NURS HURST EXAM2 QUESTIONS WITH CORRECT
ANSWERS 2023 A+ GUARANTEED PASS
Which pain scale should the nurse use to monitor the pain level of a 3-year
old client after surgery?
1. Numerical scale
2. Verbal descriptive
scale 3. Visual analog
scale
4. FACES scale - 4. Correct: Monitoring pain in children requires special
techniques. The nurse should use the FACES scale as a tool to assess this
client's pain level.
Children as young as 3 years of age can use the FACES scale to
communicate their pain level to the medical team. The scale has six faces
ranging from smiling face to sad, tearful face.
1. Incorrect: Not age appropriate. This scale uses numbers.
2. Incorrect: Not age appropriate. Young children may not understand the
word pain.
3. Incorrect: Not age appropriate. This scale requires reading.
Which tasks would be appropriate for the LPN/LVN to assign to an unlicensed
assistive personnel (UAP)? (SATA)
,NURS HURST EXAM2 QUESTIONS WITH CORRECT
ANSWERS 2023 A+ GUARANTEED PASS
1. Ask the client diagnosed with dementia memory-testing
questions. 2. Collect the urinary output hourly on the client
with renal disease.
3. Demonstrate pursed lipped breathing to the client who has
emphysema. 4. Give a tepid sponge bath to the client who has a
fever.
5. Assess oxygen saturation on a client experiencing angina. - 2., & 4.
Correct: The UAP can obtain hourly urine output on clients and can give a
tepid sponge bath to a client. The LPN/VN must know what tasks can be
assigned to the UAP.
1. Incorrect: The nurse cannot delegate assessment, evaluation, or teaching.
This would be an assessment function for the RN to perform.
3. Incorrect: The UAP cannot teach. Demonstration is a method of teaching.
This is an RN task.
5. Incorrect: The UAP cannot assess the client experiencing angina. This is an
RN task.
What nursing interventions should the nurse implement for a client with
Addison's disease? (SATA)
1. Administer potassium supplements as
prescribed. 2. Assist the client to select foods
high in sodium.
,NURS HURST EXAM2 QUESTIONS WITH CORRECT
ANSWERS 2023 A+ GUARANTEED PASS
3. Administer Fludrocortisone as
prescribed. 4. Monitor intake and
output.
5. Record daily weight. - 2., 3., 4. & 5. Correct: The client with Addison's
disease needs sodium due to low levels of aldosterone. Fludrocortisone is a
mineralocorticoid that the client will need to take for life. I&O and daily
weights are needed to monitor fluid status.
1. Incorrect: Clients with Addison's disease lose sodium and retain
potassium, so this client does not need potassium.
A licensed practical nurse (LPN) is utilizing the nursing process to care for
assigned clients. Which nursing actions should the LPN relate to the
implementation step of the nursing process? (SATA)
1. Collecting client data for a nursing history.
2. Reporting client response to a new medication.
3. Procuring equipment for a planned medical procedure.
4. Assigning client care activities to unlicensed assistive personnel.
5. Delivering skilled nursing care according to an established health care
plan. - 3., 4., & 5. Correct: The nurse should relate procuring medical
equipment, assigning client care activities, and delivering skilled nursing
care to the implementation step of the nursing process. Implementation is
the third step of the nursing process and consists of delivering nursing care
according to an established health care plan and as assigned by the RN or
, NURS HURST EXAM2 QUESTIONS WITH CORRECT
ANSWERS 2023 A+ GUARANTEED PASS
other person(s) authorized by law.
1. Incorrect: This is not the implementation step of the nursing process.
LPNs participate in the assessment step of the nursing process by
collecting client data for a nursing, psychological, spiritual, and social
histories, comparing the data collected to normal values and findings.
2. Incorrect: This is not the implementation step of the nursing process. LPNs
participate in the nursing process by reporting client responses to the RN or
supervising healthcare provider.
The primary healthcare provider prescribes nafcillin 0.6 gram every 12 hours
IM. Available is a vial labeled 200 mg per 1 mL. How many mL should the
nurse give? Round your answer to the nearest whole number. - Changing
0.6 g to mg equals 600 mg.
Then 200 mg : 1 mL = 600 mg :
x mL 200x = 600
x=3
The nurse should reinforce which instructions given to the unlicensed
assistive personnel (UAP) about care needed to reduce the risk of infection
when a client has an indwelling catheter? (SATA)
1. Check catheter for kinks in the tubing when the client is in the
bed or chair. 2. Disconnect the catheter from the bag when
measuring output.
