HURST REVIEW NCLEX-RN READINESS EXAM 1 || MOST
RECENT EXAM 2026-2027 ACTUAL REAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ | GUARANTEED
SUCCESS!! NEWEST EXAM | JUST RELEASED!!
A new nurse has a prescription to insert a feeding tube. The
new nurse has never performed the procedure, but learned how
to do it while in nursing school.
What would be the best action by this nurse?
1. Ask to observe another nurse perform the procedure.
2. Look up how to perform the procedure in the policy and
procedure manual.
3. Tell the charge nurse that someone else will have to place the
feeding tube down the client.
4. Insert the feeding tube as learned in nursing school. -
ANSWER -2. Correct. The best action for the nurse to take is
to look up how the procedure is done in the agency by
looking it up in the policy and procedure manual. The nurse
could then discuss the procedure with an experienced nurse
and ask the nurse to observe the new nurse while inserting
the feeding tube.
1. Incorrect. This is passive and would not benefit the new
nurse to strengthen the skills. The best action would be to look
up how to do the procedure, discuss with another nurse, and
ask that nurse to observe the insertion of the feeding tube.
,3. Incorrect. This is not the best option. The new nurse
needs to insert the feeding tube in order to become more
proficient with this skill. This option will not help the new
nurse gain confidence in nursing skills.
4. Incorrect. Although the new nurse should have the basic
knowledge of feeding tube insertion, the nurse should follow
agency policy and procedure. It is then best to discuss the
procedure with another nurse and ask the nurse to observe
the feeding tube insertion since this nurse has never
performed the skill.
A client has been admitted for exacerbation of ulcerative colitis
with severe dehydration. What is the best indicator that this
client has an actual fluid deficit?
1. Stool count of 10 episodes of diarrhea in 24 hours.
2. Weight increase of 2 kg and a 24 hour output of 1000 mL.
3. Admission weight of 74.3 kg and 2 days later a weight of 72
kg.
4. Daily intake of 2400 mL and an output of 1600 mL, plus
diarrheal stools. - ANSWER -3. Correct: Any acute weight
gain or loss is fluid. Weight is the best measurement for fluid
loss or gain. Acute weight losses correspond to fluid volume
deficits. This client has lost 2.3 kg over a 2 day period,
indicating a fluid volume deficit (FVD).
1. Incorrect: Although 10 loose stools would result in fluid
loss, the stool count
of 10 episodes of diarrhea is an inaccurate measurement. The
amount of fluid
,loss can vary depending on the amount of diarrhea, 10
"episodes" does not
indicate how much fluid
is lost.
2. Incorrect: Weight gains indicate fluid volume retention and
excess. This question asks about fluid volume deficit. Also, it
does not take into account the client's intake. Only the output is
considered, so output has less meaning without being
compared to the intake.
4. Incorrect: Daily I&O is good information to have when
assessing fluid status, but the diarrhea stools are an inaccurate
measurement. The weight remains the best measurement for
indicating a fluid deficit.
On the third postoperative day, a client develops a fever of
103.3ºF (39.6ºC)
shivering and nausea. The primary healthcare
provider writes these
prescriptions. Which should the
nurse do first?
1. Apply cooling blanket for fever.
2. Give ceftriaxone 1 gram IVPB stat.
3. Draw blood cultures.
4. Give promazine 50 mg po PRN for nausea. - ANSWER -3.
Correct: Blood cultures MUST be drawn immediately to
identify the causative bacteria. Once the organism is
identified, the primary healthcare provider will order
, organism specific antibiotics. Always draw blood cultures
before administering the antibiotic. If antibiotics are given
before the blood cultures are drawn, the culture will be
inaccurate, and the client cannot be treated appropriately.
1. Incorrect: Application of a cooling blanket is appropriate, but
the key in this question is to "fix the problem" ASAP. To treat
the infection, the blood cultures must be drawn ASAP and be
done before starting the antibiotics.
2. Incorrect: Antibiotics are not given until the cultures have
been drawn.
Administering the antibiotic first would cause the culture to be
inaccurate.
4. Incorrect: Preventing shivering is appropriate, but remember,
always pick the answer that is most life-threatening. In this
case, treating the bacteria as soon as possible is the priority
answer. This requires the culture be obtained ASAP so the
antibiotic therapy can be initiated.
A postoperative surgical client has a prescription for
monitoring of intake and output (I&O). The I&O sheet has been
picked up by the unlicensed assistive personnel (UAP) for the
7AM-3PM shift. Calculate the client's output for the shift in mL.
