HURST READINESS EXAM (PRACTICE) QUESTIONS AND CORRECT VERIFIED ANSWERS

HURST READINESS EXAM (PRACTICE)
QUESTIONS AND CORRECT VERIFIED
ANSWERS
AA240A2yearA2oldA2clientA2reportsA2aA2diminishedA2abilityA2toA2visuallyA2focusA2onA2closeA2o
bjectsA2andA2hasA2alsoA2noticedA2aA2needA2forA2aA2wellA2litA2environmentA2toA2enhanceA2vi
sion.A2ToA2whatA2wouldA2theA2nurseA2attributeA2theseA2changes?

a.A2normalA2changesA2associatedA2withA2aging
b.A2aA2cataractA2isA2forming
c.A2symptomsA2ofA2aA2brainA2tumor
d.A2precipitatedA2byA2diabeticA2retinopathyA2-A2Ans--
A2a.A2normalA2changesA2associatedA2withA2aging


Rationale:A2agingA2resultsA2inA2stiffeningA2ofA2theA2lens,A2thusA2lesseningA2theA2abilityA2toA
2focus.A2TheA2retinaA2isA2lessA2sensitiveA2toA2light,A2makingA2accurateA2visionA2inA2low-
lightA2situationsA2moreA2difficult.A2PupillaryA2responseA2diminishes,A2affectingA2theA2ability
A2toA2adjustA2toA2changingA2lightA2levels


TheA2nurseA2isA2assessingA2painA2afterA2surgeryA2inA2aA23A2yearA2oldA2clientA2withA2aA2kno
wnA2developmentalA2delay.A2WhichA2painA2scaleA2shouldA2theA2nurseA2useA2toA2assessA2t
hisA2client'sA2painA2level?

a.A2CRIESA2scale
b.A2numericA2scale
c.A2FLACCA2scale
d.A2FACESA2scaleA2-A2Ans--A2c.A2FLACCA2scale

Rationale:A2TheA2FLACCA2scaleA2canA2beA2usedA2forA2pediatricA2clientsA2fromA2ageA22A2m
onthsA2toA27A2yearsA2andA2isA2appropriateA2whenA2clientsA2cannotA2communicateA2theirA2p
ain

AA2clientA2recentlyA2diagnosedA2withA2diabetesA2isA2sentA2homeA2withA2aA2prescriptionA2fo
rA2subcutaneousA2insulin.A2WhatA2statementA2madeA2byA2theA2clientA2indicatesA2thatA2tea
chingA2hasA2beenA2effectiveA2regardingA2safeA2needleA2disposal?

a.A2"IA2shouldA2wrapA2theA2needleA2inA2aA2paperA2towelA2andA2placeA2inA2theA2trash."
b.A2"IA2shouldA2useA2aA2hospitalA2issuedA2biohazardA2containerA2forA2allA2needles."
c.A2"IA2mayA2useA2anyA2hardA2plasticA2containerA2withA2aA2screw-onA2cap."
d.A2"IA2shouldA2takeA2myA2needlesA2toA2theA2nearestA2hospitalA2forA2disposal."A2-A2Ans--
A2c.A2"IA2mayA2useA2anyA2hardA2plasticA2containerA2withA2aA2screw-onA2cap."


Rationale:A2AtA2home,A2anA2FDAA2approvedA2sharpsA2containerA2isA2notA2needed,A2howe
ver,A2needles,A2syringes,A2andA2sharpsA2mayA2beA2disposedA2ofA2inA2aA2hardA2plasticA2co

,ntainer.A2ClientsA2shouldA2followA2theirA2communityA2guidelinesA2forA2sharpsA2containerA2
disposal.A2ThisA2protectsA2theA2sanitationA2engineersA2fromA2injuryA2byA2theA2sharps.

TheA2primaryA2healthcareA2providerA2suspectsA2theA2clientA2hasA2tuberculosisA2(TB)A2and
A2prescribesA2aA2MantouxA2test.A2WhatA2precautionsA2shouldA2theA2nurseA2takeA2whenA2a
dministeringA2theA2MantouxA2test?

a.A2donA2sterileA2gloves
b.A2placeA2theA2clientA2onA2reverseA2isolation
c.A2wearA2aA2particulateA2respirator
d.A2obtainA2aA2consentA2form
e.A2initiateA2airborneA2precautionsA2-A2Ans--A2c.A2wearA2aA2particulateA2respirator
e.A2initiateA2airborneA2precautions

Rationale:A2AA2disposableA2particulateA2respiratorA2thatA2fitsA2snuglyA2aroundA2theA2faceA2
isA2needed.A2TheA2clientA2needsA2toA2beA2onA2acid-
fastA2bacilliA2(AFB)A2isolationA2precautions,A2notA2reverseA2isolation.A2AirborneA2precautio
nsA2includeA2aA2privateA2roomA2withA2negativeA2pressureA2andA2aA2minimumA2ofA26A2airA2e
xchangesA2perA2hour.A2UltravioletA2lampsA2andA2highA2efficiencyA2particulateA2airA2filtersA2
areA2alsoA2needed.

