HURST READINESS LATEST
EXAM 2 QUESTIONS AND
ANSWERS 2026 - 2027
A client experiencing chest pain is prescribed an intravenous infusion of
nitroglycerin. After the infusion is initiated, the occurrence of which
symptom would prompt the nurse to discontinue the nitroglycerin?
1. Frontal headache 2. Orthostatic hypotension 3. Decrease in intensity
of chest pain 4. Cool, clammy skin - ANSWERS-Rationale
4. Correct: This assessment finding of cool, clammy skin is an indication
of decreased cardiac output that could be the result of too much
vasodilatation. Cardiac output could continue to decrease if the
nitroglycerin is not discontinued. 1. Incorrect: A headache is an expected
common side effect of nitroglycerin administration. The headache is
treated with medication. 2. Incorrect: A decrease in blood pressure when
rising from a supine or sitting position is a common effect of the
vasodilatation that occurs with the administration of nitroglycerin. The
client should be advised to change positions slowly. 3. Incorrect: The
decrease in the intensity of the client's chest pain is the desired outcome
of the nitroglycerin administration.
During a conversation with a client on a psychiatric unit the client tells
the nurse, "Everyone here hates me." Which response by the nurse is
best?
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PAGE
1
, HURST READINESS LATEST
EXAM 2 QUESTIONS AND
ANSWERS 2026 - 2027
1. No, they do not hate you. 2. What did you do to make others not like
you? 3. Just don't pay attention to what others think of you. 4. I can't
speak for the other people, but I don't hate you. - ANSWERS-Rationale
4. Correct: Here the nurse is speaking only for the nurse. The nurse
cannot legitimately speak for anyone else. The nurse must model the
process of not speaking for anyone else. The response also lets the client
know that the nurse cares about the way the client feels. 1. Incorrect:
This is arguing and defending which are non-therapeutic communication
techniques. The nurse does not know how the others on the unit feel
about the client, so this may not be a true statement. Arguing with a
client's belief can further upset or anger the client and leads to mistrust
of the nurse. 2. Incorrect: This is agreeing with the client that everyone
hates the client. It also puts the client on the defense by implying that the
client is at fault for doing something that made everyone hate the client.
This response reinforces the client's false belief. 3. Incorrect: This is
using denial. This is where the nurse denies that a problem exists and
blocks the discussion with the client. This avoids helping the client
identify and explore the problem. This also dismisses the client's
feelings.
A client had an abnormal maternal serum alfa fetoprotein (MSAFP) at
18 weeks gestation. She is now 22 weeks gestation, and an
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PAGE
2
, HURST READINESS LATEST
EXAM 2 QUESTIONS AND
ANSWERS 2026 - 2027
amniocentesis has just been completed for genetic analysis. Which
nursing action has priority?
1. Monitor the needle entry site for signs of infection. 2. Encourage the
client to express her feelings. 3. Assess the maternal blood pressure for
hypertension. 4. Monitor fetal heart tones and uterine activity. -
ANSWERS-Rationale
4. Correct: There is a risk for pregnancy loss after amniocentesis. The
priority nursing intervention is to monitor for fetal heart tones and
uterine contractions. 1. Incorrect: There would not be signs of infection
so soon after the procedure. 2. Incorrect: The physiological needs have
priority over psychological/self-esteem needs (Maslow's hierarchy). The
fetal status should be the priority to be monitored. The client's feelings
are important and would be assessed, but would not take priority over
the fetal status. 3. Incorrect: Hypotension is a more likely side-effect of
the procedure. Since the procedure involved entering the amniotic sac,
fetal status should be a priority assessment.
A group of women ask a community health nurse how to prevent stress
incontinence. What points should the nurse teach these women?
END OF
PAGE
3
, HURST READINESS LATEST
EXAM 2 QUESTIONS AND
ANSWERS 2026 - 2027
1. Limit alkaline foods. 2. Avoid caffeine. 3. Maintain a healthy weight.
4. Eat less fiber. 5. Perform high-impact exercise. - ANSWERS-
Rationale
2., & 3. Correct: Fluids containing caffeine, carbonation, alcohol or
artificial sweeteners act as irritants to the bladder wall and should be
avoided. Acidic foods, such as citrus fruits, are also irritants. Obesity can
cause increased pressure on the bladder, leading to incontinence. 1.
Incorrect: Acidic foods, not alkaline, are bladder irritants and should be
avoided. 4. Incorrect: The client should eat more fiber (not less) to
prevent constipation, which can put pressure on the bladder and be a
cause of urinary incontinence. 5. Incorrect: High-impact exercise puts
pressure on the pelvic floor muscles and can increase leakage. Try
Pilates, a gentle method of stretching and strengthening core muscles,
which has become a more popular treatment for stress incontinence.
The nurse is working with a committee at the local school to develop an
emergency preparedness plan for tornados. What should be included in
the plan?
