_________________________________________________________________________________________________________
_______________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))___________________________________________________________
HURST Readiness Exam (Practice) Questions with Complete Answers with Rationales.pdf!#()*_*$_!*$________________________
HURST Readiness Exam (Practice) Questions
with Complete Answers with Rationales
A 40 year old client reports a diminished ability to visually focus on close objects and has also noticed a
need for a well lit environment to enhance vision. To what would the nurse attribute these changes?
a. normal changes associated with aging
b. a cataract is forming
c. symptoms of a brain tumor
d. precipitated by diabetic retinopathy
a. normal changes associated with aging
Rationale: aging results in stiffening of the lens, thus lessening the ability to focus. The retina is less
sensitive to light, making accurate vision in low-light situations more difficult. Pupillary response
diminishes, affecting the ability to adjust to changing light levels
We have an expert-written solution to this problem!
The nurse is assessing pain after surgery in a 3 year old client with a known developmental delay. Which
pain scale should the nurse use to assess this client's pain level?
a. CRIES scale
b. numeric scale
c. FLACC scale
d. FACES scale
c. FLACC scale
_________________________________________________________________________________________________________
_______________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))___________________________________________________________
HURST Readiness Exam (Practice) Questions with Complete Answers with Rationales.pdf!#()*_*$_!*$________________________
,_________________________________________________________________________________________________________
_______________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))___________________________________________________________
HURST Readiness Exam (Practice) Questions with Complete Answers with Rationales.pdf!#()*_*$_!*$________________________
Rationale: The FLACC scale can be used for pediatric clients from age 2 months to 7 years and is
appropriate when clients cannot communicate their pain
We have an expert-written solution to this problem!
A client recently diagnosed with diabetes is sent home with a prescription for subcutaneous insulin.
What statement made by the client indicates that teaching has been effective regarding safe needle
disposal?
a. "I should wrap the needle in a paper towel and place in the trash."
b. "I should use a hospital issued biohazard container for all needles."
c. "I may use any hard plastic container with a screw-on cap."
d. "I should take my needles to the nearest hospital for disposal."
c. "I may use any hard plastic container with a screw-on cap."
Rationale: At home, an FDA approved sharps container is not needed, however, needles, syringes, and
sharps may be disposed of in a hard plastic container. Clients should follow their community guidelines
for sharps container disposal. This protects the sanitation engineers from injury by the sharps.
The primary healthcare provider suspects the client has tuberculosis (TB) and prescribes a Mantoux test.
What precautions should the nurse take when administering the Mantoux test?
a. don sterile gloves
b. place the client on reverse isolation
c. wear a particulate respirator
d. obtain a consent form
e. initiate airborne precautions
c. wear a particulate respirator
e. initiate airborne precautions
_________________________________________________________________________________________________________
_______________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))___________________________________________________________
HURST Readiness Exam (Practice) Questions with Complete Answers with Rationales.pdf!#()*_*$_!*$________________________
,_________________________________________________________________________________________________________
_______________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))___________________________________________________________
HURST Readiness Exam (Practice) Questions with Complete Answers with Rationales.pdf!#()*_*$_!*$________________________
Rationale: A disposable particulate respirator that fits snugly around the face is needed. The client needs
to be on acid-fast bacilli (AFB) isolation precautions, not reverse isolation. Airborne precautions include
a private room with negative pressure and a minimum of 6 air exchanges per hour. Ultraviolet lamps
and high efficiency particulate air filters are also needed.
A hysterical college student arrives in the emergency department in bloody soiled clothing. The nursing
assessment reveals facial bruising and multiple contusions consistent with the client's report of being
raped. Which initial nursing intervention takes priority at this time?
a. notify police of the alleged rape
b. allow the client privacy to wash self
c. remove clothing and bag for evidence
d. encourage client to express fears and anxiety
d. encourage client to express fears and anxiety
Rationale: Although there are specific protocols that must be followed when dealing with rape clients, it
is important to remember that this client had all control taken away during the attack. The emotional
effects of rape are as traumatizing as the physical injuries. Allowing the client to first express emotions,
such as fear or anxiety, returns a small amount of control to a situation in which the client has little or
none.
We have an expert-written solution to this problem!
