PHARMACOLOGY AND EKG TEST HCA
HIRES FOR NURSES COMPREHENSIVE
STUDY GUIDE 2026 FULL QUESTIONS
AND SOLUTIONS GRADED A+
◍ A nurse is caring for a client who has congestive heart failure and is taking
Digoxin daily. The client refused breakfast and is complaining of nausea
and weakness. Which of the following actions should the nurse take first?.
Answer: Check the clients vital signs.
◍ 1.The registered nurse (RN) uses the mini-mental state examination
(MMSE) when assessing a client for admission to an assisted living facility.
Which finding is the RN assessing when requesting the client to count by
7s?
A. Recall of information.
B. Orientation to surroundings.
C. Attention to details.
D. Ability to follow complex commands..
Answer: ANS: CCounting by 7s evaulates the ability to do simple
calculations and is specific to the client's attention to detail (C). (A, B, and
D) are additional parts of the MMSE that evaluate orientation and cognitive
function.
◍ A nurse is caring for a client who has thrombophlebitis and is receiving
heparin by continuous IV infusion. The client asks the nurse how long it will
take for the heparin to dissolve the clot. Which of the following responses
should the nurse give?.
Answer: Heparin does not dissolve clots. It stop new clots from forming.
◍ A nurse is caring for a client who has DVT and has been on heparin
, continuous infusion for five days. The provider prescribes warfarin PO
without discontinuing the heparin. The client asks the nurse why both
anticoagulants are necessary. Which of the following statements should the
nurse make?.
Answer: Warfarin takes several days to work so the IV heparin will be used
until the warfarin reaches a therapeutic level.
◍ 2.The registered nurse (RN) palpates a weak pedal pulse in the client's right
foot. Which assessment findings should the RN document that are consistent
with diminished peripheral circulation? (Select all that apply.)
A. Diminished hair on legs.
B. Bruising on extremities.
C. Skin cool to touch.
D. Capillary refill less than 3 seconds.
E. Darkened skin on extremities..
Answer: ANS: A, CDiminished hair on the legs (A) and skin that is cool to
touch (C) are symptoms of decreased arterial blood flow. (B, D, and E) are
not indicators for impaired peripheral circulation.
◍ A nurse is preparing to administer verapamil by IV bolus to a client who is
having cardiac dysrhythmias. For which of the following adverse effects
should the nurse monitor when giving this medication?.
Answer: Hypotension
◍ A nurse is caring for a client who is taking lisinopril. Which of the following
outcomes indicates a therapeutic effect of the medication?.
Answer: Decreased Blood Pressure
◍ A nurse is caring for a client who is prescribed warfarin therapy for an
artificial heart valve. Which of the following laboratory values should the
nurse monitor for a therapeutic effect of warfarin?.
Answer: Prothrombin Time (PT)
◍ A nurse on a medical unit is planning care for an older adult client who
takes several medications. Which of the following prescribed medications
places the client at risk for orhtostatic hypotension? (SELECT ALL THAT
, APPLY).
Answer: Furosemide Telemisartan Duloxetine
◍ 3.Which action should the registered nurse (RN) implement to complete an
assessment for a client while using an interpreter?
A. Ask closed-ended questions with the assistance of the interpreter.
B. Maintain eye contact with the client while listening to the translation.
C. Instruct interpreter to answer questions from interpreter's point of view.
D. Protect the client's privacy by asking a limited number of questions..
Answer: ANS: BWhen completing an assessment, the RN should maintain
eye contact with the client (B) to gather additional information from the
client's nonverbal cues. (A, C, and D) do not use both verbal and nonverbal
communication techniques to gather data during an assessment.
◍ 4.A client with progressive hearing loss appears distressed when the
registered nurse (RN) asks open-ended questions about the client's health
history. Which forms of communication should the RN use? (Select all that
apply.)
A. Face the client so the client can see the RN's mouth.
B. Increase one's speech volume when interacting with the client.
C. Repeat information to the client if misunderstood.
D. Check if the client's hearing aides are working properly. Reduce
environmental noise surrounding the client..
Answer: ANS: A, D, E(A, D, and E) are correct. A client with hearing loss
can develop the ability to read "lips," so facing the client during
conversation (A) allows visualization of the lips and directs the sound
towards the client. Inspection of the hearing aide device's functionality is a
vital step in communication (D). Hearing aides magnify all surrounding
noise, so it is imperative to reduce outside environmental noise during the
interview process (E). Speaking clearly with enunciation and in a regular
tone is easier for a client to understand than increasing the volume of speech
(B). If a client shows signs of confusion, rephrasing the question, instead of
repeating (C), should be done to decrease client anxiety and facilitate
understanding.