AA2hystericalA2collegeA2studentA2arrivesA2inA2theA2emergencyA2departmentA2inA2bloodyA2s
oiledA2clothing.A2TheA2nursingA2assessmentA2revealsA2facialA2bruisingA2andA2multipleA2co
ntusionsA2consistentA2withA2theA2client'sA2reportA2ofA2beingA2raped.A2WhichA2initialA2nursin
gA2interventionA2takesA2priorityA2atA2thisA2time?

a.A2notifyA2policeA2ofA2theA2allegedA2rape
b.A2allowA2theA2clientA2privacyA2toA2washA2self
c.A2removeA2clothingA2andA2bagA2forA2evidence
d.A2encourageA2clientA2toA2expressA2fearsA2andA2anxietyA2-A2Ans--
A2d.A2encourageA2clientA2toA2expressA2fearsA2andA2anxiety


Rationale:A2AlthoughA2thereA2areA2specificA2protocolsA2thatA2mustA2beA2followedA2whenA2d
ealingA2withA2rapeA2clients,A2itA2isA2importantA2toA2rememberA2thatA2thisA2clientA2hadA2allA2
controlA2takenA2awayA2duringA2theA2attack.A2TheA2emotionalA2effectsA2ofA2rapeA2areA2asA2t
raumatizingA2asA2theA2physicalA2injuries.A2AllowingA2theA2clientA2toA2firstA2expressA2emotio
ns,A2suchA2asA2fearA2orA2anxiety,A2returnsA2aA2smallA2amountA2ofA2controlA2toA2aA2situation
A2inA2whichA2theA2clientA2hasA2littleA2orA2none.


TheA2nurseA2isA2caringA2forA2anA2adolescentA2clientA2diagnosedA2withA2depression.A2TheA2
clientA2isA2prescribedA2fluoxetine.A2WhatA2isA2theA2bestA2responseA2byA2theA2nurseA2when
A2theA2clientA2says,A2"WhatA2willA2thisA2medicineA2doA2toA2me?"


a.A2itA2willA2increaseA2theA2levelA2ofA2serotoninA2inA2theA2brain
b.A2itA2willA2decreaseA2theA2productionA2ofA2noradrenaline
c.A2itA2willA2lowerA2yourA2levelA2ofA2theA2brainA2hormoneA2norepinephrine

,d.A2itA2willA2balanceA2bloodA2glucoseA2andA2dopamineA2levelsA2inA2yourA2headA2-A2Ans--
A2a.A2itA2willA2increaseA2theA2levelA2ofA2serotoninA2inA2theA2brain


Rationale:A2TheA2actionA2ofA2fluoxetineA2isA2toA2increaseA2theA2levelA2ofA2serotoninA2inA2th
eA2centralA2nervousA2system.A2ThereA2isA2aA2correlationA2betweenA2aA2lowA2levelA2ofA2ser
otoninA2andA2depression.A2TheA2actionA2ofA2theA2drugA2shouldA2beA2explainedA2toA2theA2a
dolescentA2inA2aA2mannerA2thatA2willA2beA2understood.

AA2newA2motherA2bringsA2herA2infantA2toA2theA2clinicA2forA2aA2well-
babyA2checkup.A2WhileA2atA2theA2clinic,A2theA2motherA2asksA2theA2nurseA2ifA2thereA2areA2a
nyA2reasonsA2whyA2herA2infantA2shouldA2notA2haveA2theA2MMRA2vaccine.A2TheA2nurse'sA2r
esponseA2isA2basedA2onA2evidenceA2thatA2theA2MMRA2vaccineA2isA2contraindicatedA2unde
rA2whichA2condition?

a.A2aA2knownA2allergyA2toA2gelatin
b.A2aA2familyA2historyA2ofA2autism
c.A2inA2infantsA2withA2diarrhea
d.A2aA2knownA2allergyA2toA2sulfonamidesA2-A2Ans--A2a.A2aA2knownA2allergyA2toA2gelatin

Rationale:A2TheA2MMRA2vaccineA2isA2grownA2usingA2chickenA2embryosA2andA2manufactur
edA2withA2theA2useA2ofA2gelatin.A2KnownA2allergiesA2toA2gelatinA2wouldA2beA2aA2contraindic
ationA2forA2administration.

