HURST FINAL STUDY GUIDE 2026
COMPLETE QUESTIONS AND ANSWERS.
⫸ The nurse is working with a committee at the local school to develop
an emergency preparedness plan for tornados. What should be included
in the plan?
1. Identification of safe zones.
2. Methods for accounting for all people present in the building.
3. Warning system activation.
4. Identification of the gymnasium as the routine safe place.
5. Regular practice protocols.. Ans: 1., 2., 3. & 5. Correct: Everyone
should be aware of safe zones within the school. Personnel should be
given this information and signs posted in safe zones. There must be
systems in place to accurately determine the number of people in the
building at any given time. There also must be a system in place to alert
personnel and students of tornado warnings. Regular practice prepares
everyone for an actual event.
4. Incorrect: Gymnasiums are not considered safe places due to wide
expanse of roof. Safe zones should be on interior walls, no windows, and
a strong concrete floor if possible.
,⫸ What should a nurse teach family members prior to them entering the
room of a client who has agranulocytosis?
1. Meticulous hand washing is needed.
2. Do not visit if you have any infection.
3. The client must wear a mask.
4. Children under 12 may not visit.
5. Flowers are not allowed in the room.. Ans: 1., 2., 4., & 5. Correct:
Protective isolation is needed for this client because of the presence of a
low white blood cell count. We are protecting the client from acquiring
an infection. So any visitors will need to have meticulous hand washing
prior to entering. The visitor should not enter if he or she has any type of
infection. To decrease the risk of infection, small children should not
visit. Even the mildest symptom of infection could be detrimental to the
client. Flowers have bacteria and should not be brought into the room.
3. Incorrect: A mask must be worn by the visitor, not the client. The
mask is worn by visitors to prevent a possible spread of an airborne
infection to the immunocompromised client.
⫸ A client diagnosed with major depression has been taking a selective
serotonin reuptake inhibitor for the past 6 weeks. When visiting the
mental health center, the nurse discusses the medication and response
with the client. The nurse's assessment reveals that the client is confused
about the date and about the prescribed dosage of the medication. Which
question would be most important for the nurse to ask to further assess
the situation?
,1. Are you having trouble sleeping at night?
2. Do you have periods of muscle jerking?
3. Are you having any sexual dysfunction?
4. Is your mood improving?. Ans: 2. Correct: Myoclonus, high body
temperature, shaking, chills, and mental confusion are some of the
symptoms of serotonin syndrome. This client may be having symptoms
of this adverse reaction which, if severe, can be fatal.
1. Incorrect: Sleep disturbances are common with depression. Selective
serotonin reuptake inhibitors (SSRIs) may cause insomnia; however,
there is a more pertinent question needed for assessment of this client.
You should be concerned with the more serious or life-threatening issue.
3. Incorrect: Sexual dysfunction may occur with the SSRIs; however, the
client is exhibiting significant symptoms of an adverse reaction which
would take priority.
4. Incorrect: The response to the SSRI medications is important;
however, there is a more significant issue in this case. The possible
serotonin syndrome is a serious situation that would be the priority for
the nurse to address.
⫸ A client diagnosed with serotonin syndrome is admitted to the unit.
The nurse is familiar with this adverse reaction to the serotonin reuptake
inhibitors. Which symptoms can the nurse expect on assessment?
1. Fever and shivering
, 2. Agitation
3. Decreased body temperature
4. Constipation
5. Increased heart rate. Ans: 1., 2. & 5. Correct: Serotonin syndrome is a
group of symptoms that can result from the use of certain serotonin
reuptake inhibitors. These symptoms can range from mild to severe and
include high body temperature, agitation, increased reflexes, diaphoresis,
tremors, dilated pupils and diarrhea. The client is likely to experience
shivering with fever. Increased heart rate and blood pressure are also
commonly experienced. More severe symptoms, including muscle
rigidity and seizures, can occur. If not treated, serotonin syndrome can
be fatal.
3. Incorrect: Increased body temperature is expected as is increased
diaphoresis.
4. Incorrect: Diarrhea, not constipation, is a symptom of serotonin
syndrome.
⫸ The emergency department nurse is assessing a client who presents
with severe epigastric pain. The client reports that three rolls of calcium
carbonate were consumed in the past eight hours to treat the indigestion.
Which blood gas report does the nurse associate with this situation?
1. pH - 7.49, pCO2 - 40, HCO3 - 30
2. pH - 7.32, pCO2 - 48, HCO3 - 20
3. pH - 7.38, pCO2 - 52, HCO3 - 32
COMPLETE QUESTIONS AND ANSWERS.
