Hurst Review Practice Questions with accurate detailed answers
|| || || || || || ||
How does the nurse identify the correct size of crutches for a client?
|| || || || || || || || || || || ||
1. Turn the crutches upside down and measure from the heel to the shoulder.
|| || || || || || || || || || || || ||
2. Obtain a set of crutches and adjust the height until the client can stand comfortably while
|| || || || || || || || || || || || || || || ||
resting the axilla on the crutch pad.
|| || || || || || ||
3. Measure the client while standing upright from the axilla to the heel then adjust the
|| || || || || || || || || || || || || || || ||
crutches so that the elbow flexion is a 30-degree angle.
|| || || || || || || || ||
4. Measure the client from 2 inches below the axilla to 6 inches lateral to the client's heel. -
|| || || || || || || || || || || || || || || || || || ||
✔✔4
The nurse is caring for a client in the 8th week of pregnancy. The client is spotting, has a
|| || || || || || || || || || || || || || || || || || ||
rigid abdomen and is on bedrest. What is the most important assessment at this time?
|| || || || || || || || || || || || || ||
1. Protein in the urine
|| || || ||
2. Fetal heart tones
|| || ||
3. Cervical dilation
|| ||
4. Hemoglobin and hematocrit levels - ✔✔4
|| || || || || ||
The client may be bleeding, and that is an emergency! Common causes of hemorrhage
|| || || || || || || || || || || || || ||
during the first half of pregnancy include abortion and ectopic pregnancy. Ectopic
|| || || || || || || || || || || ||
pregnancy is a significant cause of maternal death from hemorrhage and the classic signs of
|| || || || || || || || || || || || || || ||
ectopic pregnancy include positive pregnancy test, abdominal pain and vaginal "spotting".
|| || || || || || || || || || ||
Remember that in the ruptured ectopic pregnancy, bleeding may be concealed and severe
|| || || || || || || || || || || || ||
pain could be the only symptom.
|| || || || ||
The nurse is discussing television, video games, and internet usage with a group of parents
|| || || || || || || || || || || || || || ||
who have 8 to 10 year old children. What should the nurse include?
|| || || || || || || || || || || ||
,2
1. Keep TVs, iPads, and other screens out of kids' bedrooms.
|| || || || || || || || || ||
2. Turn off all screens during meals.
|| || || || || ||
3. Allow screen time only after chores and homework are complete.
|| || || || || || || || || ||
4. Have a screen free day once a week.
|| || || || || || || ||
5. Limit screen time to 2 hours daily.
|| || || || || || ||
6. Use screen time as a reward for good behavior. - ✔✔1 2 3 4 5
|| || || || || || || || || || || || || || ||
Correct: It is wise to keep TV, internet and other digital media out of children's rooms.
|| || || || || || || || || || || || || || || ||
When these devices are in children's bedrooms, it's much more difficult to monitor what's
|| || || || || || || || || || || || || ||
going on. Turn off digital devices during meals. This allows parents to be involved in the
|| || || || || || || || || || || || || || || ||
lives of their children. Those intimate life details are required for successful parenting. So,
|| || || || || || || || || || || || || ||
parents should observe, listen, ask, and parent. Declare a "screen free day" once a week
|| || || || || || || || || || || || || || ||
where nobody watches TV, uses the computer or plays video games. This allows for more
|| || || || || || || || || || || || || || ||
family activities like bike rides and hikes. The American Academy of Pediatrics suggests
|| || || || || || || || || || || || ||
limiting entertainment screen time -- including TV, video games and computer use -- to two
|| || || || || || || || || || || || || || ||
hours a day for kids ages 6 - 10 years of age.
|| || || || || || || || || || ||
Incorrect: Screen time should not be used as a reward. Parents should set guidelines on
|| || || || || || || || || || || || || || ||
when the child can have screen time; for example, after homework or when chores are
|| || || || || || || || || || || || || || ||
complete.
The community health nurse is presenting information about birth control measures to a
|| || || || || || || || || || || || ||
group of young females. The nurse explains that an intrauterine device (IUD) is most
|| || || || || || || || || || || || || ||
appropriate for what individuals? || || ||
1. A mother of a toddler who wants another child in three years.
|| || || || || || || || || || || ||
2. The client with a recent exacerbation of sickle cell anemia.
|| || || || || || || || || ||
3. A client with stage II breast cancer who has finished chemotherapy.
|| || || || || || || || || || ||
4. An adolescent who has recently become sexually active.
|| || || || || || || ||
, 2
5. The client with a double mastectomy seven years ago. - ✔✔1 & 5. CORRECT: An IUD is a
|| || || || || || || || || || || || || || || || || ||
surgically placed method of birth control in which a small, t-shaped piece of plastic, or even
|| || || || || || || || || || || || || || || ||
copper, is inserted into the uterus to decrease the chance of pregnancy. The client must be
|| || || || || || || || || || || || || || || || ||
very healthy, emotionally amenable to a foreign body to prevent pregnancy, and aware that
|| || || || || || || || || || || || || ||
an IUD is not 100% fail-proof. The mother of a toddler who would like to have another child
|| || || || || || || || || || || || || || || || ||
in a few years is an excellent candidate for the use of an IUD. Also, a client who had a
|| || || || || || || || || || || || || || || || || || || || ||
double mastectomy over seven years ago is a good candidate, since treatment that long ago
|| || || || || || || || || || || || || || ||
means the client would no longer be receiving any type of immunosuppressant therapy.
|| || || || || || || || || || || ||
2. INCORRECT: A client who has had a recent exacerbation of sickle cell anemia is at high
|| || || || || || || || || || || || || || || || ||
risk for several complications, including infection and clots. This is a foreign body in an
|| || || || || || || || || || || || || || ||
already compromised client, leading to many potential complications.
|| || || || || || ||
3. INCORRECT: The client being actively treated for cancer is also immunosuppressed and
|| || || || || || || || || || || || ||
would not be a good choice for an IUD. The risk of infection is much too high.
|| || || || || || || || || || || || || || || ||
4. INCORRECT: An adolescent who has recently become sexually active presents a
|| || || || || || || || || || || ||
challenge. Remember that an adolescent does not have regular menstrual cycles yet, and
|| || || || || || || || || || || || ||
can experience intermittent bleeding. Many primary healthcare providers argue that the use
|| || || || || || || || || || ||
of an IUD may be safer since the client would not have to remember a pill, a ring, or a
|| || || || || || || || || || || || || || || || || || || || ||
patch. But an even greater concern is the fact that an IUD is NOT 100% effective, still
|| || || || || || || || || || || || || || || || ||
presenting the risk of an unwanted pregnancy. Also, an IUD does not protect against
|| || || || || || || || || || || || || ||
sexually transmitted disease (STDs), which is often a concern in those who have become
|| || || || || || || || || || || || || ||
sexually active. ||
A client admitted to the hospital following a fall has a history of Alzheimer's disease with
|| || || || || || || || || || || || || || || ||
apraxia. The nurse knows the client will need priority assistance with what activity?
|| || || || || || || || || || || ||
1. Ambulating to the bathroom.
|| || || ||
2. Understanding instructions.
|| ||
3. Using utensils at mealtime.
|| || || ||
4. Identifying objects in room. - ✔✔3. Correct: Apraxia is a motor disorder of voluntary
|| || || || || || || || || || || || || || ||
movements in which the individual can no longer execute purposeful activity, even though
|| || || || || || || || || || || || ||
there is adequate mobility, strength, and coordination. This loss of ability to carry out
|| || || || || || || || || || || || || ||
previously learned movements could occur secondary to brain injury or a disease process
|| || || || || || || || || || || || ||