HURST REVIEW (1) QUESTIONS AND ANSWERS | COMPLETE HURST REVIEW 1
NCLEX STUDY GUIDE 2026/2027
prescription for restraints was received at 3am because of combative behavior. on last assessment at
7am, client was still combative. what is the BEST action?
a. continue restraints
b. remove restraints until HCP writes prescription
c. assign UAP to check on client periodically
d. obtain prescription from HCP - correct answer ✔✔obtain prescription from HCP
*periodical checks is not an acceptable time frame (must give specific hours)
how often do you need a prescription for restraints if they are still needed? - correct answer ✔✔every 4
hours
*should include why they require restraint & period for using them (no longer than 24 hours)
post-op care for a thoracentesis: - correct answer ✔✔-check vitals frequently
-examine dressing for bleeding
-listen to and percuss lungs
-palpate around incision site for air under skin
how should a client be positioned post-op for a thoracentesis? - correct answer ✔✔turn them on their
unaffected side for at least 1 hour (promote re-expansion of lung and healing of the site)
*do not place with affected lung down
Nurse is caring for a client prescribed vancomycin for MRSA. what nursing intervention is appropriate? -
correct answer ✔✔verify the client's BUN and creatinine are in normal range
why would muscle spasms in a client who is 28 weeks pregnant complaining of swollen hands and feet
be the biggest concern? - correct answer ✔✔client could have pre-eclampsia and is at risk for seizures
do you need to wear gloves when taking a client's vitals or passing out meal trays? - correct answer
✔✔no
(not coming into contact with body fluids)
when caring for a client who is immunosuppressed, what precautions are needed? - correct answer
✔✔standard
when is a N95 mask placed on a client? - correct answer ✔✔airborne precautions (ex. TB)
what is a common effect/SE of an SSRI? - correct answer ✔✔increased sweating
,*SSRI's may cause temperature dysregulation
*should have a lessening of depressive symptoms within a few weeks
assessment findings common with cirrhosis: - correct answer ✔✔firm, nodular liver
ascites
increased ALT and AST levels
bleeding from GI tract
LOW serum albumin levels (sick liver = less proteins)
Kosher diet - correct answer ✔✔No pork (bacon, ham, or sausage)
no shellfish (but yes normal fish)
steak must not have any traces of blood
milk is not allowed at same time as meat
Client with gout is being treated with NSAID for acute flare up. what is the expected finding? - correct
answer ✔✔dramatic decrease in pain after beginning medications
*patient's with gout usually experience dramatic improvement within 24 hours
*NSAID's do not reduce plasma uric acid levels
are a low-grade fever and rash adverse effects of NSAIDs? - correct answer ✔✔no!
*NSAIDs prevent fever, biggest SE is GI upset
if a client at 32 weeks gestation is admitted to OB unit with BP of 142/90 and 1+ proteinuria, who should
the nurse assign her to share a room with? - correct answer ✔✔another client with possibility of
preterm delivery (not one with potential emergency)
*room should be kept quiet to decrease stimulus
Why would a post-partum client be a bad choice to share a room with a client who has pre-eclampsia? -
correct answer ✔✔newborn would require frequent post-partum assessments and nursing care
*great deal of activity in the room
can an LPN re-insert an NG tube that a client pulled out? - correct answer ✔✔yes
, can LPN monitor PCA pump pain medication is being delivered? - correct answer ✔✔yes
(cannot initiate or administer pain meds -just monitor the pump)
can a LPN collect data on a new client? - correct answer ✔✔yes, if the RN verifies and co-signs to
complete assessment
what developmental tasks would the nurse expect to see in a young adult - correct answer
✔✔developing meaningful and intimate relationships
giving and sharing with an individual without asking what will be done in return
during what age group do people find a sense of fulfillment that can be found by volunteering in the
community? - correct answer ✔✔middle age
(finding ways to support others)
what age group must find some way to satisfy and support the next generation? - correct answer
✔✔middle adulthood (parenting task)
what age group do people reflect on their life accomplishments - correct answer ✔✔late adulthood
what is the best instruction for a UPA who is caring for a client with Alzheimer's that keeps walking into
other rooms on the unit? - correct answer ✔✔hang a familiar object on the door
(client's with alzheimer's may not recognize their own name or take time to read)
s/s of acute rejection (kidney) - correct answer ✔✔fever
increased BUN/creatinine
decreased UO
increased BP
tenderness over the kidney
nurse is planning teaching to a group of assisted living residents (close quarters, ex. dorm) about TB.
