HURST PRACTICE EXAM 2 QUESTIONS AND ANSWERS | COMPLETE HURST
PRACTICE EXAM 2 NCLEX STUDY GUIDE 2026/2027
A client has been prescribed vancomycin 1 gram IV every 12 hours for the treatment of methicillin-
resistant staphylococcus aureus (MRSA). Which action by a new nurse when administering this
medication would require intervention by the charge nurse? - correct answer ✔✔This dose of
medication should be delivered over at least 60 minutes to prevent hypotension and ototoxicity.
The nurse is caring for a client taking benazepril. Which symptoms would be important for the nurse to
report to the primary healthcare provider? - correct answer ✔✔Weight gain of 5 pounds in one week is
a s/s of an adverse effect of ACE inhibitor use. Weight gain is a sign of fluid retention.
Angioedema is an adverse effect of ACE inhibitors and can be life threatening. This should be reported
immediately to the healthcare provider.
The potassium level is too high. Hyperkalemia is an adverse effect of an ACE inhibitor and needs to be
reported.
The nurse is caring for a client taking spironolactone. Which dietary change should the nurse teach the
client to make when starting treatment with this medication? - correct answer ✔✔Spironolactone is a
potassium sparing diuretic. Salt substitutes have potassium instead of sodium and should be avoided.
When assessing a client, the nurse finds that in response to painful stimuli the upper extremities exhibit
flexion of the arm, wrist, and fingers with adduction of the limb, while the lower extremity exhibits
extension, internal rotation, and plantar flexion. How would the nurse accurately document this finding?
- correct answer ✔✔This describes decorticate posturing because they are moving towards the core of
the body.
Decerebrate posturing - correct answer ✔✔when the client is stimulated, and teeth clench and the arms
are stiffly extended, adducted, and hyperpronated.
The legs are stiffly extended with plantar flexion of the feet. Abnormal extension occurs with lesions in
the area of the brain stem.
A client being treated for osteoporosis with alendronate reports experiencing slight heartburn after
taking the medicine. What should the nurse suggest to reduce this side effect? - correct answer
✔✔Increased heartburn can be reduced or prevented by drinking plenty of water, sitting upright
following the administration of the medication, and avoiding sucking on the tablet.
What precautions should be taken with computer monitors that display client health information to
ensure client's confidentiality? - correct answer ✔✔2. Have the screen placed facing away from any
visitor or client care area where information could be viewed by unauthorized persons.
The nurse receives new healthcare provider prescriptions on a client diagnosed with Addison's disease.
Which prescriptions should the nurse recognize as being inappropriately written and requiring
,clarification from the prescriber? - correct answer ✔✔Use "daily" or "every day". QD is an unapproved
abbreviation.
T.I.W. stands for three times a week; however, it is an unapproved abbreviation. Use "three times a
week".
The client has just returned from electroconvulsive therapy (ECT) and is very drowsy. What is the
position of choice for the nurse to place the client in until full consciousness is regained? - correct
answer ✔✔When someone is very sedated and not fully conscious, we want them on their side so the
airway remains open and the secretions can drain.
A client is hospitalized because of severe malnutrition related to anorexia nervosa. What is the most
important goal for this client? - correct answer ✔✔Until appropriate weight is gained, the client
continues to be at risk for major health complications including hypotension, cardiac arrhythmias, poor
muscle tone, increased risk for infection, abnormal liver function, and damaged kidneys.
A client comes to the clinic reporting palpitations, as well as nausea and vomiting while taking
metronidazole. The nurse notes that the client is flushed and has a heart rate of 118 bpm. Based on this
information, what is the most important question for the nurse to ask the client? - correct answer
✔✔Flushing, nausea and vomiting, palpitations, tachycardia, psychosis are signs of disulfiram-type
reaction seen when using products containing alcohol (cologne, after shave lotion, or path splashes) or
ingesting alcohol products while taking metronidazole.
Antibiotic: take metronidazole on an empty stomach
What should a community health nurse include when planning a presentation on prevention and early
detection of colon cancer? - correct answer ✔✔A diet high in vegetables, fruits, and whole grains has
been linked with a decreased risk of colorectal cancer;
exercise regularly
The guaiac-based fecal occult blood test detects blood in the stool through a chemical reaction. This test
is done yearly.
The nurse is searching for information about the nursing care of a client receiving an experimental drug
for the treatment of obesity. Which database is most likely to address this issue? - correct answer
✔✔The Cumulative Index for Nursing and Allied Health Literature (CINAHL) is a source for reviewing
nursing and allied health information.
Which assignments would be most appropriate for the RN to delegate to an LPN/VN? - correct answer
✔✔1. child with pneumonia admitted two days ago
2. the child admitted for developmental studies.
