HURST READINESS EXAM 1 QUESTIONS AND ANSWERS | COMPLETE HURST
NCLEX-RN READINESS EXAM 1 STUDY GUIDE 2026/2027
The nurse is teaching a group of pregnant women about hormonal changes during pregnancy. The nurse
recognizes that teaching was successful when the women identify which hormone as causing
amenorrhea? - correct answer ✔✔Progesterone
The client is admitted to the hospital following a motor vehicle accident and has sustained a closed chest
wound. The nurse notes paradoxical chest wall movement. Which problem does the nurse suspect? -
correct answer ✔✔Flail chest is paradoxical chest wall movement.
Which client can a nurse manager safely transfer from the telemetry unit to the obstetrical unit in order
to receive a new admit? - correct answer ✔✔OB nurses would have the appropriate knowledge needed
to care for a client with a seizure disorders, because they care for clients who have eclampsia (seizures).
The nurse is teaching a group of clients who have reduced peripheral circulation how to care for their
feet. What points should the nurse include? - correct answer ✔✔1. Check shoes for rough spots in the
lining.
2. File toenails straight across.
4. Break in new shoes gradually. 5. Use pumice stones to treat calluses.
When caring for young adult clients, which developmental tasks would the nurse expect to see? - correct
answer ✔✔3. Developing meaningful and intimate relationships.
4. Giving and sharing with an individual without asking what will be given or shared in return.
What symptoms does the nurse expect to see in a client with bulimia nervosa? - correct answer ✔✔2.
Feelings of self-worth unduly influenced by weight
3. Recurrent episodes of binge eating
4. Recurrent inappropriate compensatory behavior to prevent weight gain
A client who has had a laparoscopic cholecystectomy develops pain in the left shoulder. Vital signs,
laboratory studies, and an electrocardiogram are within normal limits. What does the nurse recognize as
a contributing cause of the pain? - correct answer ✔✔Carbon dioxide used intraperitoneally is irritating
the phrenic nerve.
A client is admitted to the medical unit with an acute onset of fever, chills and RUQ pain. Vital signs are:
T 99.8°F (37.7°C), P 132, RR 34, B/P 142/82. ABG results are: pH-7.53, PaCO2 30, HCO3 22. The nurse
determines that this client is in what acid/base imbalance? - correct answer ✔✔Respiratory alkalosis
An unlicensed assistive personnel (UAP) has explained how to prevent the spread of infection to the
charge nurse. Which statement by the UAP indicates that further teaching is needed? - correct answer
✔✔"When caring for a client who has a suppressed immune response, a N95 mask should be worn."
The nurse is preparing to discharge a client who has been placed on tranylcypromine. The nurse teaches
the client about food to avoid while taking this medication. What food choice by the client confirms
appropriate understanding of the teaching? - correct answer ✔✔Salami
, Which nurse is providing cost effective care to a client? - correct answer ✔✔1. Providing palliative care
to a terminally ill client.
2. Beginning discharge planning on admit.
3. Counseling clients on cigarette smoking cessation.
4. Educating a group of parents on the importance of childhood immunizations.
A client is admitted for observation following an unrestrained motor vehicle accident. A bystander stated
that the client lost consciousness for 1-2 minutes. On admission, the client reports a headache and had a
Glasgow coma scale (GCS) of 14. The GCS is now 12. What is the priority nursing intervention for this
client? - correct answer ✔✔Notify the primary healthcare provider.
The nurse is assessing a client who is being treated with a non-steroidal anti-inflammatory medication
(NSAID) for an acute flare-up of gout. Which finding is expected in the assessment? - correct answer
✔✔Dramatic decrease in pain after beginning medications.
A home care nurse is preparing to perform venipuncture on a client to draw blood. As the nurse gathers
supplies, the client begins to experience palpitations, trembling, nausea, shortness of breath and a
feeling of losing control. How should the nurse communicate with this client? - correct answer ✔✔Use
simple words
The nurse is preparing a client for surgery. Which methods are appropriate for the nurse to use in
removing excessive body hair? - correct answer ✔✔2. Removing the hair with clippers.
4. Using a depilatory cream.
A new mother calls the clinic and tells the nurse, "I don't have any help taking care of my 3 week old
baby. I don't know what to do. I just feel like I can't take care of him anymore. I wish I never had him
sometimes. Maybe then my husband would spend more time at home." What would be the nurse's best
response? - correct answer ✔✔"Come to the clinic now so that we can help you."
The primary healthcare provider instructs the nurse to place body tissue obtained from a biopsy into a
container with formalin prior to sending it to pathology. The nurse has not handled formalin before.
What would be the nurse's best action? - correct answer ✔✔Read about formalin on the Material Safety
Data Sheet (MSDS).
The nurse is administering medication to an elderly client who has no visitors. The client takes the pills,
and, as the client hands the medication cup back to the nurse, grabs onto the nurse's hand tightly. What
is the most logical rationale for the client's action? - correct answer ✔✔Scared and lonely and grabs the
nurse's hand for comfort.
A nurse is caring for a 65 year-old client diagnosed with dehydration. The client has been receiving
intravenous normal saline at 150 mL/hour for the past 4 hours. Which finding would the nurse need to
notify the primary healthcare provider? - correct answer ✔✔Anxiety
The nurse reassesses the client's pain level after administering an oral analgesic. The client states that
the pain is better but continues to report a backache. Which non-pharmacologic interventions may help
the client's backache? - correct answer ✔✔2. Assisting the client into a side lying position.