what should the include? - correct answer ✔✔cover mouth when coughing
proper hand washing
obtain TB skin test
proper disposal of tissues (hygiene measure)
s/e of a client who has received too much levothyroxine: - correct answer ✔✔-angina
NCLEX STUDY GUIDE 2026/2027
prescription for restraints was received at 3am because of combative behavior. on last assessment at
7am, client was still combative. what is the BEST action?
a. continue restraints
b. remove restraints until HCP writes prescription
c. assign UAP to check on client periodically
d. obtain prescription from HCP - correct answer ✔✔obtain prescription from HCP
*periodical checks is not an acceptable time frame (must give specific hours)
how often do you need a prescription for restraints if they are still needed? - correct answer ✔✔every 4
hours
*should include why they require restraint & period for using them (no longer than 24 hours)
post-op care for a thoracentesis: - correct answer ✔✔-check vitals frequently
-examine dressing for bleeding
-listen to and percuss lungs
-palpate around incision site for air under skin
how should a client be positioned post-op for a thoracentesis? - correct answer ✔✔turn them on their
unaffected side for at least 1 hour (promote re-expansion of lung and healing of the site)
*do not place with affected lung down
Nurse is caring for a client prescribed vancomycin for MRSA. what nursing intervention is appropriate? -
correct answer ✔✔verify the client's BUN and creatinine are in normal range
why would muscle spasms in a client who is 28 weeks pregnant complaining of swollen hands and feet
be the biggest concern? - correct answer ✔✔client could have pre-eclampsia and is at risk for seizures
do you need to wear gloves when taking a client's vitals or passing out meal trays? - correct answer
✔✔no
(not coming into contact with body fluids)
when caring for a client who is immunosuppressed, what precautions are needed? - correct answer
✔✔standard
when is a N95 mask placed on a client? - correct answer ✔✔airborne precautions (ex. TB)
what is a common effect/SE of an SSRI? - correct answer ✔✔increased sweating
,*SSRI's may cause temperature dysregulation
*should have a lessening of depressive symptoms within a few weeks
assessment findings common with cirrhosis: - correct answer ✔✔firm, nodular liver
ascites
increased ALT and AST levels
bleeding from GI tract
LOW serum albumin levels (sick liver = less proteins)
Kosher diet - correct answer ✔✔No pork (bacon, ham, or sausage)
no shellfish (but yes normal fish)
steak must not have any traces of blood
milk is not allowed at same time as meat
Client with gout is being treated with NSAID for acute flare up. what is the expected finding? - correct
answer ✔✔dramatic decrease in pain after beginning medications
*patient's with gout usually experience dramatic improvement within 24 hours
*NSAID's do not reduce plasma uric acid levels
are a low-grade fever and rash adverse effects of NSAIDs? - correct answer ✔✔no!
*NSAIDs prevent fever, biggest SE is GI upset
if a client at 32 weeks gestation is admitted to OB unit with BP of 142/90 and 1+ proteinuria, who should
the nurse assign her to share a room with? - correct answer ✔✔another client with possibility of
preterm delivery (not one with potential emergency)
*room should be kept quiet to decrease stimulus
Why would a post-partum client be a bad choice to share a room with a client who has pre-eclampsia? -
correct answer ✔✔newborn would require frequent post-partum assessments and nursing care
*great deal of activity in the room
can an LPN re-insert an NG tube that a client pulled out? - correct answer ✔✔yes
, can LPN monitor PCA pump pain medication is being delivered? - correct answer ✔✔yes
(cannot initiate or administer pain meds -just monitor the pump)
can a LPN collect data on a new client? - correct answer ✔✔yes, if the RN verifies and co-signs to
complete assessment
what developmental tasks would the nurse expect to see in a young adult - correct answer
✔✔developing meaningful and intimate relationships
giving and sharing with an individual without asking what will be done in return
during what age group do people find a sense of fulfillment that can be found by volunteering in the
community? - correct answer ✔✔middle age
(finding ways to support others)
what age group must find some way to satisfy and support the next generation? - correct answer
✔✔middle adulthood (parenting task)
what age group do people reflect on their life accomplishments - correct answer ✔✔late adulthood
what is the best instruction for a UPA who is caring for a client with Alzheimer's that keeps walking into
other rooms on the unit? - correct answer ✔✔hang a familiar object on the door
(client's with alzheimer's may not recognize their own name or take time to read)
s/s of acute rejection (kidney) - correct answer ✔✔fever
increased BUN/creatinine
decreased UO
increased BP
tenderness over the kidney
nurse is planning teaching to a group of assisted living residents (close quarters, ex. dorm) about TB.
what should the include? - correct answer ✔✔cover mouth when coughing
proper hand washing
obtain TB skin test
proper disposal of tissues (hygiene measure)
s/e of a client who has received too much levothyroxine: - correct answer ✔✔-angina
