NCLEX REVIEW HURST QUESTIONS AND ANSWERS | COMPLETE HURST NCLEX-
RN REVIEW STUDY GUIDE 2026/2027
Creatine - ✔✔normal range is 0.8 - 1.4 mg/dL (70-124 µmol/L) in males and 0.56-1.0 mg/dL (50-88
µmol/L) in females.
incident report - ✔✔The purpose of an incident report is to document any incident or unusual event
inconsistent with routine operations of hospital or staff routine and resulting in injury, or potential
liability, for clients, family, or staff. The nurse has violated HIPAA regulations by discussing a client's
medical prognosis with family members. The primary healthcare provider is responsible to discuss
prognosis with client and only those individuals designated by the client.
Lithium considerations - ✔✔Lithium is an anti-mania medication used to treat bipolar disorder or other
manic issues. Verify BUN, TSH, ECG
the amount of thyroid hormone in the thyroid, it also reduces the available amounts of T3 and T4. This
drug may also block the release of thyroid hormones into the body
Lithium tends to impair the kidney's ability to concentrate urine
Lithium can definitely affect the cardiovascular system. The client may experience heart palpitations or
even develop an arrhythmia
Clients expecting to get pregnant must stop this medication because it can cross the placenta barrier and
harm the fetus. Also, clients planning surgery must discontinue the medication 48 hours prior to the
procedure to avoid problems with anesthesia.
confusion in eledery w/pain - ✔✔The nurse is aware that multiple factors can contribute to acute
confusion in clients. The sudden relocation to a new environment, along with pain from injury, could
definitely contribute to an acute onset of confusion. The client's ordered bedrest and response to new
pain medications are additional factors that could produce an acute change in mental status.
acute diverticulitus tx - ✔✔increase fiber
Antidote for mag toxicity - ✔✔calicium gluconate
GTube fun fact - ✔✔Feeding tube clients tend to get dehydrated, especially clients on bed rest, because
bed rest induces diuresis! If the client is already having neurological signs, a grand mal seizure may be
next! Better take seizure precautions while awaiting the serum sodium results.
early signs of alcohol withdrwal - ✔✔The earliest signs of alcohol withdrawal are anxiety, agitation,
insomnia, and tremors. Tachycardia of 120-140 /min persists throughout withdrawal.Alcohol withdrawal
symptoms can occur as early as two hours after a person's last drink. Typically, symptoms will peak
within the first 24 to 48 hours. This is when the client may experience the most uncomfortable
withdrawal symptoms such as insomnia, tachycardia, hypertension, sweating, tremors, and fever. Six to
12 hours post-ingestion of alcohol, the client may experience agitation, anxiety, headaches, shaking,
nausea and vomiting. Twelve to 24 hours post-ingestion, the client might exhibit disorientation, hand
tremors, and seizures. Forty-eight hours post-ingestion, tactile, auditory and visual hallucinations with
high fever can occur
,normal creatinine clearance - ✔✔75-125 mL/min
Ear drops adminstration - ✔✔For children 3 years of age and younger, pull pinna down and back. For
adults, pull pinna up and back for medication administration or otoscopic exam.
-room temp
Cold = nausea/vomiting and dizziness.
Pre-clampsia - ✔✔: Muscle spasms indicating nerve/muscle irritation. Headache and blurred vision are
indicators of increasing blood pressure. This client is going into preeclampsia.
calf muscle irritablity
facial edema
epigastric pain
Prevention for OA - ✔✔control Blood sugar
use largest strongest joints for lifting
maintain a healthy weight
wear joint padding with playing sports
30min moderate intense excerise 5x weeks
High glucose levels speed the formation of certain molecules that make cartilage stiffer and more
sensitive to mechanical stress. The client should use the largest and strongest joints and muscles. Use
both arms when lifting or carrying an object. By using the largest and strongest joints, less stress occurs
on single joints or weaker areas of the body. Excess weight is one of the biggest risk factors for
osteoarthritis. Although injuries aren't always avoidable, it pays to protect joints. If playing sports, wear
protective gear, such as joint padding for soccer or hockey. And make sure any baseball field uses break-
away bases.
when should you call a consult with social services? - ✔✔In most areas, laws mandate certain
situations/circumstances involving children be reported to social services/child protection. Among these
things are: ingestion of toxic substances, fractures, suspected neglect or abuse, burns. For older children
and adults, the healthcare provider uses their judgment as to whether the situation indicates neglect or
abuse by the parents or caregivers.
antidote for enoxaparin - ✔✔protamine sulfate
what position do you place a patient while in shock ? - ✔✔trendelenberg
when Prececlampsia occur? - ✔✔can occur after the 20th week of pregnancy
characterized by high blood pressure and proteinuria.can affect the kidneys, liver, and even cause a low
platelet count. If seizures develop, the condition then becomes eclampsia, a dangerous situation in
which the only resolution is the delivery of the fetus. Uncontrolled hypertension is one of the causes of
death during pregnancy.
if a patient is having a hard time breathing do not assess and do something first then call whomever -
✔✔dangle the clinets legs over the side of the bed The reason is that by dangling the legs, blood is
pooling in the periphery. This decreases the circulating blood volume so that the heart does not have to
work as hard and blood will then go in a forward direction rather than going backward to the lungs.
