NCLEX Review Hurst EXAM Questions
and answers 2025
Creatine .- .CORRECT .ANSWER-normal .range .is .0.8 .- .1.4 .mg/dL .(70-124 .µmol/L) .in
.males .and .0.56-1.0 .mg/dL .(50-88 .µmol/L) .in .females.
incident .report .- .CORRECT .ANSWER-The .purpose .of .an .incident .report .is .to
.document .any .incident .or .unusual .event .inconsistent .with .routine .operations .of
.hospital .or .staff .routine .and .resulting .in .injury, .or .potential .liability, .for .clients,
.family, .or .staff. .The .nurse .has .violated .HIPAA .regulations .by .discussing .a .client's
.medical .prognosis .with .family .members. .The .primary .healthcare .provider .is
.responsible .to .discuss .prognosis .with .client .and .only .those .individuals
.designated .by .the .client.
Lithium .considerations .- .CORRECT .ANSWER-Lithium .is .an .anti-mania .medication
.used .to .treat .bipolar .disorder .or .other .manic .issues. .Verify .BUN, .TSH, .ECG
the .amount .of .thyroid .hormone .in .the .thyroid, .it .also .reduces .the .available
.amounts .of .T3 .and .T4. .This .drug .may .also .block .the .release .of .thyroid .hormones
.into .the .body
Lithium .tends .to .impair .the .kidney's .ability .to .concentrate .urine
Lithium .can .definitely .affect .the .cardiovascular .system. .The .client .may .experience
.heart .palpitations .or .even .develop .an .arrhythmia
Clients .expecting .to .get .pregnant .must .stop .this .medication .because .it .can .cross
.the .placenta .barrier .and .harm .the .fetus. .Also, .clients .planning .surgery .must
.discontinue .the .medication .48 .hours .prior .to .the .procedure .to .avoid .problems .with
.anesthesia.
confusion .in .eledery .w/pain .- .CORRECT .ANSWER-The .nurse .is .aware .that .multiple
.factors .can .contribute .to .acute .confusion .in .clients. .The .sudden .relocation .to .a
.new .environment, .along .with .pain .from .injury, .could .definitely .contribute .to .an
.acute .onset .of .confusion. .The .client's .ordered .bedrest .and .response .to .new .pain
,.medications .are .additional .factors .that .could .produce .an .acute .change .in .mental
.status.
acute .diverticulitus .tx .- .CORRECT .ANSWER-increase .fiber
Antidote .for .mag .toxicity .- .CORRECT .ANSWER-calicium .gluconate
GTube .fun .fact .- .CORRECT .ANSWER-Feeding .tube .clients .tend .to .get .dehydrated,
.especially .clients .on .bed .rest, .because .bed .rest .induces .diuresis! .If .the .client .is
.already .having .neurological .signs, .a .grand .mal .seizure .may .be .next! .Better .take
.seizure .precautions .while .awaiting .the .serum .sodium .results.
early .signs .of .alcohol .withdrwal .- .CORRECT .ANSWER-The .earliest .signs .of .alcohol
.withdrawal .are .anxiety, .agitation, .insomnia, .and .tremors. .Tachycardia .of .120-140
./min .persists .throughout .withdrawal.Alcohol .withdrawal .symptoms .can .occur .as
.early .as .two .hours .after .a .person's .last .drink. .Typically, .symptoms .will .peak .within
.the .first .24 .to .48 .hours. .This .is .when .the .client .may .experience .the .most
.uncomfortable .withdrawal .symptoms .such .as .insomnia, .tachycardia,
.hypertension, .sweating, .tremors, .and .fever. .Six .to .12 .hours .post-ingestion .of
.alcohol, .the .client .may .experience .agitation, .anxiety, .headaches, .shaking, .nausea
.and .vomiting. .Twelve .to .24 .hours .post-ingestion, .the .client .might .exhibit
.disorientation, .hand .tremors, .and .seizures. .Forty-eight .hours .post-ingestion,
.tactile, .auditory .and .visual .hallucinations .with .high .fever .can .occur
normal .creatinine .clearance .- .CORRECT .ANSWER-75-125 .mL/min
Ear .drops .adminstration .- .CORRECT .ANSWER-For .children .3 .years .of .age .and
.younger, .pull .pinna .down .and .back. .For .adults, .pull .pinna .up .and .back .for
.medication .administration .or .otoscopic .exam.
-room .temp .
Cold .= .nausea/vomiting .and .dizziness.
