HURST REVIEW QBANK QUESTIONS AND ANSWERS | COMPLETE HURST NCLEX
QBANK STUDY GUIDE 2026/2027
Postmortem care interventions - correct answer ✔✔- care should be reflective of religious beliefs of
client
- client should be identified by 2 different identifiers
- tubes and lines should be removed prior to cleansing
- dentures should be inserted after bathing, before family views the body
Administering ear drops to a six year old child - correct answer ✔✔- position supine with affected ear up
- for child older than 3: draw back and up on pinna
- allow drops to fall along inside of ear and flow by gravity
- have client remain supine for several minutes
Client with Alzheimer's who is agitated - correct answer ✔✔- redirection, distraction, and reassurance
- provide a snack
- take client for a walk
- ask client to sweep the floor
- turn on client's favorite music
Pale, clammy, and tachycardia, with bruising over left upper abdominal quadrant - correct answer ✔✔-
suggests a ruptured spleen and shock
- greatest concern is internal bleeding: PRIORITY is obtaining blood for type and cross match
- THEN start fluids for shock
Patient is discharged on a loop diuretic and needs suggestion of foods to maintain adequate electrolytes
- correct answer ✔✔- avocados, apricots, milk, fruit juices, bananas, cantaloupe: good sources of K+
Process of decontamination for hazardous exposure victims - correct answer ✔✔- first will remove
clothing and dispose in a hazardous material containment area
- will be placed in a warm shower
- spend a minute or so using soap over entire body before rinsing
- apply soap head to toe and then rinse for a few minutes
- most procedures require 5-6 minutes for decontamination process
Exercise stress test - correct answer ✔✔- dress in loose, comfortable clothing
- don't eat or drink anything except water for 4 hours before test
- hold beta blockers, calcium channel blockers, and nitroglycerin
- avoid caffeine for 24 hours prior
Total colectomy with ileoanal reservoir for ulcerative colitis - correct answer ✔✔- total removal of the
colon
- ileostomy will be closed once the reservoir is closed
- it may take several days before solid foods are tolerated
, Hickman catheter for home chemotherapy - correct answer ✔✔- client needs to wear two pairs of
gloves
- do not prepare chemo in an area that food is prepared
- used needles and syringes must be discarded in special container
- dressings, towels, etc. must be double bagged and then placed into chemo bag which is picked up by
medical supplier
- client's soiled linens must be washed separately from household members
- do not use home cleaning products to clean up spilled chemo drugs
4 year old child with new sibling recently started wetting the bed again - correct answer ✔✔- always
assess the physiologic problem FIRST: urinalysis
- regression from potty training is likely caused by new infant sibling, but physiologic problems must be
assessed first
Mediterranean diet for client at high risk for developing a stroke - correct answer ✔✔- mediterranean
diet emphasizes veggies, fruits, and whole grains with low fat dairy, poultry, fish, legumes, and nuts
- limited intake of sweets and red meats
- grilled eggplant, purple grape juice, cashews, skim milk, salmon
Nursing interventions for GERD - correct answer ✔✔- small, frequent meals
- avoid carbonated beverages
- smoking cessation
- omeprazole
PCP gives verbal order for Cisplatin 1 mg IV over 6 hours - correct answer ✔✔- this medication requires a
written prescription because it is a HIGH ALERT drug
- antineoplastic drugs always require a written prescription
Nursing interventions for pneumonia - correct answer ✔✔- incentive spirometry
- semi-fowler's position; but change positions frequently
- hydration up to 2-3 L/day
- encourage rest, but client must continue to movce to enhance secretion lcearance and ventilation
Proper positioning following an epidural - correct answer ✔✔- left-lateral: placenta is well perfused and
client is less likely to experience side effects
Alternative/complementary therapies - correct answer ✔✔- acupuncture
- yoga
- tai chi
- reiki (therapist channels energy into client by means of touch to activate the natural healing processes
of the body and restore phyical and emotional well-being)
High protein foods - correct answer ✔✔- chicken
- cottage cheese
- shrimp
- almonds
Prevention of a venous stasis ulcer - correct answer ✔✔- perform leg exercises regularly
