HURST READINESS EXAM #1 QUESTIONS AND ANSWERS | COMPLETE HURST
NCLEX-RN READINESS EXAM #1 STUDY GUIDE 2026/2027
Which assignments would be most appropriate for the RN to delegate to an LPN/VN? - ✔✔1. Six year
old with new onset diabetes.- requires too much teaching and supervision
2. Ten year old with pneumonia admitted two days ago.- stable
3. Three month old admitted with severe dehydration.- pt is unstable
4. Four year old admitted for developmental studies.-stable
5. Twelve year old with post op wound infection taking oral antibiotics.-stable
Correct: 2,4,5
Post cataract removal a client reports nausea and severe pain in the operative eye. Which nursing
intervention takes priority? - ✔✔1. Administer morphine and ondansetron.
2. Reposition client to non-operative side.
3. Massage the canthus to unblock the lacrimal duct.
4. Notify the primary healthcare provider.
Correct: notify the primary healthcare provider. This indicates increased intraocular pressure
The nurse is caring for a client who has taken an acetaminophen overdose. Which symptom is the client
most likely to exhibit? - ✔✔1. Expectorating pink frothy sputum- This is a symptom of pulmonary
edema, not liver damage.
2. Sudden onset of mid-sternal chest pain- This is a symptom of myocardial ischemia, not liver damage.
3. Jaundiced conjunctiva
4. Diaphoresis and fever- Acetaminophen would decrease fever, and fever could cause diaphoresis so
neither of these are expected with acetaminophen overdose.
correct: 3- this is a sign of liver damage which is caused by Tylenol overdose
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? - ✔✔SATA
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?
5. Is your water supply treated by a municipal agency?- water supply would not affect respiratory status
Correct: 1,2,3,4 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.
, A client diagnosed with schizophrenia tells the nurse, "God is going to heal me. I do not need
medication." Which response by the nurse would best promote compliance with the prescribed
medication regimen? - ✔✔1. Yes, I believe that God will heal you.
2. Many people of faith believe that one way God works to heal is through medication.
3. We are talking about taking your medications right now.
4. What if God does not heal you and you should have taken the medication?
correct: 2 This allows the client to keep the belief that God will heal but will do it through the
medication. This promotes compliance with the prescribed medication regimen.
The nurse is assisting an unlicensed assistive personnel (UAP) move an obese and dependent client
toward the top of the bed. Which action is most important to prevent shearing forces on the skin? -
✔✔1. Each person puts hands under the client and slides client toward the top of the bed.
2. Apply powder to the sheet before pulling client toward the top of the bed.
3. Place turn sheet under the client and use it to slide the client toward the top of bed.
4. Seek assistance of another person before pulling up in bed.
Correct: 3
A client consumes a lacto-ovo vegetarian diet at home. During hospitalization, the primary healthcare
provider prescribes an increased calorie diet. Which foods are appropriate for the nurse to serve as
between meal snacks to boost caloric intake? - ✔✔1. Cheese sandwich and milk
2. Boiled eggs but no dairy products
3. Fish sticks and cocktail sausages
4. Fresh vegetables but no milk or eggs
correct: 1- this is because a lacto-ovo diet allows for dairy and eggs to be eaten but does not include
meat
The postanesthesia care unit has received several postoperative clients. While encouraging the clients to
cough and deep breathe, the nurse realizes that coughing poses thegreatest risk to which client? -
✔✔1. A female with an abdominal hysterectomy- we want client to cough and deep breathe to prevent
atelactisis
2. A male who had a right upper lobectomy- want client to cough and deep breathe
3. An adolescent with an open appendectomy- want client to cough and deep breathe
4. An elderly client who had cataract removal
correct- 4
Coughing would increase intraocular pressure in this client and risk dislodging the lens and eye sutures.
The nurse needs to monitor and prevent additional potentially harmful actions such as sneezing,
vomiting, bending over, or straining.