AA2client,A2postA2laparoscopicA2cholecystectomy,A2developsA2painA2inA2theirA2rightA2shoul
der.A2VitalA2signs,A2laboratoryA2studies,A2andA2anA2electrocardiogramA2areA2withinA2norma
lA2limits.A2WhatA2doesA2theA2nurseA2recognizeA2asA2aA2contributingA2causeA2ofA2theA2pain?

a.A2surgicalA2cannulationA2ofA2theA2bileA2ductA2isA2causingA2spasmA2andA2pain
b.A2carbonA2dioxideA2usedA2intraperitoneallyA2isA2irritatingA2theA2phrenicA2nerve
c.A2largeA2abdominalA2retractorsA2usedA2inA2theA2procedureA2compressedA2aA2nerve
d.A2sideA2lyingA2positionA2inA2theA2operatingA2roomA2generatedA2pressureA2damageA2-
A2Ans--A2b.A2carbonA2dioxideA2usedA2intraperitoneallyA2isA2irritatingA2theA2phrenicA2nerve


Rationale:A2PhrenicA2nerveA2irritationA2canA2resultA2inA2referredA2painA2toA2theA2rightA2sho
ulder.A2CarbonA2dioxideA2isA2usedA2toA2inflateA2theA2abdominal/
chestA2wallA2duringA2theA2procedureA2forA2betterA2visualizationA2ofA2theA2internalA2organs.
A2IfA2theA2CO2A2irritatesA2theA2phrenicA2nerve,A2itA2radiatesA2toA2theA2shoulder.


PostA2cataractA2removalA2aA2clientA2reportsA2nauseaA2andA2severeA2painA2inA2theA2operati
veA2eye.A2WhichA2nursingA2interventionA2takesA2priority?

a.A2administerA2morphineA2andA2ondansetron
b.A2repositionA2clientA2toA2non-operativeA2side
c.A2massageA2theA2canthusA2toA2unblockA2theA2lacrimalA2duct
d.A2notifyA2theA2primaryA2healthcareA2providerA2-A2Ans--
A2d.A2notifyA2theA2primaryA2healthcareA2provider

, Rationale:A2SevereA2painA2withA2nauseaA2indicatesA2anA2increaseA2inA2intraocularA2press
ureA2andA2needsA2toA2beA2reportedA2atA2once.A2EyeA2damageA2canA2resultA2ifA2notA2resolv
edA2quickly.A2TheA2primaryA2healthcareA2providerA2mayA2prescribeA2medicationsA2orA2tak
eA2theA2clientA2backA2toA2surgery.

AA2clientA2whoA2hasA2developedA2hypovolemicA2shockA2isA2receivingA2albumin.A2WhatA2as
sessmentA2findingA2byA2theA2nurseA2indicatesA2thatA2theA2albuminA2hasA2beenA2effective?

a.A2swellingA2inA2theA2legs
b.A2increaseA2inA2urinaryA2output
c.A2proteinuria
d.A2increaseA2inA2waistA2measurementA2-A2Ans--A2b.A2increaseA2inA2urinaryA2output

Rationale:A2TheA2actionA2ofA2albuminA2isA2toA2increaseA2theA2serumA2albuminA2level.A2Wh
enA2theA2albuminA2levelA2increases,A2thereA2isA2aA2shiftA2ofA2fluidA2fromA2extracellularA2toA2
intracellular.A2ThisA2actionA2willA2resultA2inA2anA2increaseA2inA2urinaryA2output.

WhichA2tasksA2wouldA2beA2appropriateA2forA2theA2nurseA2toA2assignA2toA2anA2LPN/VN?

a.A2changingA2aA2colostomyA2bag
b.A2administerA2antibioticA2viaA2IVPB
c.A2teachA2insulinA2selfA2administrationA2toA2aA2diabeticA2client
d.A2administerA2IVA2painA2medicationA2toA2aA22A2dayA2postA2opA2client
e.A2checkA2forA2urinaryA2retention
f.A2removeA2woundA2suturesA2-A2Ans--A2a.A2changingA2aA2colostomyA2bag
b.A2administerA2antibioticA2viaA2IVPB
e.A2checkA2forA2urinaryA2retention
f.A2removeA2woundA2sutures

Rationale:A2TheseA2tasksA2areA2withinA2theA2PNsA2practiceA2scope.

TheA2nurseA2isA2teachingA2aA2groupA2ofA2pregnantA2womenA2aboutA2hormonalA2changesA2
duringA2pregnancy.A2TheA2nurseA2recognizesA2thatA2teachingA2wasA2successfulA2whenA2t
heA2womenA2identifyA2whichA2hormoneA2asA2causingA2amenorrhea?

a.A2progesterone
b.A2estrogen
c.A2follicle-stimulatingA2hormoneA2(FSH)
d.A2humanA2chorionicA2gonadotropinA2(hCG)A2-A2Ans--A2a.A2progesterone

WhatA2clientA2willA2theA2chargeA2nurseA2interveneA2onA2behalfA2whenA2makingA2rounds?

a.A2theA2clientA2turnedA2toA2leftA2sideA21A21/2A2hourA2ago
b.A2clientA2whoA2hasA2beenA2sittingA2inA2aA2chairA2forA22A21/2A2hours