HURST Readiness Exam (Practice) Questions
With Correct Answers
A |40 |year |old |client |reports |a |diminished |ability |to |visually |focus |on |close |objects |and |has |also
|noticed |a |need |for |a |well |lit |environment |to |enhance |vision. |To |what |would |the |nurse |
attribute |these |changes?
a. |normal |changes |associated |with |aging
b. |a |cataract |is |forming
c. |symptoms |of |a |brain |tumor
d. |precipitated |by |diabetic |retinopathy |- |CORRECT |ANSWER✔✔-a. |normal |changes |associated |
with |aging
Rationale: |aging |results |in |stiffening |of |the |lens, |thus |lessening |the |ability |to |focus. |The |retina |
is |less |sensitive |to |light, |making |accurate |vision |in |low-light |situations |more |difficult. |Pupillary |
response |diminishes, |affecting |the |ability |to |adjust |to |changing |light |levels
The |nurse |is |assessing |pain |after |surgery |in |a |3 |year |old |client |with |a |known |developmental |
delay. |Which |pain |scale |should |the |nurse |use |to |assess |this |client's |pain |level?
a. |CRIES |scale
b. |numeric |scale
c. |FLACC |scale
d. |FACES |scale |- |CORRECT |ANSWER✔✔-c. |FLACC |scale
,Rationale: |The |FLACC |scale |can |be |used |for |pediatric |clients |from |age |2 |months |to |7 |years |and
|is |appropriate |when |clients |cannot |communicate |their |pain
A |client |recently |diagnosed |with |diabetes |is |sent |home |with |a |prescription |for |subcutaneous |
insulin. |What |statement |made |by |the |client |indicates |that |teaching |has |been |effective |
regarding |safe |needle |disposal?
a. |"I |should |wrap |the |needle |in |a |paper |towel |and |place |in |the |trash."
b. |"I |should |use |a |hospital |issued |biohazard |container |for |all |needles."
c. |"I |may |use |any |hard |plastic |container |with |a |screw-on |cap."
d. |"I |should |take |my |needles |to |the |nearest |hospital |for |disposal." |- |CORRECT |ANSWER✔✔-c.
|"I |may |use |any |hard |plastic |container |with |a |screw-on |cap."
Rationale: |At |home, |an |FDA |approved |sharps |container |is |not |needed, |however, |needles, |
syringes, |and |sharps |may |be |disposed |of |in |a |hard |plastic |container. |Clients |should |follow |their
|community |guidelines |for |sharps |container |disposal. |This |protects |the |sanitation |engineers |
from |injury |by |the |sharps.
The |primary |healthcare |provider |suspects |the |client |has |tuberculosis |(TB) |and |prescribes |a |
Mantoux |test. |What |precautions |should |the |nurse |take |when |administering |the |Mantoux |test?
a. |don |sterile |gloves
b. |place |the |client |on |reverse |isolation
c. |wear |a |particulate |respirator
d. |obtain |a |consent |form
e. |initiate |airborne |precautions |- |CORRECT |ANSWER✔✔-c. |wear |a |particulate |respirator
e. |initiate |airborne |precautions
,Rationale: |A |disposable |particulate |respirator |that |fits |snugly |around |the |face |is |needed. |The |
client |needs |to |be |on |acid-fast |bacilli |(AFB) |isolation |precautions, |not |reverse |isolation. |
Airborne |precautions |include |a |private |room |with |negative |pressure |and |a |minimum |of |6 |air |
exchanges |per |hour. |Ultraviolet |lamps |and |high |efficiency |particulate |air |filters |are |also |
needed.
A |hysterical |college |student |arrives |in |the |emergency |department |in |bloody |soiled |clothing. |
The |nursing |assessment |reveals |facial |bruising |and |multiple |contusions |consistent |with |the |
client's |report |of |being |raped. |Which |initial |nursing |intervention |takes |priority |at |this |time?
a. |notify |police |of |the |alleged |rape
b. |allow |the |client |privacy |to |wash |self
c. |remove |clothing |and |bag |for |evidence
d. |encourage |client |to |express |fears |and |anxiety |- |CORRECT |ANSWER✔✔-d. |encourage |client |
to |express |fears |and |anxiety
Rationale: |Although |there |are |specific |protocols |that |must |be |followed |when |dealing |with |rape
|clients, |it |is |important |to |remember |that |this |client |had |all |control |taken |away |during |the |
attack. |The |emotional |effects |of |rape |are |as |traumatizing |as |the |physical |injuries. |Allowing |the |
client |to |first |express |emotions, |such |as |fear |or |anxiety, |returns |a |small |amount |of |control |to |a
|situation |in |which |the |client |has |little |or |none.
