HURST REVIEW NCLEX-RN Readiness Exam 1 || Most Recent
Exam 2026-2027 Actual Complete Real Exam Questions And
Correct Answers (Verified Answers) Already Graded A+ |
Guaranteed Success!! | Newest Exam | Just Released!!
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?
1. Alternating pressure mattress
2. Hospital bed
3. Walker
4. Suction equipment
5. Oxygen - ANSWER -1., 2., 4., & 5. Correct: An alternating
pressure mattress will help to prevent pressure ulcers. The
risk of respiratory compromise increases as the neurologic
status deteriorates. A hospital bed is needed so that the head
of the client's bed can be elevated to 30 degrees to ease
respirations and decrease the work of breathing. The client
with hepatic encephalopathy is unresponsive due to
accumulation of toxins and may need suctioning if unable to
clear secretions from the oropharynx. Hepatic
encephalopathy frequently has associated bleeding varices.
The increasing ascites leads to hypovolemia. Both of these
conditions can result in hypoxemia for the client at the end
stages of liver disease; therefore, oxygen therapy is
provided.
,3. Incorrect: As hepatic encephalopathy progresses and toxins
accumulate, the
client lapses into a coma. Therefore, the unresponsive
client will not be
ambulatory and would not need a
walker.
An adult client has just returned to the nursing care unit
following a gastroscopy.
Which intervention should the nurse include on the plan of
care?
1. Vital sign checks every 15 min x 4
2. Supine position for 6 hours
3. NPO until return of gag reflex
4. Irrigate NG tube every 2 hours
5. Raise four side rails - ANSWER -1., & 3. Correct: Vital signs
post procedure are important to monitor for any post-
procedure complications such as bleeding or any signs of
respiratory compromise. VS are checked frequently for the
first hour post procedure. Any client who has a scope
inserted down the throat and has received numbing
medication in the back of the throat to depress the gag reflex
should be kept NPO until the gag reflex returns.
2. Incorrect: Supine position for 6 hours is contraindicated. The
HOB should be
elevated. In the event the client vomits, he/she is less likely to
aspirate with the
,HOB elevated. Supine position for 6 hours is used after a heart
catheterization.
4. Incorrect: A client who is going for a gastroscopy
procedure cannot have a
nasal gastric tube. An NG tube would interfere with
the procedure.
5. Incorrect: Raising all side rails is a form of restraint. Have
the bed in low
locked position. Raise three side rails, and have call light
within reach.
The family member of a schizophrenic client asks the nurse
why the client is receiving chlorpromazine and benztropine.
What is the best response by the nurse?
1. The chlorpromazine makes the benztropine more effective
so a smaller dose of both drugs can be used.
2. Benztropine is given to treat the side effects produced by
the chlorpromazine. 3. Chlorpromazine is used for severe
hiccups that can occur with the use of benztropine.
4. Chlorpromazine is used for psychosis and benztropine is
used for preventing agranulocytosis. - ANSWER -2. Correct:
Benztropine is used to treat parkinsonism of various causes
and drug-induced extrapyramidal reactions seen with
chlorpromazine, which is an antipsychotic agent.
Extrapyramidal symptoms are neurologic disturbances in the
area of the brain that controls motor coordination. This
disruption can cause symptoms that mimic Parkinson's
, disease, including stiffness, rigidity, tremor, drooling and the
classic "mask like" facial expression. These symptoms can be
treated and are reversible using such medications as
benztropine.
1. Incorrect: Chlorpromazine does not potentiate the effects of
benztropine, so
dosage regulation is not
appropriate.
3 Incorrect: Chlorpromazine can be used for severe hiccups,
but the hiccups
are not the result of using benztropine. Chlorpromazine
is also used for
psychosis in the
schizophrenic client.
4.
Incorrect:
Benztropine is not used to prevent
agranulocytosis.
A nurse is planning to provide information regarding suicide to
a high school assembly. What information should the nurse
include?
1. Do not keep secrets for the suicidal person.
2. Express concern for a person expressing thoughts of
suicide.
