HURST REVIEW NCLEX-RN Readiness Exam 1
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What symptoms does the nurse expect to see in a client
with bulimia nervosa?
1. Amenorrhea 2. Feelings of self-worth unduly influenced
by weight 3. Recurrent episodes of binge eating 4.
Recurrent inappropriate compensatory behavior to prevent
weight gain 5. Lack of exercise - Answer-2., 3. & 4.
A client who has had a laparoscopic cholecystectomy
develops pain in the left shoulder. Vital signs, laboratory
studies, and an electrocardiogram are within normal limits.
What does the nurse recognize as a contributing cause of
the pain?
1. Surgical cannulation of the bile duct is causing spasm
and pain. 2. Carbon dioxide used intraperitoneally is
irritating the phrenic nerve. 3. Large abdominal retractors
used in the procedure compressed a nerve. 4. Side lying
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position in the operating room generated pressure
damage. - Answer-2.
A client is admitted to the medical unit with an acute onset
of fever, chills and RUQ pain. Vital signs are: T 99.8°F
(37.7°C), P 132, RR 34, B/P 142/82. ABG results are: pH-
7.53, PaCO2 30, HCO3 22. The nurse determines that this
client is in what acid/base imbalance?
1. Respiratory acidosis 2. Respiratory alkalosis 3.
Metabolic acidosis 4. Metabolic alkalosis - Answer-2.
An unlicensed assistive personnel (UAP) has explained
how to prevent the spread of infection to the charge nurse.
Which statement by the UAP indicates that further
teaching is needed?
1. "Soap and water should be used for hand washing
when our hands are visibly soiled." 2. "Gloves do not have
to be worn when taking a client's vital signs or passing out
meal trays." 3. "Standard precautions should be used on
all clients." 4. "When caring for a client who has a
suppressed immune response, a N95 mask should be
worn." - Answer-4.
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The nurse is preparing to discharge a client who has been
placed on tranylcypromine. The nurse teaches the client
about food to avoid while taking this medication. What
food choice by the client confirms appropriate
understanding of the teaching?
1. Cottage cheese 2. Salami 3. Baked chicken 4. Potatoes
- Answer-2.
Which nurse is providing cost effective care to a client?
1. Providing palliative care to a terminally ill client. 2.
Beginning discharge planning on admit. 3. Counseling
clients on cigarette smoking cessation. 4. Educating a
group of parents on the importance of childhood
immunizations. 5. Performing a postop wound dressing
change using clean gloves. - Answer-1., 2., 3., & 4.
The nurse is teaching a group of pregnant women about
hormonal changes during pregnancy. The nurse
recognizes that teaching was successful when the women
identify which hormone as causing amenorrhea?
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1. Progesterone 2. Estrogen 3. Follicle-stimulating
hormone (FSH) 4. Human chorionic gonadotropin (hCG) -
Answer-1.
The client is admitted to the hospital following a motor
vehicle accident and has sustained a closed chest wound.
The nurse notes paradoxical chest wall movement. Which
problem does the nurse suspect?
1. Mediastinal shift 2. Tension pneumothorax 3. Flail chest
4. Pulmonary contusion - Answer-3.
Which client can a nurse manager safely transfer from the
telemetry unit to the obstetrical unit in order to receive a
new admit?
1. Client admitted with possible tuberculosis (TB) awaiting
skin test results. 2. Client diagnosed with seizure disorder.
3. Client with a new pacemaker scheduled to be
discharged in the morning. 4. Client with a history of mild
heart failure prescribed one unit of packed red blood cells
for anemia. - Answer-2.