The |nurse |is |caring |for |an |adolescent |client |diagnosed |with |depression. |The |client |is |
prescribed |fluoxetine. |What |is |the |best |response |by |the |nurse |when |the |client |says, |"What |will
|this |medicine |do |to |me?"
a. |it |will |increase |the |level |of |serotonin |in |the |brain
b. |it |will |decrease |the |production |of |noradrenaline
c. |it |will |lower |your |level |of |the |brain |hormone |norepinephrine
d. |it |will |balance |blood |glucose |and |dopamine |levels |in |your |head |- |CORRECT |ANSWER✔✔-a. |
it |will |increase |the |level |of |serotonin |in |the |brain
, Rationale: |The |action |of |fluoxetine |is |to |increase |the |level |of |serotonin |in |the |central |nervous |
system. |There |is |a |correlation |between |a |low |level |of |serotonin |and |depression. |The |action |of |
the |drug |should |be |explained |to |the |adolescent |in |a |manner |that |will |be |understood.
A |new |mother |brings |her |infant |to |the |clinic |for |a |well-baby |checkup. |While |at |the |clinic, |the |
mother |asks |the |nurse |if |there |are |any |reasons |why |her |infant |should |not |have |the |MMR |
vaccine. |The |nurse's |response |is |based |on |evidence |that |the |MMR |vaccine |is |contraindicated |
under |which |condition?
a. |a |known |allergy |to |gelatin
b. |a |family |history |of |autism
c. |in |infants |with |diarrhea
d. |a |known |allergy |to |sulfonamides |- |CORRECT |ANSWER✔✔-a. |a |known |allergy |to |gelatin
Rationale: |The |MMR |vaccine |is |grown |using |chicken |embryos |and |manufactured |with |the |use |
of |gelatin. |Known |allergies |to |gelatin |would |be |a |contraindication |for |administration.
A |client, |post |laparoscopic |cholecystectomy, |develops |pain |in |their |right |shoulder. |Vital |signs, |
laboratory |studies, |and |an |electrocardiogram |are |within |normal |limits. |What |does |the |nurse |
recognize |as |a |contributing |cause |of |the |pain?
a. |surgical |cannulation |of |the |bile |duct |is |causing |spasm |and |pain
b. |carbon |dioxide |used |intraperitoneally |is |irritating |the |phrenic |nerve
c. |large |abdominal |retractors |used |in |the |procedure |compressed |a |nerve
d. |side |lying |position |in |the |operating |room |generated |pressure |damage |- |CORRECT |
ANSWER✔✔-b. |carbon |dioxide |used |intraperitoneally |is |irritating |the |phrenic |nerve
With Correct Answers
A |40 |year |old |client |reports |a |diminished |ability |to |visually |focus |on |close |objects |and |has |also
|noticed |a |need |for |a |well |lit |environment |to |enhance |vision. |To |what |would |the |nurse |
attribute |these |changes?
a. |normal |changes |associated |with |aging
b. |a |cataract |is |forming
c. |symptoms |of |a |brain |tumor
d. |precipitated |by |diabetic |retinopathy |- |CORRECT |ANSWER✔✔-a. |normal |changes |associated |
with |aging
Rationale: |aging |results |in |stiffening |of |the |lens, |thus |lessening |the |ability |to |focus. |The |retina |
is |less |sensitive |to |light, |making |accurate |vision |in |low-light |situations |more |difficult. |Pupillary |
response |diminishes, |affecting |the |ability |to |adjust |to |changing |light |levels
The |nurse |is |assessing |pain |after |surgery |in |a |3 |year |old |client |with |a |known |developmental |
delay. |Which |pain |scale |should |the |nurse |use |to |assess |this |client's |pain |level?
a. |CRIES |scale
b. |numeric |scale
c. |FLACC |scale
d. |FACES |scale |- |CORRECT |ANSWER✔✔-c. |FLACC |scale
,Rationale: |The |FLACC |scale |can |be |used |for |pediatric |clients |from |age |2 |months |to |7 |years |and
|is |appropriate |when |clients |cannot |communicate |their |pain
A |client |recently |diagnosed |with |diabetes |is |sent |home |with |a |prescription |for |subcutaneous |
insulin. |What |statement |made |by |the |client |indicates |that |teaching |has |been |effective |
regarding |safe |needle |disposal?
a. |"I |should |wrap |the |needle |in |a |paper |towel |and |place |in |the |trash."
b. |"I |should |use |a |hospital |issued |biohazard |container |for |all |needles."
c. |"I |may |use |any |hard |plastic |container |with |a |screw-on |cap."
d. |"I |should |take |my |needles |to |the |nearest |hospital |for |disposal." |- |CORRECT |ANSWER✔✔-c.
|"I |may |use |any |hard |plastic |container |with |a |screw-on |cap."
Rationale: |At |home, |an |FDA |approved |sharps |container |is |not |needed, |however, |needles, |
syringes, |and |sharps |may |be |disposed |of |in |a |hard |plastic |container. |Clients |should |follow |their
|community |guidelines |for |sharps |container |disposal. |This |protects |the |sanitation |engineers |
from |injury |by |the |sharps.
