Page 1 of 129
HURST REVIEW READINESS EXAM WITH
CORRECT ANSWERS,RATIONALES AND WHY
THE OTHERS ARE NOT CORRECT NEWEST 2026
EXAM VERIFIED 100 %
A client with an ischemic stroke was prescribed warfarin 5 mg daily by mouth
48 hours ago. At 0830 the international normalized ratio (INR) reading was 2.0.
What action should the nurse take?
1. Administer warfarin.
2. Administer phytonadione.
3. Request the lab to run another INR.
4. Notify the primary healthcare provider about the INR level.
1. Administer warfarin.
The morning assessment of a client admitted with congestive heart failure
reveals a weight gain of 2.5 pounds (1.14 kg) since the previous day, crackles
in lung fields bilaterally, dyspnea, sacral edema, and bounding peripheral
pulses. Which prescription by the healthcare provider should be the nurse's
priority?
1. Maintain accurate intake and output.
2. Restrict sodium in the diet.
3. Limit fluids to 1500 mL per day.
4. Administer furosemide 40 mg IV push.
4. Administer furosemide 40 mg IV push.
The nurse is assigned five clients on a medical floor. When planning care, the
nurse recognizes which clients to be at greatest risk for ineffective oral
hygiene?
, Page 2 of 129
Select all that apply
1. A client who has just had knee surgery taking opioids for pain.
2. A right handed client who had a stroke affecting the right hemisphere of the
brain.
3. A client with breast cancer who is experiencing severe nausea and vomiting
after chemotherapy.
4. An elderly client experiencing loss of appetite.
5. A client who takes phenytoin for partial seizures.
3. A client with breast cancer who is experiencing severe nausea and vomiting after
chemotherapy.
5. A client who takes phenytoin for partial seizures.
A client asks, "I would like to view my medical records." Which response made
by the nurse is most appropriate?
1. You will first need to contact your primary healthcare provider.
2. You may view your electronic health records on a weekly basis.
3. You have the right to view the medical records that pertain to your care.
4. You want to view your medical records?
3. You have the right to view the medical records that pertain to your care.
Which interventions should be included in the nutritional teaching plan to
accomplish the goal of a diet lower in fat?
Select all that apply
1. Use 2% milk instead of whole milk.
2. Eat air-popped popcorn instead of potato chips.
3. Eat more red meat instead of fish.
4. Incorporate plant sources of protein.
5. Use olive oil instead of vegetable oil when frying.
1. Use 2% milk instead of whole milk.
2. Eat air-popped popcorn instead of potato chips.
4. Incorporate plant sources of protein.
Which nursing statements about a client reflect correct documentation in the
hospital medical record?
Select all that apply
1. 20% of breakfast consumed.
2. 4 inch by 2 inch wound noted on right arm.
, Page 3 of 129
3. Enema administered.
4. Appears upset at spouse.
5. Lying in bed.
1. 20% of breakfast consumed.
2. 4 inch by 2 inch wound noted on right arm.
The nurse is caring for a client diagnosed with heat exhaustion. Which finding
by the nurse suggests a problem?
1. Temperature 101 degrees F (38.3 degrees C)
2. Hot, dry skin
3. Profuse sweating
4. Headache
2. Hot, dry skin
The home care nurse is caring for an elderly client status post total hip
replacement and a history of cirrhosis. Which statements by the client's
spouse indicates that teaching regarding pain management has been
successful?
Select all that apply
1. "If the pain increases, I must let the nurse know immediately."
2. "I should have my spouse try the breathing exercises to help control pain."
3. "This narcotic causes very deep sleep, which is what my spouse needs."
4. "If constipation is a problem, increased fluids will help."
5. "My spouse can have one glass of wine to help promote pain relief."
1. "If the pain increases, I must let the nurse know immediately."
2. "I should have my spouse try the breathing exercises to help control pain."
4. "If constipation is a problem, increased fluids will help."
The nurse is preparing to give a client's prescribed ceftazidime dose. How
many mL will the nurse give to the client? Answer to the first decimal place.