The nurse recognizes that treatment has been successful in resolving fluid volume excess based on which
assessment findings? - ✔✔SATA
1. Continued lethargy- should improve
2. Heart rate 112/min- HR should decrease
3. Decreasing shortness of breath
4. BP 114/78
NCLEX-RN READINESS EXAM #1 STUDY GUIDE 2026/2027
Which assignments would be most appropriate for the RN to delegate to an LPN/VN? - ✔✔1. Six year
old with new onset diabetes.- requires too much teaching and supervision
2. Ten year old with pneumonia admitted two days ago.- stable
3. Three month old admitted with severe dehydration.- pt is unstable
4. Four year old admitted for developmental studies.-stable
5. Twelve year old with post op wound infection taking oral antibiotics.-stable
Correct: 2,4,5
Post cataract removal a client reports nausea and severe pain in the operative eye. Which nursing
intervention takes priority? - ✔✔1. Administer morphine and ondansetron.
2. Reposition client to non-operative side.
3. Massage the canthus to unblock the lacrimal duct.
4. Notify the primary healthcare provider.
Correct: notify the primary healthcare provider. This indicates increased intraocular pressure
The nurse is caring for a client who has taken an acetaminophen overdose. Which symptom is the client
most likely to exhibit? - ✔✔1. Expectorating pink frothy sputum- This is a symptom of pulmonary
edema, not liver damage.
2. Sudden onset of mid-sternal chest pain- This is a symptom of myocardial ischemia, not liver damage.
3. Jaundiced conjunctiva
4. Diaphoresis and fever- Acetaminophen would decrease fever, and fever could cause diaphoresis so
neither of these are expected with acetaminophen overdose.
correct: 3- this is a sign of liver damage which is caused by Tylenol overdose
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? - ✔✔SATA
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?
5. Is your water supply treated by a municipal agency?- water supply would not affect respiratory status
Correct: 1,2,3,4 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.
, A client diagnosed with schizophrenia tells the nurse, "God is going to heal me. I do not need
medication." Which response by the nurse would best promote compliance with the prescribed
medication regimen? - ✔✔1. Yes, I believe that God will heal you.
2. Many people of faith believe that one way God works to heal is through medication.
3. We are talking about taking your medications right now.
4. What if God does not heal you and you should have taken the medication?
correct: 2 This allows the client to keep the belief that God will heal but will do it through the
medication. This promotes compliance with the prescribed medication regimen.
The nurse is assisting an unlicensed assistive personnel (UAP) move an obese and dependent client
toward the top of the bed. Which action is most important to prevent shearing forces on the skin? -
✔✔1. Each person puts hands under the client and slides client toward the top of the bed.
2. Apply powder to the sheet before pulling client toward the top of the bed.
3. Place turn sheet under the client and use it to slide the client toward the top of bed.
4. Seek assistance of another person before pulling up in bed.
Correct: 3
A client consumes a lacto-ovo vegetarian diet at home. During hospitalization, the primary healthcare
provider prescribes an increased calorie diet. Which foods are appropriate for the nurse to serve as
between meal snacks to boost caloric intake? - ✔✔1. Cheese sandwich and milk
2. Boiled eggs but no dairy products
3. Fish sticks and cocktail sausages
4. Fresh vegetables but no milk or eggs
correct: 1- this is because a lacto-ovo diet allows for dairy and eggs to be eaten but does not include
meat
The postanesthesia care unit has received several postoperative clients. While encouraging the clients to
cough and deep breathe, the nurse realizes that coughing poses thegreatest risk to which client? -
✔✔1. A female with an abdominal hysterectomy- we want client to cough and deep breathe to prevent
atelactisis
2. A male who had a right upper lobectomy- want client to cough and deep breathe
3. An adolescent with an open appendectomy- want client to cough and deep breathe
4. An elderly client who had cataract removal
correct- 4
Coughing would increase intraocular pressure in this client and risk dislodging the lens and eye sutures.
The nurse needs to monitor and prevent additional potentially harmful actions such as sneezing,
vomiting, bending over, or straining.
The nurse recognizes that treatment has been successful in resolving fluid volume excess based on which
assessment findings? - ✔✔SATA
1. Continued lethargy- should improve
2. Heart rate 112/min- HR should decrease
3. Decreasing shortness of breath
4. BP 114/78
