1|Page
Hurst NCLEX-RN review, NCLEX-RN questions and
answers, Hurst nursing exam, RN licensure prep,
clinical judgment test, Hurst review 2025, NCLEX
study material
What information should a nurse include when educating a
client regarding buccal administration of a medication?
1. This route allows the medication to get into the bloodstream
faster than the oral route.
2. Stinging may occur after placing the medication in the cheek.
3. If swallowed, the medication may be inactivated by gastric
secretions.
4. The buccal dose of medication will need to be increased from
the oral dose.
5. Remove the tablet from buccal area after 15 seconds. -
ANSWER-1., 2., & 3. Correct: These are correct statements
about buccal administration of medication. Buccal
administration involves the medication being placed between the
gums and cheek, where it dissolves and becomes absorbed into
the bloodstream. The cheek area has many capillaries that allow
the medication to be absorbed quickly without having to pass
through the digestive system. The degree of stinging
experienced depends on the medication being administered.
,2|Page
Some effects of certain medications can be lessened by digestive
processes.
4. Incorrect: When given by the buccal route, the medication
does not go through the digestive system. This means that the
medication is not metabolized through the liver, and thus a lower
dose can be used.
5. Incorrect: Placement should be maintained until the tablet is
dissolved in order to get the dosage and effects desired.
Which signs and symptoms would the nurse expect to see in a
client who has taken prednisone for two months?
1. Weight loss
2. Decreased wound healing
3. Hypertension
4. Decreased facial hair
5. Moon face - ANSWER-2., 3. & 5. Correct: Decreased wound
healing is a side effect with prolonged steroid use due to the
immunosuppressive effects. All steroid medications, such as
prednisone, can lead to sodium retention which then leads to
dose related fluid retention. Hypertension is seen due to this
fluid and sodium retention. Cushingoid appearance (moon face)
,3|Page
is a side effect that is created from the abnormal redistribution of
fat from prolonged steroid use.
1. Incorrect: Within one month after corticosteroid
administration, weight gain is seen rather than weight loss.
4. Incorrect: Facial and body hair increase with prolonged
steroid use. This excessive growth of body hair, known as
hirsutism, is one of the numerous potential side effects of
prednisone.
A nurse is at highest risk for blood-borne exposure during which
situation?
1. When removing a needle from the syringe.
2. While placing a suture needle into the self-locking forceps.
3. Prior to inserting the intravenous (IV) line, the client moves
causing a needle stick to the nurse.
4. A clean needle sticks the nurse through blood-soiled gloves. -
ANSWER-4. Correct: A clean needle that moves through blood-
soiled gloves to stick the nurse is considered to be potentially
contaminated and results in a blood-borne exposure. All other
answers are considered a clean stick.
, 4|Page
1. Incorrect: This is considered a clean stick. The needle is
sterile initially and has not been contaminated prior to removal
of the needle from the syringe.
2. Incorrect: This is considered a clean stick since the suture
needle has not been inserted into the client prior to the needle
stick.
3. Incorrect: This is considered a clean stick. The IV insertion
device is sterile and has not been contaminated since it was not
inserted into the client.
A new nurse is preparing to give a medication to a nine month
old client. After checking a drug reference book, the nurse
crushes the tablet and mixes it into 3 ounces of applesauce. The
new nurse proceeds to the client's room. What priority action
should the supervising nurse take?
1. Tell the new nurse to recheck the drug reference book before
administering the medication.
2. Suggest that the new nurse reconsider the client's
developmental needs.
3. Check the prescription order and the client dose.
Hurst NCLEX-RN review, NCLEX-RN questions and
answers, Hurst nursing exam, RN licensure prep,
clinical judgment test, Hurst review 2025, NCLEX
study material
What information should a nurse include when educating a
client regarding buccal administration of a medication?
1. This route allows the medication to get into the bloodstream
faster than the oral route.
2. Stinging may occur after placing the medication in the cheek.
3. If swallowed, the medication may be inactivated by gastric
secretions.
4. The buccal dose of medication will need to be increased from
the oral dose.
5. Remove the tablet from buccal area after 15 seconds. -
ANSWER-1., 2., & 3. Correct: These are correct statements
about buccal administration of medication. Buccal
administration involves the medication being placed between the
gums and cheek, where it dissolves and becomes absorbed into
the bloodstream. The cheek area has many capillaries that allow
the medication to be absorbed quickly without having to pass
through the digestive system. The degree of stinging
experienced depends on the medication being administered.
,2|Page
Some effects of certain medications can be lessened by digestive
processes.
4. Incorrect: When given by the buccal route, the medication
does not go through the digestive system. This means that the
medication is not metabolized through the liver, and thus a lower
dose can be used.
5. Incorrect: Placement should be maintained until the tablet is
dissolved in order to get the dosage and effects desired.
Which signs and symptoms would the nurse expect to see in a
client who has taken prednisone for two months?
1. Weight loss
2. Decreased wound healing
3. Hypertension
4. Decreased facial hair
5. Moon face - ANSWER-2., 3. & 5. Correct: Decreased wound
healing is a side effect with prolonged steroid use due to the
immunosuppressive effects. All steroid medications, such as
prednisone, can lead to sodium retention which then leads to
dose related fluid retention. Hypertension is seen due to this
fluid and sodium retention. Cushingoid appearance (moon face)
,3|Page
is a side effect that is created from the abnormal redistribution of
fat from prolonged steroid use.
1. Incorrect: Within one month after corticosteroid
administration, weight gain is seen rather than weight loss.
4. Incorrect: Facial and body hair increase with prolonged
steroid use. This excessive growth of body hair, known as
hirsutism, is one of the numerous potential side effects of
prednisone.
A nurse is at highest risk for blood-borne exposure during which
situation?
1. When removing a needle from the syringe.
2. While placing a suture needle into the self-locking forceps.
3. Prior to inserting the intravenous (IV) line, the client moves
causing a needle stick to the nurse.
4. A clean needle sticks the nurse through blood-soiled gloves. -
ANSWER-4. Correct: A clean needle that moves through blood-
soiled gloves to stick the nurse is considered to be potentially
contaminated and results in a blood-borne exposure. All other
answers are considered a clean stick.
, 4|Page
1. Incorrect: This is considered a clean stick. The needle is
sterile initially and has not been contaminated prior to removal
of the needle from the syringe.
2. Incorrect: This is considered a clean stick since the suture
needle has not been inserted into the client prior to the needle
stick.
3. Incorrect: This is considered a clean stick. The IV insertion
device is sterile and has not been contaminated since it was not
inserted into the client.
A new nurse is preparing to give a medication to a nine month
old client. After checking a drug reference book, the nurse
crushes the tablet and mixes it into 3 ounces of applesauce. The
new nurse proceeds to the client's room. What priority action
should the supervising nurse take?
1. Tell the new nurse to recheck the drug reference book before
administering the medication.
2. Suggest that the new nurse reconsider the client's
developmental needs.
3. Check the prescription order and the client dose.
