HURST READINESS LATEST
EXAM 1 QUESTIONS AND
ANSWERS 2026 - 2027
The nurse is preparing to collect a capillary blood specimen for
measuring blood glucose. Which action is most likely to result in an
adequate stick for the client?
1. Place the finger at heart level when making the stick. 2. Warm the
finger prior to the stick.
3. Keep the injector loose against the skin.
4. Place the finger above heart level when making the stick.
Rationale
2. Correct:
Warming the finger will increase circulation to the site, thereby
increasing blood flow.
1. Incorrect: The finger should be dependent to enhance blood flow to
the site, so it needs to be below the level of the heart to be effective.
3. Incorrect: The injector should be placed firmly against the skin;
otherwise the client may get an insufficient stick and require another
stick.
4. Incorrect: The finger should be in a dependent position to increase
blood flow to the site so as to prevent the need for another stick.
The nurse administers chemotherapeutic drugs to a client with
breast cancer. Where should the nurse dispose of the medication
END OF
PAGE
1
, HURST READINESS LATEST
EXAM 1 QUESTIONS AND
ANSWERS 2026 - 2027
vials?
1. In a puncture-resistant biohazard container
2. In a chemotherapy sharps container
3. In a biohazard waste container
4. In a chemical container
Rationale
2. Correct:
Empty vials and sharps such as needles and syringes used in
delivering chemotherapy agents should be disposed in a
chemotherapy sharps container. These waste containers are
designed to protect workers from injuries and are disposed of by
incineration at regulated medical waste facilities.
1. Incorrect: Hazardous, drug-contaminated sharps should not be placed
in red biohazard containers that are used for infectious wastes, since
these are often autoclaved or microwaved.
3. Incorrect: Biohazard waste containers are not designed for sharps and
can cause injuries.
4. Incorrect: Chemical containers are not designed for sharps and can
cause injuries.
END OF
PAGE
2
, HURST READINESS LATEST
EXAM 1 QUESTIONS AND
ANSWERS 2026 - 2027
The nurse is planning care for a client who has a fractured hip.
Which nursing interventions should the nurse plan to use for
impaired physical mobility?
1. Turn every two hours
2. Place a pillow between legs when turning
3. Sit in a chair three times per day
4. Encourage fluid intake
5. Encourage ankle and foot exercises
Rationale
1., 2., 4. & 5. Correct:
The client must be turned every two hours. You may not be able to
turn the client totally on the side of the fracture, but you must
relieve pressure points. Place pillow between legs to keep affected
leg in abducted position. Encourage fluid intake and ankle and foot
exercises to prevent deep vein thrombosis (DVT).
3. Incorrect: The client has a fractured hip that has not been surgically
fixed. Sitting up in a chair could do more injury and cause more pain.
A client has a prescription for digoxin 0.125 mg IV push every
morning. Prior to administering digoxin, the nurse notes that the
digoxin level drawn this morning was 0.9 ng/mL. Which action
would be most important for the nurse to take?
END OF
PAGE
3
, HURST READINESS LATEST
EXAM 1 QUESTIONS AND
ANSWERS 2026 - 2027
1. Administer the digoxin.
2. Hold the digoxin.
3. Notify the primary healthcare provider.
4. Repeat the digoxin level.
Rationale
1. Correct:
This is a normal digoxin level. The nurse would administer the
prescribed digoxin.
The therapeutic serum levels of digoxin range from 0.5 to 2 ng/mL.
2. Incorrect: This is a normal digoxin level. The nurse would administer
the prescribed digoxin.
3. Incorrect: There is no need to notify the primary healthcare provider
of a normal digoxin level.
4. Incorrect: There is no need to repeat a normal laboratory value.
The nurse is caring for a client on the medical unit. The client has an
IV of 1000 mL D5W with 50,000 units heparin. The infusion is to
run at 60 mL per hour.
How many units/hour is the client receiving?
Round answer to the nearest whole number.
Enter the answer for the question below.
