HURST REVIEW NCLEX-RN READINESS EXAM 2 ||
ACCURATE 100%.
The public health nurse is planning to participate in local forums regarding the placement of a
factory that is known to produce pollution through discharge of chemical by-products into the
air. What actions demonstrate ethical nursing practice in the public health arena? correct
answers 1. Speaking up for the underrepresented, such as the poor and uneducated persons
3. Requesting that forums be held throughout the community at various times of the day or
evening.
4. Asking for information regarding the health status of people in other factory locations.
5. Requesting information from individuals in areas where the factories are currently located.
Which assignment would be most appropriate for the charge nurse to assign to the LPN/VN
in the Labor, Delivery, Recovery and Postpartum Unit (LDRP)? correct answers 1. Primipara
needing assistance with breastfeeding.
3. Primipara who is two days post op cesarean section.
A nurse is calling the primary healthcare provider about a client who is experiencing dyspnea
and chest pain two days post total knee replacement. Which statements by the nurse are
appropriate according to the communication tool SBAR (Situation, Background, Assessment
and Recommendation)? correct answers 2. "Jane Doe is having increasing dyspnea and is
reporting chest pain."
3. "Jane Doe had a total knee replacement two days ago. Pulse is 120, BP 128/54, Resp 32.
She is restless."
4. "From my assessment, I think she may be having a cardiac event or a pulmonary
embolism."
5. "I recommend that you see the client immediately and that we start oxygen stat. Do you
agree?"
Which tasks would be appropriate for the nurse to assign to an LPN/VN? correct answers 1.
Changing a colostomy bag.
2. Administer antibiotic via intravenous piggyback (IVPB).
5. Check for urinary retention.
6. Remove wound sutures.
A 13 year old, found unresponsive in the park, is brought into the emergency department. The
nurse sees a medical alert bracelet stating "Diabetic", and notes a fruity smell to the breath.
There are no family members available to obtain consent for treatment and an attempt to call
them has been unsuccessful. What action should the nurse take? correct answers 2. Begin
treatment by inserting two large bore IVs of Normal Saline.
The nurse is working at the triage station. Which client should the nurse triage first? correct
answers 2. A client with a cast on the right leg who states, "My right leg is killing me and
nothing I do makes it stop hurting. "
A quality assurance (QA) manager plans to evaluate performance improvement regarding the
implementation of fall precautions for at risk clients. What steps should the QA manager
include in this evaluation? correct answers 1. Chart review for fall precaution documentation.
2. Direct observation of unit staff.
, 4. Identify at risk clients on unit.
5. Make unannounced visits to the unit for evaluating staff performance.
The nurse is performing the admission assessment on a client who is having a breast
augmentation. Which client information would be most important for the nurse to report to
the surgeon before surgery? correct answers 3. Client's last menstrual period was 8 weeks
ago.
The charge nurse has received report from the emergency department about a client
diagnosed with Cushing's disease being admitted to the unit. Which client in a semi-private
room would be appropriate for the charge nurse to have this client share? correct answers 3.
Client who has a fractured hip.
Which pediatric client should the nurse see first? correct answers 3. Three year old with
wheezes in right lower lobe.
What is priority for the nurse to determine about a client who is scheduled for a tubal ligation
in the outpatient surgical center? correct answers 3. Client's plan for transportation and care at
home.
A case manager is assessing an unresponsive client diagnosed with terminal hepatic
encephalopathy to determine equipment needs upon discharge to home for hospice care.
Which equipment should the case manager obtain for this client? correct answers 1.
Alternating pressure mattress
2. Hospital bed
4. Suction equipment
5. Oxygen
Which client must the nurse assign to a private room? correct answers 4. Postpartum client 32
hours after delivery with a temperature of 101º F (38.05 ° C)
Which client requires immediate intervention by the nurse? correct answers 3. Client with a
fractured femur reporting sharp chest pain of 4/10.
Which nursing tasks can the RN delegate to an unlicensed assistive personnel (UAP)? correct
answers 2. Obtain blood pressure of client diagnosed with nephrotic syndrome.
4. Document the intake and output of a client in acute renal failure.
6. Perform perineal care of a client who has urinary incontinence.
A client tells the nurse, "I am dying from cancer. I have told my primary healthcare provider
that I do not want to be revived if my heart stops beating or I stop breathing." What action
should the nurse take first to assure that the client's request is respected? correct answers 1.
Ensure a do-not-resuscitate prescription has been provided.
A homebound client lives alone, has a history of poorly controlled diabetes, and has an open
wound on the left heel. The home health nurse is concerned about the client's condition and
the possible need for a referral. Which intervention should the nurse initiate for this client?
correct answers 1. Ask the primary healthcare provider to prescribe a diabetes educator
consult.
