HURST QUESTIONS AND CORRECT ANSWERS 2023
A nurse arrives at the scene of a home fire along with local emergency medical services
(EMS) to find a client lying in the front yard. Burns are noted to the face, neck and
chest. In what order should the nurse care for this client at the scene?
1 Establish airway patency
2 Assess breathing
3 Administer 100% humidified oxygen
4 Soak burned area with cool water.
5 Remove restrictive objects
6 Start a large bore IV line
7 Cover the wound - ANS-1,2,3,4,5,6,7
A client is admitted to the emergency department after sustaining burns to the chest and
legs during a house fire. Which assessment should the nurse perform immediately?
1. Respiratory
2. Cardiac
3. Airway
4. Neurological - ANS-3
Standard orders on the nurse's unit include an intravenous infusion of 0.45 NS 1000 mL
with 20 mEq (20 mmol/L) potassium chloride to run at 100 mL per hour. This IV solution
would be appropriate for which client diagnosis?
1. Addisonian crisis
2. Hypertension
3. Chronic renal failure
4. Cushing's disease
5. Hypokalemia - ANS-4, 5
A nurse educator has completed an educational program on interpreting arterial blood
gases (ABGs). The educator recognizes that education has been successful when a
nurse selects which set of ABGs as metabolic acidosis?
1. pH - 7.32, PaCO2 - 48, HCO3 - 23
2. pH - 7.29, PaCO2 - 42, HCO3 - 19
3. pH - 7.5, PaCO2 - 30, HCO3 - 22
4. pH - 7.35, PaCO2 - 35, HCO3 - 26 - ANS-2
The client has pustules on the arm from intravenous drug abuse. The microbiology
laboratory informs the nurse that the client's cultures are growing methicillin-resistant
Staphylococcus aureus (MRSA). Which action would the nurse take?
1. Implement droplet precautions immediately.
,2. Inform the client to wear a mask when ambulating in the hall.
3. Instruct the client on the importance of hand hygiene.
4. Cover the pustules to prevent drainage.
5. Allow pustules to drain freely. - ANS-3,4
An elderly, confused client with dehydration is admitted to the medical unit. Which
intervention would be appropriate for the RN to delegate to the LPN?
1. Involve the client in care decision making.
2. Reinforce the teaching plan with the client's family.
3. Maintain fresh fluids at bedside.
4. Evaluate I & O for adequate fluid replacement. - ANS-2
An elderly, confused client with dehydration is admitted to the medical unit. Which
intervention would be appropriate for the RN to delegate to the LPN?
1. Involve the client in care decision making.
2. Reinforce the teaching plan with the client's family.
3. Maintain fresh fluids at bedside.
4. Evaluate I & O for adequate fluid replacement. - ANS-1,5,6
A client is admitted for treatment of fluid volume excess. The nurse reviews the
admitting lab work and the primary healthcare provider's prescriptions. Which
prescription would be of concern to the nurse?
Exhibit
Sodium 138 mEq/L (138 mmol/L)
Potassium 5.4 mEq/L (5.4 mmol/L)
Calcium 9.0 mg/dL (2.25 mmol/L)
Glucose 108 mg/dL (6 mmol/L)
1. Bedrest
2. 2 gram Na diet
3. Spironolactone
4. Potassium Chloride (KCL) - ANS-4
A client arrives at the emergency department (ED) after sustaining a high-voltage
electrical injury. Which interventions should the nurse initiate in the ED?
1. Assess entry and exit wound.
2. Monitor vital signs.
3. Monitor for myoglobinuria.
4. Connect to cardiac monitor.
5. Perform the rule of nines. - ANS-1,2,3,4
, A nurse is caring for a client that is lethargic and has the following ABGs: pH = 7.32,
PaCO2 = 48, HCO3 = 28, O2 = 93%. What medication could contribute to these blood
gases?
1. Fentanyl
2. Bumetanide
3. Prednisone
4. Promethazine
5. Lorazepam
6. Famotidine - ANS-1,4,5,
Which client would the nurse monitor for the development of hypovolemic shock?
1. Admitted with acute myocardial infarction (MI)
2. Post-operative hip replacement with spinal anesthesia
3. Diagnosed with Addisonian crisis
4. A 10 year old with 40% Total body surface area (BSA) burns
5. Admitted with severe vomiting and diarrhea - ANS-3,4,5
A client with asthma has been admitted to the emergency room with sustained burns to
the upper torso, face, and neck as a result of a steam injury when a pressure cooker
exploded at home. Which intervention is the nurse's priority?
You answered this question Correctly 1. Initiate high flow oxygen.
2. Prepare for endotracheal intubation.
3. Administer 1000mL of lactate ringers (LR).
4. Assess for altered level of consciousness (LO - ANS-2
Based on the results of the arterial blood gases (ABGs), what imbalance does the nurse
understand the client to be exhibiting?