Pre-clampsia .- .CORRECT .ANSWER-: .Muscle .spasms .indicating .nerve/muscle
.irritation. .Headache .and .blurred .vision .are .indicators .of .increasing .blood
.pressure. .This .client .is .going .into .preeclampsia.
calf .muscle .irritablity
facial .edema
epigastric .pain
,Prevention .for .OA .- .CORRECT .ANSWER-control .Blood .sugar
use .largest .strongest .joints .for .lifting
maintain .a .healthy .weight
wear .joint .padding .with .playing .sports
30min .moderate .intense .excerise .5x .weeks .
High .glucose .levels .speed .the .formation .of .certain .molecules .that .make .cartilage
.stiffer .and .more .sensitive .to .mechanical .stress. .The .client .should .use .the .largest
.and .strongest .joints .and .muscles. .Use .both .arms .when .lifting .or .carrying .an
.object. .By .using .the .largest .and .strongest .joints, .less .stress .occurs .on .single
.joints .or .weaker .areas .of .the .body. .Excess .weight .is .one .of .the .biggest .risk .factors
.for .osteoarthritis. .Although .injuries .aren't .always .avoidable, .it .pays .to .protect
.joints. .If .playing .sports, .wear .protective .gear, .such .as .joint .padding .for .soccer .or
.hockey. .And .make .sure .any .baseball .field .uses .break-away .bases.
when .should .you .call .a .consult .with .social .services? .- .CORRECT .ANSWER-In .most
.areas, .laws .mandate .certain .situations/circumstances .involving .children .be
.reported .to .social .services/child .protection. .Among .these .things .are: .ingestion .of
.toxic .substances, .fractures, .suspected .neglect .or .abuse, .burns. .For .older .children
.and .adults, .the .healthcare .provider .uses .their .judgment .as .to .whether .the .situation
.indicates .neglect .or .abuse .by .the .parents .or .caregivers.
antidote .for .enoxaparin .- .CORRECT .ANSWER-protamine .sulfate
what .position .do .you .place .a .patient .while .in .shock .? .- .CORRECT .ANSWER-
trendelenberg
when .Prececlampsia .occur? .- .CORRECT .ANSWER-can .occur .after .the .20th .week
.of .pregnancy
characterized .by .high .blood .pressure .and .proteinuria.can .affect .the .kidneys, .liver,
.and .even .cause .a .low .platelet .count. .If .seizures .develop, .the .condition .then
.becomes .eclampsia, .a .dangerous .situation .in .which .the .only .resolution .is .the
.delivery .of .the .fetus. .Uncontrolled .hypertension .is .one .of .the .causes .of .death
.during .pregnancy.
if .a .patient .is .having .a .hard .time .breathing .do .not .assess .and .do .something .first
.then .call .whomever .- .CORRECT .ANSWER-dangle .the .clinets .legs .over .the .side .of
.the .bed .The .reason .is .that .by .dangling .the .legs, .blood .is .pooling .in .the .periphery.
.This .decreases .the .circulating .blood .volume .so .that .the .heart .does .not .have .to
, .work .as .hard .and .blood .will .then .go .in .a .forward .direction .rather .than .going
.backward .to .the .lungs.
if .you .have .too .much .sodium .and .water .what .do .you .lose? .- .CORRECT .ANSWER-
potasium
what .disease .has .too .much .aldosterone? .- .CORRECT .ANSWER-cushings
what .solution .is .needed .for .a .patient .with .hypertension .- .CORRECT .ANSWER-
hypotonic .solution
clear .liquid .diet .- .CORRECT .ANSWER-liquids .that .you .can .seen .through
it .can .be .in .jello, .popsicle .
water.
clear .juices .without .pulp.
electrolyte .drinks, .ginger .ale, .and .club .soda.
clear .broths.
plain .popsicles .that .do .not .contain .pureed .fruit .or .chunks.
hard .candy.
gelatin .products, .such .as .Jell-O.
tea .without .milk .or .cream.
when .is .a .ABG .full .compensated? .- .CORRECT .ANSWER-whenever .the .PH .is
.normal
Normal .labs .for .ABG .- .CORRECT .ANSWER-PH .(7.35-7.45)
PaCO2 .(45-35)
HCO3 .(22-26)
Order .of .whom .should .be .seen .first?
Depression, .hallucination .- .CORRECT .ANSWER-1. .hallucination .(ctively
.hallucinating .may .be .hearing .voices, .and .the .voices .may .order .the .client .to .do
.something .harmful .to .self .or .others.)
2. .depression .(the .client .receives .medication .and .the .energy .level .rises, .the .client
.may .be .at .an .increased .risk .of .suicide.)