3. The twelve year old with post op wound infection taking oral antibiotics is also stable.
Which symptoms would the nurse be likely to observe in the client who overdosed on diazepam? -
correct answer ✔✔Benzodiazepines are central nervous system (CNS) depressants. Diazepam is a
benzodiazepine.
, They will slow respirations (bradypnea) and the heart rate (bradycardia). Somnolence (extreme,
prolonged drowsiness) would be seen.
Benzodiazepines - correct answer ✔✔drugs that lower anxiety and reduce stress
A long-term care nurse is planning care for a newly admitted client diagnosed with Alzheimer's disease.
What should the nurse include in the plan of care? - correct answer ✔✔Assess the client's ability to
perform activities of daily living and allow client to perform alone if capable.
Maintain stimuli such as a clock, newspaper, calendar, and/or weather status.
Encourage family to visit to maintain socialization.
Plan for staff to spend some time talking and listening to the client.
The home health nurse is assessing the home environment for possible irritants that could
increase/precipitate symptoms of respiratory problems. Which assessment questions would be
important to determine level of risk? - correct answer ✔✔1. What type of heat do you use in the home?
2. Does anyone in the home have hobbies that involve sanding of wood or use of chemicals?
3. Is there anyone in the home who smokes?
4. Do you routinely use aerosol sprays for personal care or cleaning?
Presence of wood smoke could increase respiratory problems. Poorly vented gas heaters could increase
carbon monoxide in the environment. Use of solvents or other agents that produce irritating fumes
could increase risk. The particles from the sanding could irritate the respiratory tract as well. Second-
hand smoke is irritating to the respiratory tract. Aerosols could trigger respiratory problems.
The nurse determines that a client does not have an advance directive. The daughter is designated to
make healthcare decisions in the event that the client becomes incapacitated or unable to make
informed decisions. Which nursing actions are appropriate for this client? - correct answer ✔✔1.
Document the client's statement in the client's own words.
2. Provide information on advance directives to the client.
3. Inform the client that personnel are available to assist with completing an advance directive.
Which menu selection by the client diagnosed with nephrotic syndrome indicates that teaching of
proper diet was understood? - correct answer ✔✔Client needs low sodium and increased proteins.
ex.Scrambled eggs, sliced turkey, biscuit, whole milk
A client is diagnosed with new onset grand mal seizures. Which nursing interventions should the nurse
implement for this client? - correct answer ✔✔2. Pad the side rails with blankets.
3. Place the bed in low position.
5. Instruct client to call for help when ambulating.
PRACTICE EXAM 2 NCLEX STUDY GUIDE 2026/2027
A client has been prescribed vancomycin 1 gram IV every 12 hours for the treatment of methicillin-
resistant staphylococcus aureus (MRSA). Which action by a new nurse when administering this
medication would require intervention by the charge nurse? - correct answer ✔✔This dose of
medication should be delivered over at least 60 minutes to prevent hypotension and ototoxicity.
The nurse is caring for a client taking benazepril. Which symptoms would be important for the nurse to
report to the primary healthcare provider? - correct answer ✔✔Weight gain of 5 pounds in one week is
a s/s of an adverse effect of ACE inhibitor use. Weight gain is a sign of fluid retention.
Angioedema is an adverse effect of ACE inhibitors and can be life threatening. This should be reported
immediately to the healthcare provider.
The potassium level is too high. Hyperkalemia is an adverse effect of an ACE inhibitor and needs to be
reported.
The nurse is caring for a client taking spironolactone. Which dietary change should the nurse teach the
client to make when starting treatment with this medication? - correct answer ✔✔Spironolactone is a
potassium sparing diuretic. Salt substitutes have potassium instead of sodium and should be avoided.
When assessing a client, the nurse finds that in response to painful stimuli the upper extremities exhibit
flexion of the arm, wrist, and fingers with adduction of the limb, while the lower extremity exhibits
extension, internal rotation, and plantar flexion. How would the nurse accurately document this finding?
- correct answer ✔✔This describes decorticate posturing because they are moving towards the core of
the body.
Decerebrate posturing - correct answer ✔✔when the client is stimulated, and teeth clench and the arms
are stiffly extended, adducted, and hyperpronated.
The legs are stiffly extended with plantar flexion of the feet. Abnormal extension occurs with lesions in
the area of the brain stem.
A client being treated for osteoporosis with alendronate reports experiencing slight heartburn after
taking the medicine. What should the nurse suggest to reduce this side effect? - correct answer
✔✔Increased heartburn can be reduced or prevented by drinking plenty of water, sitting upright
following the administration of the medication, and avoiding sucking on the tablet.
What precautions should be taken with computer monitors that display client health information to
ensure client's confidentiality? - correct answer ✔✔2. Have the screen placed facing away from any
visitor or client care area where information could be viewed by unauthorized persons.