Exhibit
pH - 7.35
PaO2 - 95%
PaCO2 - 49
HCO3 - 30
1. Respiratory acidosis compensated
2. Respiratory acidosis partially compensated
3. Metabolic acidosis compensateed
A nurse arrives at the scene of a home fire along with local emergency medical services
(EMS) to find a client lying in the front yard. Burns are noted to the face, neck and
chest. In what order should the nurse care for this client at the scene?
1 Establish airway patency
2 Assess breathing
3 Administer 100% humidified oxygen
4 Soak burned area with cool water.
5 Remove restrictive objects
6 Start a large bore IV line
7 Cover the wound - ANS-1,2,3,4,5,6,7
A client is admitted to the emergency department after sustaining burns to the chest and
legs during a house fire. Which assessment should the nurse perform immediately?
1. Respiratory
2. Cardiac
3. Airway
4. Neurological - ANS-3
Standard orders on the nurse's unit include an intravenous infusion of 0.45 NS 1000 mL
with 20 mEq (20 mmol/L) potassium chloride to run at 100 mL per hour. This IV solution
would be appropriate for which client diagnosis?
1. Addisonian crisis
2. Hypertension
3. Chronic renal failure
4. Cushing's disease
5. Hypokalemia - ANS-4, 5
A nurse educator has completed an educational program on interpreting arterial blood
gases (ABGs). The educator recognizes that education has been successful when a
nurse selects which set of ABGs as metabolic acidosis?
1. pH - 7.32, PaCO2 - 48, HCO3 - 23
2. pH - 7.29, PaCO2 - 42, HCO3 - 19
3. pH - 7.5, PaCO2 - 30, HCO3 - 22
4. pH - 7.35, PaCO2 - 35, HCO3 - 26 - ANS-2
The client has pustules on the arm from intravenous drug abuse. The microbiology
laboratory informs the nurse that the client's cultures are growing methicillin-resistant
Staphylococcus aureus (MRSA). Which action would the nurse take?
1. Implement droplet precautions immediately.
,2. Inform the client to wear a mask when ambulating in the hall.
3. Instruct the client on the importance of hand hygiene.
4. Cover the pustules to prevent drainage.
5. Allow pustules to drain freely. - ANS-3,4
An elderly, confused client with dehydration is admitted to the medical unit. Which
intervention would be appropriate for the RN to delegate to the LPN?
1. Involve the client in care decision making.
2. Reinforce the teaching plan with the client's family.
3. Maintain fresh fluids at bedside.
4. Evaluate I & O for adequate fluid replacement. - ANS-2
An elderly, confused client with dehydration is admitted to the medical unit. Which
intervention would be appropriate for the RN to delegate to the LPN?
1. Involve the client in care decision making.
2. Reinforce the teaching plan with the client's family.
3. Maintain fresh fluids at bedside.
4. Evaluate I & O for adequate fluid replacement. - ANS-1,5,6
A client is admitted for treatment of fluid volume excess. The nurse reviews the
admitting lab work and the primary healthcare provider's prescriptions. Which
prescription would be of concern to the nurse?
Exhibit
Sodium 138 mEq/L (138 mmol/L)
Potassium 5.4 mEq/L (5.4 mmol/L)
Calcium 9.0 mg/dL (2.25 mmol/L)
Glucose 108 mg/dL (6 mmol/L)
1. Bedrest
2. 2 gram Na diet
3. Spironolactone
4. Potassium Chloride (KCL) - ANS-4
A client arrives at the emergency department (ED) after sustaining a high-voltage
electrical injury. Which interventions should the nurse initiate in the ED?
1. Assess entry and exit wound.
2. Monitor vital signs.
3. Monitor for myoglobinuria.
4. Connect to cardiac monitor.
5. Perform the rule of nines. - ANS-1,2,3,4
, A nurse is caring for a client that is lethargic and has the following ABGs: pH = 7.32,
PaCO2 = 48, HCO3 = 28, O2 = 93%. What medication could contribute to these blood
gases?
1. Fentanyl
2. Bumetanide
3. Prednisone
4. Promethazine
5. Lorazepam
6. Famotidine - ANS-1,4,5,
Which client would the nurse monitor for the development of hypovolemic shock?
1. Admitted with acute myocardial infarction (MI)
2. Post-operative hip replacement with spinal anesthesia
3. Diagnosed with Addisonian crisis
4. A 10 year old with 40% Total body surface area (BSA) burns
5. Admitted with severe vomiting and diarrhea - ANS-3,4,5
A client with asthma has been admitted to the emergency room with sustained burns to
the upper torso, face, and neck as a result of a steam injury when a pressure cooker
exploded at home. Which intervention is the nurse's priority?
You answered this question Correctly 1. Initiate high flow oxygen.
2. Prepare for endotracheal intubation.
3. Administer 1000mL of lactate ringers (LR).
4. Assess for altered level of consciousness (LO - ANS-2
Based on the results of the arterial blood gases (ABGs), what imbalance does the nurse
understand the client to be exhibiting?
Exhibit
pH - 7.35
PaO2 - 95%
PaCO2 - 49
HCO3 - 30
1. Respiratory acidosis compensated
2. Respiratory acidosis partially compensated
3. Metabolic acidosis compensateed