PREVENTION .OF .VERICOSE .VEINS .- .CORRECT .ANSWER-exercise
wear .low .heeled .shoes
and answers 2025
Creatine .- .CORRECT .ANSWER-normal .range .is .0.8 .- .1.4 .mg/dL .(70-124 .µmol/L) .in
.males .and .0.56-1.0 .mg/dL .(50-88 .µmol/L) .in .females.
incident .report .- .CORRECT .ANSWER-The .purpose .of .an .incident .report .is .to
.document .any .incident .or .unusual .event .inconsistent .with .routine .operations .of
.hospital .or .staff .routine .and .resulting .in .injury, .or .potential .liability, .for .clients,
.family, .or .staff. .The .nurse .has .violated .HIPAA .regulations .by .discussing .a .client's
.medical .prognosis .with .family .members. .The .primary .healthcare .provider .is
.responsible .to .discuss .prognosis .with .client .and .only .those .individuals
.designated .by .the .client.
Lithium .considerations .- .CORRECT .ANSWER-Lithium .is .an .anti-mania .medication
.used .to .treat .bipolar .disorder .or .other .manic .issues. .Verify .BUN, .TSH, .ECG
the .amount .of .thyroid .hormone .in .the .thyroid, .it .also .reduces .the .available
.amounts .of .T3 .and .T4. .This .drug .may .also .block .the .release .of .thyroid .hormones
.into .the .body
Lithium .tends .to .impair .the .kidney's .ability .to .concentrate .urine
Lithium .can .definitely .affect .the .cardiovascular .system. .The .client .may .experience
.heart .palpitations .or .even .develop .an .arrhythmia
Clients .expecting .to .get .pregnant .must .stop .this .medication .because .it .can .cross
.the .placenta .barrier .and .harm .the .fetus. .Also, .clients .planning .surgery .must
.discontinue .the .medication .48 .hours .prior .to .the .procedure .to .avoid .problems .with
.anesthesia.
confusion .in .eledery .w/pain .- .CORRECT .ANSWER-The .nurse .is .aware .that .multiple
.factors .can .contribute .to .acute .confusion .in .clients. .The .sudden .relocation .to .a
.new .environment, .along .with .pain .from .injury, .could .definitely .contribute .to .an
.acute .onset .of .confusion. .The .client's .ordered .bedrest .and .response .to .new .pain
,.medications .are .additional .factors .that .could .produce .an .acute .change .in .mental
.status.
acute .diverticulitus .tx .- .CORRECT .ANSWER-increase .fiber
Antidote .for .mag .toxicity .- .CORRECT .ANSWER-calicium .gluconate
GTube .fun .fact .- .CORRECT .ANSWER-Feeding .tube .clients .tend .to .get .dehydrated,
.especially .clients .on .bed .rest, .because .bed .rest .induces .diuresis! .If .the .client .is
.already .having .neurological .signs, .a .grand .mal .seizure .may .be .next! .Better .take
.seizure .precautions .while .awaiting .the .serum .sodium .results.
early .signs .of .alcohol .withdrwal .- .CORRECT .ANSWER-The .earliest .signs .of .alcohol
.withdrawal .are .anxiety, .agitation, .insomnia, .and .tremors. .Tachycardia .of .120-140
./min .persists .throughout .withdrawal.Alcohol .withdrawal .symptoms .can .occur .as
.early .as .two .hours .after .a .person's .last .drink. .Typically, .symptoms .will .peak .within
.the .first .24 .to .48 .hours. .This .is .when .the .client .may .experience .the .most
.uncomfortable .withdrawal .symptoms .such .as .insomnia, .tachycardia,
.hypertension, .sweating, .tremors, .and .fever. .Six .to .12 .hours .post-ingestion .of
.alcohol, .the .client .may .experience .agitation, .anxiety, .headaches, .shaking, .nausea
.and .vomiting. .Twelve .to .24 .hours .post-ingestion, .the .client .might .exhibit
.disorientation, .hand .tremors, .and .seizures. .Forty-eight .hours .post-ingestion,
.tactile, .auditory .and .visual .hallucinations .with .high .fever .can .occur
normal .creatinine .clearance .- .CORRECT .ANSWER-75-125 .mL/min
Ear .drops .adminstration .- .CORRECT .ANSWER-For .children .3 .years .of .age .and
.younger, .pull .pinna .down .and .back. .For .adults, .pull .pinna .up .and .back .for
.medication .administration .or .otoscopic .exam.
-room .temp .
Cold .= .nausea/vomiting .and .dizziness.
