Hurst Review Questions || with Complete Solutions.
A low income family with children lives in an old, run-down apartment building situated
close to a salvage yard in a poor neighborhood. Which area of assessment would be most
important for the home health nurse?
1. Immunization status
2. School-related problems
3. Lead poisoning
4. Signs of child abuse correct answers Ans: 3. Lead Poisoning
Lead may be found in the soil around rusted cars and can cause lead exposure. Old paint
contains lead. Chips of paint may be consumed by young teething children. Old, run-down
apartments may also have pipes which contain lead. Exposure to and consuming even small
amounts of lead can be harmful. No safe lead level in children has been identified, and lead
can affect nearly every system in the body. Mental and physical development can be
negatively impacted by lead in the body.
Which immunizations obtained by the age of two would indicate to the pediatric nurse that
the child is up-to-date on immunizations?
1. Diptheria-tetanus-pertussis (DTaP).
2. Inactivated polio (IPV).
3. Herpes zoster.
4. Meningococcal
5. Haemophilus influenza type B (Hib). correct answers Ans: 1., 2., & 5. Correct: By the age
of two, the DTaP, IPV, MMR, Hib, varicella, pneumococcal, and rotovirus vaccines should
have been received. The nurse should clarify this with the parent.
Two hours after a gastrectomy, a client has pink tinged drainage from the nasogastric (NG)
tube, and the tube appears occluded. What is the nurse's initial action at this time?
1. Call the primary healthcare provider.
2. Reposition the client.
3. Increase the suction level.
4. Irrigate the tube. correct answers Ans: 1. Correct: Do not tamper with fresh surgery tubes.
Call the primary healthcare provider for blood draining from the NG tube after gastrectomy.
A client with a history of command hallucinations was admitted to the hospital yesterday.
What questions are most important for the nurse to ask?
1. "Are you hearing voices today?"
2. "What are the voices saying?"
3. "How are you feeling today?"
4. "Did you have difficulty sleeping last night?"
5. "Are the voices telling you to harm yourself or anyone else?" correct answers Ans: 1., 2. &
5. Correct: The nurse must assess for hallucinations. The nurse needs to know what the
voices are saying to determine the level of threat. The nurse needs to know if the command
hallucination exists and whether it involves harming self or others which must be reported.
These answers are important to know, as the client has a history of command hallucinations.
, Which prescriptions would the nurse recognize as being appropriate for the client with
shingles?
1. Private room
2. Negative pressure airflow
3. Respirator mask
4. Face Shield
5. Positive pressure room correct answers Ans: 1., 2. & 3. Correct: According to the current
standards of Standard Precautions per the CDC, the client with shingles should be placed on
airborne precautions which require the use of a private room with negative pressure airflow
and a N-95 respirator mask.
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 foreceps.
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. correct answers Ans: 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.
A nurse from an adult unit was reassigned to the pediatric unit. Which client would be least
appropriate to assign to this nurse?
1. Ten year old with 2nd and 3rd degree burns.
2. Five year old that was in a MVA and has a femur fracture.
3. Six year old admitted for evaluation of possible sexual abuse by a parent
4. Two month old with bronchopulmonary dysplasia being admitted for reflux. correct
answers Ans: 3. Correct: The least appropriate client to assign the nurse from the adult unit
would be the suspected sexual abuse. Caring for an abused child requires skill that must be
developed from understanding the dynamics of abuse as well as working with a certain
developmental level.
The nurse is working with a LPN/VN and an unlicensed assistive personnel (UAP). Which
clients would be appropriate for the nurse to assign to the LPN/VN?
1. In Bucks traction requiring frequent pain medication.
2. 24 hours post appendectomy.
3. Diagnosed with cholelithiasis and scheduled for surgery in the AM.
4. Admitted 6 hours ago in adrenal insufficiency.
5. Client newly diagnosed with Type 2 diabetes. correct answers Ans: 1., 2., & 3. Correct
These clients are stable and require predictable care that can be done appropriately by the
LPN/VN.
