HURST REVIEW NCLEX RN READINESS
EXAM 3 PHARMACOLOGY AND SAFE
MEDICATION ADMINISTRATION 2026
COMPREHENSIVE REVIEW AND
SOLUTIONS
◉ The nurse is caring for a client while fluorouracil is being infused.
The client reports burning at the intravenous (IV) site. What should
the nurse do first?
1. Apply warm compresses.
2. Slow the infusion.
3. Inspect the IV site.
4. Stop the infusion.
Answer: 4
◉ 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 measles, mumps,
rubella (MMR) vaccine. The nurse's response is based on evidence
that the MMR vaccine is contraindicated under which condition?
,1. A known allergy to gelatin.
2. A family history of autism.
3. In infants with diarrhea.
4. A known allergy to sulfonamides.
Answer: 1
◉ A quality assurance (QA) manager plans to evaluate performance
improvement regarding the implementation of fall precautions for at
risk clients. What steps should the QA manager include in this
evaluation?
1. Chart review for fall precaution documentation.
2. Direct observation of unit staff.
3. Poll staff to identify what fall precautions are implemented for at
risk clients.
4. Identify at risk clients on unit.
5. Make unannounced visits to the unit for evaluating staff
performance.
Answer: 1,2,4,5
◉ A nurse is teaching a client about the prescription aripiprazole
discmelt. The nurse documents that teaching has been effective
when the client makes which statement?
,1. "If I start to have shakiness and sweating I need to call my primary
healthcare provider at once."
2. "I must be certain to take this medication with food to eliminate
vomiting."
3. "If I miss a dose of medication, I need to take an extra dose to
make up for the missed dose."
4. "I will allow the tablet to dissolve in my mouth."
Answer: 4
◉ In what position should the nurse place a client post liver biopsy?
1. Left Sims'
2. Reverse Trendelenburg
3. Semi-Fowler's
4. Right Lateral Decubitus
Answer: 4
◉ The unit charge nurse is responsible for reporting all healthcare
associated infections. Which client condition needs to be reported?
1. A client diagnosed with Clostridium Difficile while receiving
intravenous (IV) antibiotics.
, 2. A client admitted with Methicillin-Resistant Staphylococcus
aureus (MRSA) in a wound.
3. A client with ulcerative colitis exhibiting diarrhea.
4. A client with a fever of 99.1º F (37.2° C) two days post
gastrectomy.
Answer: 1
◉ A client is seen in the clinic for recurrent unexplained, vague
stomach pain over the past 5 years. EGD, colonoscopy, gallbladder
ultrasound, and lab results have revealed no physical reason for the
symptoms. The client tells the nurse, "The doctor thinks the pain in
my stomach is psychosomatic. But the pain is so bad some times that
I can't function!" What is the nurse's most appropriate response?
1. "The pain you feel is real."
2. "The primary healthcare provider is right. Your pain is not real."
3. "Let me get you an appointment with the psychiatrist."
4. "Don't worry. Everything will be ok."
Answer: 1
◉ A nurse has just inserted an indwelling urinary catheter in a client
scheduled for surgery. What should the nurse document?
1. Perineal skin assessment
EXAM 3 PHARMACOLOGY AND SAFE
MEDICATION ADMINISTRATION 2026
COMPREHENSIVE REVIEW AND
SOLUTIONS
◉ The nurse is caring for a client while fluorouracil is being infused.
The client reports burning at the intravenous (IV) site. What should
the nurse do first?
1. Apply warm compresses.
2. Slow the infusion.
3. Inspect the IV site.
4. Stop the infusion.
Answer: 4
◉ 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 measles, mumps,
rubella (MMR) vaccine. The nurse's response is based on evidence
that the MMR vaccine is contraindicated under which condition?
,1. A known allergy to gelatin.
2. A family history of autism.
3. In infants with diarrhea.
4. A known allergy to sulfonamides.
Answer: 1
◉ A quality assurance (QA) manager plans to evaluate performance
improvement regarding the implementation of fall precautions for at
risk clients. What steps should the QA manager include in this
evaluation?
1. Chart review for fall precaution documentation.
2. Direct observation of unit staff.
3. Poll staff to identify what fall precautions are implemented for at
risk clients.
4. Identify at risk clients on unit.
5. Make unannounced visits to the unit for evaluating staff
performance.
Answer: 1,2,4,5
◉ A nurse is teaching a client about the prescription aripiprazole
discmelt. The nurse documents that teaching has been effective
when the client makes which statement?
,1. "If I start to have shakiness and sweating I need to call my primary
healthcare provider at once."
2. "I must be certain to take this medication with food to eliminate
vomiting."
3. "If I miss a dose of medication, I need to take an extra dose to
make up for the missed dose."
4. "I will allow the tablet to dissolve in my mouth."
Answer: 4
◉ In what position should the nurse place a client post liver biopsy?
1. Left Sims'
2. Reverse Trendelenburg
3. Semi-Fowler's
4. Right Lateral Decubitus
Answer: 4
◉ The unit charge nurse is responsible for reporting all healthcare
associated infections. Which client condition needs to be reported?
1. A client diagnosed with Clostridium Difficile while receiving
intravenous (IV) antibiotics.
, 2. A client admitted with Methicillin-Resistant Staphylococcus
aureus (MRSA) in a wound.
3. A client with ulcerative colitis exhibiting diarrhea.
4. A client with a fever of 99.1º F (37.2° C) two days post
gastrectomy.
Answer: 1
◉ A client is seen in the clinic for recurrent unexplained, vague
stomach pain over the past 5 years. EGD, colonoscopy, gallbladder
ultrasound, and lab results have revealed no physical reason for the
symptoms. The client tells the nurse, "The doctor thinks the pain in
my stomach is psychosomatic. But the pain is so bad some times that
I can't function!" What is the nurse's most appropriate response?
1. "The pain you feel is real."
2. "The primary healthcare provider is right. Your pain is not real."
3. "Let me get you an appointment with the psychiatrist."
4. "Don't worry. Everything will be ok."
Answer: 1
◉ A nurse has just inserted an indwelling urinary catheter in a client
scheduled for surgery. What should the nurse document?
1. Perineal skin assessment
