HURST REVIEW NCLEX RN READINESS EXAM 1: LATEST A+
QUESTIONS AND ANSWERS EDITION.
The public health nurse is planning to participate in local forums regarding the
placement of a factory that is known to produce pollution through discharge of
chemical by-products into the air. What actions demonstrate ethical nursing
practice in the public health arena?
1. Speaking up for the underrepresented, such as the poor and uneducated persons
3. Requesting that forums be held throughout the community at various times of the day
or evening.
4. Asking for information regarding the health status of people in other factory locations.
5. Requesting information from individuals in areas where the factories are currently
located.
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)?
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)?
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?
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?
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?
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?
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?
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?
3. Client who has a fractured hip.
Which pediatric client should the nurse see first?
3. Three year old with wheezes in right lower lobe.
QUESTIONS AND ANSWERS EDITION.
The public health nurse is planning to participate in local forums regarding the
placement of a factory that is known to produce pollution through discharge of
chemical by-products into the air. What actions demonstrate ethical nursing
practice in the public health arena?
1. Speaking up for the underrepresented, such as the poor and uneducated persons
3. Requesting that forums be held throughout the community at various times of the day
or evening.
4. Asking for information regarding the health status of people in other factory locations.
5. Requesting information from individuals in areas where the factories are currently
located.
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)?
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)?
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?
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?
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?
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?
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?
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?
3. Client who has a fractured hip.
Which pediatric client should the nurse see first?
3. Three year old with wheezes in right lower lobe.
