Hurst Readiness Exam 1 Questions With
Correct Answers
The |nurse |is |teaching |a |group |of |pregnant |women |about |hormonal |changes |during |pregnancy.
|The |nurse |recognizes |that |teaching |was |successful |when |the |women |identify |which |hormone |
as |causing |amenorrhea? |
1. |Progesterone |2. |Estrogen |3. |Follicle-stimulating |hormone |(FSH) |4. |Human |chorionic |
gonadotropin |(hCG) |- |CORRECT |ANSWER✔✔-Rationale
1. |Correct: |Progesterone |causes |amenorrhea. |2. |Incorrect: |Estrogen |renders |the |female |genital
|tract |suitable |for |fertilization. |3. |Incorrect: |This |stimulates |the |growth |of |the |graafian |follicle |in
|the |ovary. |4. |Incorrect: |This |is |the |hormone |present |in |urine |for |pregnancy |test
The |client |is |admitted |to |the |hospital |following |a |motor |vehicle |accident |and |has |sustained |a |
closed |chest |wound. |The |nurse |notes |paradoxical |chest |wall |movement. |Which |problem |does |
the |nurse |suspect?
1. |Mediastinal |shift |2. |Tension |pneumothorax |3. |Flail |chest |4. |Pulmonary |contusion |- |CORRECT |
ANSWER✔✔-Rationale
3. |Correct: |Hallmark |of |flail |chest |is |paradoxical |chest |wall |movement. |This |is |often |described |
as |a |see-saw |effect |when |observing |the |rise |and |fall |of |the |chest. |1. |Incorrect: |A |closed |or |
open |tension |pneumothorax |results |from |the |lung |collapsing |and |air |entering |into |the |pleural |
cavity. |This |results |in |pressure |shifting |toward |the |unaffected |pleural |cavity. |2. |Incorrect: |
Tension |pneumothorax |occurs |when |there |is |an |accumulation |of |air |in |the |pleural |cavity. |The |
client |may |exhibit |dyspnea, |tachycardia, |or |hypotension. |4. |Incorrect: |A |pulmonary |contusion |
usually |results |from |blunt |trauma. |Bruising |of |lung |would |be |demonstrated |by |pain |but |not |
paradoxical |chest |wall |movement.
,Which |client |can |a |nurse |manager |safely |transfer |from |the |telemetry |unit |to |the |obstetrical |
unit |in |order |to |receive |a |new |admit?
1. |Client |admitted |with |possible |tuberculosis |(TB) |awaiting |skin |test |results. |2. |Client |
diagnosed |with |seizure |disorder. |3. |Client |with |a |new |pacemaker |scheduled |to |be |discharged |
in |the |morning. |4. |Client |with |a |history |of |mild |heart |failure |prescribed |one |unit |of |packed |red
|blood |cells |for |anemia. |- |CORRECT |ANSWER✔✔-Rationale
2. |Correct: |OB |nurses |would |have |the |appropriate |knowledge |needed |to |care |for |a |client |with |
a |seizure |disorders, |because |they |care |for |clients |who |have |eclampsia |(seizures). |1. |Incorrect: |
This |client |might |have |tuberculosis |(TB) |and |is |not |a |good |choice |to |move |to |the |OB |floor, |
because |of |the |risk |for |transmission |of |an |infectious |disease. |3. |Incorrect: |This |client |is |not |the
|best |one |to |be |transferred |to |the |OB |floor, |because |these |nurses |do |not |routinely |care |for |
clients |with |a |new |pacemaker. |The |client |is |also |likely |to |remain |on |a |cardiac |monitor |until |
discharge. |4. |Incorrect: |This |client |is |at |risk |for |fluid |volume |overload |since |there |is |a |history |of
|heart |failure |and |would |require |close |monitoring |while |receiving |a |blood |transfusion.
The |nurse |is |teaching |a |group |of |clients |who |have |reduced |peripheral |circulation |how |to |care |
for |their |feet. |What |points |should |the |nurse |include?