ACCURATE 100%.
The public health nurse is planning to participate in local forums regarding the placement of a
factory that is known to produce pollution through discharge of chemical by-products into the
air. What actions demonstrate ethical nursing practice in the public health arena? correct
answers 1. Speaking up for the underrepresented, such as the poor and uneducated persons
3. Requesting that forums be held throughout the community at various times of the day or
evening.
4. Asking for information regarding the health status of people in other factory locations.
5. Requesting information from individuals in areas where the factories are currently located.
Which assignment would be most appropriate for the charge nurse to assign to the LPN/VN
in the Labor, Delivery, Recovery and Postpartum Unit (LDRP)? correct answers 1. Primipara
needing assistance with breastfeeding.
3. Primipara who is two days post op cesarean section.
A nurse is calling the primary healthcare provider about a client who is experiencing dyspnea
and chest pain two days post total knee replacement. Which statements by the nurse are
appropriate according to the communication tool SBAR (Situation, Background, Assessment
and Recommendation)? correct answers 2. "Jane Doe is having increasing dyspnea and is
reporting chest pain."
3. "Jane Doe had a total knee replacement two days ago. Pulse is 120, BP 128/54, Resp 32.
She is restless."
4. "From my assessment, I think she may be having a cardiac event or a pulmonary
embolism."
5. "I recommend that you see the client immediately and that we start oxygen stat. Do you
agree?"
Which tasks would be appropriate for the nurse to assign to an LPN/VN? correct answers 1.
Changing a colostomy bag.
2. Administer antibiotic via intravenous piggyback (IVPB).
5. Check for urinary retention.
6. Remove wound sutures.
A 13 year old, found unresponsive in the park, is brought into the emergency department. The
nurse sees a medical alert bracelet stating "Diabetic", and notes a fruity smell to the breath.
There are no family members available to obtain consent for treatment and an attempt to call
them has been unsuccessful. What action should the nurse take? correct answers 2. Begin
treatment by inserting two large bore IVs of Normal Saline.
The nurse is working at the triage station. Which client should the nurse triage first? correct
answers 2. A client with a cast on the right leg who states, "My right leg is killing me and
nothing I do makes it stop hurting. "
A quality assurance (QA) manager plans to evaluate performance improvement regarding the
implementation of fall precautions for at risk clients. What steps should the QA manager
include in this evaluation? correct answers 1. Chart review for fall precaution documentation.
2. Direct observation of unit staff.
, 4. Identify at risk clients on unit.
5. Make unannounced visits to the unit for evaluating staff performance.
The nurse is performing the admission assessment on a client who is having a breast
augmentation. Which client information would be most important for the nurse to report to
the surgeon before surgery? correct answers 3. Client's last menstrual period was 8 weeks
ago.
The charge nurse has received report from the emergency department about a client
diagnosed with Cushing's disease being admitted to the unit. Which client in a semi-private
room would be appropriate for the charge nurse to have this client share? correct answers 3.
Client who has a fractured hip.
Which pediatric client should the nurse see first? correct answers 3. Three year old with
wheezes in right lower lobe.
What is priority for the nurse to determine about a client who is scheduled for a tubal ligation
in the outpatient surgical center? correct answers 3. Client's plan for transportation and care at
home.
A case manager is assessing an unresponsive client diagnosed with terminal hepatic
encephalopathy to determine equipment needs upon discharge to home for hospice care.
Which equipment should the case manager obtain for this client? correct answers 1.
Alternating pressure mattress
2. Hospital bed
4. Suction equipment
5. Oxygen
Which client must the nurse assign to a private room? correct answers 4. Postpartum client 32
hours after delivery with a temperature of 101º F (38.05 ° C)
Which client requires immediate intervention by the nurse? correct answers 3. Client with a
fractured femur reporting sharp chest pain of 4/10.
Which nursing tasks can the RN delegate to an unlicensed assistive personnel (UAP)? correct
answers 2. Obtain blood pressure of client diagnosed with nephrotic syndrome.
4. Document the intake and output of a client in acute renal failure.
6. Perform perineal care of a client who has urinary incontinence.
A client tells the nurse, "I am dying from cancer. I have told my primary healthcare provider
that I do not want to be revived if my heart stops beating or I stop breathing." What action
should the nurse take first to assure that the client's request is respected? correct answers 1.
Ensure a do-not-resuscitate prescription has been provided.
A homebound client lives alone, has a history of poorly controlled diabetes, and has an open
wound on the left heel. The home health nurse is concerned about the client's condition and
the possible need for a referral. Which intervention should the nurse initiate for this client?
correct answers 1. Ask the primary healthcare provider to prescribe a diabetes educator
consult.
