HURST REVIEW NCLEX RN READINESS
EXAM 4 CARDIAC NEURO AND
RESPIRATORY SYSTEMS 2026 COMPLETE Q
AND A STUDY PACK
◉ What should the nurse teach a pregnant client who comes to the
clinic reporting hemorrhoids and constipation?
1. Increased rectal pressure from the gravid uterus may result in
hemorrhoids.
2. Hormones decrease maternal GI motility, resulting in constipation.
3. The client needs more fiber in the diet.
4. A mild laxative is recommended to alleviate constipation.
5. The client needs to increase fluid intake.
Rationale
Answer: 1,2,3,5
◉ What statements by a new nurse would indicate to the charge
nurse an understanding of how to maintain skin integrity for a client
on bedrest?
,1. "Clients on bedrest should be placed on therapeutic mattresses."
2. "I will assess for the skin every 4 hours."
3. "I will assess the skin using the Braden scale."
4. "A pillow will be placed between the knees when client is side
lying."
5. "The incontinent client will be kept clean and dry."
Answer: 1,3,4,5
◉ 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?
1. Don sterile gloves.
2. Place the client on reverse isolation.
3. Wear a particulate respirator
4. Obtain a consent form.
5. Initiate airborne precautions.
Answer: 3,5
◉ Which finding should a nurse expect when assessing a healthy 65
year old client?
1. Anomia
,2. Presbyopia
3. BP 156/88
4. Apraxia
Answer: 2
◉ The charge nurse is evaluating knowledge of tracheostomy
suctioning of a new nurse prior to that procedure being performed.
Which statement by the new nurse would indicate to the charge
nurse that additional education is needed?
1. "Prior to suctioning, I will hyper-oxygenate the client."
2. "I will instill normal saline bullets to liquefy secretions."
3. "I will allow at least 20 seconds between suctioning passes."
4. "Suctioning will be limited to a maximum of three catheter
passes."
Answer: 2
◉ The nurse observes a client at a follow-up appointment using
correct cane walking technique but losing balance each time the
quad cane is lifted off of the floor. The client reports a history of
recent falls. What is the best action for the nurse to take?
1. Inform the primary healthcare provider of the observations made
regarding quad cane use, and imbalance assessment.
, 2. Inform client that there are only a few assistive devices available
to help with ambulation.
3. Instruct the client on proper quad cane use.
4. Notify the primary healthcare provider after consulting with the
neighbor.
Answer: 1
◉ The nurse is caring for a newly diagnosed diabetic in diabetic
hyperosmolar hyperglycemic nonketotic (HHNK) state. What does
the nurse anticipate the immediate treatment plan for this client will
include?
1. NPH insulin.
2. Potassium 40 mEq (40 mmol/L) slow intravenous push.
3. Intravenous administration of isotonic saline.
4. Intravenous sodium bicarbonate.
Answer: 3
◉ What is most important for the nurse to do prior to initiating
peritoneal dialysis?
1. Aspirate for placement.
2. Have the client void.
EXAM 4 CARDIAC NEURO AND
RESPIRATORY SYSTEMS 2026 COMPLETE Q
AND A STUDY PACK
◉ What should the nurse teach a pregnant client who comes to the
clinic reporting hemorrhoids and constipation?
1. Increased rectal pressure from the gravid uterus may result in
hemorrhoids.
2. Hormones decrease maternal GI motility, resulting in constipation.
3. The client needs more fiber in the diet.
4. A mild laxative is recommended to alleviate constipation.
5. The client needs to increase fluid intake.
Rationale
Answer: 1,2,3,5
◉ What statements by a new nurse would indicate to the charge
nurse an understanding of how to maintain skin integrity for a client
on bedrest?
,1. "Clients on bedrest should be placed on therapeutic mattresses."
2. "I will assess for the skin every 4 hours."
3. "I will assess the skin using the Braden scale."
4. "A pillow will be placed between the knees when client is side
lying."
5. "The incontinent client will be kept clean and dry."
Answer: 1,3,4,5
◉ 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?
1. Don sterile gloves.
2. Place the client on reverse isolation.
3. Wear a particulate respirator
4. Obtain a consent form.
5. Initiate airborne precautions.
Answer: 3,5
◉ Which finding should a nurse expect when assessing a healthy 65
year old client?
1. Anomia
,2. Presbyopia
3. BP 156/88
4. Apraxia
Answer: 2
◉ The charge nurse is evaluating knowledge of tracheostomy
suctioning of a new nurse prior to that procedure being performed.
Which statement by the new nurse would indicate to the charge
nurse that additional education is needed?
1. "Prior to suctioning, I will hyper-oxygenate the client."
2. "I will instill normal saline bullets to liquefy secretions."
3. "I will allow at least 20 seconds between suctioning passes."
4. "Suctioning will be limited to a maximum of three catheter
passes."
Answer: 2
◉ The nurse observes a client at a follow-up appointment using
correct cane walking technique but losing balance each time the
quad cane is lifted off of the floor. The client reports a history of
recent falls. What is the best action for the nurse to take?
1. Inform the primary healthcare provider of the observations made
regarding quad cane use, and imbalance assessment.
, 2. Inform client that there are only a few assistive devices available
to help with ambulation.
3. Instruct the client on proper quad cane use.
4. Notify the primary healthcare provider after consulting with the
neighbor.
Answer: 1
◉ The nurse is caring for a newly diagnosed diabetic in diabetic
hyperosmolar hyperglycemic nonketotic (HHNK) state. What does
the nurse anticipate the immediate treatment plan for this client will
include?
1. NPH insulin.
2. Potassium 40 mEq (40 mmol/L) slow intravenous push.
3. Intravenous administration of isotonic saline.
4. Intravenous sodium bicarbonate.
Answer: 3
◉ What is most important for the nurse to do prior to initiating
peritoneal dialysis?
1. Aspirate for placement.
2. Have the client void.