The nurse is caring for an adolescent client diagnosed with depression. The client is prescribed
fluoxetine. What is the best response by the nurse when the client says, "What will this medicine do to
me?"
a. it will increase the level of serotonin in the brain
b. it will decrease the production of noradrenaline
c. it will lower your level of the brain hormone norepinephrine
d. it will balance blood glucose and dopamine levels in your head
a. it will increase the level of serotonin in the brain
_________________________________________________________________________________________________________
_______________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))___________________________________________________________
HURST Readiness Exam (Practice) Questions with Complete Answers with Rationales.pdf!#()*_*$_!*$________________________
,_________________________________________________________________________________________________________
_______________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))___________________________________________________________
HURST Readiness Exam (Practice) Questions with Complete Answers with Rationales.pdf!#()*_*$_!*$________________________
Rationale: The action of fluoxetine is to increase the level of serotonin in the central nervous system.
There is a correlation between a low level of serotonin and depression. The action of the drug should be
explained to the adolescent in a manner that will be understood.
A new mother brings her infant to the clinic for a well-baby checkup. While at the clinic, the mother asks
the nurse if there are any reasons why her infant should not have the MMR vaccine. The nurse's
response is based on evidence that the MMR vaccine is contraindicated under which condition?
a. a known allergy to gelatin
b. a family history of autism
c. in infants with diarrhea
d. a known allergy to sulfonamides
a. a known allergy to gelatin
Rationale: The MMR vaccine is grown using chicken embryos and manufactured with the use of gelatin.
Known allergies to gelatin would be a contraindication for administration.
A client, post laparoscopic cholecystectomy, develops pain in their right shoulder. Vital signs, laboratory
studies, and an electrocardiogram are within normal limits. What does the nurse recognize as a
contributing cause of the pain?
a. surgical cannulation of the bile duct is causing spasm and pain
b. carbon dioxide used intraperitoneally is irritating the phrenic nerve
c. large abdominal retractors used in the procedure compressed a nerve
d. side lying position in the operating room generated pressure damage
b. carbon dioxide used intraperitoneally is irritating the phrenic nerve
_________________________________________________________________________________________________________
_______________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))___________________________________________________________
HURST Readiness Exam (Practice) Questions with Complete Answers with Rationales.pdf!#()*_*$_!*$________________________
_______________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))___________________________________________________________
HURST Readiness Exam (Practice) Questions with Complete Answers with Rationales.pdf!#()*_*$_!*$________________________
HURST Readiness Exam (Practice) Questions
with Complete Answers with Rationales
A 40 year old client reports a diminished ability to visually focus on close objects and has also noticed a
need for a well lit environment to enhance vision. To what would the nurse attribute these changes?
a. normal changes associated with aging
b. a cataract is forming
c. symptoms of a brain tumor
d. precipitated by diabetic retinopathy
a. normal changes associated with aging
Rationale: aging results in stiffening of the lens, thus lessening the ability to focus. The retina is less
sensitive to light, making accurate vision in low-light situations more difficult. Pupillary response
diminishes, affecting the ability to adjust to changing light levels
We have an expert-written solution to this problem!
The nurse is assessing pain after surgery in a 3 year old client with a known developmental delay. Which
pain scale should the nurse use to assess this client's pain level?
a. CRIES scale
b. numeric scale
c. FLACC scale
d. FACES scale
c. FLACC scale
_________________________________________________________________________________________________________
_______________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))___________________________________________________________
HURST Readiness Exam (Practice) Questions with Complete Answers with Rationales.pdf!#()*_*$_!*$________________________
,_________________________________________________________________________________________________________
_______________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))___________________________________________________________
HURST Readiness Exam (Practice) Questions with Complete Answers with Rationales.pdf!#()*_*$_!*$________________________
Rationale: The FLACC scale can be used for pediatric clients from age 2 months to 7 years and is
appropriate when clients cannot communicate their pain
We have an expert-written solution to this problem!
A client recently diagnosed with diabetes is sent home with a prescription for subcutaneous insulin.
What statement made by the client indicates that teaching has been effective regarding safe needle
disposal?
a. "I should wrap the needle in a paper towel and place in the trash."
b. "I should use a hospital issued biohazard container for all needles."
c. "I may use any hard plastic container with a screw-on cap."
d. "I should take my needles to the nearest hospital for disposal."
c. "I may use any hard plastic container with a screw-on cap."