1. |Check |shoes |for |rough |spots |in |the |lining. |2. |File |toenails |straight |across. |3. |Cover |feet |and |
between |toes |with |creams |to |moisten |the |skin. |4. |Break |in |new |shoes |gradually. |5. |Use |
pumice |stones |to |treat |calluses. |- |CORRECT |ANSWER✔✔-Rationale
1., |2., |& |4. |Correct: |Rubbing |from |rough |spots |in |the |shoe |can |lead |to |corns |or |calluses. |File |
the |toenails |rather |than |cutting |to |avoid |skin |injury. |File |nails |straight |across |the |ends |of |the |
toes. |If |the |nails |are |too |thick |or |misshapen |to |file, |consult |podiatrist. |Break |in |new |shoes |
gradually |by |increasing |the |wearing |time |30-60 |minutes |each |day. |3. |Incorrect: |Cover |the |feet,
|except |between |the |toes, |with |creams |or |lotions |to |moisten |the |skin. |Lotion |will |also |soften |
calluses. |A |lotion |that |reduces |dryness |effectively |is |a |mixture |of |lanolin |and |mineral |oil. |5. |
Incorrect: |Avoid |self-treatment |of |corns |or |calluses. |Pumice |stones |and |some |callus |and |corn |
applications |are |injurious |to |the |skin. |Do |not |cut |calluses |or |corns. |Consult |a |podiatrist |or |
primary |healthcare |provider |first.
,When |caring |for |young |adult |clients, |which |developmental |tasks |would |the |nurse |expect |to |
see?
1. |Satisfying |and |supporting |the |next |generation. |2. |Reflecting |on |life |accomplishments. |3. |
Developing |meaningful |and |intimate |relationships. |4. |Giving |and |sharing |with |an |individual |
without |asking |what |will |be |given |or |shared |in |return. |5. |Developing |sense |of |fulfillment |by |
volunteering |in |the |community. |- |CORRECT |ANSWER✔✔-Rationale
3. |& |4. |Correct: |In |young |adulthood, |the |developmental |tasks |involve |intimacy |versus |
isolation. |Intimacy |relates |more |to |sharing |than |to |sex. |Intimacy |produces |feelings |of |safety, |
closeness, |and |trust. |1. |Incorrect: |Parenting |is |a |primary |task |of |middle |adulthood. |This |is |the |
middle |adulthood |stage |of |Generativity |versus |Stagnation, |where |each |adult |must |find |some |
way |to |satisfy |and |support |the |next |generation. |2. |Incorrect: |During |late |adulthood, |there |is |
refection |on |life |accomplishments. |This |is |the |maturity |stage |of |Ego |Integrity |versus |Despair, |
where |there |is |a |reflection |of |one's |life. |5. |Incorrect: |During |middle |age, |a |sense |of |fulfillment |
can |be |found |by |volunteering |in |the |community. |This |is |part |of |middle |age, |where |the |adult |is |
finding |ways |to |support |others.
What |symptoms |does |the |nurse |expect |to |see |in |a |client |with |bulimia |nervosa?
1. |Amenorrhea |2. |Feelings |of |self-worth |unduly |influenced |by |weight |3. |Recurrent |episodes |of |
binge |eating |4. |Recurrent |inappropriate |compensatory |behavior |to |prevent |weight |gain |5. |Lack
|of |exercise |- |CORRECT |ANSWER✔✔-Rationale
2., |3. |& |4. |Correct: |Diagnostic |criteria |for |bulimia |nervosa |are |recurrent |episodes |of |binge |
eating: |recurrent |inappropriate |compensatory |behavior |to |prevent |weight |gain |such |as |
laxative, |diuretic, |or |enema |use, |induced |vomiting, |fasting, |and |excessive |exercise; |and |feeling |
of |self-worth |unduly |influenced |by |weight. |Amenorrhea |is |found |in |anorexia |nervosa. |1. |
Incorrect: |Amenorrhea |is |found |in |anorexia |nervosa. |5. |Incorrect: |Excessive |exercise |is |found |in
|bulimia |nervosa |as |a |means |to |compensate |for |the |binge |eating.
A |client |who |has |had |a |laparoscopic |cholecystectomy |develops |pain |in |the |left |shoulder. |Vital |
signs, |laboratory |studies, |and |an |electrocardiogram |are |within |normal |limits. |What |does |the |
nurse |recognize |as |a |contributing |cause |of |the |pain?
, 1. |Surgical |cannulation |of |the |bile |duct |is |causing |spasm |and |pain. |2. |Carbon |dioxide |used |
intraperitoneally |is |irritating |the |phrenic |nerve. |3. |Large |abdominal |retractors |used |in |the |
procedure |compressed |a |nerve. |4. |Side |lying |position |in |the |operating |room |generated |
pressure |damage. |- |CORRECT |ANSWER✔✔-Rationale
2. |Correct: |Phrenic |nerve |irritation |can |result |in |referred |pain |to |the |left |shoulder. |Carbon |
dioxide |(CO2) |is |used |to |inflate |the |abdominal/chest |wall |during |the |procedure |for |better |
visualization |of |the |internal |organs. |If |the |CO2 |irritates |the |phrenic |nerve, |it |radiates |to |the |
shoulder. |1. |Incorrect: |Surgical |cannulation |of |the |bile |duct |is |not |performed |during |a |
laparoscopic |cholecystectomy. |3. |Incorrect: |Large |abdominal |retractors |are |not |used |during |
this |procedure. |This |is |done |via |a |small |incision |to |accommodate |a |scope. |4. |Incorrect: |The |
client |is |turned |in |several |directions |during |the |procedure |to |prevent |damage |to |the |
abdominal |viscera.
