HURST PRACTICE EXAMINATION 2026
QUESTIONS WITH ANSWERS
GUARANTEED TO PASS.
⩥ The community health nurse is presenting information about birth
control measures to a group of young females. The nurse explains that
an intrauterine device (IUD) is most appropriate for what individuals?
1. A mother of a toddler who wants another child in three years.
2. The client with a recent exacerbation of sickle cell anemia.
3. A client with stage II breast cancer who has finished chemotherapy.
4. An adolescent who has recently become sexually active.
5. The client with a double mastectomy seven years ago.. Answer: 1 & 5.
CORRECT: An IUD is a surgically placed method of birth control in
which a small, t-shaped piece of plastic, or even copper, is inserted into
the uterus to decrease the chance of pregnancy. The client must be very
healthy, emotionally amenable to a foreign body to prevent pregnancy,
and aware that an IUD is not 100% fail-proof. The mother of a toddler
who would like to have another child in a few years is an excellent
candidate for the use of an IUD. Also, a client who had a double
mastectomy over seven years ago is a good candidate, since treatment
that long ago means the client would no longer be receiving any type of
immunosuppressant therapy.
,2. INCORRECT: A client who has had a recent exacerbation of sickle
cell anemia is at high risk for several complications, including infection
and clots. This is a foreign body in an already compromised client,
leading to many potential complications.
3. INCORRECT: The client being actively treated for cancer is also
immunosuppressed and would not be a good choice for an IUD. The risk
of infection is much too high.
4. INCORRECT: An adolescent who has recently become sexually
active presents a challenge. Remember that an adolescent does not have
regular menstrual cycles yet, and can experience intermittent bleeding.
Many primary healthcare providers argue that the use of an IUD may be
safer since the client would not have to remember a pill, a ring, or a
patch. But an even greater concern is the fact that an IUD is NOT 100%
effective, still presenting the risk of an unwanted pregnancy. Also, an
IUD does not protect against sexually transmitted disease (STDs), which
is often a concern in those who have become sexually active.
⩥ A client admitted to the hospital following a fall has a history of
Alzheimer's disease with apraxia. The nurse knows the client will need
priority assistance with what activity?
1. Ambulating to the bathroom.
2. Understanding instructions.
3. Using utensils at mealtime.
4. Identifying objects in room.. Answer: 3. Correct: Apraxia is a motor
disorder of voluntary movements in which the individual can no longer
execute purposeful activity, even though there is adequate mobility,
,strength, and coordination. This loss of ability to carry out previously
learned movements could occur secondary to brain injury or a disease
process such as Alzheimer's disease. The client has the ability to pick up
utensils but is unable to use them correctly, which may affect the client's
nutritional status.
1. Incorrect: Apraxia does not affect the ability to ambulate to the
bathroom, although the client may not be able to follow cleanliness
procedures once in the bathroom. However, there is another activity is of
more concern.
2. Incorrect: The ability to understand is not affected by apraxia, which
is a disorder in which the client loses the ability to perform purposeful
movement. The client is still able to comprehend instructions at this
point. There is another situation in which the client will need assistance.
4. Incorrect: The client is still able to identify objects in the
environment; however, the diagnosis of apraxia indicates the client
cannot use previously known objects correctly. Because of this situation,
there is another area in which assisting the client is of more importance.
⩥ In what order should the nurse address these client events that occur at
the same time? Place in order of highest to lowest priority.
The water seal chamber is empty in a client's closed chest drainage unit.
Client reporting urinary frequency and dysuria.
UAP reports a heart rate of 40/min in a client.
Client's tracheostomy needs to be suctioned.
Client who is on bedrest due to a deep vein thrombus attempting to get
out of bed.. Answer: The client with the highest need is the client who
, has a tracheostomy that needs to be suctioned. This client has an airway
problem. Maintaining a patent airway is vital to life and is always the
first priority.
The next client to be seen is the client whose water seal chamber is
empty which prevents the CDU from being a closed system. This can
create a breathing problem. The purpose of the water seal chamber is to
allow air to escape from the pleural space and yet prevent air from re-
entering the pleural space. It is a one-way system. The water should be
at the prescribed level (2 cm) to maintain this one-way water seal. If air
is allowed to re-enter the pleural space, the lung can collapse again
(pneumothorax). Once the other client's airway is suctioned, this would
be the next priority.
The third client to be seen is the client with a heart rate of 40/min which
may be affecting cardiac output. This is a circulatory problem.
Circulation follows airway and breathing in priority setting.
The fourth client to be seen is the client on bedrest for a DVT. If the
client gets up and ambulates, the clot can break lose and form an
embolus. Although this could potentially be dangerous, it does not take
priority over airway or circulatory issues that exist.
The fifth client would be the one reporting frequency and dysuria. This
client does not have a life-threatening problem. Therefore, this would be
the lowest in priority from the events presented.