Rationale: At home, an FDA approved sharps container is not needed, however, needles, syringes, and
sharps may be disposed of in a hard plastic container. Clients should follow their community guidelines
for sharps container disposal. This protects the sanitation engineers from injury by the sharps.
The primary healthcare provider suspects the client has tuberculosis (TB) and prescribes a Mantoux test.
What precautions should the nurse take when administering the Mantoux test?
a. don sterile gloves
b. place the client on reverse isolation
c. wear a particulate respirator
d. obtain a consent form
e. initiate airborne precautions
c. wear a particulate respirator
e. initiate airborne precautions
_________________________________________________________________________________________________________
_______________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))___________________________________________________________
HURST Readiness Exam (Practice) Questions with Complete Answers with Rationales.pdf!#()*_*$_!*$________________________
,_________________________________________________________________________________________________________
_______________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))___________________________________________________________
HURST Readiness Exam (Practice) Questions with Complete Answers with Rationales.pdf!#()*_*$_!*$________________________
Rationale: A disposable particulate respirator that fits snugly around the face is needed. The client needs
to be on acid-fast bacilli (AFB) isolation precautions, not reverse isolation. Airborne precautions include
a private room with negative pressure and a minimum of 6 air exchanges per hour. Ultraviolet lamps
and high efficiency particulate air filters are also needed.
A hysterical college student arrives in the emergency department in bloody soiled clothing. The nursing
assessment reveals facial bruising and multiple contusions consistent with the client's report of being
raped. Which initial nursing intervention takes priority at this time?
a. notify police of the alleged rape
b. allow the client privacy to wash self
c. remove clothing and bag for evidence
d. encourage client to express fears and anxiety
d. encourage client to express fears and anxiety
Rationale: Although there are specific protocols that must be followed when dealing with rape clients, it
is important to remember that this client had all control taken away during the attack. The emotional
effects of rape are as traumatizing as the physical injuries. Allowing the client to first express emotions,
such as fear or anxiety, returns a small amount of control to a situation in which the client has little or
none.
We have an expert-written solution to this problem!
The nurse is caring for an adolescent client diagnosed with depression. The client is prescribed
fluoxetine. What is the best response by the nurse when the client says, "What will this medicine do to
me?"
a. it will increase the level of serotonin in the brain
b. it will decrease the production of noradrenaline
c. it will lower your level of the brain hormone norepinephrine
d. it will balance blood glucose and dopamine levels in your head
a. it will increase the level of serotonin in the brain
_________________________________________________________________________________________________________
_______________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))___________________________________________________________
HURST Readiness Exam (Practice) Questions with Complete Answers with Rationales.pdf!#()*_*$_!*$________________________
,_________________________________________________________________________________________________________
_______________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))___________________________________________________________
HURST Readiness Exam (Practice) Questions with Complete Answers with Rationales.pdf!#()*_*$_!*$________________________
Rationale: The action of fluoxetine is to increase the level of serotonin in the central nervous system.
There is a correlation between a low level of serotonin and depression. The action of the drug should be
explained to the adolescent in a manner that will be understood.
A new mother brings her infant to the clinic for a well-baby checkup. While at the clinic, the mother asks
the nurse if there are any reasons why her infant should not have the MMR vaccine. The nurse's
response is based on evidence that the MMR vaccine is contraindicated under which condition?
a. a known allergy to gelatin
b. a family history of autism
c. in infants with diarrhea
d. a known allergy to sulfonamides
a. a known allergy to gelatin
Rationale: The MMR vaccine is grown using chicken embryos and manufactured with the use of gelatin.
Known allergies to gelatin would be a contraindication for administration.
A client, post laparoscopic cholecystectomy, develops pain in their right shoulder. Vital signs, laboratory
studies, and an electrocardiogram are within normal limits. What does the nurse recognize as a
contributing cause of the pain?
a. surgical cannulation of the bile duct is causing spasm and pain
b. carbon dioxide used intraperitoneally is irritating the phrenic nerve
c. large abdominal retractors used in the procedure compressed a nerve
d. side lying position in the operating room generated pressure damage
b. carbon dioxide used intraperitoneally is irritating the phrenic nerve
_________________________________________________________________________________________________________
_______________)(&)$*&!)($)(*&&*^(&(#()))))))))))))))))))))))))))))))___________________________________________________________
HURST Readiness Exam (Practice) Questions with Complete Answers with Rationales.pdf!#()*_*$_!*$________________________
