HURST REVIEW NCLEX RN READINESS EXAM 1
ACTUAL TEST QUESTIONS AND SOLVED
ANSWERS
◉ A child was diagnosed with attention-deficit/hyperactivity
disorder (ADHD) in the clinic one week ago. Today the child's
mother calls the clinic to tell the nurse, "My child has not been able
to sleep since being put on methyphenidate." What is the best
response for the nurse to make?
1. "I will discuss this with the primary healthcare provider. A
different medication may be prescribed."
2. "The insomnia will get better over time. Just wait it out."
3. "To prevent insomnia, give your child the last daily dose at least 6
hours before bedtime."
4. "Your child may have overdosed on the medication. Go to the
emergency department now."
Answer: 3
◉ A client has been admitted to the medical unit and placed on
airborne precautions for suspected pulmonary tuberculosis (TB).
The nurse will assess for which signs and symptoms?
,1. Weight gain
2. Fatigue
3. Hemoptysis
4. Diaphoresis during sleep
5. Anorexia
Answer: 2,3,4,5
◉ A primary healthcare provider has prescribed the insertion of a
nasogastric (NG) tube. In what order should the nurse perform this
procedure?
Place actions in the correct order.
Elevate head of bed to fowler's position.
Measure distal NG tube from nose tip to earlobe to xiphoid process.
Lubricate 2-3 inches of distal NG tube.
Insert NG tube into unobstructed naris.
Advance NG tube upward and backward until resistance is met.
Rotate catheter and advance into nasopharynx.
Have client swallow ice as NG tube advances into stomach.
Secure NG tube.
Answer: This is the correct order
,◉ A nurse from the neonatal unit is transferred to the adult medical-
surgical unit. Which client should the charge nurse assign to the
neonatal nurse?
1. Undergoing surgery for placement of a central venous catheter.
2. Diagnosed with leukemia, hospitalized for induction of high-dose
chemotherapy.
3. Receiving IV heparin for left leg thrombosis.
4. Admitted with a cerebrovascular accident.
Answer: 1
◉ A client arrives at the emergency department after sustaining
partial and full-thickness burns over the anterior neck, chest, and
right arm. Which interventions will the nurse initiate?
1. Administer oxygen
2. Start two intravenous lines
3. Remove necklace
4. Elevate right arm
5. Debride wounds
Answer: 1,2,3,4
, ◉ A client recently diagnosed with diabetes is sent home with a
prescription for subcutaneous insulin. What statement made by the
client indicates that teaching has been effective regarding safe
needle disposal?
1. "I should wrap the needle in a paper towel and place in the trash."
2. "I should use a hospital issued biohazard container for all
needles."
3. "I may use any hard plastic container with a screw-on cap."
4. "I should take my needles to the nearest hospital for disposal. "
Answer: 3
◉ Which interventions should the nurse initiate to lessen acid reflux
in a client diagnosed with gastroesophagel reflux disease (GERD)?
1. Provide small, frequent meals.
2. Avoid carbonated beverages.
3. Administer omeprazole as prescribed.
4. Assist with smoking cessation.
5. Place in left lateral position for 2 hours after eating.
Answer: 1,2,3,4
ACTUAL TEST QUESTIONS AND SOLVED
ANSWERS
◉ A child was diagnosed with attention-deficit/hyperactivity
disorder (ADHD) in the clinic one week ago. Today the child's
mother calls the clinic to tell the nurse, "My child has not been able
to sleep since being put on methyphenidate." What is the best
response for the nurse to make?
1. "I will discuss this with the primary healthcare provider. A
different medication may be prescribed."
2. "The insomnia will get better over time. Just wait it out."
3. "To prevent insomnia, give your child the last daily dose at least 6
hours before bedtime."
4. "Your child may have overdosed on the medication. Go to the
emergency department now."
Answer: 3
◉ A client has been admitted to the medical unit and placed on
airborne precautions for suspected pulmonary tuberculosis (TB).
The nurse will assess for which signs and symptoms?
,1. Weight gain
2. Fatigue
3. Hemoptysis
4. Diaphoresis during sleep
5. Anorexia
Answer: 2,3,4,5
◉ A primary healthcare provider has prescribed the insertion of a
nasogastric (NG) tube. In what order should the nurse perform this
procedure?
Place actions in the correct order.
Elevate head of bed to fowler's position.
Measure distal NG tube from nose tip to earlobe to xiphoid process.
Lubricate 2-3 inches of distal NG tube.
Insert NG tube into unobstructed naris.
Advance NG tube upward and backward until resistance is met.
Rotate catheter and advance into nasopharynx.
Have client swallow ice as NG tube advances into stomach.
Secure NG tube.
Answer: This is the correct order
,◉ A nurse from the neonatal unit is transferred to the adult medical-
surgical unit. Which client should the charge nurse assign to the
neonatal nurse?
1. Undergoing surgery for placement of a central venous catheter.
2. Diagnosed with leukemia, hospitalized for induction of high-dose
chemotherapy.
3. Receiving IV heparin for left leg thrombosis.
4. Admitted with a cerebrovascular accident.
Answer: 1
◉ A client arrives at the emergency department after sustaining
partial and full-thickness burns over the anterior neck, chest, and
right arm. Which interventions will the nurse initiate?
1. Administer oxygen
2. Start two intravenous lines
3. Remove necklace
4. Elevate right arm
5. Debride wounds
Answer: 1,2,3,4
, ◉ A client recently diagnosed with diabetes is sent home with a
prescription for subcutaneous insulin. What statement made by the
client indicates that teaching has been effective regarding safe
needle disposal?
1. "I should wrap the needle in a paper towel and place in the trash."
2. "I should use a hospital issued biohazard container for all
needles."
3. "I may use any hard plastic container with a screw-on cap."
4. "I should take my needles to the nearest hospital for disposal. "
Answer: 3
◉ Which interventions should the nurse initiate to lessen acid reflux
in a client diagnosed with gastroesophagel reflux disease (GERD)?
1. Provide small, frequent meals.
2. Avoid carbonated beverages.
3. Administer omeprazole as prescribed.
4. Assist with smoking cessation.
5. Place in left lateral position for 2 hours after eating.
Answer: 1,2,3,4