The |primary |healthcare |provider |suspects |the |client |has |tuberculosis |(TB) |and |prescribes |a |
Mantoux |test. |What |precautions |should |the |nurse |take |when |administering |the |Mantoux |test?
a. |don |sterile |gloves
b. |place |the |client |on |reverse |isolation
c. |wear |a |particulate |respirator
d. |obtain |a |consent |form
e. |initiate |airborne |precautions |- |CORRECT |ANSWER✔✔-c. |wear |a |particulate |respirator
e. |initiate |airborne |precautions
,Rationale: |A |disposable |particulate |respirator |that |fits |snugly |around |the |face |is |needed. |The |
client |needs |to |be |on |acid-fast |bacilli |(AFB) |isolation |precautions, |not |reverse |isolation. |
Airborne |precautions |include |a |private |room |with |negative |pressure |and |a |minimum |of |6 |air |
exchanges |per |hour. |Ultraviolet |lamps |and |high |efficiency |particulate |air |filters |are |also |
needed.
A |hysterical |college |student |arrives |in |the |emergency |department |in |bloody |soiled |clothing. |
The |nursing |assessment |reveals |facial |bruising |and |multiple |contusions |consistent |with |the |
client's |report |of |being |raped. |Which |initial |nursing |intervention |takes |priority |at |this |time?
a. |notify |police |of |the |alleged |rape
b. |allow |the |client |privacy |to |wash |self
c. |remove |clothing |and |bag |for |evidence
d. |encourage |client |to |express |fears |and |anxiety |- |CORRECT |ANSWER✔✔-d. |encourage |client |
to |express |fears |and |anxiety
Rationale: |Although |there |are |specific |protocols |that |must |be |followed |when |dealing |with |rape
|clients, |it |is |important |to |remember |that |this |client |had |all |control |taken |away |during |the |
attack. |The |emotional |effects |of |rape |are |as |traumatizing |as |the |physical |injuries. |Allowing |the |
client |to |first |express |emotions, |such |as |fear |or |anxiety, |returns |a |small |amount |of |control |to |a
|situation |in |which |the |client |has |little |or |none.
The |nurse |is |caring |for |an |adolescent |client |diagnosed |with |depression. |The |client |is |
prescribed |fluoxetine. |What |is |the |best |response |by |the |nurse |when |the |client |says, |"What |will
|this |medicine |do |to |me?"
a. |it |will |increase |the |level |of |serotonin |in |the |brain
b. |it |will |decrease |the |production |of |noradrenaline
c. |it |will |lower |your |level |of |the |brain |hormone |norepinephrine
d. |it |will |balance |blood |glucose |and |dopamine |levels |in |your |head |- |CORRECT |ANSWER✔✔-a. |
it |will |increase |the |level |of |serotonin |in |the |brain
, Rationale: |The |action |of |fluoxetine |is |to |increase |the |level |of |serotonin |in |the |central |nervous |
system. |There |is |a |correlation |between |a |low |level |of |serotonin |and |depression. |The |action |of |
the |drug |should |be |explained |to |the |adolescent |in |a |manner |that |will |be |understood.
A |new |mother |brings |her |infant |to |the |clinic |for |a |well-baby |checkup. |While |at |the |clinic, |the |
mother |asks |the |nurse |if |there |are |any |reasons |why |her |infant |should |not |have |the |MMR |
vaccine. |The |nurse's |response |is |based |on |evidence |that |the |MMR |vaccine |is |contraindicated |
under |which |condition?
a. |a |known |allergy |to |gelatin
b. |a |family |history |of |autism
c. |in |infants |with |diarrhea
d. |a |known |allergy |to |sulfonamides |- |CORRECT |ANSWER✔✔-a. |a |known |allergy |to |gelatin
Rationale: |The |MMR |vaccine |is |grown |using |chicken |embryos |and |manufactured |with |the |use |
of |gelatin. |Known |allergies |to |gelatin |would |be |a |contraindication |for |administration.
A |client, |post |laparoscopic |cholecystectomy, |develops |pain |in |their |right |shoulder. |Vital |signs, |
laboratory |studies, |and |an |electrocardiogram |are |within |normal |limits. |What |does |the |nurse |
recognize |as |a |contributing |cause |of |the |pain?
a. |surgical |cannulation |of |the |bile |duct |is |causing |spasm |and |pain
b. |carbon |dioxide |used |intraperitoneally |is |irritating |the |phrenic |nerve
c. |large |abdominal |retractors |used |in |the |procedure |compressed |a |nerve
d. |side |lying |position |in |the |operating |room |generated |pressure |damage |- |CORRECT |
ANSWER✔✔-b. |carbon |dioxide |used |intraperitoneally |is |irritating |the |phrenic |nerve