Answer with numbers and decimal only.
Ceftazidime 1 gm IM every 6 hours
1 gram = 3.0 mL diluent and 3.6 approximate available volume and 280mg/mL
approximate average concentration for IM injection
3.6
, Page 4 of 129
A client was admitted with a diagnosis of Type II diabetes. The primary
healthcare provider initiated the Insulin Sliding Scale Protocol for Type II
Diabetic Clients. The prescription regimen was to begin at the high dose
regimen with regular insulin AC & HS. How much insulin should the nurse
administer at 2100 hours?
10 units
The primary healthcare provider's prescription for a client instructs the nurse
to give digoxin 0.125 mg intravenously as a one-time dose. The available
medication is in a concentration of 0.5 mg/2 mL. How many milliliters should
the nurse give? Round answer using one decimal point.
0.5 mL
After making rounds on clients, a primary healthcare provider hands the nurse
a client record and gives the following verbal order: Administer cisplatin 1 mg
IV over 6 hours. What should be the first action by the nurse following this
verbal prescription?
1. Call the pharmacy to prepare the drug.
2. Repeat the prescription back to the primary healthcare provider.
3. Ask the primary healthcare provider to spell the drug name for clarification.
4. Inform the healthcare provider that this medication requires a written
prescription.
4. Inform the healthcare provider that this medication requires a written prescription.
The nurse has observed that the client on the skilled nursing unit has been
consuming fewer calories over the past three days. There has been no other
change in the client's condition. Which intervention is most important for the
nurse to initiate?
1. Suggest that the family seek an appointment with the primary healthcare
provider.
2. Ask the dietician to visit the client and discuss food preferences.
3. Note any weight loss over the next month.
4. Continue to monitor intake over the next couple of weeks
2. Ask the dietician to visit the client and discuss food preferences.
The nurse is planning care for a preschool child who is being treated in the
hospital for respiratory syncytial virus (RSV). What should the nurse recognize
as the child's likely view of this illness in order to properly plan care?
HURST REVIEW READINESS EXAM WITH
CORRECT ANSWERS,RATIONALES AND WHY
THE OTHERS ARE NOT CORRECT NEWEST 2026
EXAM VERIFIED 100 %
A client with an ischemic stroke was prescribed warfarin 5 mg daily by mouth
48 hours ago. At 0830 the international normalized ratio (INR) reading was 2.0.
What action should the nurse take?
1. Administer warfarin.
2. Administer phytonadione.
3. Request the lab to run another INR.
4. Notify the primary healthcare provider about the INR level.
1. Administer warfarin.
The morning assessment of a client admitted with congestive heart failure
reveals a weight gain of 2.5 pounds (1.14 kg) since the previous day, crackles
in lung fields bilaterally, dyspnea, sacral edema, and bounding peripheral
pulses. Which prescription by the healthcare provider should be the nurse's
priority?
1. Maintain accurate intake and output.
2. Restrict sodium in the diet.
3. Limit fluids to 1500 mL per day.
4. Administer furosemide 40 mg IV push.
4. Administer furosemide 40 mg IV push.
The nurse is assigned five clients on a medical floor. When planning care, the
nurse recognizes which clients to be at greatest risk for ineffective oral
hygiene?
, Page 2 of 129
Select all that apply
1. A client who has just had knee surgery taking opioids for pain.
2. A right handed client who had a stroke affecting the right hemisphere of the
brain.
3. A client with breast cancer who is experiencing severe nausea and vomiting
after chemotherapy.
4. An elderly client experiencing loss of appetite.
5. A client who takes phenytoin for partial seizures.
3. A client with breast cancer who is experiencing severe nausea and vomiting after
chemotherapy.
5. A client who takes phenytoin for partial seizures.
A client asks, "I would like to view my medical records." Which response made
by the nurse is most appropriate?