A |client |is |admitted |to |the |medical |unit |with |an |acute |onset |of |fever, |chills |and |RUQ |pain. |Vital
|signs |are: |T |99.8°F |(37.7°C), |P |132, |RR |34, |B/P |142/82. |ABG |results |are: |pH-7.53, |PaCO2 |30, |
HCO3 |22. |The |nurse |determines |that |this |client |is |in |what |acid/base |imbalance?
1. |Respiratory |acidosis |2. |Respiratory |alkalosis |3. |Metabolic |acidosis |4. |Metabolic |alkalosis |- |
CORRECT |ANSWER✔✔-Rationale
2. |Correct: |This |client |has |a |severe |infection. |Hyperventilation |due |to |anxiety, |pain, |shock, |
severe |infection, |fever, |and |liver |failure |can |lead |to |respiratory |alkalosis. |pH |> |7.45, |PCO2 |< |35,
|HCO3 |normal. |1. |Incorrect: |Not |acidosis |with |hyperventilation |and |pH |of |7.53. |3. |Incorrect: |
Not |a |metabolic |related |acid/base |imbalance |since |the |HCO3 |is |in |normal |range |and |is |not |
acidosis. |4. |Incorrect: |Not |a |metabolic |related |acid/base |imbalance |since |the |HCO3 |is |in |
normal |range.
An |unlicensed |assistive |personnel |(UAP) |has |explained |how |to |prevent |the |spread |of |infection |
to |the |charge |nurse. |Which |statement |by |the |UAP |indicates |that |further |teaching |is |needed? |
1. |"Soap |and |water |should |be |used |for |hand |washing |when |our |hands |are |visibly |soiled." |2.
|"Gloves |do |not |have |to |be |worn |when |taking |a |client's |vital |signs |or |passing |out |meal |trays." |
3. |"Standard |precautions |should |be |used |on |all |clients." |4. |"When |caring |for |a |client |who |has |
Correct Answers
The |nurse |is |teaching |a |group |of |pregnant |women |about |hormonal |changes |during |pregnancy.
|The |nurse |recognizes |that |teaching |was |successful |when |the |women |identify |which |hormone |
as |causing |amenorrhea? |
1. |Progesterone |2. |Estrogen |3. |Follicle-stimulating |hormone |(FSH) |4. |Human |chorionic |
gonadotropin |(hCG) |- |CORRECT |ANSWER✔✔-Rationale
1. |Correct: |Progesterone |causes |amenorrhea. |2. |Incorrect: |Estrogen |renders |the |female |genital
|tract |suitable |for |fertilization. |3. |Incorrect: |This |stimulates |the |growth |of |the |graafian |follicle |in
|the |ovary. |4. |Incorrect: |This |is |the |hormone |present |in |urine |for |pregnancy |test
The |client |is |admitted |to |the |hospital |following |a |motor |vehicle |accident |and |has |sustained |a |
closed |chest |wound. |The |nurse |notes |paradoxical |chest |wall |movement. |Which |problem |does |
the |nurse |suspect?
1. |Mediastinal |shift |2. |Tension |pneumothorax |3. |Flail |chest |4. |Pulmonary |contusion |- |CORRECT |
ANSWER✔✔-Rationale
3. |Correct: |Hallmark |of |flail |chest |is |paradoxical |chest |wall |movement. |This |is |often |described |
as |a |see-saw |effect |when |observing |the |rise |and |fall |of |the |chest. |1. |Incorrect: |A |closed |or |
open |tension |pneumothorax |results |from |the |lung |collapsing |and |air |entering |into |the |pleural |
cavity. |This |results |in |pressure |shifting |toward |the |unaffected |pleural |cavity. |2. |Incorrect: |
Tension |pneumothorax |occurs |when |there |is |an |accumulation |of |air |in |the |pleural |cavity. |The |
client |may |exhibit |dyspnea, |tachycardia, |or |hypotension. |4. |Incorrect: |A |pulmonary |contusion |
usually |results |from |blunt |trauma. |Bruising |of |lung |would |be |demonstrated |by |pain |but |not |
paradoxical |chest |wall |movement.
,Which |client |can |a |nurse |manager |safely |transfer |from |the |telemetry |unit |to |the |obstetrical |
unit |in |order |to |receive |a |new |admit?
1. |Client |admitted |with |possible |tuberculosis |(TB) |awaiting |skin |test |results. |2. |Client |
diagnosed |with |seizure |disorder. |3. |Client |with |a |new |pacemaker |scheduled |to |be |discharged |
in |the |morning. |4. |Client |with |a |history |of |mild |heart |failure |prescribed |one |unit |of |packed |red
|blood |cells |for |anemia. |- |CORRECT |ANSWER✔✔-Rationale
2. |Correct: |OB |nurses |would |have |the |appropriate |knowledge |needed |to |care |for |a |client |with |
a |seizure |disorders, |because |they |care |for |clients |who |have |eclampsia |(seizures). |1. |Incorrect: |
This |client |might |have |tuberculosis |(TB) |and |is |not |a |good |choice |to |move |to |the |OB |floor, |
because |of |the |risk |for |transmission |of |an |infectious |disease. |3. |Incorrect: |This |client |is |not |the
|best |one |to |be |transferred |to |the |OB |floor, |because |these |nurses |do |not |routinely |care |for |
clients |with |a |new |pacemaker. |The |client |is |also |likely |to |remain |on |a |cardiac |monitor |until |
discharge. |4. |Incorrect: |This |client |is |at |risk |for |fluid |volume |overload |since |there |is |a |history |of
|heart |failure |and |would |require |close |monitoring |while |receiving |a |blood |transfusion.
The |nurse |is |teaching |a |group |of |clients |who |have |reduced |peripheral |circulation |how |to |care |
for |their |feet. |What |points |should |the |nurse |include?
1. |Check |shoes |for |rough |spots |in |the |lining. |2. |File |toenails |straight |across. |3. |Cover |feet |and |
between |toes |with |creams |to |moisten |the |skin. |4. |Break |in |new |shoes |gradually. |5. |Use |
pumice |stones |to |treat |calluses. |- |CORRECT |ANSWER✔✔-Rationale
1., |2., |& |4. |Correct: |Rubbing |from |rough |spots |in |the |shoe |can |lead |to |corns |or |calluses. |File |
the |toenails |rather |than |cutting |to |avoid |skin |injury. |File |nails |straight |across |the |ends |of |the |
toes. |If |the |nails |are |too |thick |or |misshapen |to |file, |consult |podiatrist. |Break |in |new |shoes |
gradually |by |increasing |the |wearing |time |30-60 |minutes |each |day. |3. |Incorrect: |Cover |the |feet,
|except |between |the |toes, |with |creams |or |lotions |to |moisten |the |skin. |Lotion |will |also |soften |
calluses. |A |lotion |that |reduces |dryness |effectively |is |a |mixture |of |lanolin |and |mineral |oil. |5. |
Incorrect: |Avoid |self-treatment |of |corns |or |calluses. |Pumice |stones |and |some |callus |and |corn |
applications |are |injurious |to |the |skin. |Do |not |cut |calluses |or |corns. |Consult |a |podiatrist |or |
primary |healthcare |provider |first.
,When |caring |for |young |adult |clients, |which |developmental |tasks |would |the |nurse |expect |to |
see?
1. |Satisfying |and |supporting |the |next |generation. |2. |Reflecting |on |life |accomplishments. |3. |
Developing |meaningful |and |intimate |relationships. |4. |Giving |and |sharing |with |an |individual |
without |asking |what |will |be |given |or |shared |in |return. |5. |Developing |sense |of |fulfillment |by |
volunteering |in |the |community. |- |CORRECT |ANSWER✔✔-Rationale
3. |& |4. |Correct: |In |young |adulthood, |the |developmental |tasks |involve |intimacy |versus |
isolation. |Intimacy |relates |more |to |sharing |than |to |sex. |Intimacy |produces |feelings |of |safety, |
closeness, |and |trust. |1. |Incorrect: |Parenting |is |a |primary |task |of |middle |adulthood. |This |is |the |
middle |adulthood |stage |of |Generativity |versus |Stagnation, |where |each |adult |must |find |some |
way |to |satisfy |and |support |the |next |generation. |2. |Incorrect: |During |late |adulthood, |there |is |
refection |on |life |accomplishments. |This |is |the |maturity |stage |of |Ego |Integrity |versus |Despair, |
where |there |is |a |reflection |of |one's |life. |5. |Incorrect: |During |middle |age, |a |sense |of |fulfillment |
can |be |found |by |volunteering |in |the |community. |This |is |part |of |middle |age, |where |the |adult |is |
finding |ways |to |support |others.
What |symptoms |does |the |nurse |expect |to |see |in |a |client |with |bulimia |nervosa?
1. |Amenorrhea |2. |Feelings |of |self-worth |unduly |influenced |by |weight |3. |Recurrent |episodes |of |
binge |eating |4. |Recurrent |inappropriate |compensatory |behavior |to |prevent |weight |gain |5. |Lack
|of |exercise |- |CORRECT |ANSWER✔✔-Rationale
2., |3. |& |4. |Correct: |Diagnostic |criteria |for |bulimia |nervosa |are |recurrent |episodes |of |binge |
eating: |recurrent |inappropriate |compensatory |behavior |to |prevent |weight |gain |such |as |
laxative, |diuretic, |or |enema |use, |induced |vomiting, |fasting, |and |excessive |exercise; |and |feeling |
of |self-worth |unduly |influenced |by |weight. |Amenorrhea |is |found |in |anorexia |nervosa. |1. |
Incorrect: |Amenorrhea |is |found |in |anorexia |nervosa. |5. |Incorrect: |Excessive |exercise |is |found |in
|bulimia |nervosa |as |a |means |to |compensate |for |the |binge |eating.
A |client |who |has |had |a |laparoscopic |cholecystectomy |develops |pain |in |the |left |shoulder. |Vital |
signs, |laboratory |studies, |and |an |electrocardiogram |are |within |normal |limits. |What |does |the |
nurse |recognize |as |a |contributing |cause |of |the |pain?
, 1. |Surgical |cannulation |of |the |bile |duct |is |causing |spasm |and |pain. |2. |Carbon |dioxide |used |
intraperitoneally |is |irritating |the |phrenic |nerve. |3. |Large |abdominal |retractors |used |in |the |
procedure |compressed |a |nerve. |4. |Side |lying |position |in |the |operating |room |generated |
pressure |damage. |- |CORRECT |ANSWER✔✔-Rationale
2. |Correct: |Phrenic |nerve |irritation |can |result |in |referred |pain |to |the |left |shoulder. |Carbon |
dioxide |(CO2) |is |used |to |inflate |the |abdominal/chest |wall |during |the |procedure |for |better |
visualization |of |the |internal |organs. |If |the |CO2 |irritates |the |phrenic |nerve, |it |radiates |to |the |
shoulder. |1. |Incorrect: |Surgical |cannulation |of |the |bile |duct |is |not |performed |during |a |
laparoscopic |cholecystectomy. |3. |Incorrect: |Large |abdominal |retractors |are |not |used |during |
this |procedure. |This |is |done |via |a |small |incision |to |accommodate |a |scope. |4. |Incorrect: |The |
client |is |turned |in |several |directions |during |the |procedure |to |prevent |damage |to |the |
abdominal |viscera.
A |client |is |admitted |to |the |medical |unit |with |an |acute |onset |of |fever, |chills |and |RUQ |pain. |Vital
|signs |are: |T |99.8°F |(37.7°C), |P |132, |RR |34, |B/P |142/82. |ABG |results |are: |pH-7.53, |PaCO2 |30, |
HCO3 |22. |The |nurse |determines |that |this |client |is |in |what |acid/base |imbalance?
1. |Respiratory |acidosis |2. |Respiratory |alkalosis |3. |Metabolic |acidosis |4. |Metabolic |alkalosis |- |
CORRECT |ANSWER✔✔-Rationale
2. |Correct: |This |client |has |a |severe |infection. |Hyperventilation |due |to |anxiety, |pain, |shock, |
severe |infection, |fever, |and |liver |failure |can |lead |to |respiratory |alkalosis. |pH |> |7.45, |PCO2 |< |35,
|HCO3 |normal. |1. |Incorrect: |Not |acidosis |with |hyperventilation |and |pH |of |7.53. |3. |Incorrect: |
Not |a |metabolic |related |acid/base |imbalance |since |the |HCO3 |is |in |normal |range |and |is |not |
acidosis. |4. |Incorrect: |Not |a |metabolic |related |acid/base |imbalance |since |the |HCO3 |is |in |
normal |range.
An |unlicensed |assistive |personnel |(UAP) |has |explained |how |to |prevent |the |spread |of |infection |
to |the |charge |nurse. |Which |statement |by |the |UAP |indicates |that |further |teaching |is |needed? |
1. |"Soap |and |water |should |be |used |for |hand |washing |when |our |hands |are |visibly |soiled." |2.
|"Gloves |do |not |have |to |be |worn |when |taking |a |client's |vital |signs |or |passing |out |meal |trays." |
3. |"Standard |precautions |should |be |used |on |all |clients." |4. |"When |caring |for |a |client |who |has |
