HURST ACTUAL TEST QUESTIONS AND
CORRECT ANSWERS BUNDLED STUDY
MATERIAL COMPLETE GUIDE
●● 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.
Answer: 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?
,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..
Answer: 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.
5. The client with a double mastectomy seven years ago..
Answer: 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..
Answer: 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 such as Alzheimer's
disease. The client has the ability to pick up utensils but is unable to use
them correctly, which may affect the client's nutritional status.
1. Incorrect: Apraxia does not affect the ability to ambulate to the
bathroom, although the client may not be able to follow cleanliness
CORRECT ANSWERS BUNDLED STUDY
MATERIAL COMPLETE GUIDE
●● 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.
Answer: 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?
,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..
Answer: 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.
5. The client with a double mastectomy seven years ago..
Answer: 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..
Answer: 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 such as Alzheimer's
disease. The client has the ability to pick up utensils but is unable to use
them correctly, which may affect the client's nutritional status.
1. Incorrect: Apraxia does not affect the ability to ambulate to the
bathroom, although the client may not be able to follow cleanliness
