HURST Review Qbank Questions and
Answers Exam
Postmortem care interventions - correct answer-- care should be reflective of religious
beliefs of client
- client should be identified by 2 different identifiers
- tubes and lines should be removed prior to cleansing
- densures should be inserted after bathing, before family views the body
Administering ear drops to a six year old child - correct answer-- position supine with
affected ear up
- for child older than 3: draw back and up on pinna
- allow drops to fall along inside of ear and flow by gravity
- have client remain supine for several minutes
Client with Alzheimer's who is agitated - correct answer-- redirection, distraction, and
reassurance
- provide a snack
- take client for a walk
- ask client to sweep the floor
- turn on client's favorite music
Pale, clammy, and tachycardia, with bruising over left upper abdominal quadrant -
correct answer-- suggests a ruptured spleen and shock
- greatest concern is internal bleeding: PRIORITY is obtaining blood for type and cross
match
- THEN start fluids for shock
Patient is discharged on a loop diuretic and needs suggestion of foods to maintain
adequate electrolytes - correct answer-- avocados, apricots, milk, fruit juices, bananas,
cantaloupe: good sources of K+
Process of decontamination for hazardous exposure victims - correct answer-- first will
remove clothing and dispose in a hazardous material containment area
- will be placed in a warm shower
- spend a minute or so using soap over entire body before rinsing
- apply soap head to toe and then rinse for a few minutes
- most procedures require 5-6 minutes for decontamination process
Exercise stress test - correct answer-- dress in loose, comfortable clothing
- don't eat or drink anything except water for 4 hours before test
, - hold beta blockers, calcium channel blockers, and nitroglycerin
- avoid caffeine for 24 hours prior
Total colectomy with ileoanal reservoir for ulcerative colitis - correct answer-- total
removal of the colon
- ileostomy will be closed once the reservoir is closed
- it may take several days before solid foods are tolerated
Hickman catheter for home chemotherapy - correct answer-- client needs to wear two
pairs of gloves
- do not prepare chemo in an area that food is prepared
- used needles and syringes must be discarded in special container
- dressings, towels, etc. must be double bagged and then placed into chemo bag which
is picked up by medical supplier
- client's soiled linens must be washed separately from household members
- do not use home cleaning products to clean up spilled chemo drugs
4 year old child with new sibling recently started wetting the bed again - correct answer-
- always assess the physiologic problem FIRST: urinalysis
- regression from potty training is likely caused by new infant sibling, but physiologic
problems must be assessed first
Mediterranean diet for client at high risk for developing a stroke - correct answer--
mediterranean diet emphasizes veggies, fruits, and whole grains with low fat dairy,
poultry, fish, legumes, and nuts
- limited intake of sweets and red meats
- grilled eggplant, purple grape juice, cashews, skim milk, salmon
Nursing interventions for GERD - correct answer-- small, frequent meals
- avoid carbonated beverages
- smoking cessation
- omeprazole
PCP gives verbal order for Cisplatin 1 mg IV over 6 hours - correct answer-- this
medication requires a written prescription because it is a HIGH ALERT drug
- antineoplastic drugs always require a written prescription
Nursing interventions for pneumonia - correct answer-- incentive spirometry
- semi-fowler's position; but change positions frequently
- hydration up to 2-3 L/day
- encourage rest, but client must continue to movce to enhance secretion lcearance and
ventilation
Proper positioning following an epidural - correct answer-- left-lateral: placenta is well
perfused and client is less likely to experience side effects
Answers Exam
Postmortem care interventions - correct answer-- care should be reflective of religious
beliefs of client
- client should be identified by 2 different identifiers
- tubes and lines should be removed prior to cleansing
- densures should be inserted after bathing, before family views the body
Administering ear drops to a six year old child - correct answer-- position supine with
affected ear up
- for child older than 3: draw back and up on pinna
- allow drops to fall along inside of ear and flow by gravity
- have client remain supine for several minutes
Client with Alzheimer's who is agitated - correct answer-- redirection, distraction, and
reassurance
- provide a snack
- take client for a walk
- ask client to sweep the floor
- turn on client's favorite music
Pale, clammy, and tachycardia, with bruising over left upper abdominal quadrant -
correct answer-- suggests a ruptured spleen and shock
- greatest concern is internal bleeding: PRIORITY is obtaining blood for type and cross
match
- THEN start fluids for shock
Patient is discharged on a loop diuretic and needs suggestion of foods to maintain
adequate electrolytes - correct answer-- avocados, apricots, milk, fruit juices, bananas,
cantaloupe: good sources of K+
Process of decontamination for hazardous exposure victims - correct answer-- first will
remove clothing and dispose in a hazardous material containment area
- will be placed in a warm shower
- spend a minute or so using soap over entire body before rinsing
- apply soap head to toe and then rinse for a few minutes
- most procedures require 5-6 minutes for decontamination process
Exercise stress test - correct answer-- dress in loose, comfortable clothing
- don't eat or drink anything except water for 4 hours before test
, - hold beta blockers, calcium channel blockers, and nitroglycerin
- avoid caffeine for 24 hours prior
Total colectomy with ileoanal reservoir for ulcerative colitis - correct answer-- total
removal of the colon
- ileostomy will be closed once the reservoir is closed
- it may take several days before solid foods are tolerated
Hickman catheter for home chemotherapy - correct answer-- client needs to wear two
pairs of gloves
- do not prepare chemo in an area that food is prepared
- used needles and syringes must be discarded in special container
- dressings, towels, etc. must be double bagged and then placed into chemo bag which
is picked up by medical supplier
- client's soiled linens must be washed separately from household members
- do not use home cleaning products to clean up spilled chemo drugs
4 year old child with new sibling recently started wetting the bed again - correct answer-
- always assess the physiologic problem FIRST: urinalysis
- regression from potty training is likely caused by new infant sibling, but physiologic
problems must be assessed first
Mediterranean diet for client at high risk for developing a stroke - correct answer--
mediterranean diet emphasizes veggies, fruits, and whole grains with low fat dairy,
poultry, fish, legumes, and nuts
- limited intake of sweets and red meats
- grilled eggplant, purple grape juice, cashews, skim milk, salmon
Nursing interventions for GERD - correct answer-- small, frequent meals
- avoid carbonated beverages
- smoking cessation
- omeprazole
PCP gives verbal order for Cisplatin 1 mg IV over 6 hours - correct answer-- this
medication requires a written prescription because it is a HIGH ALERT drug
- antineoplastic drugs always require a written prescription
Nursing interventions for pneumonia - correct answer-- incentive spirometry
- semi-fowler's position; but change positions frequently
- hydration up to 2-3 L/day
- encourage rest, but client must continue to movce to enhance secretion lcearance and
ventilation
Proper positioning following an epidural - correct answer-- left-lateral: placenta is well
perfused and client is less likely to experience side effects