, if you have too much sodium and water what do you lose? - ✔✔potasium
what disease has too much aldosterone? - ✔✔cushings
what solution is needed for a patient with hypertension - ✔✔hypotonic solution
clear liquid diet - ✔✔liquids that you can seen through
it can be in jello, popsicle
water.
clear juices without pulp.
electrolyte drinks, ginger ale, and club soda.
clear broths.
plain popsicles that do not contain pureed fruit or chunks.
hard candy.
gelatin products, such as Jell-O.
tea without milk or cream.
when is a ABG full compensated? - ✔✔whenever the PH is normal
Normal labs for ABG - ✔✔PH (7.35-7.45)
PaCO2 (45-35)
HCO3 (22-26)
Order of whom should be seen first?
Depression, hallucination - ✔✔1. hallucination (ctively hallucinating may be hearing voices, and the
voices may order the client to do something harmful to self or others.)
2. depression (the client receives medication and the energy level rises, the client may be at an increased
risk of suicide.)
PREVENTION OF VERICOSE VEINS - ✔✔exercise
wear low heeled shoes
elevate legs above heart several times per day
do not cross legs
low sodium diet
Veins have one-way valves that prevent blood from flowing backwards. When these valves fail, blood
begins to collect in the vein rather than continuing toward the heart. Varicose veins often affect the legs
because they are the farthest from the heart and gravity makes it harder for the blood to flow upward.
The following changes can help prevent varicose veins from forming: Avoid standing for extended
periods of time; Lose weight or maintain a healthy weight; Exercise to improve leg strength; Refrain from
crossing legs for extended periods of time.
Apneusis breathing - ✔✔characterized by a sustained inspiratory effort.
ataxic respirations - ✔✔an irregular, random pattern of deep and shallow respirations with irregular
apneic periods.
cluster breathing - ✔✔characterized by a closely grouped series of gasps followed by a period of apnea
RN REVIEW STUDY GUIDE 2026/2027
Creatine - ✔✔normal range is 0.8 - 1.4 mg/dL (70-124 µmol/L) in males and 0.56-1.0 mg/dL (50-88
µmol/L) in females.
incident report - ✔✔The purpose of an incident report is to document any incident or unusual event
inconsistent with routine operations of hospital or staff routine and resulting in injury, or potential
liability, for clients, family, or staff. The nurse has violated HIPAA regulations by discussing a client's
medical prognosis with family members. The primary healthcare provider is responsible to discuss
prognosis with client and only those individuals designated by the client.
Lithium considerations - ✔✔Lithium is an anti-mania medication used to treat bipolar disorder or other
manic issues. Verify BUN, TSH, ECG
the amount of thyroid hormone in the thyroid, it also reduces the available amounts of T3 and T4. This
drug may also block the release of thyroid hormones into the body
Lithium tends to impair the kidney's ability to concentrate urine
Lithium can definitely affect the cardiovascular system. The client may experience heart palpitations or
even develop an arrhythmia
Clients expecting to get pregnant must stop this medication because it can cross the placenta barrier and
harm the fetus. Also, clients planning surgery must discontinue the medication 48 hours prior to the
procedure to avoid problems with anesthesia.
confusion in eledery w/pain - ✔✔The nurse is aware that multiple factors can contribute to acute
confusion in clients. The sudden relocation to a new environment, along with pain from injury, could
definitely contribute to an acute onset of confusion. The client's ordered bedrest and response to new
pain medications are additional factors that could produce an acute change in mental status.
acute diverticulitus tx - ✔✔increase fiber
Antidote for mag toxicity - ✔✔calicium gluconate
GTube fun fact - ✔✔Feeding tube clients tend to get dehydrated, especially clients on bed rest, because
bed rest induces diuresis! If the client is already having neurological signs, a grand mal seizure may be
next! Better take seizure precautions while awaiting the serum sodium results.
early signs of alcohol withdrwal - ✔✔The earliest signs of alcohol withdrawal are anxiety, agitation,
insomnia, and tremors. Tachycardia of 120-140 /min persists throughout withdrawal.Alcohol withdrawal
symptoms can occur as early as two hours after a person's last drink. Typically, symptoms will peak
within the first 24 to 48 hours. This is when the client may experience the most uncomfortable
withdrawal symptoms such as insomnia, tachycardia, hypertension, sweating, tremors, and fever. Six to
12 hours post-ingestion of alcohol, the client may experience agitation, anxiety, headaches, shaking,
nausea and vomiting. Twelve to 24 hours post-ingestion, the client might exhibit disorientation, hand
tremors, and seizures. Forty-eight hours post-ingestion, tactile, auditory and visual hallucinations with
high fever can occur
,normal creatinine clearance - ✔✔75-125 mL/min
Ear drops adminstration - ✔✔For children 3 years of age and younger, pull pinna down and back. For
adults, pull pinna up and back for medication administration or otoscopic exam.
