1|Page
Hurst NCLEX-RN review, NCLEX-RN questions
and answers, Hurst nursing exam, RN licensure
prep, clinical judgment test, Hurst review 2025,
NCLEX study material
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 - .....ANSWER ...✔✔ 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|Page
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)
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. - .....ANSWER ...✔✔ 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.
,3|Page
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.
3. Administer Fludrocortisone as prescribed.
4. Monitor intake and output.
5. Record daily weight. - .....ANSWER ...✔✔ 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.
, 4|Page
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. - .....ANSWER ...✔✔ 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 other person(s) authorized by
law.
Hurst NCLEX-RN review, NCLEX-RN questions
and answers, Hurst nursing exam, RN licensure
prep, clinical judgment test, Hurst review 2025,
NCLEX study material
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 - .....ANSWER ...✔✔ 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|Page
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)
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. - .....ANSWER ...✔✔ 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.
,3|Page
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.
3. Administer Fludrocortisone as prescribed.
4. Monitor intake and output.
5. Record daily weight. - .....ANSWER ...✔✔ 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.
, 4|Page
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. - .....ANSWER ...✔✔ 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 other person(s) authorized by
law.