1. Identification of safe zones. 2. Methods for accounting for all people
present in the building. 3. Warning system activation. 4. Identification of
END OF
PAGE
4
EXAM 2 QUESTIONS AND
ANSWERS 2026 - 2027
A client experiencing chest pain is prescribed an intravenous infusion of
nitroglycerin. After the infusion is initiated, the occurrence of which
symptom would prompt the nurse to discontinue the nitroglycerin?
1. Frontal headache 2. Orthostatic hypotension 3. Decrease in intensity
of chest pain 4. Cool, clammy skin - ANSWERS-Rationale
4. Correct: This assessment finding of cool, clammy skin is an indication
of decreased cardiac output that could be the result of too much
vasodilatation. Cardiac output could continue to decrease if the
nitroglycerin is not discontinued. 1. Incorrect: A headache is an expected
common side effect of nitroglycerin administration. The headache is
treated with medication. 2. Incorrect: A decrease in blood pressure when
rising from a supine or sitting position is a common effect of the
vasodilatation that occurs with the administration of nitroglycerin. The
client should be advised to change positions slowly. 3. Incorrect: The
decrease in the intensity of the client's chest pain is the desired outcome
of the nitroglycerin administration.
During a conversation with a client on a psychiatric unit the client tells
the nurse, "Everyone here hates me." Which response by the nurse is
best?
END OF
PAGE
1
, HURST READINESS LATEST
EXAM 2 QUESTIONS AND
ANSWERS 2026 - 2027
1. No, they do not hate you. 2. What did you do to make others not like
you? 3. Just don't pay attention to what others think of you. 4. I can't
speak for the other people, but I don't hate you. - ANSWERS-Rationale
4. Correct: Here the nurse is speaking only for the nurse. The nurse
cannot legitimately speak for anyone else. The nurse must model the
process of not speaking for anyone else. The response also lets the client
know that the nurse cares about the way the client feels. 1. Incorrect:
This is arguing and defending which are non-therapeutic communication
techniques. The nurse does not know how the others on the unit feel
about the client, so this may not be a true statement. Arguing with a
client's belief can further upset or anger the client and leads to mistrust
of the nurse. 2. Incorrect: This is agreeing with the client that everyone
hates the client. It also puts the client on the defense by implying that the
client is at fault for doing something that made everyone hate the client.
This response reinforces the client's false belief. 3. Incorrect: This is
using denial. This is where the nurse denies that a problem exists and
blocks the discussion with the client. This avoids helping the client
identify and explore the problem. This also dismisses the client's
feelings.
A client had an abnormal maternal serum alfa fetoprotein (MSAFP) at
18 weeks gestation. She is now 22 weeks gestation, and an
END OF
PAGE
2
, HURST READINESS LATEST
EXAM 2 QUESTIONS AND
ANSWERS 2026 - 2027
amniocentesis has just been completed for genetic analysis. Which
nursing action has priority?
1. Monitor the needle entry site for signs of infection. 2. Encourage the
client to express her feelings. 3. Assess the maternal blood pressure for
hypertension. 4. Monitor fetal heart tones and uterine activity. -
ANSWERS-Rationale
4. Correct: There is a risk for pregnancy loss after amniocentesis. The
priority nursing intervention is to monitor for fetal heart tones and
uterine contractions. 1. Incorrect: There would not be signs of infection
so soon after the procedure. 2. Incorrect: The physiological needs have
priority over psychological/self-esteem needs (Maslow's hierarchy). The
fetal status should be the priority to be monitored. The client's feelings
are important and would be assessed, but would not take priority over
the fetal status. 3. Incorrect: Hypotension is a more likely side-effect of
the procedure. Since the procedure involved entering the amniotic sac,
fetal status should be a priority assessment.
A group of women ask a community health nurse how to prevent stress
incontinence. What points should the nurse teach these women?
END OF
PAGE
3
, HURST READINESS LATEST
EXAM 2 QUESTIONS AND
ANSWERS 2026 - 2027
1. Limit alkaline foods. 2. Avoid caffeine. 3. Maintain a healthy weight.
4. Eat less fiber. 5. Perform high-impact exercise. - ANSWERS-
Rationale
2., & 3. Correct: Fluids containing caffeine, carbonation, alcohol or
artificial sweeteners act as irritants to the bladder wall and should be
avoided. Acidic foods, such as citrus fruits, are also irritants. Obesity can
cause increased pressure on the bladder, leading to incontinence. 1.
Incorrect: Acidic foods, not alkaline, are bladder irritants and should be
avoided. 4. Incorrect: The client should eat more fiber (not less) to
prevent constipation, which can put pressure on the bladder and be a
cause of urinary incontinence. 5. Incorrect: High-impact exercise puts
pressure on the pelvic floor muscles and can increase leakage. Try
Pilates, a gentle method of stretching and strengthening core muscles,
which has become a more popular treatment for stress incontinence.
The nurse is working with a committee at the local school to develop an
emergency preparedness plan for tornados. What should be included in
the plan?
1. Identification of safe zones. 2. Methods for accounting for all people
present in the building. 3. Warning system activation. 4. Identification of
END OF
PAGE
4
