HURST READINESS EXAM 2 ACTUAL TEST
QUESTIONS AND CORRECT ANSWERS
BUNDLED STUDY MATERIAL COMPLETE
GUIDE
●● Which assignment would be most appropriate for the charge nurse to
assign to the LPN/VN in the Labor, Delivery, Recovery and Postpartum
Unit (LDRP)?.
Answer: 1. Primipara needing assistance with breastfeeding.
3. Primipara who is two days post op cesarean section.
●● A nurse is calling the primary healthcare provider about a client who
is experiencing dyspnea and chest pain two days post total knee
replacement. Which statements by the nurse are appropriate according to
the communication tool SBAR (Situation, Background, Assessment and
Recommendation)?.
Answer: 2. "Jane Doe is having increasing dyspnea and is reporting
chest pain."
3. "Jane Doe had a total knee replacement two days ago. Pulse is 120,
BP 128/54, Resp 32. She is restless."
4. "From my assessment, I think she may be having a cardiac event or a
pulmonary embolism."
5. "I recommend that you see the client immediately and that we start
oxygen stat. Do you agree?"
,●● Which tasks would be appropriate for the nurse to assign to an
LPN/VN?.
Answer: 1. Changing a colostomy bag.
2. Administer antibiotic via intravenous piggyback (IVPB).
5. Check for urinary retention.
6. Remove wound sutures.
●● A 13 year old, found unresponsive in the park, is brought into the
emergency department. The nurse sees a medical alert bracelet stating
"Diabetic", and notes a fruity smell to the breath. There are no family
members available to obtain consent for treatment and an attempt to call
them has been unsuccessful. What action should the nurse take?.
Answer: 2. Begin treatment by inserting two large bore IVs of Normal
Saline.
●● The nurse is working at the triage station. Which client should the
nurse triage first?.
Answer: 2. A client with a cast on the right leg who states, "My right leg
is killing me and nothing I do makes it stop hurting. "
●● A quality assurance (QA) manager plans to evaluate performance
improvement regarding the implementation of fall precautions for at risk
clients. What steps should the QA manager include in this evaluation?.
Answer: 1. Chart review for fall precaution documentation.
,2. Direct observation of unit staff.
4. Identify at risk clients on unit.
5. Make unannounced visits to the unit for evaluating staff performance.
●● The nurse is performing the admission assessment on a client who is
having a breast augmentation. Which client information would be most
important for the nurse to report to the surgeon before surgery?.
Answer: 3. Client's last menstrual period was 8 weeks ago.
●● The charge nurse has received report from the emergency department
about a client diagnosed with Cushing's disease being admitted to the
unit. Which client in a semi-private room would be appropriate for the
charge nurse to have this client share?.
Answer: 3. Client who has a fractured hip.
●● Which pediatric client should the nurse see first?.
Answer: 3. Three year old with wheezes in right lower lobe.
●● What is priority for the nurse to determine about a client who is
scheduled for a tubal ligation in the outpatient surgical center?.
Answer: 3. Client's plan for transportation and care at home.
●● A case manager is assessing an unresponsive client diagnosed with
terminal hepatic encephalopathy to determine equipment needs upon
, discharge to home for hospice care. Which equipment should the case
manager obtain for this client?.
Answer: 1. Alternating pressure mattress
2. Hospital bed
4. Suction equipment
5. Oxygen
●● Which client must the nurse assign to a private room?.
Answer: 4. Postpartum client 32 hours after delivery with a temperature
of 101º F (38.05 ° C)
●● Which client requires immediate intervention by the nurse?.
Answer: 3. Client with a fractured femur reporting sharp chest pain of
4/10.
●● Which nursing tasks can the RN delegate to an unlicensed assistive
personnel (UAP)?.
Answer: 2. Obtain blood pressure of client diagnosed with nephrotic
syndrome.
