2025 HURST READINESS EXAMS #3
and #4 STUDY GUIDE
COMPREHENSIVE NCLEX REVIEW
NOTES PRACTICE QUESTIONS
DETAILED ANSWER RATIONALES and
RN EXAM PREP
An 82 year old client tells the nurse at the clinic, "I have lived a good,
successful life and married my best friend". Which of Erikson's
developmental tasks does the nurse recognize that this client has probably
accomplished?
1. Ego Integrity versus Despair
2. Generativity versus Stagnation
3. Intimacy versus Isolation
4. Industry versus Inferiority -CORRECT ANSWER-1
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.
Intake Output
IV fluid-1025 mL Urine - 1350 mL
PRBC-250 mL NG tube - 75 mL
Jackson Pratt - 22 mL
,Calculate the client's output for the shift in mL. -CORRECT ANSWER-
1447
A client is admitted to the emergency department reporting abdominal
discomfort and constipation lasting 3 days. Which abdominal assessment
data would the nurse report to the primary healthcare provider?
1. Striae.
2. Borborygmi.
3. High-pitched bowel sounds.
4. Tympany noted on percussion. -CORRECT ANSWER-3
The nurse evaluates the effectiveness of discharge teaching for a client with
type I diabetes mellitus. Which statement by the client would indicate to
the nurse that teaching has been effective?
1. "Exercising regularly will decrease my insulin need."
2. "I will need to decrease my insulin dose when I develop an infection."
3. "I need to lose weight since obesity decreases insulin resistance."
4. "Increased stress levels will cause the glucose level in my blood to go
down." -CORRECT ANSWER-1
A client in a psychiatric unit sings over and over, "It is hot, I am a hot tot in
a lot, I sit all day on a cot drinking a pop." How should the nurse document
this form of thought?
1. Neologisms
2. Dissociation
,3. Fugue
4. Clang Association -CORRECT ANSWER-4
What should a nurse teach family members prior to them entering the
room of a client who has agranulocytosis?
1. Meticulous hand washing is needed.
2. Do not visit if you have any infection.
3. The client must wear a mask.
4. Children under 12 may not visit.
5. Flowers are not allowed in the room. -CORRECT ANSWER-1,2,4,5
Which snack selection by a client receiving chemotherapy would indicate to
the nurse that teaching has been successful?
1. Fresh salad with cucumbers, carrots, and tomatoes.
2. Orange slices with yogurt.
3. Strawberries with whipped cream.
4. Milk shake with a packet of instant breakfast added. -CORRECT
ANSWER-4
A home health nurse inspects the home of a client scheduled to be
discharged home after receiving care for a cerebrovascular accident with
generalized weakness.
What safety interventions should the nurse recommend based on findings
within the home?
Exhibit
, 1. Place ramp over the front steps.
2. Move client's bedroom downstairs.
3. Remove throw rugs.
4. Secure furniture so client can use for support.
5. Apply nonskid strips to shower stall. -CORRECT ANSWER-1,2,3,5
A client diagnosed with serotonin syndrome is admitted to the unit. The
nurse is familiar with this adverse reaction to the serotonin reuptake
inhibitors. Which symptoms can the nurse expect on assessment?
1. Fever and shivering
2. Agitation
3. Decreased body temperature
4. Constipation
5. Increased heart rate -CORRECT ANSWER-1,2,5
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. -CORRECT ANSWER-3
A client was admitted to the medical unit with pneumonia 2 days ago.
There is a history of drinking 5-6 martinis every night for the past 2 years.
and #4 STUDY GUIDE
COMPREHENSIVE NCLEX REVIEW
NOTES PRACTICE QUESTIONS
DETAILED ANSWER RATIONALES and
RN EXAM PREP
An 82 year old client tells the nurse at the clinic, "I have lived a good,
successful life and married my best friend". Which of Erikson's
developmental tasks does the nurse recognize that this client has probably
accomplished?
1. Ego Integrity versus Despair
2. Generativity versus Stagnation
3. Intimacy versus Isolation
4. Industry versus Inferiority -CORRECT ANSWER-1
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.
Intake Output
IV fluid-1025 mL Urine - 1350 mL
PRBC-250 mL NG tube - 75 mL
Jackson Pratt - 22 mL
,Calculate the client's output for the shift in mL. -CORRECT ANSWER-
1447
A client is admitted to the emergency department reporting abdominal
discomfort and constipation lasting 3 days. Which abdominal assessment
data would the nurse report to the primary healthcare provider?
1. Striae.
2. Borborygmi.
3. High-pitched bowel sounds.
4. Tympany noted on percussion. -CORRECT ANSWER-3
The nurse evaluates the effectiveness of discharge teaching for a client with
type I diabetes mellitus. Which statement by the client would indicate to
the nurse that teaching has been effective?
1. "Exercising regularly will decrease my insulin need."
2. "I will need to decrease my insulin dose when I develop an infection."
3. "I need to lose weight since obesity decreases insulin resistance."
4. "Increased stress levels will cause the glucose level in my blood to go
down." -CORRECT ANSWER-1
A client in a psychiatric unit sings over and over, "It is hot, I am a hot tot in
a lot, I sit all day on a cot drinking a pop." How should the nurse document
this form of thought?
1. Neologisms
2. Dissociation
,3. Fugue
4. Clang Association -CORRECT ANSWER-4
What should a nurse teach family members prior to them entering the
room of a client who has agranulocytosis?
1. Meticulous hand washing is needed.
2. Do not visit if you have any infection.
3. The client must wear a mask.
4. Children under 12 may not visit.
5. Flowers are not allowed in the room. -CORRECT ANSWER-1,2,4,5
Which snack selection by a client receiving chemotherapy would indicate to
the nurse that teaching has been successful?
1. Fresh salad with cucumbers, carrots, and tomatoes.
2. Orange slices with yogurt.
3. Strawberries with whipped cream.
4. Milk shake with a packet of instant breakfast added. -CORRECT
ANSWER-4
A home health nurse inspects the home of a client scheduled to be
discharged home after receiving care for a cerebrovascular accident with
generalized weakness.
What safety interventions should the nurse recommend based on findings
within the home?
Exhibit
, 1. Place ramp over the front steps.
2. Move client's bedroom downstairs.
3. Remove throw rugs.
4. Secure furniture so client can use for support.
5. Apply nonskid strips to shower stall. -CORRECT ANSWER-1,2,3,5
A client diagnosed with serotonin syndrome is admitted to the unit. The
nurse is familiar with this adverse reaction to the serotonin reuptake
inhibitors. Which symptoms can the nurse expect on assessment?
1. Fever and shivering
2. Agitation
3. Decreased body temperature
4. Constipation
5. Increased heart rate -CORRECT ANSWER-1,2,5
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. -CORRECT ANSWER-3
A client was admitted to the medical unit with pneumonia 2 days ago.
There is a history of drinking 5-6 martinis every night for the past 2 years.