-room temp
Cold = nausea/vomiting and dizziness.
Pre-clampsia - ✔✔: Muscle spasms indicating nerve/muscle irritation. Headache and blurred vision are
indicators of increasing blood pressure. This client is going into preeclampsia.
calf muscle irritablity
facial edema
epigastric pain
Prevention for OA - ✔✔control Blood sugar
use largest strongest joints for lifting
maintain a healthy weight
wear joint padding with playing sports
30min moderate intense excerise 5x weeks
High glucose levels speed the formation of certain molecules that make cartilage stiffer and more
sensitive to mechanical stress. The client should use the largest and strongest joints and muscles. Use
both arms when lifting or carrying an object. By using the largest and strongest joints, less stress occurs
on single joints or weaker areas of the body. Excess weight is one of the biggest risk factors for
osteoarthritis. Although injuries aren't always avoidable, it pays to protect joints. If playing sports, wear
protective gear, such as joint padding for soccer or hockey. And make sure any baseball field uses break-
away bases.
when should you call a consult with social services? - ✔✔In most areas, laws mandate certain
situations/circumstances involving children be reported to social services/child protection. Among these
things are: ingestion of toxic substances, fractures, suspected neglect or abuse, burns. For older children
and adults, the healthcare provider uses their judgment as to whether the situation indicates neglect or
abuse by the parents or caregivers.
antidote for enoxaparin - ✔✔protamine sulfate
what position do you place a patient while in shock ? - ✔✔trendelenberg
when Prececlampsia occur? - ✔✔can occur after the 20th week of pregnancy
characterized by high blood pressure and proteinuria.can affect the kidneys, liver, and even cause a low
platelet count. If seizures develop, the condition then becomes eclampsia, a dangerous situation in
which the only resolution is the delivery of the fetus. Uncontrolled hypertension is one of the causes of
death during pregnancy.
if a patient is having a hard time breathing do not assess and do something first then call whomever -
✔✔dangle the clinets legs over the side of the bed The reason is that by dangling the legs, blood is
pooling in the periphery. This decreases the circulating blood volume so that the heart does not have to
work as hard and blood will then go in a forward direction rather than going backward to the lungs.
, if you have too much sodium and water what do you lose? - ✔✔potasium
what disease has too much aldosterone? - ✔✔cushings
what solution is needed for a patient with hypertension - ✔✔hypotonic solution
clear liquid diet - ✔✔liquids that you can seen through
it can be in jello, popsicle
water.
clear juices without pulp.
electrolyte drinks, ginger ale, and club soda.
clear broths.
plain popsicles that do not contain pureed fruit or chunks.
hard candy.
gelatin products, such as Jell-O.
tea without milk or cream.
when is a ABG full compensated? - ✔✔whenever the PH is normal
Normal labs for ABG - ✔✔PH (7.35-7.45)
PaCO2 (45-35)
HCO3 (22-26)
Order of whom should be seen first?
Depression, hallucination - ✔✔1. hallucination (ctively hallucinating may be hearing voices, and the
voices may order the client to do something harmful to self or others.)
2. depression (the client receives medication and the energy level rises, the client may be at an increased
risk of suicide.)
PREVENTION OF VERICOSE VEINS - ✔✔exercise
wear low heeled shoes
elevate legs above heart several times per day
do not cross legs
low sodium diet
Veins have one-way valves that prevent blood from flowing backwards. When these valves fail, blood
begins to collect in the vein rather than continuing toward the heart. Varicose veins often affect the legs
because they are the farthest from the heart and gravity makes it harder for the blood to flow upward.
The following changes can help prevent varicose veins from forming: Avoid standing for extended
periods of time; Lose weight or maintain a healthy weight; Exercise to improve leg strength; Refrain from
crossing legs for extended periods of time.
Apneusis breathing - ✔✔characterized by a sustained inspiratory effort.
ataxic respirations - ✔✔an irregular, random pattern of deep and shallow respirations with irregular
apneic periods.
cluster breathing - ✔✔characterized by a closely grouped series of gasps followed by a period of apnea