⫸ The nurse is working with a committee at the local school to develop
an emergency preparedness plan for tornados. What should be included
in the plan?
1. Identification of safe zones.
2. Methods for accounting for all people present in the building.
3. Warning system activation.
4. Identification of the gymnasium as the routine safe place.
5. Regular practice protocols.. Ans: 1., 2., 3. & 5. Correct: Everyone
should be aware of safe zones within the school. Personnel should be
given this information and signs posted in safe zones. There must be
systems in place to accurately determine the number of people in the
building at any given time. There also must be a system in place to alert
personnel and students of tornado warnings. Regular practice prepares
everyone for an actual event.
4. Incorrect: Gymnasiums are not considered safe places due to wide
expanse of roof. Safe zones should be on interior walls, no windows, and
a strong concrete floor if possible.
,⫸ What should a nurse teach family members prior to them entering the
room of a client who has agranulocytosis?
1. Meticulous hand washing is needed.
2. Do not visit if you have any infection.
3. The client must wear a mask.
4. Children under 12 may not visit.
5. Flowers are not allowed in the room.. Ans: 1., 2., 4., & 5. Correct:
Protective isolation is needed for this client because of the presence of a
low white blood cell count. We are protecting the client from acquiring
an infection. So any visitors will need to have meticulous hand washing
prior to entering. The visitor should not enter if he or she has any type of
infection. To decrease the risk of infection, small children should not
visit. Even the mildest symptom of infection could be detrimental to the
client. Flowers have bacteria and should not be brought into the room.
3. Incorrect: A mask must be worn by the visitor, not the client. The
mask is worn by visitors to prevent a possible spread of an airborne
infection to the immunocompromised client.
⫸ A client diagnosed with major depression has been taking a selective
serotonin reuptake inhibitor for the past 6 weeks. When visiting the
mental health center, the nurse discusses the medication and response
with the client. The nurse's assessment reveals that the client is confused
about the date and about the prescribed dosage of the medication. Which
question would be most important for the nurse to ask to further assess
the situation?
,1. Are you having trouble sleeping at night?
2. Do you have periods of muscle jerking?
3. Are you having any sexual dysfunction?
4. Is your mood improving?. Ans: 2. Correct: Myoclonus, high body
temperature, shaking, chills, and mental confusion are some of the
symptoms of serotonin syndrome. This client may be having symptoms
of this adverse reaction which, if severe, can be fatal.
1. Incorrect: Sleep disturbances are common with depression. Selective
serotonin reuptake inhibitors (SSRIs) may cause insomnia; however,
there is a more pertinent question needed for assessment of this client.
You should be concerned with the more serious or life-threatening issue.
3. Incorrect: Sexual dysfunction may occur with the SSRIs; however, the
client is exhibiting significant symptoms of an adverse reaction which
would take priority.
4. Incorrect: The response to the SSRI medications is important;
however, there is a more significant issue in this case. The possible
serotonin syndrome is a serious situation that would be the priority for
the nurse to address.
⫸ A client diagnosed with serotonin syndrome is admitted to the unit.
The nurse is familiar with this adverse reaction to the serotonin reuptake
inhibitors. Which symptoms can the nurse expect on assessment?
1. Fever and shivering
, 2. Agitation
3. Decreased body temperature
4. Constipation
5. Increased heart rate. Ans: 1., 2. & 5. Correct: Serotonin syndrome is a
group of symptoms that can result from the use of certain serotonin
reuptake inhibitors. These symptoms can range from mild to severe and
include high body temperature, agitation, increased reflexes, diaphoresis,
tremors, dilated pupils and diarrhea. The client is likely to experience
shivering with fever. Increased heart rate and blood pressure are also
commonly experienced. More severe symptoms, including muscle
rigidity and seizures, can occur. If not treated, serotonin syndrome can
be fatal.
3. Incorrect: Increased body temperature is expected as is increased
diaphoresis.
4. Incorrect: Diarrhea, not constipation, is a symptom of serotonin
syndrome.
⫸ The emergency department nurse is assessing a client who presents
with severe epigastric pain. The client reports that three rolls of calcium
carbonate were consumed in the past eight hours to treat the indigestion.
Which blood gas report does the nurse associate with this situation?
1. pH - 7.49, pCO2 - 40, HCO3 - 30
2. pH - 7.32, pCO2 - 48, HCO3 - 20
3. pH - 7.38, pCO2 - 52, HCO3 - 32
