HURST REVIEW NCLEX-RN Readiness
Exam Questions and correct Answers
Question 1:
A 70 year old client was admitted to the vascular surgery unit during the night shift
with chronic hypertension. At 0830, the unlicensed nursing assistant (UAP) reports
that the client's BP is 198/94. What would be the best action for the charge nurse to
delegate at this time?
A. Ask the UAP to put the client back in bed immediately.
B. Tell the UAP to take the BP in the opposite arm in 15 minutes.
C. Have the LPN/LVN administer the 0900 furosemide and enalapril now.
D. Ask the LPN/LVN to assess the client for pain.
Answer: C
Question 2:
A case manager is assessing an unresponsive client diagnosed with terminal hepatic
encephalopathy for equipment needs upon discharge home for hospice care. Which
equipment should the case manager obtain for this client?
A. Alternating pressure mattress
B. Hospital bed
C. Walker
D. Suction equipment
E. Oxygen
Answer: A, B, D, E
Question 3:
A child is being admitted with possible rheumatic fever. What assessment data would
be most important for the nurse to obtain from the parent?
,A. 102° F (38.89° C) temperature that started 2 days previously.
B. History of pharyngitis approximately 4 weeks ago.
C. Vomiting for 3 days.
D. A cough that started about 1 week earlier.
Answer: B
Question 4:
A client arrives in the emergency department after severely lacerating the left hand
with a knife. HR 96, BP 150/88, R 36. The client is extremely anxious and crying
uncontrollably. Based on this assessment, the nurse should anticipate that this client
is likely in which acid base imbalance?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis
Answer: B
Question 5:
A client asked the nurse what could have caused them to develop right sided heart
failure? What would be the best response by the nurse?
A. High blood pressure in the lungs.
B. Long term hypertension.
C. The inability of the mitral valve to close properly.
D. Narrowing of the aorta.
Answer: A
Question 6:
,A client comes into the emergency department (ED) and demands to be seen
immediately, but refuses to tell the triage nurse the problem. During the assessment,
the client starts yelling and shaking their fist. For the nurse's safety, what should be
the nurse's initial action?
A. Tell the client to stay calm, and that treatment will be provided soon.
B. Explain that unless the client behaves, they will be sent away from the ED.
C. Notify the client that security will be called if they do not go to the waiting room
immediately.
D. Find a safe place away from the client and then notify security.
Answer: D
Question 7:
A client diagnosed with a duodenal ulcer is prescribed lansoprazole and sucralfate.
What should the nurse teach the client about how to take these medications?
A. Take together immediately before meals.
B. Take together immediately after meals.
C. Take the sucralfate first, wait at least 30 minutes, then take the lansoprazole.
D. Take the lansoprazole first, wait at least 30 minutes, then take the sucralfate.
Answer: D
Question 8:
A client diagnosed with glomerulonephritis presents with generalized malaise, weight
gain, generalized edema, and flank pain. The primary healthcare provider prescribes
antibiotics and strict bedrest. What is the best explanation to give the client regarding
the strict bedrest prescription?
A. Promotes diuresis
B. Prevents injury
C. Promotes rest
, D. Stimulates RBC production
Answer: A
Question 9:
A client diagnosed with major depression has been taking a selective serotonin
reuptake inhibitor for the past 6 weeks. When visiting the mental health center, the
nurse discusses the medication and response with the client. The nurse's
assessment reveals that the client is confused about the date and about the
prescribed dosage of the medication. Which question would be most important for
the nurse to ask to further assess the situation?
A. Are you having trouble sleeping at night?
B. Do you have periods of muscle jerking?
C. Are you having any sexual dysfunction?
D. Is your mood improving?
Answer: B
Question 10:
A client diagnosed with major depression is admitted to the psychiatric unit for
electroconvulsive therapy (ECT). The client asks the nurse, "How many of these
treatments do you think I will need?" What is the nurse's best response?