3. Providing a back massage.
NCLEX-RN READINESS EXAM 1 STUDY GUIDE 2026/2027
The nurse is teaching a group of pregnant women about hormonal changes during pregnancy. The nurse
recognizes that teaching was successful when the women identify which hormone as causing
amenorrhea? - correct answer ✔✔Progesterone
The client is admitted to the hospital following a motor vehicle accident and has sustained a closed chest
wound. The nurse notes paradoxical chest wall movement. Which problem does the nurse suspect? -
correct answer ✔✔Flail chest is paradoxical chest wall movement.
Which client can a nurse manager safely transfer from the telemetry unit to the obstetrical unit in order
to receive a new admit? - correct answer ✔✔OB nurses would have the appropriate knowledge needed
to care for a client with a seizure disorders, because they care for clients who have eclampsia (seizures).
The nurse is teaching a group of clients who have reduced peripheral circulation how to care for their
feet. What points should the nurse include? - correct answer ✔✔1. Check shoes for rough spots in the
lining.
2. File toenails straight across.
4. Break in new shoes gradually. 5. Use pumice stones to treat calluses.
When caring for young adult clients, which developmental tasks would the nurse expect to see? - correct
answer ✔✔3. Developing meaningful and intimate relationships.
4. Giving and sharing with an individual without asking what will be given or shared in return.
What symptoms does the nurse expect to see in a client with bulimia nervosa? - correct answer ✔✔2.
Feelings of self-worth unduly influenced by weight
3. Recurrent episodes of binge eating
4. Recurrent inappropriate compensatory behavior to prevent weight gain
A client who has had a laparoscopic cholecystectomy develops pain in the left shoulder. Vital signs,
laboratory studies, and an electrocardiogram are within normal limits. What does the nurse recognize as
a contributing cause of the pain? - correct answer ✔✔Carbon dioxide used intraperitoneally is irritating
the phrenic nerve.
A client is admitted to the medical unit with an acute onset of fever, chills and RUQ pain. Vital signs are:
T 99.8°F (37.7°C), P 132, RR 34, B/P 142/82. ABG results are: pH-7.53, PaCO2 30, HCO3 22. The nurse
determines that this client is in what acid/base imbalance? - correct answer ✔✔Respiratory alkalosis
An unlicensed assistive personnel (UAP) has explained how to prevent the spread of infection to the
charge nurse. Which statement by the UAP indicates that further teaching is needed? - correct answer
✔✔"When caring for a client who has a suppressed immune response, a N95 mask should be worn."
The nurse is preparing to discharge a client who has been placed on tranylcypromine. The nurse teaches
the client about food to avoid while taking this medication. What food choice by the client confirms
appropriate understanding of the teaching? - correct answer ✔✔Salami
, Which nurse is providing cost effective care to a client? - correct answer ✔✔1. Providing palliative care
to a terminally ill client.
2. Beginning discharge planning on admit.
3. Counseling clients on cigarette smoking cessation.
4. Educating a group of parents on the importance of childhood immunizations.
A client is admitted for observation following an unrestrained motor vehicle accident. A bystander stated
that the client lost consciousness for 1-2 minutes. On admission, the client reports a headache and had a
Glasgow coma scale (GCS) of 14. The GCS is now 12. What is the priority nursing intervention for this
client? - correct answer ✔✔Notify the primary healthcare provider.
The nurse is assessing a client who is being treated with a non-steroidal anti-inflammatory medication
(NSAID) for an acute flare-up of gout. Which finding is expected in the assessment? - correct answer
✔✔Dramatic decrease in pain after beginning medications.
A home care nurse is preparing to perform venipuncture on a client to draw blood. As the nurse gathers
supplies, the client begins to experience palpitations, trembling, nausea, shortness of breath and a
feeling of losing control. How should the nurse communicate with this client? - correct answer ✔✔Use
simple words
The nurse is preparing a client for surgery. Which methods are appropriate for the nurse to use in
removing excessive body hair? - correct answer ✔✔2. Removing the hair with clippers.
4. Using a depilatory cream.
A new mother calls the clinic and tells the nurse, "I don't have any help taking care of my 3 week old
baby. I don't know what to do. I just feel like I can't take care of him anymore. I wish I never had him
sometimes. Maybe then my husband would spend more time at home." What would be the nurse's best
response? - correct answer ✔✔"Come to the clinic now so that we can help you."
The primary healthcare provider instructs the nurse to place body tissue obtained from a biopsy into a
container with formalin prior to sending it to pathology. The nurse has not handled formalin before.
What would be the nurse's best action? - correct answer ✔✔Read about formalin on the Material Safety
Data Sheet (MSDS).
The nurse is administering medication to an elderly client who has no visitors. The client takes the pills,
and, as the client hands the medication cup back to the nurse, grabs onto the nurse's hand tightly. What
is the most logical rationale for the client's action? - correct answer ✔✔Scared and lonely and grabs the
nurse's hand for comfort.
A nurse is caring for a 65 year-old client diagnosed with dehydration. The client has been receiving
intravenous normal saline at 150 mL/hour for the past 4 hours. Which finding would the nurse need to
notify the primary healthcare provider? - correct answer ✔✔Anxiety
The nurse reassesses the client's pain level after administering an oral analgesic. The client states that
the pain is better but continues to report a backache. Which non-pharmacologic interventions may help
the client's backache? - correct answer ✔✔2. Assisting the client into a side lying position.
3. Providing a back massage.