QUESTIONS WITH ANSWERS
GUARANTEED TO PASS.
⩥ The community health nurse is presenting information about birth
control measures to a group of young females. The nurse explains that
an intrauterine device (IUD) is most appropriate for what individuals?
1. A mother of a toddler who wants another child in three years.
2. The client with a recent exacerbation of sickle cell anemia.
3. A client with stage II breast cancer who has finished chemotherapy.
4. An adolescent who has recently become sexually active.
5. The client with a double mastectomy seven years ago.. Answer: 1 & 5.
CORRECT: An IUD is a surgically placed method of birth control in
which a small, t-shaped piece of plastic, or even copper, is inserted into
the uterus to decrease the chance of pregnancy. The client must be very
healthy, emotionally amenable to a foreign body to prevent pregnancy,
and aware that an IUD is not 100% fail-proof. The mother of a toddler
who would like to have another child in a few years is an excellent
candidate for the use of an IUD. Also, a client who had a double
mastectomy over seven years ago is a good candidate, since treatment
that long ago means the client would no longer be receiving any type of
immunosuppressant therapy.
,2. INCORRECT: A client who has had a recent exacerbation of sickle
cell anemia is at high risk for several complications, including infection
and clots. This is a foreign body in an already compromised client,
leading to many potential complications.
3. INCORRECT: The client being actively treated for cancer is also
immunosuppressed and would not be a good choice for an IUD. The risk
of infection is much too high.
4. INCORRECT: An adolescent who has recently become sexually
active presents a challenge. Remember that an adolescent does not have
regular menstrual cycles yet, and can experience intermittent bleeding.
Many primary healthcare providers argue that the use of an IUD may be
safer since the client would not have to remember a pill, a ring, or a
patch. But an even greater concern is the fact that an IUD is NOT 100%
effective, still presenting the risk of an unwanted pregnancy. Also, an
IUD does not protect against sexually transmitted disease (STDs), which
is often a concern in those who have become sexually active.
⩥ A client admitted to the hospital following a fall has a history of
Alzheimer's disease with apraxia. The nurse knows the client will need
priority assistance with what activity?
1. Ambulating to the bathroom.
2. Understanding instructions.
3. Using utensils at mealtime.
4. Identifying objects in room.. Answer: 3. Correct: Apraxia is a motor
disorder of voluntary movements in which the individual can no longer
execute purposeful activity, even though there is adequate mobility,
,strength, and coordination. This loss of ability to carry out previously
learned movements could occur secondary to brain injury or a disease
process such as Alzheimer's disease. The client has the ability to pick up
utensils but is unable to use them correctly, which may affect the client's
nutritional status.
1. Incorrect: Apraxia does not affect the ability to ambulate to the
bathroom, although the client may not be able to follow cleanliness
procedures once in the bathroom. However, there is another activity is of
more concern.
2. Incorrect: The ability to understand is not affected by apraxia, which
is a disorder in which the client loses the ability to perform purposeful
movement. The client is still able to comprehend instructions at this
point. There is another situation in which the client will need assistance.
4. Incorrect: The client is still able to identify objects in the
environment; however, the diagnosis of apraxia indicates the client
cannot use previously known objects correctly. Because of this situation,
there is another area in which assisting the client is of more importance.
⩥ In what order should the nurse address these client events that occur at
the same time? Place in order of highest to lowest priority.
The water seal chamber is empty in a client's closed chest drainage unit.
Client reporting urinary frequency and dysuria.
UAP reports a heart rate of 40/min in a client.
Client's tracheostomy needs to be suctioned.
Client who is on bedrest due to a deep vein thrombus attempting to get
out of bed.. Answer: The client with the highest need is the client who
, has a tracheostomy that needs to be suctioned. This client has an airway
problem. Maintaining a patent airway is vital to life and is always the
first priority.
The next client to be seen is the client whose water seal chamber is
empty which prevents the CDU from being a closed system. This can
create a breathing problem. The purpose of the water seal chamber is to
allow air to escape from the pleural space and yet prevent air from re-
entering the pleural space. It is a one-way system. The water should be
at the prescribed level (2 cm) to maintain this one-way water seal. If air
is allowed to re-enter the pleural space, the lung can collapse again
(pneumothorax). Once the other client's airway is suctioned, this would
be the next priority.
The third client to be seen is the client with a heart rate of 40/min which
may be affecting cardiac output. This is a circulatory problem.
Circulation follows airway and breathing in priority setting.
The fourth client to be seen is the client on bedrest for a DVT. If the
client gets up and ambulates, the clot can break lose and form an
embolus. Although this could potentially be dangerous, it does not take
priority over airway or circulatory issues that exist.
The fifth client would be the one reporting frequency and dysuria. This
client does not have a life-threatening problem. Therefore, this would be
the lowest in priority from the events presented.