QBANK STUDY GUIDE 2026/2027
Postmortem care interventions - correct answer ✔✔- care should be reflective of religious beliefs of
client
- client should be identified by 2 different identifiers
- tubes and lines should be removed prior to cleansing
- dentures should be inserted after bathing, before family views the body
Administering ear drops to a six year old child - correct answer ✔✔- position supine with affected ear up
- for child older than 3: draw back and up on pinna
- allow drops to fall along inside of ear and flow by gravity
- have client remain supine for several minutes
Client with Alzheimer's who is agitated - correct answer ✔✔- redirection, distraction, and reassurance
- provide a snack
- take client for a walk
- ask client to sweep the floor
- turn on client's favorite music
Pale, clammy, and tachycardia, with bruising over left upper abdominal quadrant - correct answer ✔✔-
suggests a ruptured spleen and shock
- greatest concern is internal bleeding: PRIORITY is obtaining blood for type and cross match
- THEN start fluids for shock
Patient is discharged on a loop diuretic and needs suggestion of foods to maintain adequate electrolytes
- correct answer ✔✔- avocados, apricots, milk, fruit juices, bananas, cantaloupe: good sources of K+
Process of decontamination for hazardous exposure victims - correct answer ✔✔- first will remove
clothing and dispose in a hazardous material containment area
- will be placed in a warm shower
- spend a minute or so using soap over entire body before rinsing
- apply soap head to toe and then rinse for a few minutes
- most procedures require 5-6 minutes for decontamination process
Exercise stress test - correct answer ✔✔- dress in loose, comfortable clothing
- don't eat or drink anything except water for 4 hours before test
- hold beta blockers, calcium channel blockers, and nitroglycerin
- avoid caffeine for 24 hours prior
Total colectomy with ileoanal reservoir for ulcerative colitis - correct answer ✔✔- total removal of the
colon
- ileostomy will be closed once the reservoir is closed
- it may take several days before solid foods are tolerated
, Hickman catheter for home chemotherapy - correct answer ✔✔- client needs to wear two pairs of
gloves
- do not prepare chemo in an area that food is prepared
- used needles and syringes must be discarded in special container
- dressings, towels, etc. must be double bagged and then placed into chemo bag which is picked up by
medical supplier
- client's soiled linens must be washed separately from household members
- do not use home cleaning products to clean up spilled chemo drugs
4 year old child with new sibling recently started wetting the bed again - correct answer ✔✔- always
assess the physiologic problem FIRST: urinalysis
- regression from potty training is likely caused by new infant sibling, but physiologic problems must be
assessed first
Mediterranean diet for client at high risk for developing a stroke - correct answer ✔✔- mediterranean
diet emphasizes veggies, fruits, and whole grains with low fat dairy, poultry, fish, legumes, and nuts
- limited intake of sweets and red meats
- grilled eggplant, purple grape juice, cashews, skim milk, salmon
Nursing interventions for GERD - correct answer ✔✔- small, frequent meals
- avoid carbonated beverages
- smoking cessation
- omeprazole
PCP gives verbal order for Cisplatin 1 mg IV over 6 hours - correct answer ✔✔- this medication requires a
written prescription because it is a HIGH ALERT drug
- antineoplastic drugs always require a written prescription
Nursing interventions for pneumonia - correct answer ✔✔- incentive spirometry
- semi-fowler's position; but change positions frequently
- hydration up to 2-3 L/day
- encourage rest, but client must continue to movce to enhance secretion lcearance and ventilation
Proper positioning following an epidural - correct answer ✔✔- left-lateral: placenta is well perfused and
client is less likely to experience side effects
Alternative/complementary therapies - correct answer ✔✔- acupuncture
- yoga
- tai chi
- reiki (therapist channels energy into client by means of touch to activate the natural healing processes
of the body and restore phyical and emotional well-being)
High protein foods - correct answer ✔✔- chicken
- cottage cheese
- shrimp
- almonds
Prevention of a venous stasis ulcer - correct answer ✔✔- perform leg exercises regularly