1. You will first need to contact your primary healthcare provider.
2. You may view your electronic health records on a weekly basis.
3. You have the right to view the medical records that pertain to your care.
4. You want to view your medical records?
3. You have the right to view the medical records that pertain to your care.
Which interventions should be included in the nutritional teaching plan to
accomplish the goal of a diet lower in fat?
Select all that apply
1. Use 2% milk instead of whole milk.
2. Eat air-popped popcorn instead of potato chips.
3. Eat more red meat instead of fish.
4. Incorporate plant sources of protein.
5. Use olive oil instead of vegetable oil when frying.
1. Use 2% milk instead of whole milk.
2. Eat air-popped popcorn instead of potato chips.
4. Incorporate plant sources of protein.
Which nursing statements about a client reflect correct documentation in the
hospital medical record?
Select all that apply
1. 20% of breakfast consumed.
2. 4 inch by 2 inch wound noted on right arm.
, Page 3 of 129
3. Enema administered.
4. Appears upset at spouse.
5. Lying in bed.
1. 20% of breakfast consumed.
2. 4 inch by 2 inch wound noted on right arm.
The nurse is caring for a client diagnosed with heat exhaustion. Which finding
by the nurse suggests a problem?
1. Temperature 101 degrees F (38.3 degrees C)
2. Hot, dry skin
3. Profuse sweating
4. Headache
2. Hot, dry skin
The home care nurse is caring for an elderly client status post total hip
replacement and a history of cirrhosis. Which statements by the client's
spouse indicates that teaching regarding pain management has been
successful?
Select all that apply
1. "If the pain increases, I must let the nurse know immediately."
2. "I should have my spouse try the breathing exercises to help control pain."
3. "This narcotic causes very deep sleep, which is what my spouse needs."
4. "If constipation is a problem, increased fluids will help."
5. "My spouse can have one glass of wine to help promote pain relief."
1. "If the pain increases, I must let the nurse know immediately."
2. "I should have my spouse try the breathing exercises to help control pain."
4. "If constipation is a problem, increased fluids will help."
The nurse is preparing to give a client's prescribed ceftazidime dose. How
many mL will the nurse give to the client? Answer to the first decimal place.
Answer with numbers and decimal only.
Ceftazidime 1 gm IM every 6 hours
1 gram = 3.0 mL diluent and 3.6 approximate available volume and 280mg/mL
approximate average concentration for IM injection
3.6
, Page 4 of 129
A client was admitted with a diagnosis of Type II diabetes. The primary
healthcare provider initiated the Insulin Sliding Scale Protocol for Type II
Diabetic Clients. The prescription regimen was to begin at the high dose
regimen with regular insulin AC & HS. How much insulin should the nurse
administer at 2100 hours?
10 units
The primary healthcare provider's prescription for a client instructs the nurse
to give digoxin 0.125 mg intravenously as a one-time dose. The available
medication is in a concentration of 0.5 mg/2 mL. How many milliliters should
the nurse give? Round answer using one decimal point.
0.5 mL
After making rounds on clients, a primary healthcare provider hands the nurse
a client record and gives the following verbal order: Administer cisplatin 1 mg
IV over 6 hours. What should be the first action by the nurse following this
verbal prescription?
1. Call the pharmacy to prepare the drug.
2. Repeat the prescription back to the primary healthcare provider.
3. Ask the primary healthcare provider to spell the drug name for clarification.
4. Inform the healthcare provider that this medication requires a written
prescription.
4. Inform the healthcare provider that this medication requires a written prescription.
The nurse has observed that the client on the skilled nursing unit has been
consuming fewer calories over the past three days. There has been no other
change in the client's condition. Which intervention is most important for the
nurse to initiate?
1. Suggest that the family seek an appointment with the primary healthcare
provider.
2. Ask the dietician to visit the client and discuss food preferences.
3. Note any weight loss over the next month.
4. Continue to monitor intake over the next couple of weeks
2. Ask the dietician to visit the client and discuss food preferences.
The nurse is planning care for a preschool child who is being treated in the
hospital for respiratory syncytial virus (RSV). What should the nurse recognize
as the child's likely view of this illness in order to properly plan care?