Intake:
IV fluid-1025 mL
PRBC-250 mL
RECENT EXAM 2026-2027 ACTUAL REAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ | GUARANTEED
SUCCESS!! NEWEST EXAM | JUST RELEASED!!
A new nurse has a prescription to insert a feeding tube. The
new nurse has never performed the procedure, but learned how
to do it while in nursing school.
What would be the best action by this nurse?
1. Ask to observe another nurse perform the procedure.
2. Look up how to perform the procedure in the policy and
procedure manual.
3. Tell the charge nurse that someone else will have to place the
feeding tube down the client.
4. Insert the feeding tube as learned in nursing school. -
ANSWER -2. Correct. The best action for the nurse to take is
to look up how the procedure is done in the agency by
looking it up in the policy and procedure manual. The nurse
could then discuss the procedure with an experienced nurse
and ask the nurse to observe the new nurse while inserting
the feeding tube.
1. Incorrect. This is passive and would not benefit the new
nurse to strengthen the skills. The best action would be to look
up how to do the procedure, discuss with another nurse, and
ask that nurse to observe the insertion of the feeding tube.
,3. Incorrect. This is not the best option. The new nurse
needs to insert the feeding tube in order to become more
proficient with this skill. This option will not help the new
nurse gain confidence in nursing skills.
4. Incorrect. Although the new nurse should have the basic
knowledge of feeding tube insertion, the nurse should follow
agency policy and procedure. It is then best to discuss the
procedure with another nurse and ask the nurse to observe
the feeding tube insertion since this nurse has never
performed the skill.
A client has been admitted for exacerbation of ulcerative colitis
with severe dehydration. What is the best indicator that this
client has an actual fluid deficit?
1. Stool count of 10 episodes of diarrhea in 24 hours.
2. Weight increase of 2 kg and a 24 hour output of 1000 mL.
3. Admission weight of 74.3 kg and 2 days later a weight of 72
kg.
4. Daily intake of 2400 mL and an output of 1600 mL, plus
diarrheal stools. - ANSWER -3. Correct: Any acute weight
gain or loss is fluid. Weight is the best measurement for fluid
loss or gain. Acute weight losses correspond to fluid volume
deficits. This client has lost 2.3 kg over a 2 day period,
indicating a fluid volume deficit (FVD).
1. Incorrect: Although 10 loose stools would result in fluid
loss, the stool count
of 10 episodes of diarrhea is an inaccurate measurement. The
amount of fluid
,loss can vary depending on the amount of diarrhea, 10
"episodes" does not
indicate how much fluid
is lost.
2. Incorrect: Weight gains indicate fluid volume retention and
excess. This question asks about fluid volume deficit. Also, it
does not take into account the client's intake. Only the output is
considered, so output has less meaning without being
compared to the intake.
4. Incorrect: Daily I&O is good information to have when
assessing fluid status, but the diarrhea stools are an inaccurate
measurement. The weight remains the best measurement for
indicating a fluid deficit.
On the third postoperative day, a client develops a fever of
103.3ºF (39.6ºC)
shivering and nausea. The primary healthcare
provider writes these
prescriptions. Which should the
nurse do first?
1. Apply cooling blanket for fever.
2. Give ceftriaxone 1 gram IVPB stat.
3. Draw blood cultures.
4. Give promazine 50 mg po PRN for nausea. - ANSWER -3.
Correct: Blood cultures MUST be drawn immediately to
identify the causative bacteria. Once the organism is
identified, the primary healthcare provider will order
, organism specific antibiotics. Always draw blood cultures
before administering the antibiotic. If antibiotics are given
before the blood cultures are drawn, the culture will be
inaccurate, and the client cannot be treated appropriately.
1. Incorrect: Application of a cooling blanket is appropriate, but
the key in this question is to "fix the problem" ASAP. To treat
the infection, the blood cultures must be drawn ASAP and be
done before starting the antibiotics.
2. Incorrect: Antibiotics are not given until the cultures have
been drawn.
Administering the antibiotic first would cause the culture to be
inaccurate.
4. Incorrect: Preventing shivering is appropriate, but remember,
always pick the answer that is most life-threatening. In this
case, treating the bacteria as soon as possible is the priority
answer. This requires the culture be obtained ASAP so the
antibiotic therapy can be initiated.
A postoperative surgical client has a prescription for
monitoring of intake and output (I&O). The I&O sheet has been
picked up by the unlicensed assistive personnel (UAP) for the
7AM-3PM shift. Calculate the client's output for the shift in mL.
Intake:
IV fluid-1025 mL
PRBC-250 mL