END OF
PAGE
4
EXAM 1 QUESTIONS AND
ANSWERS 2026 - 2027
The nurse is preparing to collect a capillary blood specimen for
measuring blood glucose. Which action is most likely to result in an
adequate stick for the client?
1. Place the finger at heart level when making the stick. 2. Warm the
finger prior to the stick.
3. Keep the injector loose against the skin.
4. Place the finger above heart level when making the stick.
Rationale
2. Correct:
Warming the finger will increase circulation to the site, thereby
increasing blood flow.
1. Incorrect: The finger should be dependent to enhance blood flow to
the site, so it needs to be below the level of the heart to be effective.
3. Incorrect: The injector should be placed firmly against the skin;
otherwise the client may get an insufficient stick and require another
stick.
4. Incorrect: The finger should be in a dependent position to increase
blood flow to the site so as to prevent the need for another stick.
The nurse administers chemotherapeutic drugs to a client with
breast cancer. Where should the nurse dispose of the medication
END OF
PAGE
1
, HURST READINESS LATEST
EXAM 1 QUESTIONS AND
ANSWERS 2026 - 2027
vials?
1. In a puncture-resistant biohazard container
2. In a chemotherapy sharps container
3. In a biohazard waste container
4. In a chemical container
Rationale
2. Correct:
Empty vials and sharps such as needles and syringes used in
delivering chemotherapy agents should be disposed in a
chemotherapy sharps container. These waste containers are
designed to protect workers from injuries and are disposed of by
incineration at regulated medical waste facilities.
1. Incorrect: Hazardous, drug-contaminated sharps should not be placed
in red biohazard containers that are used for infectious wastes, since
these are often autoclaved or microwaved.
3. Incorrect: Biohazard waste containers are not designed for sharps and
can cause injuries.
4. Incorrect: Chemical containers are not designed for sharps and can
cause injuries.
END OF
PAGE
2
, HURST READINESS LATEST
EXAM 1 QUESTIONS AND
ANSWERS 2026 - 2027
The nurse is planning care for a client who has a fractured hip.
Which nursing interventions should the nurse plan to use for
impaired physical mobility?
1. Turn every two hours
2. Place a pillow between legs when turning
3. Sit in a chair three times per day
4. Encourage fluid intake
5. Encourage ankle and foot exercises
Rationale
1., 2., 4. & 5. Correct:
The client must be turned every two hours. You may not be able to
turn the client totally on the side of the fracture, but you must
relieve pressure points. Place pillow between legs to keep affected
leg in abducted position. Encourage fluid intake and ankle and foot
exercises to prevent deep vein thrombosis (DVT).
3. Incorrect: The client has a fractured hip that has not been surgically
fixed. Sitting up in a chair could do more injury and cause more pain.
A client has a prescription for digoxin 0.125 mg IV push every
morning. Prior to administering digoxin, the nurse notes that the
digoxin level drawn this morning was 0.9 ng/mL. Which action
would be most important for the nurse to take?
END OF
PAGE
3
, HURST READINESS LATEST
EXAM 1 QUESTIONS AND
ANSWERS 2026 - 2027
1. Administer the digoxin.
2. Hold the digoxin.
3. Notify the primary healthcare provider.
4. Repeat the digoxin level.
Rationale
1. Correct:
This is a normal digoxin level. The nurse would administer the
prescribed digoxin.
The therapeutic serum levels of digoxin range from 0.5 to 2 ng/mL.
2. Incorrect: This is a normal digoxin level. The nurse would administer
the prescribed digoxin.
3. Incorrect: There is no need to notify the primary healthcare provider
of a normal digoxin level.
4. Incorrect: There is no need to repeat a normal laboratory value.
The nurse is caring for a client on the medical unit. The client has an
IV of 1000 mL D5W with 50,000 units heparin. The infusion is to
run at 60 mL per hour.
How many units/hour is the client receiving?
Round answer to the nearest whole number.
Enter the answer for the question below.
END OF
PAGE
4