The nurse receives new healthcare provider prescriptions on a client diagnosed with Addison's disease.
Which prescriptions should the nurse recognize as being inappropriately written and requiring
,clarification from the prescriber? - correct answer ✔✔Use "daily" or "every day". QD is an unapproved
abbreviation.
T.I.W. stands for three times a week; however, it is an unapproved abbreviation. Use "three times a
week".
The client has just returned from electroconvulsive therapy (ECT) and is very drowsy. What is the
position of choice for the nurse to place the client in until full consciousness is regained? - correct
answer ✔✔When someone is very sedated and not fully conscious, we want them on their side so the
airway remains open and the secretions can drain.
A client is hospitalized because of severe malnutrition related to anorexia nervosa. What is the most
important goal for this client? - correct answer ✔✔Until appropriate weight is gained, the client
continues to be at risk for major health complications including hypotension, cardiac arrhythmias, poor
muscle tone, increased risk for infection, abnormal liver function, and damaged kidneys.
A client comes to the clinic reporting palpitations, as well as nausea and vomiting while taking
metronidazole. The nurse notes that the client is flushed and has a heart rate of 118 bpm. Based on this
information, what is the most important question for the nurse to ask the client? - correct answer
✔✔Flushing, nausea and vomiting, palpitations, tachycardia, psychosis are signs of disulfiram-type
reaction seen when using products containing alcohol (cologne, after shave lotion, or path splashes) or
ingesting alcohol products while taking metronidazole.
Antibiotic: take metronidazole on an empty stomach
What should a community health nurse include when planning a presentation on prevention and early
detection of colon cancer? - correct answer ✔✔A diet high in vegetables, fruits, and whole grains has
been linked with a decreased risk of colorectal cancer;
exercise regularly
The guaiac-based fecal occult blood test detects blood in the stool through a chemical reaction. This test
is done yearly.
The nurse is searching for information about the nursing care of a client receiving an experimental drug
for the treatment of obesity. Which database is most likely to address this issue? - correct answer
✔✔The Cumulative Index for Nursing and Allied Health Literature (CINAHL) is a source for reviewing
nursing and allied health information.
Which assignments would be most appropriate for the RN to delegate to an LPN/VN? - correct answer
✔✔1. child with pneumonia admitted two days ago
2. the child admitted for developmental studies.
3. The twelve year old with post op wound infection taking oral antibiotics is also stable.
Which symptoms would the nurse be likely to observe in the client who overdosed on diazepam? -
correct answer ✔✔Benzodiazepines are central nervous system (CNS) depressants. Diazepam is a
benzodiazepine.
, They will slow respirations (bradypnea) and the heart rate (bradycardia). Somnolence (extreme,
prolonged drowsiness) would be seen.
Benzodiazepines - correct answer ✔✔drugs that lower anxiety and reduce stress
A long-term care nurse is planning care for a newly admitted client diagnosed with Alzheimer's disease.
What should the nurse include in the plan of care? - correct answer ✔✔Assess the client's ability to
perform activities of daily living and allow client to perform alone if capable.
Maintain stimuli such as a clock, newspaper, calendar, and/or weather status.
Encourage family to visit to maintain socialization.
Plan for staff to spend some time talking and listening to the client.
The home health nurse is assessing the home environment for possible irritants that could
increase/precipitate symptoms of respiratory problems. Which assessment questions would be
important to determine level of risk? - correct answer ✔✔1. What type of heat do you use in the home?
2. Does anyone in the home have hobbies that involve sanding of wood or use of chemicals?
3. Is there anyone in the home who smokes?
4. Do you routinely use aerosol sprays for personal care or cleaning?
Presence of wood smoke could increase respiratory problems. Poorly vented gas heaters could increase
carbon monoxide in the environment. Use of solvents or other agents that produce irritating fumes
could increase risk. The particles from the sanding could irritate the respiratory tract as well. Second-
hand smoke is irritating to the respiratory tract. Aerosols could trigger respiratory problems.
The nurse determines that a client does not have an advance directive. The daughter is designated to
make healthcare decisions in the event that the client becomes incapacitated or unable to make
informed decisions. Which nursing actions are appropriate for this client? - correct answer ✔✔1.
Document the client's statement in the client's own words.
2. Provide information on advance directives to the client.
3. Inform the client that personnel are available to assist with completing an advance directive.
Which menu selection by the client diagnosed with nephrotic syndrome indicates that teaching of
proper diet was understood? - correct answer ✔✔Client needs low sodium and increased proteins.
ex.Scrambled eggs, sliced turkey, biscuit, whole milk
A client is diagnosed with new onset grand mal seizures. Which nursing interventions should the nurse
implement for this client? - correct answer ✔✔2. Pad the side rails with blankets.
3. Place the bed in low position.
5. Instruct client to call for help when ambulating.
