to the vascular surgery unit
during the night shift with chronic hypertension. At 0830, the
unlicensed nursing assistant (UAP) reports that the client's BP is
198/94. What would be the best action for the charge nurse to
delegate at this time? - 1. Ask the UAP to put the client back in
bed immediately.
2. Tell the UAP to take the BP in the opposite arm in 15
minutes.
3. Have the LPN/LVN administer the 0900 furosemide and
enalapril now.
4. Ask the LPN/LVN to assess the client for pain.
3- correct
The nurse is planning care for a pediatric client reporting acute
pain with sickle cell crisis? What should the nurse identify as an
appropriate goal for this client? - 1. Client will report a pain
level of less than 2 on a Faces scale.
2. The nurse will administer prescribed pain meds around the
clock.
3. Client will only take breakthrough pain medication.
4. Client will use distraction instead of pain medication.