Exam 2026-2027 Actual Complete Real Exam Questions And
Correct Answers (Verified Answers) Already Graded A+ |
Guaranteed Success!! | Newest Exam | Just Released!!
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?
1. Alternating pressure mattress
2. Hospital bed
3. Walker
4. Suction equipment
5. Oxygen - ANSWER -1., 2., 4., & 5. Correct: An alternating
pressure mattress will help to prevent pressure ulcers. The
risk of respiratory compromise increases as the neurologic
status deteriorates. A hospital bed is needed so that the head
of the client's bed can be elevated to 30 degrees to ease
respirations and decrease the work of breathing. The client
with hepatic encephalopathy is unresponsive due to
accumulation of toxins and may need suctioning if unable to
clear secretions from the oropharynx. Hepatic
encephalopathy frequently has associated bleeding varices.
The increasing ascites leads to hypovolemia. Both of these
conditions can result in hypoxemia for the client at the end
stages of liver disease; therefore, oxygen therapy is
provided.
,3. Incorrect: As hepatic encephalopathy progresses and toxins
accumulate, the
client lapses into a coma. Therefore, the unresponsive
client will not be
ambulatory and would not need a
walker.
An adult client has just returned to the nursing care unit
following a gastroscopy.
Which intervention should the nurse include on the plan of
care?
1. Vital sign checks every 15 min x 4
2. Supine position for 6 hours
3. NPO until return of gag reflex
4. Irrigate NG tube every 2 hours
5. Raise four side rails - ANSWER -1., & 3. Correct: Vital signs
post procedure are important to monitor for any post-
procedure complications such as bleeding or any signs of
respiratory compromise. VS are checked frequently for the
first hour post procedure. Any client who has a scope
inserted down the throat and has received numbing
medication in the back of the throat to depress the gag reflex
should be kept NPO until the gag reflex returns.
2. Incorrect: Supine position for 6 hours is contraindicated. The
HOB should be
elevated. In the event the client vomits, he/she is less likely to
aspirate with the
,HOB elevated. Supine position for 6 hours is used after a heart
catheterization.
4. Incorrect: A client who is going for a gastroscopy
procedure cannot have a
nasal gastric tube. An NG tube would interfere with
the procedure.
5. Incorrect: Raising all side rails is a form of restraint. Have
the bed in low
locked position. Raise three side rails, and have call light
within reach.
The family member of a schizophrenic client asks the nurse
why the client is receiving chlorpromazine and benztropine.
What is the best response by the nurse?
1. The chlorpromazine makes the benztropine more effective
so a smaller dose of both drugs can be used.
2. Benztropine is given to treat the side effects produced by
the chlorpromazine. 3. Chlorpromazine is used for severe
hiccups that can occur with the use of benztropine.
4. Chlorpromazine is used for psychosis and benztropine is
used for preventing agranulocytosis. - ANSWER -2. Correct:
Benztropine is used to treat parkinsonism of various causes
and drug-induced extrapyramidal reactions seen with
chlorpromazine, which is an antipsychotic agent.
Extrapyramidal symptoms are neurologic disturbances in the
area of the brain that controls motor coordination. This
disruption can cause symptoms that mimic Parkinson's
, disease, including stiffness, rigidity, tremor, drooling and the
classic "mask like" facial expression. These symptoms can be
treated and are reversible using such medications as
benztropine.
1. Incorrect: Chlorpromazine does not potentiate the effects of
benztropine, so
dosage regulation is not
appropriate.
3 Incorrect: Chlorpromazine can be used for severe hiccups,
but the hiccups
are not the result of using benztropine. Chlorpromazine
is also used for
psychosis in the
schizophrenic client.
4.
Incorrect:
Benztropine is not used to prevent
agranulocytosis.
A nurse is planning to provide information regarding suicide to
a high school assembly. What information should the nurse
include?
1. Do not keep secrets for the suicidal person.
2. Express concern for a person expressing thoughts of
suicide.
