NCLEX-HURST EXAM TEST QUESTIONS WITH 100% CORRECT
ANSWERS!!
1. Normal absolute neu- 1500-8000/mm3
trophil count (ANC)
2. Sublingual doses of every 5 mins
nitroglycerin can be
repeated every The drug would start to be effective before 5 minutes.
minutes. What time
frame should the
nurse expect the ear-
liest onset of effec-
tiveness?
3. The homecare nurse 1., 2., 3., 4., & 5. Correct: Parkinson's disease causes
is providing family deterioration of the basal ganglia, ultimately impact-
teaching on safety is- ing motor control and function. As muscles become
sues for a client di- stiff and rigid, mobility slows, resulting in poor coordi-
agnosed with Parkin- nation and loss of balance. Safety is a chief concern in
son's disease. What all ADLs, requiring modifications in activity, nutrition,
adaptations should and the client's environment. Because Parkinson's
the nurse instruct the disease affects mobility, modification such as grab
family to initiate? bars and night lights are essential. Clients develop
constipation because of decreased peristalsis, so
1. Install grab bars on adding bran and fiber can address impending bowel
tub walls. issues. Scatter, or throw, rugs along with loose ex-
2. Place nightlights in tension cords on the floor create a fall risk because
hallways. the client is unable to pick up feet during ambulation.
3. Add bran and fiber The shuffling gait that develops increases the risk for
to daily diet. falls. These clients also have problems with insom-
4. Remove scatter nia along with poor REM sleep, leading to daytime
rugs or loose cords. drowsiness. Making the bedroom conducive to sleep
5. Keep bedroom may help alleviate symptoms for a period of time.
dark, cool and quiet. A dark, cool room with no distractions is the most
6. Put tennis balls on appropriate sleep environment.
legs of walker.
6. Incorrect: The proper method of utilizing a walker
is to step into the walker, pause and then move it
forward before stepping again. Even though clients
with Parkinson's disease have a shuffling gait and
stooped posture, sliding a walker with tennis balls on
, NCLEX-HURST EXAM TEST QUESTIONS WITH 100% CORRECT
ANSWERS!!
the walker legs presents a serious safety issue. The
client would not have the ability to control the speed
or hold the walker steady while stepping into it.
4. When providing care 2., & 3. Correct: The UAP can follow directions about
to a client diagnosed removing items from a client's meal tray. The UAP can
with pheochromocy- provide simple instruction reminders after the nurse
toma, which actions has provided teaching.
could the nurse safe-
ly delegate to the un- 1. Incorrect: The UAP cannot teach.
licensed nursing per-
sonnel (UAP)? 4. Incorrect: This is teaching and cannot be done by
the UAP. Further explanation by the nurse would need
1. Explain the pur- to be included as well.
pose of the vanillyl-
mandelic acid test. 5. Incorrect: The UAP cannot evaluate, which would
2. Remove caffeinat- include monitoring hydration status. The UAP could
ed beverages from collect data but cannot monitor or evaluate.
the client's meal tray.
3. Remind client not
to smoke.
4. Instruct the client
to limit activity.
5. Monitor hydration
status.
5. What activities would 1. , 2., 4., & 5. Appropriate actions for UAPs include
be appropriate for measuring and recording I&O and vital signs. UAPs
the nurse to dele- may also assist with ambulation and assist or perform
gate to an unlicensed activities related to daily hygiene.
assistive personnel
(UAP) caring for a 3. Incorrect: Reinforcing teaching can be done by the
client post-cholecys- LPN or RN.
tectomy?
6. Incorrect: Monitoring should be performed by the
1. Measuring and nurse.
recording intake and
output.
2. Assisting with am-
, NCLEX-HURST EXAM TEST QUESTIONS WITH 100% CORRECT
ANSWERS!!
bulation in the hall-
way.
3. Reinforce informa-
tion about a low fat
diet.
4. Assisting with daily
hygiene.
5. Measuring and
recording vital signs.
6. Monitor for in-
creased surgical site
pain during activity.
6. A client has re- 2. Correct: This is an incorrect statement by the
ceived discharge ed- client. Slight morning discharge, some redness, and
ucation post ex- a scratchy feeling may be expected for a few days."
tracapsular cataract Clients are instructed to report any pain that is unre-
surgery. Which state- lieved, redness around the eye, nausea or vomiting
ment made by the to the primary healthcare provider.
client indicates to
the nurse that further 1. Incorrect: This is a true statement and does not
teaching is needed? require intervention. Following surgery, the eye is cov-
ered with a patch and a metal or plastic shield for
1. "A protective eye protection from light and trauma.
patch will be needed
for 24 hours." 3. Incorrect: This is the correct way to clean the sur-
2. "I will notify gical eye. Cleaning from the inner to outer canthus
my primary heath- avoids entrance of microorganisms into the lacrimal
care provider for any duct.
amount of discharge,
redness or scratchy 4. Incorrect: This is a correct action. Increased in-
feeling because these traocular pressure needs to be avoided. Clients are
symptoms are abnor- instructed to avoid sleeping on the operative side.
mal."
3. "I will clean the sur-
gical eye with a clean
tissue, wiping once
from the inner aspect
of the closed eye to
ANSWERS!!