ANSWERS 2023 A+ GUARANTEED PASS
Which pain scale should the nurse use to monitor the pain level of a 3-year
old client after surgery?
1. Numerical scale
2. Verbal descriptive
scale 3. Visual analog
scale
4. FACES scale - 4. Correct: Monitoring pain in children requires special
techniques. The nurse should use the FACES scale as a tool to assess this
client's pain level.
Children as young as 3 years of age can use the FACES scale to
communicate their pain level to the medical team. The scale has six faces
ranging from smiling face to sad, tearful face.
1. Incorrect: Not age appropriate. This scale uses numbers.
2. Incorrect: Not age appropriate. Young children may not understand the
word pain.
3. Incorrect: Not age appropriate. This scale requires reading.
Which tasks would be appropriate for the LPN/LVN to assign to an unlicensed
assistive personnel (UAP)? (SATA)
,NURS HURST EXAM2 QUESTIONS WITH CORRECT
ANSWERS 2023 A+ GUARANTEED PASS
1. Ask the client diagnosed with dementia memory-testing
questions. 2. Collect the urinary output hourly on the client
with renal disease.
3. Demonstrate pursed lipped breathing to the client who has
emphysema. 4. Give a tepid sponge bath to the client who has a
fever.
5. Assess oxygen saturation on a client experiencing angina. - 2., & 4.
Correct: The UAP can obtain hourly urine output on clients and can give a
tepid sponge bath to a client. The LPN/VN must know what tasks can be
assigned to the UAP.
1. Incorrect: The nurse cannot delegate assessment, evaluation, or teaching.
This would be an assessment function for the RN to perform.
3. Incorrect: The UAP cannot teach. Demonstration is a method of teaching.
This is an RN task.
5. Incorrect: The UAP cannot assess the client experiencing angina. This is an
RN task.
What nursing interventions should the nurse implement for a client with
Addison's disease? (SATA)
1. Administer potassium supplements as
prescribed. 2. Assist the client to select foods
high in sodium.
,NURS HURST EXAM2 QUESTIONS WITH CORRECT
ANSWERS 2023 A+ GUARANTEED PASS
3. Administer Fludrocortisone as
prescribed. 4. Monitor intake and
output.
5. Record daily weight. - 2., 3., 4. & 5. Correct: The client with Addison's
disease needs sodium due to low levels of aldosterone. Fludrocortisone is a
mineralocorticoid that the client will need to take for life. I&O and daily
weights are needed to monitor fluid status.
1. Incorrect: Clients with Addison's disease lose sodium and retain
potassium, so this client does not need potassium.
A licensed practical nurse (LPN) is utilizing the nursing process to care for
assigned clients. Which nursing actions should the LPN relate to the
implementation step of the nursing process? (SATA)
1. Collecting client data for a nursing history.
2. Reporting client response to a new medication.
3. Procuring equipment for a planned medical procedure.
4. Assigning client care activities to unlicensed assistive personnel.
5. Delivering skilled nursing care according to an established health care
plan. - 3., 4., & 5. Correct: The nurse should relate procuring medical
equipment, assigning client care activities, and delivering skilled nursing
care to the implementation step of the nursing process. Implementation is
the third step of the nursing process and consists of delivering nursing care
according to an established health care plan and as assigned by the RN or
, NURS HURST EXAM2 QUESTIONS WITH CORRECT
ANSWERS 2023 A+ GUARANTEED PASS
other person(s) authorized by law.
1. Incorrect: This is not the implementation step of the nursing process.
LPNs participate in the assessment step of the nursing process by
collecting client data for a nursing, psychological, spiritual, and social
histories, comparing the data collected to normal values and findings.
2. Incorrect: This is not the implementation step of the nursing process. LPNs
participate in the nursing process by reporting client responses to the RN or
supervising healthcare provider.
The primary healthcare provider prescribes nafcillin 0.6 gram every 12 hours
IM. Available is a vial labeled 200 mg per 1 mL. How many mL should the
nurse give? Round your answer to the nearest whole number. - Changing
0.6 g to mg equals 600 mg.
Then 200 mg : 1 mL = 600 mg :
x mL 200x = 600
x=3
The nurse should reinforce which instructions given to the unlicensed
assistive personnel (UAP) about care needed to reduce the risk of infection
when a client has an indwelling catheter? (SATA)
1. Check catheter for kinks in the tubing when the client is in the
bed or chair. 2. Disconnect the catheter from the bag when
measuring output.