A. That is a question you need to discuss with your primary healthcare provider.
B. Everyone responds differently, but on average clients need 6-12 treatments.
C. You will need to take a treatment every month for at least a year.
D. Let's just take one treatment at a time, shall we?
Answer: B
Question 11:
Exam Questions and correct Answers
Question 1:
A 70 year old client was admitted to the vascular surgery unit during the night shift
with chronic hypertension. At 0830, the unlicensed nursing assistant (UAP) reports
that the client's BP is 198/94. What would be the best action for the charge nurse to
delegate at this time?
A. Ask the UAP to put the client back in bed immediately.
B. Tell the UAP to take the BP in the opposite arm in 15 minutes.
C. Have the LPN/LVN administer the 0900 furosemide and enalapril now.
D. Ask the LPN/LVN to assess the client for pain.
Answer: C
Question 2:
A case manager is assessing an unresponsive client diagnosed with terminal hepatic
encephalopathy for equipment needs upon discharge home for hospice care. Which
equipment should the case manager obtain for this client?
A. Alternating pressure mattress
B. Hospital bed
C. Walker
D. Suction equipment
E. Oxygen
Answer: A, B, D, E
Question 3:
A child is being admitted with possible rheumatic fever. What assessment data would
be most important for the nurse to obtain from the parent?
,A. 102° F (38.89° C) temperature that started 2 days previously.
B. History of pharyngitis approximately 4 weeks ago.
C. Vomiting for 3 days.
D. A cough that started about 1 week earlier.
Answer: B
Question 4:
A client arrives in the emergency department after severely lacerating the left hand
with a knife. HR 96, BP 150/88, R 36. The client is extremely anxious and crying
uncontrollably. Based on this assessment, the nurse should anticipate that this client
is likely in which acid base imbalance?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis
Answer: B
Question 5:
A client asked the nurse what could have caused them to develop right sided heart
failure? What would be the best response by the nurse?
A. High blood pressure in the lungs.
B. Long term hypertension.
C. The inability of the mitral valve to close properly.
D. Narrowing of the aorta.
Answer: A
Question 6:
,A client comes into the emergency department (ED) and demands to be seen
immediately, but refuses to tell the triage nurse the problem. During the assessment,
the client starts yelling and shaking their fist. For the nurse's safety, what should be
the nurse's initial action?
A. Tell the client to stay calm, and that treatment will be provided soon.
B. Explain that unless the client behaves, they will be sent away from the ED.
C. Notify the client that security will be called if they do not go to the waiting room
immediately.
D. Find a safe place away from the client and then notify security.
Answer: D
Question 7:
A client diagnosed with a duodenal ulcer is prescribed lansoprazole and sucralfate.
What should the nurse teach the client about how to take these medications?
A. Take together immediately before meals.
B. Take together immediately after meals.
C. Take the sucralfate first, wait at least 30 minutes, then take the lansoprazole.
D. Take the lansoprazole first, wait at least 30 minutes, then take the sucralfate.
Answer: D
Question 8:
A client diagnosed with glomerulonephritis presents with generalized malaise, weight
gain, generalized edema, and flank pain. The primary healthcare provider prescribes
antibiotics and strict bedrest. What is the best explanation to give the client regarding
the strict bedrest prescription?
A. Promotes diuresis
B. Prevents injury
C. Promotes rest
, D. Stimulates RBC production
Answer: A
Question 9:
A client diagnosed with major depression has been taking a selective serotonin
reuptake inhibitor for the past 6 weeks. When visiting the mental health center, the
nurse discusses the medication and response with the client. The nurse's
assessment reveals that the client is confused about the date and about the
prescribed dosage of the medication. Which question would be most important for
the nurse to ask to further assess the situation?
A. Are you having trouble sleeping at night?
B. Do you have periods of muscle jerking?
C. Are you having any sexual dysfunction?
D. Is your mood improving?
Answer: B
Question 10:
A client diagnosed with major depression is admitted to the psychiatric unit for
electroconvulsive therapy (ECT). The client asks the nurse, "How many of these
treatments do you think I will need?" What is the nurse's best response?
A. That is a question you need to discuss with your primary healthcare provider.
B. Everyone responds differently, but on average clients need 6-12 treatments.
C. You will need to take a treatment every month for at least a year.
D. Let's just take one treatment at a time, shall we?
Answer: B
Question 11:
