HURST READINESS LATEST
EXAM 3 QUESTIONS AND
ANSWERS 2026 - 2027
A client is scheduled for plateletpheresis. When taking the client's
history, which information is most significant? You answered this
question Incorrectly 1. Allergies to shellfish 2. Date last donated 3. Time
of last oral intake 4. Blood type - ANSWERS-RationaleStrategies 2.
Correct: Platelet donors can have plateletpheresis as often as every 14
days. 1. Incorrect: Allergies to shellfish have nothing to do with
withdrawing platelets from the client. 3. Incorrect: Time of last oral
intake has no bearing on whether or not a client can donate platelets. 4.
Incorrect: Blood type has no bearing on whether or not a client can
donate platelets.
Two days after a myocardial infarction, a client begins reporting
orthopnea and dyspnea. Further assessment reveals bi-basilar crackles,
jugular venous distension, an S3 heart sound, a BP of 100/60 mm Hg,
and apical pulse of 90 beats per minute. The urine output has steadily
declined over the past 12 hours. What should the nurse do first? You
answered this question Incorrectly 1. Notify the primary healthcare
provider. 2. Increase the IV rate. 3. Elevate the head of the bed. 4.
Observe for cardiac arrhythmias. - ANSWERS-RationaleStrategies 3.
Correct: Elevate the head of the bed first. The client is reporting inability
to breathe. (Orthopnea means the client needs to sit up to breathe better.)
With ANY client having difficulty breathing, the first intervention for
the nurse is to sit the client up. This client is showing s/s of heart failure.
1. Incorrect: Your next step is to call the primary healthcare provider
END OF
PAGE
1
, HURST READINESS LATEST
EXAM 3 QUESTIONS AND
ANSWERS 2026 - 2027
after you do something to try to fix the problem. 2. Incorrect: Increasing
the IV rate is contraindicated and would make the problem worse. 4.
Incorrect: After an MI, all clients are observed for cardiac arrhythmias.
This, however, does not fix the problem.
A client is hospitalized for chronic renal failure. The nurse will need to
notify the primary healthcare provider concerning which findings? You
answered this question Correctly 1. Sodium 135 mEq/L 2. Potassium 5.8
mEq/L 3. BP 100/70 4. No weight loss 5. Ionized Calcium 4.0 mg/dL -
ANSWERS-RationaleStrategies 2., 5. Correct: Normal K 3.5-5.0
mEq/L; Normal ionized serum Ca 4.5-5.5 mg/dL. The abnormal lab
results need to be reported. 1. Incorrect: Normal sodium 135-145
mEq/L. 3. Incorrect: Hypertension is a potential complication of chronic
renal failure. 4. Incorrect: Desired outcome: client exhibits no rapid
increases or decreases in weight.
The client has just returned from electroconvulsive therapy (ECT) and is
very drowsy. What is the position of choice for the nurse to place the
client in until full consciousness is regained? You answered this
question Incorrectly 1. Supine 2. Fowler's 3. Lateral 4. High Fowler's -
ANSWERS-RationaleStrategies 3. Correct: When someone is very
sedated and not fully conscious, we want them on their side so the
airway remains open and the secretions can drain. 1. Incorrect: No, the
END OF
PAGE
2
, HURST READINESS LATEST
EXAM 3 QUESTIONS AND
ANSWERS 2026 - 2027
jaw will fall back, the tongue will block the airway, and the client will
have airway obstruction, either partial or maybe even life-threatening. 2.
Incorrect: No, if you sit a client up who is not fully conscious, the
client's head tips forward and blocks the airway. 4. Incorrect: Again,
head may fall forward and block airway.
What should the nurse include when providing teaching to a female
client prescribed doxycycline for the treatment of acne? You answered
this question Correctly 1. Take this medication with food to maximize
absorption. 2. Use a non-hormone method of birth control while taking
this medication. 3. Wear protective clothing when outside. 4. Drink
plenty of fluids while taking this medication. 5. Iron and calcium
supplements can be taken with this medication. - ANSWERS-
RationaleStrategies 2., 3., & 4. Correct: Doxycycline is a tetracycline
antibiotic. Doxycycline can make birth control pills less effective. A
non-hormone method of birth control (such as a condom, diaphragm,
spermicide) should be used to prevent pregnancy while using
doxycycline. Avoid exposure to sunlight or tanning beds. Doxycycline
can make you sunburn more easily. Wear protective clothing and use
sunscreen (SPF 30 or higher) when outdoors. Take doxycycline with a
full glass of water. Drink plenty of liquids while taking this medicine. 1.
Incorrect: Take on an empty stomach to maximize absorption, although
may not be tolerated unless administered with food. 5. Incorrect: Do not
take iron supplements, multivitamins, calcium supplements, antacids, or
END OF
PAGE
3
, HURST READINESS LATEST
EXAM 3 QUESTIONS AND
ANSWERS 2026 - 2027
laxatives within 2 hours before or after taking doxycycline. Absorption
will be altered. For instance, iron can bind to doxycycline in the
gastrointestinal tract, which may prevent their absorption into the
bloodstream and possibly reduce their effectiveness. To avoid or
minimize the interaction, iron containing medications and doxycycline
should preferably be taken at least three hours apart in most cases.
The nurse receives new healthcare provider prescriptions on a client
diagnosed with Addison's disease. Which prescriptions should the nurse
recognize as being inappropriately written and requiring clarification
from the prescriber? You answered this question Incorrectly 1. Weigh
QD 2. IV of normal saline at 125 mL/hr 3. MRI of pituitary gland 4.
Fludrocortisone acetate 0.1 mg by mouth T.I.W. 5.
Dehydroepiandrosterone DHEA sulfate 5 mg by mouth every other day -
ANSWERS-RationaleStrategies 1. & 4. Correct: Use "daily" or "every
day". QD is an unapproved abbreviation. T.I.W. stands for three times a
week; however, it is an unapproved abbreviation. Use "three times a
week". 2. Incorrect: This is a correct action and is written properly. 3.
Incorrect: The primary healthcare provider may suggest an MRI scan of
the pituitary gland if testing indicates the client might have secondary
adrenal insufficiency. This is an approved abbreviation. 5. Incorrect:
This is written correctly and may be given to women to treat androgen
deficiency.
END OF
PAGE
4
EXAM 3 QUESTIONS AND
ANSWERS 2026 - 2027
A client is scheduled for plateletpheresis. When taking the client's
history, which information is most significant? You answered this
question Incorrectly 1. Allergies to shellfish 2. Date last donated 3. Time
of last oral intake 4. Blood type - ANSWERS-RationaleStrategies 2.
Correct: Platelet donors can have plateletpheresis as often as every 14
days. 1. Incorrect: Allergies to shellfish have nothing to do with
withdrawing platelets from the client. 3. Incorrect: Time of last oral
intake has no bearing on whether or not a client can donate platelets. 4.
Incorrect: Blood type has no bearing on whether or not a client can
donate platelets.
Two days after a myocardial infarction, a client begins reporting
orthopnea and dyspnea. Further assessment reveals bi-basilar crackles,
jugular venous distension, an S3 heart sound, a BP of 100/60 mm Hg,
and apical pulse of 90 beats per minute. The urine output has steadily
declined over the past 12 hours. What should the nurse do first? You
answered this question Incorrectly 1. Notify the primary healthcare
provider. 2. Increase the IV rate. 3. Elevate the head of the bed. 4.
Observe for cardiac arrhythmias. - ANSWERS-RationaleStrategies 3.
Correct: Elevate the head of the bed first. The client is reporting inability
to breathe. (Orthopnea means the client needs to sit up to breathe better.)
With ANY client having difficulty breathing, the first intervention for
the nurse is to sit the client up. This client is showing s/s of heart failure.
1. Incorrect: Your next step is to call the primary healthcare provider
END OF
PAGE
1
, HURST READINESS LATEST
EXAM 3 QUESTIONS AND
ANSWERS 2026 - 2027
after you do something to try to fix the problem. 2. Incorrect: Increasing
the IV rate is contraindicated and would make the problem worse. 4.
Incorrect: After an MI, all clients are observed for cardiac arrhythmias.
This, however, does not fix the problem.
A client is hospitalized for chronic renal failure. The nurse will need to
notify the primary healthcare provider concerning which findings? You
answered this question Correctly 1. Sodium 135 mEq/L 2. Potassium 5.8
mEq/L 3. BP 100/70 4. No weight loss 5. Ionized Calcium 4.0 mg/dL -
ANSWERS-RationaleStrategies 2., 5. Correct: Normal K 3.5-5.0
mEq/L; Normal ionized serum Ca 4.5-5.5 mg/dL. The abnormal lab
results need to be reported. 1. Incorrect: Normal sodium 135-145
mEq/L. 3. Incorrect: Hypertension is a potential complication of chronic
renal failure. 4. Incorrect: Desired outcome: client exhibits no rapid
increases or decreases in weight.
The client has just returned from electroconvulsive therapy (ECT) and is
very drowsy. What is the position of choice for the nurse to place the
client in until full consciousness is regained? You answered this
question Incorrectly 1. Supine 2. Fowler's 3. Lateral 4. High Fowler's -
ANSWERS-RationaleStrategies 3. Correct: When someone is very
sedated and not fully conscious, we want them on their side so the
airway remains open and the secretions can drain. 1. Incorrect: No, the
END OF
PAGE
2
, HURST READINESS LATEST
EXAM 3 QUESTIONS AND
ANSWERS 2026 - 2027
jaw will fall back, the tongue will block the airway, and the client will
have airway obstruction, either partial or maybe even life-threatening. 2.
Incorrect: No, if you sit a client up who is not fully conscious, the
client's head tips forward and blocks the airway. 4. Incorrect: Again,
head may fall forward and block airway.
What should the nurse include when providing teaching to a female
client prescribed doxycycline for the treatment of acne? You answered
this question Correctly 1. Take this medication with food to maximize
absorption. 2. Use a non-hormone method of birth control while taking
this medication. 3. Wear protective clothing when outside. 4. Drink
plenty of fluids while taking this medication. 5. Iron and calcium
supplements can be taken with this medication. - ANSWERS-
RationaleStrategies 2., 3., & 4. Correct: Doxycycline is a tetracycline
antibiotic. Doxycycline can make birth control pills less effective. A
non-hormone method of birth control (such as a condom, diaphragm,
spermicide) should be used to prevent pregnancy while using
doxycycline. Avoid exposure to sunlight or tanning beds. Doxycycline
can make you sunburn more easily. Wear protective clothing and use
sunscreen (SPF 30 or higher) when outdoors. Take doxycycline with a
full glass of water. Drink plenty of liquids while taking this medicine. 1.
Incorrect: Take on an empty stomach to maximize absorption, although
may not be tolerated unless administered with food. 5. Incorrect: Do not
take iron supplements, multivitamins, calcium supplements, antacids, or
END OF
PAGE
3
, HURST READINESS LATEST
EXAM 3 QUESTIONS AND
ANSWERS 2026 - 2027
laxatives within 2 hours before or after taking doxycycline. Absorption
will be altered. For instance, iron can bind to doxycycline in the
gastrointestinal tract, which may prevent their absorption into the
bloodstream and possibly reduce their effectiveness. To avoid or
minimize the interaction, iron containing medications and doxycycline
should preferably be taken at least three hours apart in most cases.
The nurse receives new healthcare provider prescriptions on a client
diagnosed with Addison's disease. Which prescriptions should the nurse
recognize as being inappropriately written and requiring clarification
from the prescriber? You answered this question Incorrectly 1. Weigh
QD 2. IV of normal saline at 125 mL/hr 3. MRI of pituitary gland 4.
Fludrocortisone acetate 0.1 mg by mouth T.I.W. 5.
Dehydroepiandrosterone DHEA sulfate 5 mg by mouth every other day -
ANSWERS-RationaleStrategies 1. & 4. Correct: Use "daily" or "every
day". QD is an unapproved abbreviation. T.I.W. stands for three times a
week; however, it is an unapproved abbreviation. Use "three times a
week". 2. Incorrect: This is a correct action and is written properly. 3.
Incorrect: The primary healthcare provider may suggest an MRI scan of
the pituitary gland if testing indicates the client might have secondary
adrenal insufficiency. This is an approved abbreviation. 5. Incorrect:
This is written correctly and may be given to women to treat androgen
deficiency.
END OF
PAGE
4