4. Document the intake and output of a client in acute renal failure.
6. Perform perineal care of a client who has urinary incontinence.
●● A client tells the nurse, "I am dying from cancer. I have told my
primary healthcare provider that I do not want to be revived if my heart
QUESTIONS AND CORRECT ANSWERS
BUNDLED STUDY MATERIAL COMPLETE
GUIDE
●● Which assignment would be most appropriate for the charge nurse to
assign to the LPN/VN in the Labor, Delivery, Recovery and Postpartum
Unit (LDRP)?.
Answer: 1. Primipara needing assistance with breastfeeding.
3. Primipara who is two days post op cesarean section.
●● A nurse is calling the primary healthcare provider about a client who
is experiencing dyspnea and chest pain two days post total knee
replacement. Which statements by the nurse are appropriate according to
the communication tool SBAR (Situation, Background, Assessment and
Recommendation)?.
Answer: 2. "Jane Doe is having increasing dyspnea and is reporting
chest pain."
3. "Jane Doe had a total knee replacement two days ago. Pulse is 120,
BP 128/54, Resp 32. She is restless."
4. "From my assessment, I think she may be having a cardiac event or a
pulmonary embolism."
5. "I recommend that you see the client immediately and that we start
oxygen stat. Do you agree?"
,●● Which tasks would be appropriate for the nurse to assign to an
LPN/VN?.
Answer: 1. Changing a colostomy bag.
2. Administer antibiotic via intravenous piggyback (IVPB).
5. Check for urinary retention.
6. Remove wound sutures.
●● A 13 year old, found unresponsive in the park, is brought into the
emergency department. The nurse sees a medical alert bracelet stating
"Diabetic", and notes a fruity smell to the breath. There are no family
members available to obtain consent for treatment and an attempt to call
them has been unsuccessful. What action should the nurse take?.
Answer: 2. Begin treatment by inserting two large bore IVs of Normal
Saline.
●● The nurse is working at the triage station. Which client should the
nurse triage first?.
Answer: 2. A client with a cast on the right leg who states, "My right leg
is killing me and nothing I do makes it stop hurting. "
●● A quality assurance (QA) manager plans to evaluate performance
improvement regarding the implementation of fall precautions for at risk
clients. What steps should the QA manager include in this evaluation?.
Answer: 1. Chart review for fall precaution documentation.
,2. Direct observation of unit staff.
4. Identify at risk clients on unit.
5. Make unannounced visits to the unit for evaluating staff performance.
●● The nurse is performing the admission assessment on a client who is
having a breast augmentation. Which client information would be most
important for the nurse to report to the surgeon before surgery?.
Answer: 3. Client's last menstrual period was 8 weeks ago.
●● The charge nurse has received report from the emergency department
about a client diagnosed with Cushing's disease being admitted to the
unit. Which client in a semi-private room would be appropriate for the
charge nurse to have this client share?.
Answer: 3. Client who has a fractured hip.
●● Which pediatric client should the nurse see first?.
Answer: 3. Three year old with wheezes in right lower lobe.
●● What is priority for the nurse to determine about a client who is
scheduled for a tubal ligation in the outpatient surgical center?.
Answer: 3. Client's plan for transportation and care at home.
●● A case manager is assessing an unresponsive client diagnosed with
terminal hepatic encephalopathy to determine equipment needs upon
, discharge to home for hospice care. Which equipment should the case
manager obtain for this client?.
Answer: 1. Alternating pressure mattress
2. Hospital bed
4. Suction equipment
5. Oxygen
●● Which client must the nurse assign to a private room?.
Answer: 4. Postpartum client 32 hours after delivery with a temperature
of 101º F (38.05 ° C)
●● Which client requires immediate intervention by the nurse?.
Answer: 3. Client with a fractured femur reporting sharp chest pain of
4/10.
●● Which nursing tasks can the RN delegate to an unlicensed assistive
personnel (UAP)?.
Answer: 2. Obtain blood pressure of client diagnosed with nephrotic
syndrome.
4. Document the intake and output of a client in acute renal failure.
6. Perform perineal care of a client who has urinary incontinence.
●● A client tells the nurse, "I am dying from cancer. I have told my
primary healthcare provider that I do not want to be revived if my heart