1. Normal absolute neu- 1500-8000/mm3
trophil count (ANC)
2. Sublingual doses of every 5 mins
nitroglycerin can be
repeated every The drug would start to be effective before 5 minutes.
minutes. What time
frame should the
nurse expect the ear-
liest onset of effec-
tiveness?
3. The homecare nurse 1., 2., 3., 4., & 5. Correct: Parkinson's disease causes
is providing family deterioration of the basal ganglia, ultimately impact-
teaching on safety is- ing motor control and function. As muscles become
sues for a client di- stiff and rigid, mobility slows, resulting in poor coordi-
agnosed with Parkin- nation and loss of balance. Safety is a chief concern in
son's disease. What all ADLs, requiring modifications in activity, nutrition,
adaptations should and the client's environment. Because Parkinson's
the nurse instruct the disease affects mobility, modification such as grab
family to initiate? bars and night lights are essential. Clients develop
constipation because of decreased peristalsis, so
1. Install grab bars on adding bran and fiber can address impending bowel
tub walls. issues. Scatter, or throw, rugs along with loose ex-
2. Place nightlights in tension cords on the floor create a fall risk because
hallways. the client is unable to pick up feet during ambulation.
3. Add bran and fiber The shuffling gait that develops increases the risk for
to daily diet. falls. These clients also have problems with insom-
4. Remove scatter nia along with poor REM sleep, leading to daytime
rugs or loose cords. drowsiness. Making the bedroom conducive to sleep
5. Keep bedroom may help alleviate symptoms for a period of time.
dark, cool and quiet. A dark, cool room with no distractions is the most
6. Put tennis balls on appropriate sleep environment.
legs of walker.
6. Incorrect: The proper method of utilizing a walker
is to step into the walker, pause and then move it
forward before stepping again. Even though clients
with Parkinson's disease have a shuffling gait and
stooped posture, sliding a walker with tennis balls on
, NCLEX-HURST EXAM TEST QUESTIONS WITH 100% CORRECT
ANSWERS!!
the walker legs presents a serious safety issue. The
client would not have the ability to control the speed
or hold the walker steady while stepping into it.
4. When providing care 2., & 3. Correct: The UAP can follow directions about
to a client diagnosed removing items from a client's meal tray. The UAP can
with pheochromocy- provide simple instruction reminders after the nurse
toma, which actions has provided teaching.
could the nurse safe-
ly delegate to the un- 1. Incorrect: The UAP cannot teach.
licensed nursing per-
sonnel (UAP)? 4. Incorrect: This is teaching and cannot be done by
the UAP. Further explanation by the nurse would need
1. Explain the pur- to be included as well.
pose of the vanillyl-
mandelic acid test. 5. Incorrect: The UAP cannot evaluate, which would
2. Remove caffeinat- include monitoring hydration status. The UAP could
ed beverages from collect data but cannot monitor or evaluate.
the client's meal tray.
3. Remind client not
to smoke.
4. Instruct the client
to limit activity.
5. Monitor hydration
status.
5. What activities would 1. , 2., 4., & 5. Appropriate actions for UAPs include
be appropriate for measuring and recording I&O and vital signs. UAPs
the nurse to dele- may also assist with ambulation and assist or perform
gate to an unlicensed activities related to daily hygiene.
assistive personnel
(UAP) caring for a 3. Incorrect: Reinforcing teaching can be done by the
client post-cholecys- LPN or RN.
tectomy?
6. Incorrect: Monitoring should be performed by the
1. Measuring and nurse.
recording intake and
output.
2. Assisting with am-
, NCLEX-HURST EXAM TEST QUESTIONS WITH 100% CORRECT
ANSWERS!!
bulation in the hall-
way.
3. Reinforce informa-
tion about a low fat
diet.
4. Assisting with daily
hygiene.
5. Measuring and
recording vital signs.
6. Monitor for in-
creased surgical site
pain during activity.
6. A client has re- 2. Correct: This is an incorrect statement by the
ceived discharge ed- client. Slight morning discharge, some redness, and
ucation post ex- a scratchy feeling may be expected for a few days."
tracapsular cataract Clients are instructed to report any pain that is unre-
surgery. Which state- lieved, redness around the eye, nausea or vomiting
ment made by the to the primary healthcare provider.
client indicates to
the nurse that further 1. Incorrect: This is a true statement and does not
teaching is needed? require intervention. Following surgery, the eye is cov-
ered with a patch and a metal or plastic shield for
1. "A protective eye protection from light and trauma.
patch will be needed
for 24 hours." 3. Incorrect: This is the correct way to clean the sur-
2. "I will notify gical eye. Cleaning from the inner to outer canthus
my primary heath- avoids entrance of microorganisms into the lacrimal
care provider for any duct.
amount of discharge,
redness or scratchy 4. Incorrect: This is a correct action. Increased in-
feeling because these traocular pressure needs to be avoided. Clients are
symptoms are abnor- instructed to avoid sleeping on the operative side.
mal."
3. "I will clean the sur-
gical eye with a clean
tissue, wiping once
from the inner aspect
of the closed eye to