HIRES FOR NURSES COMPREHENSIVE
STUDY GUIDE 2026 FULL QUESTIONS
AND SOLUTIONS GRADED A+
◍ A nurse is caring for a client who has congestive heart failure and is taking
Digoxin daily. The client refused breakfast and is complaining of nausea
and weakness. Which of the following actions should the nurse take first?.
Answer: Check the clients vital signs.
◍ 1.The registered nurse (RN) uses the mini-mental state examination
(MMSE) when assessing a client for admission to an assisted living facility.
Which finding is the RN assessing when requesting the client to count by
7s?
A. Recall of information.
B. Orientation to surroundings.
C. Attention to details.
D. Ability to follow complex commands..
Answer: ANS: CCounting by 7s evaulates the ability to do simple
calculations and is specific to the client's attention to detail (C). (A, B, and
D) are additional parts of the MMSE that evaluate orientation and cognitive
function.
◍ A nurse is caring for a client who has thrombophlebitis and is receiving
heparin by continuous IV infusion. The client asks the nurse how long it will
take for the heparin to dissolve the clot. Which of the following responses
should the nurse give?.
Answer: Heparin does not dissolve clots. It stop new clots from forming.
◍ A nurse is caring for a client who has DVT and has been on heparin
, continuous infusion for five days. The provider prescribes warfarin PO
without discontinuing the heparin. The client asks the nurse why both
anticoagulants are necessary. Which of the following statements should the
nurse make?.
Answer: Warfarin takes several days to work so the IV heparin will be used
until the warfarin reaches a therapeutic level.
◍ 2.The registered nurse (RN) palpates a weak pedal pulse in the client's right
foot. Which assessment findings should the RN document that are consistent
with diminished peripheral circulation? (Select all that apply.)
A. Diminished hair on legs.
B. Bruising on extremities.
C. Skin cool to touch.
D. Capillary refill less than 3 seconds.
E. Darkened skin on extremities..
Answer: ANS: A, CDiminished hair on the legs (A) and skin that is cool to
touch (C) are symptoms of decreased arterial blood flow. (B, D, and E) are
not indicators for impaired peripheral circulation.
◍ A nurse is preparing to administer verapamil by IV bolus to a client who is
having cardiac dysrhythmias. For which of the following adverse effects
should the nurse monitor when giving this medication?.
Answer: Hypotension
◍ A nurse is caring for a client who is taking lisinopril. Which of the following
outcomes indicates a therapeutic effect of the medication?.
Answer: Decreased Blood Pressure
◍ A nurse is caring for a client who is prescribed warfarin therapy for an
artificial heart valve. Which of the following laboratory values should the
nurse monitor for a therapeutic effect of warfarin?.
Answer: Prothrombin Time (PT)
◍ A nurse on a medical unit is planning care for an older adult client who
takes several medications. Which of the following prescribed medications
places the client at risk for orhtostatic hypotension? (SELECT ALL THAT
, APPLY).
Answer: Furosemide Telemisartan Duloxetine
◍ 3.Which action should the registered nurse (RN) implement to complete an
assessment for a client while using an interpreter?
A. Ask closed-ended questions with the assistance of the interpreter.
B. Maintain eye contact with the client while listening to the translation.
C. Instruct interpreter to answer questions from interpreter's point of view.
D. Protect the client's privacy by asking a limited number of questions..
Answer: ANS: BWhen completing an assessment, the RN should maintain
eye contact with the client (B) to gather additional information from the
client's nonverbal cues. (A, C, and D) do not use both verbal and nonverbal
communication techniques to gather data during an assessment.
◍ 4.A client with progressive hearing loss appears distressed when the
registered nurse (RN) asks open-ended questions about the client's health
history. Which forms of communication should the RN use? (Select all that
apply.)
A. Face the client so the client can see the RN's mouth.
B. Increase one's speech volume when interacting with the client.
C. Repeat information to the client if misunderstood.
D. Check if the client's hearing aides are working properly. Reduce
environmental noise surrounding the client..
Answer: ANS: A, D, E(A, D, and E) are correct. A client with hearing loss
can develop the ability to read "lips," so facing the client during
conversation (A) allows visualization of the lips and directs the sound
towards the client. Inspection of the hearing aide device's functionality is a
vital step in communication (D). Hearing aides magnify all surrounding
noise, so it is imperative to reduce outside environmental noise during the
interview process (E). Speaking clearly with enunciation and in a regular
tone is easier for a client to understand than increasing the volume of speech
(B). If a client shows signs of confusion, rephrasing the question, instead of
repeating (C), should be done to decrease client anxiety and facilitate
understanding.