When preparing a client for surgery, the nurse realizes the operative permit has not been
signed. The client tells the nurse he understands the procedure, but received his preoperative
A low income family with children lives in an old, run-down apartment building situated
close to a salvage yard in a poor neighborhood. Which area of assessment would be most
important for the home health nurse?
1. Immunization status
2. School-related problems
3. Lead poisoning
4. Signs of child abuse correct answers Ans: 3. Lead Poisoning
Lead may be found in the soil around rusted cars and can cause lead exposure. Old paint
contains lead. Chips of paint may be consumed by young teething children. Old, run-down
apartments may also have pipes which contain lead. Exposure to and consuming even small
amounts of lead can be harmful. No safe lead level in children has been identified, and lead
can affect nearly every system in the body. Mental and physical development can be
negatively impacted by lead in the body.
Which immunizations obtained by the age of two would indicate to the pediatric nurse that
the child is up-to-date on immunizations?
1. Diptheria-tetanus-pertussis (DTaP).
2. Inactivated polio (IPV).
3. Herpes zoster.
4. Meningococcal
5. Haemophilus influenza type B (Hib). correct answers Ans: 1., 2., & 5. Correct: By the age
of two, the DTaP, IPV, MMR, Hib, varicella, pneumococcal, and rotovirus vaccines should
have been received. The nurse should clarify this with the parent.
Two hours after a gastrectomy, a client has pink tinged drainage from the nasogastric (NG)
tube, and the tube appears occluded. What is the nurse's initial action at this time?
1. Call the primary healthcare provider.
2. Reposition the client.
3. Increase the suction level.
4. Irrigate the tube. correct answers Ans: 1. Correct: Do not tamper with fresh surgery tubes.
Call the primary healthcare provider for blood draining from the NG tube after gastrectomy.
A client with a history of command hallucinations was admitted to the hospital yesterday.
What questions are most important for the nurse to ask?
1. "Are you hearing voices today?"
2. "What are the voices saying?"
3. "How are you feeling today?"
4. "Did you have difficulty sleeping last night?"
5. "Are the voices telling you to harm yourself or anyone else?" correct answers Ans: 1., 2. &
5. Correct: The nurse must assess for hallucinations. The nurse needs to know what the
voices are saying to determine the level of threat. The nurse needs to know if the command
hallucination exists and whether it involves harming self or others which must be reported.
These answers are important to know, as the client has a history of command hallucinations.
, Which prescriptions would the nurse recognize as being appropriate for the client with
shingles?
1. Private room
2. Negative pressure airflow
3. Respirator mask
4. Face Shield
5. Positive pressure room correct answers Ans: 1., 2. & 3. Correct: According to the current
standards of Standard Precautions per the CDC, the client with shingles should be placed on
airborne precautions which require the use of a private room with negative pressure airflow
and a N-95 respirator mask.
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 foreceps.
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. correct answers Ans: 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.
A nurse from an adult unit was reassigned to the pediatric unit. Which client would be least
appropriate to assign to this nurse?
1. Ten year old with 2nd and 3rd degree burns.
2. Five year old that was in a MVA and has a femur fracture.
3. Six year old admitted for evaluation of possible sexual abuse by a parent
4. Two month old with bronchopulmonary dysplasia being admitted for reflux. correct
answers Ans: 3. Correct: The least appropriate client to assign the nurse from the adult unit
would be the suspected sexual abuse. Caring for an abused child requires skill that must be
developed from understanding the dynamics of abuse as well as working with a certain
developmental level.
The nurse is working with a LPN/VN and an unlicensed assistive personnel (UAP). Which
clients would be appropriate for the nurse to assign to the LPN/VN?
1. In Bucks traction requiring frequent pain medication.
2. 24 hours post appendectomy.
3. Diagnosed with cholelithiasis and scheduled for surgery in the AM.
4. Admitted 6 hours ago in adrenal insufficiency.
5. Client newly diagnosed with Type 2 diabetes. correct answers Ans: 1., 2., & 3. Correct
These clients are stable and require predictable care that can be done appropriately by the
LPN/VN.
When preparing a client for surgery, the nurse realizes the operative permit has not been
signed. The client tells the nurse he understands the procedure, but received his preoperative
