HURST RN EXAM UPDATED FOR 2025 ACTUAL QUESTIONS WITH 100%
VERIFIED SOLUTIONS 2023-2025
Following surgery, a client has an indwelling urinary catheter attached to a collection bag. The
nurse empties the collection bag at 0900. At the change of shift at 1500, the collection bag
contains 100 mL of urine. The system has no obstructions to urinary flow. What would be the
nurse's most appropriate initial response?
Check circulation and take the vital signs of the client.
- look for low BP and increased HR as signs of hypovolemic shock
Which statement by the nurse would be the correct response to a client who is postmenopausal
with a uterus when the client asks about temporary hormonal therapy for hot flashes?
"hormonal therapy with a combination of low doses of estrogen and progestin may be
prescribed."
- only women without a uterus are prescribed estrogen without progestin (unopposed estrogen)
because there is no longer a risk of estrogen-induced hyperplasia of the uterine lining
A nurse has completed education on safe sexual practices to a group of college students. Which
comments by the students would indicate that education has been successful?
Select all that apply.
1. "The best way to prevent HIV is to abstain from sex."
4. "Drinking too much alcohol can increase the risk exposure to sexually transmitted disease
(STDs)."
5. "If my partner will not use a condom, I will."
A hospitalized client diagnosed with rheumatoid arthritis is receiving IV methylprednisolone
every six hours. What is the best method for the nurse to provide client safety?
Restrict any visitors with visible illnesses.
Methylprednisolone suppresses the immune system, making the client even more at risk of
infection.
, A client diagnosed with gout has received instruction on maintaining a low-purine diet. Which
statements, if made by the client, would indicate to the nurse that teaching was successful?
Select all that apply.
1. "I will eliminate foods from my diet that contain 150 mg or more of purine per serving."
3. "Losing weight can help reduce the uric acid levels in my blood."
5. "Vegetable that should be limited to 2 times/week include cauliflower, spinach, and
mushrooms."
6. "Increasing fluid intake to 8-10 cups/day will help to eliminate purines through my urine."
A client has returned to the unit following an upper gastrointestinal series (Upper GI). What is
the nurse's priority action?
Administer 30 mLs milk of magnesia orally.
An Upper GI involves the ingestion of a barium based contrast under fluoroscopy to view the
esophagus, stomach, and small intestine. It is vital that the client to pass all the barium before a
blockage occurs.
When teaching a client about lactose intolerance, what should the nurse include?
Select all that apply.
1. Common symptoms of lactose intolerance include abdominal bloating, diarrhea, and gas.
3. Calcium rich foods should be consumed
4. the client can drink lactose-free milk.
5. Vitamin D foods should be increased in the diet.
Which assessment finding identified in a client diagnosed with Guillain-Barre Syndrome would
indicate that the nurse needs to notify the primary healthcare provider?
Breathlessness while talking.
- indicates respiratory fatigue, prep for intubation, mechanical ventilation for vital lung capacity
under 800 mL; Imminent signs of respiratory failure include a heart rate greater than 120 bpm,
or less than 70 bpm; imminent signs of respiratory failure = resp greater than 30 bpm
The pathology report on a client diagnosed with urolithiasis reveals calcium oxalate stones.
Which food selections by the client would indicate to the nurse that the client understands the
prescribed low oxalate diet?
5. Bananas
6. Raisins
VERIFIED SOLUTIONS 2023-2025
Following surgery, a client has an indwelling urinary catheter attached to a collection bag. The
nurse empties the collection bag at 0900. At the change of shift at 1500, the collection bag
contains 100 mL of urine. The system has no obstructions to urinary flow. What would be the
nurse's most appropriate initial response?
Check circulation and take the vital signs of the client.
- look for low BP and increased HR as signs of hypovolemic shock
Which statement by the nurse would be the correct response to a client who is postmenopausal
with a uterus when the client asks about temporary hormonal therapy for hot flashes?
"hormonal therapy with a combination of low doses of estrogen and progestin may be
prescribed."
- only women without a uterus are prescribed estrogen without progestin (unopposed estrogen)
because there is no longer a risk of estrogen-induced hyperplasia of the uterine lining
A nurse has completed education on safe sexual practices to a group of college students. Which
comments by the students would indicate that education has been successful?
Select all that apply.
1. "The best way to prevent HIV is to abstain from sex."
4. "Drinking too much alcohol can increase the risk exposure to sexually transmitted disease
(STDs)."
5. "If my partner will not use a condom, I will."
A hospitalized client diagnosed with rheumatoid arthritis is receiving IV methylprednisolone
every six hours. What is the best method for the nurse to provide client safety?
Restrict any visitors with visible illnesses.
Methylprednisolone suppresses the immune system, making the client even more at risk of
infection.
, A client diagnosed with gout has received instruction on maintaining a low-purine diet. Which
statements, if made by the client, would indicate to the nurse that teaching was successful?
Select all that apply.
1. "I will eliminate foods from my diet that contain 150 mg or more of purine per serving."
3. "Losing weight can help reduce the uric acid levels in my blood."
5. "Vegetable that should be limited to 2 times/week include cauliflower, spinach, and
mushrooms."
6. "Increasing fluid intake to 8-10 cups/day will help to eliminate purines through my urine."
A client has returned to the unit following an upper gastrointestinal series (Upper GI). What is
the nurse's priority action?
Administer 30 mLs milk of magnesia orally.
An Upper GI involves the ingestion of a barium based contrast under fluoroscopy to view the
esophagus, stomach, and small intestine. It is vital that the client to pass all the barium before a
blockage occurs.
When teaching a client about lactose intolerance, what should the nurse include?
Select all that apply.
1. Common symptoms of lactose intolerance include abdominal bloating, diarrhea, and gas.
3. Calcium rich foods should be consumed
4. the client can drink lactose-free milk.
5. Vitamin D foods should be increased in the diet.
Which assessment finding identified in a client diagnosed with Guillain-Barre Syndrome would
indicate that the nurse needs to notify the primary healthcare provider?
Breathlessness while talking.
- indicates respiratory fatigue, prep for intubation, mechanical ventilation for vital lung capacity
under 800 mL; Imminent signs of respiratory failure include a heart rate greater than 120 bpm,
or less than 70 bpm; imminent signs of respiratory failure = resp greater than 30 bpm
The pathology report on a client diagnosed with urolithiasis reveals calcium oxalate stones.
Which food selections by the client would indicate to the nurse that the client understands the
prescribed low oxalate diet?
5. Bananas
6. Raisins
