HURST REVIEW TEST 2 & HURST
READINESS EXAM 2 EXAM WITH
CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+
The nurse makes selections from the hospital menu for a
client who is confused and suspicious of others. Which
menu choice is best?
1. Ham and vegetable casserole
2. Cheese and crackers
3. Caffeine free tea
4. Packaged sugar free Jell-O - ANSWERS-4. Correct: A client
who is suspicious of others needs foods that are packaged
and can see them opened.
1. Incorrect: A client who is suspicious of others needs to be
able to identify the ingredients in the food that is being
eaten. A casserole contains many ingredients, and the client
may fear that something has been added to the food.
,2. Incorrect: Finger foods are best for clients that are manic.
3. Incorrect: Drinks and foods with no caffeine are okay for
the confused and suspicious client, but this menu choice is
not the best choice from the list here.
A nurse has reinforced teaching to a client about home
dressing changes using a clean technique. Which statement
made by a client indicates to the nurse that the client
understands this technique?
1. "The wound should be cleaned using a washcloth, soap,
and water."
2. "Povidone-iodine should be applied to the wound with
each dressing change."
3. "It is important that I wash my hands using soap and
water before removing my dressing."
4. "I will use sterile gloves to clean my wound and change
the dressings." - ANSWERS-3. Correct: Clean technique
requires washing hands with soap and water prior to
removing the dressing.
,1. Incorrect: The wound should be cleaned with 4x4's and
sterile water. Soap can be very drying to the wound. A
washcloth may not be clean as it has been sitting in a
cabinet.
2. Incorrect: Povidone-iodine is harsh and damages healthy
tissue, so should not be applied to the wound.
4. Incorrect: Sterile gloves are not needed when using clean
technique. Clean gloves may be used.
When caring for a client on bedrest, which interventions
should the nurse implement to decrease the risk of deep
vein thrombosis? (SATA)
1. Apply compression hose.
2. Place pillow under knees while supine.
3. Assist client to perform active foot and leg exercises.
4. Place client on intermittent pneumatic compression
device.
5. Assess extremities for negative Homan's sign. -
ANSWERS-1., 3., & 4. Correct. The client will need
compression or compression hose and/or intermittent
, pneumatic compression device. The client should perform
leg and foot exercises to decrease stagnation of blood.
Compression hose, foot and leg exercises, as well as
pneumatic compression devices increase venous return and
prevents stasis of blood. Other interventions to decrease
deep vein thrombosis (DVT) include early ambulation,
passive and active range of motion, isometric exercises, and
anticoagulant drugs such as heparin.
2. Incorrect: Do not compromise blood flow by placing
pillows under the knees, crossing legs, or sitting for long
periods of time. When pillows are left under the knees for
an extended time, venous return could be compromised. A
pillow under the knees is not a recommended intervention
for DVT prevention.
5. Incorrect: Do not assess Homan's sign, as it may dislodge
a clot. Homan's sign is not a preventative intervention.
Assessing a Homan's sign is considered to be controversial,
and this test may contribute to the release or dislodgement
of a clot.
Which action, if done by a new LPN/VN, needs to be
interrupted by the precepting LPN/VN?
READINESS EXAM 2 EXAM WITH
CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+
The nurse makes selections from the hospital menu for a
client who is confused and suspicious of others. Which
menu choice is best?
1. Ham and vegetable casserole
2. Cheese and crackers
3. Caffeine free tea
4. Packaged sugar free Jell-O - ANSWERS-4. Correct: A client
who is suspicious of others needs foods that are packaged
and can see them opened.
1. Incorrect: A client who is suspicious of others needs to be
able to identify the ingredients in the food that is being
eaten. A casserole contains many ingredients, and the client
may fear that something has been added to the food.
,2. Incorrect: Finger foods are best for clients that are manic.
3. Incorrect: Drinks and foods with no caffeine are okay for
the confused and suspicious client, but this menu choice is
not the best choice from the list here.
A nurse has reinforced teaching to a client about home
dressing changes using a clean technique. Which statement
made by a client indicates to the nurse that the client
understands this technique?
1. "The wound should be cleaned using a washcloth, soap,
and water."
2. "Povidone-iodine should be applied to the wound with
each dressing change."
3. "It is important that I wash my hands using soap and
water before removing my dressing."
4. "I will use sterile gloves to clean my wound and change
the dressings." - ANSWERS-3. Correct: Clean technique
requires washing hands with soap and water prior to
removing the dressing.
,1. Incorrect: The wound should be cleaned with 4x4's and
sterile water. Soap can be very drying to the wound. A
washcloth may not be clean as it has been sitting in a
cabinet.
2. Incorrect: Povidone-iodine is harsh and damages healthy
tissue, so should not be applied to the wound.
4. Incorrect: Sterile gloves are not needed when using clean
technique. Clean gloves may be used.
When caring for a client on bedrest, which interventions
should the nurse implement to decrease the risk of deep
vein thrombosis? (SATA)
1. Apply compression hose.
2. Place pillow under knees while supine.
3. Assist client to perform active foot and leg exercises.
4. Place client on intermittent pneumatic compression
device.
5. Assess extremities for negative Homan's sign. -
ANSWERS-1., 3., & 4. Correct. The client will need
compression or compression hose and/or intermittent
, pneumatic compression device. The client should perform
leg and foot exercises to decrease stagnation of blood.
Compression hose, foot and leg exercises, as well as
pneumatic compression devices increase venous return and
prevents stasis of blood. Other interventions to decrease
deep vein thrombosis (DVT) include early ambulation,
passive and active range of motion, isometric exercises, and
anticoagulant drugs such as heparin.
2. Incorrect: Do not compromise blood flow by placing
pillows under the knees, crossing legs, or sitting for long
periods of time. When pillows are left under the knees for
an extended time, venous return could be compromised. A
pillow under the knees is not a recommended intervention
for DVT prevention.
5. Incorrect: Do not assess Homan's sign, as it may dislodge
a clot. Homan's sign is not a preventative intervention.
Assessing a Homan's sign is considered to be controversial,
and this test may contribute to the release or dislodgement
of a clot.
Which action, if done by a new LPN/VN, needs to be
interrupted by the precepting LPN/VN?