Pre-clampsia .- .CORRECT .ANSWER-: .Muscle .spasms .indicating .nerve/muscle
.irritation. .Headache .and .blurred .vision .are .indicators .of .increasing .blood
.pressure. .This .client .is .going .into .preeclampsia.
calf .muscle .irritablity
facial .edema
epigastric .pain
,Prevention .for .OA .- .CORRECT .ANSWER-control .Blood .sugar
use .largest .strongest .joints .for .lifting
maintain .a .healthy .weight
wear .joint .padding .with .playing .sports
30min .moderate .intense .excerise .5x .weeks .
High .glucose .levels .speed .the .formation .of .certain .molecules .that .make .cartilage
.stiffer .and .more .sensitive .to .mechanical .stress. .The .client .should .use .the .largest
.and .strongest .joints .and .muscles. .Use .both .arms .when .lifting .or .carrying .an
.object. .By .using .the .largest .and .strongest .joints, .less .stress .occurs .on .single
.joints .or .weaker .areas .of .the .body. .Excess .weight .is .one .of .the .biggest .risk .factors
.for .osteoarthritis. .Although .injuries .aren't .always .avoidable, .it .pays .to .protect
.joints. .If .playing .sports, .wear .protective .gear, .such .as .joint .padding .for .soccer .or
.hockey. .And .make .sure .any .baseball .field .uses .break-away .bases.
when .should .you .call .a .consult .with .social .services? .- .CORRECT .ANSWER-In .most
.areas, .laws .mandate .certain .situations/circumstances .involving .children .be
.reported .to .social .services/child .protection. .Among .these .things .are: .ingestion .of
.toxic .substances, .fractures, .suspected .neglect .or .abuse, .burns. .For .older .children
.and .adults, .the .healthcare .provider .uses .their .judgment .as .to .whether .the .situation
.indicates .neglect .or .abuse .by .the .parents .or .caregivers.
antidote .for .enoxaparin .- .CORRECT .ANSWER-protamine .sulfate
what .position .do .you .place .a .patient .while .in .shock .? .- .CORRECT .ANSWER-
trendelenberg
when .Prececlampsia .occur? .- .CORRECT .ANSWER-can .occur .after .the .20th .week
.of .pregnancy
characterized .by .high .blood .pressure .and .proteinuria.can .affect .the .kidneys, .liver,
.and .even .cause .a .low .platelet .count. .If .seizures .develop, .the .condition .then
.becomes .eclampsia, .a .dangerous .situation .in .which .the .only .resolution .is .the
.delivery .of .the .fetus. .Uncontrolled .hypertension .is .one .of .the .causes .of .death
.during .pregnancy.
if .a .patient .is .having .a .hard .time .breathing .do .not .assess .and .do .something .first
.then .call .whomever .- .CORRECT .ANSWER-dangle .the .clinets .legs .over .the .side .of
.the .bed .The .reason .is .that .by .dangling .the .legs, .blood .is .pooling .in .the .periphery.
.This .decreases .the .circulating .blood .volume .so .that .the .heart .does .not .have .to
, .work .as .hard .and .blood .will .then .go .in .a .forward .direction .rather .than .going
.backward .to .the .lungs.
if .you .have .too .much .sodium .and .water .what .do .you .lose? .- .CORRECT .ANSWER-
potasium
what .disease .has .too .much .aldosterone? .- .CORRECT .ANSWER-cushings
what .solution .is .needed .for .a .patient .with .hypertension .- .CORRECT .ANSWER-
hypotonic .solution
clear .liquid .diet .- .CORRECT .ANSWER-liquids .that .you .can .seen .through
it .can .be .in .jello, .popsicle .
water.
clear .juices .without .pulp.
electrolyte .drinks, .ginger .ale, .and .club .soda.
clear .broths.
plain .popsicles .that .do .not .contain .pureed .fruit .or .chunks.
hard .candy.
gelatin .products, .such .as .Jell-O.
tea .without .milk .or .cream.
when .is .a .ABG .full .compensated? .- .CORRECT .ANSWER-whenever .the .PH .is
.normal
Normal .labs .for .ABG .- .CORRECT .ANSWER-PH .(7.35-7.45)
PaCO2 .(45-35)
HCO3 .(22-26)
Order .of .whom .should .be .seen .first?
Depression, .hallucination .- .CORRECT .ANSWER-1. .hallucination .(ctively
.hallucinating .may .be .hearing .voices, .and .the .voices .may .order .the .client .to .do
.something .harmful .to .self .or .others.)
2. .depression .(the .client .receives .medication .and .the .energy .level .rises, .the .client
.may .be .at .an .increased .risk .of .suicide.)
PREVENTION .OF .VERICOSE .VEINS .- .CORRECT .ANSWER-exercise
wear .low .heeled .shoes
