Hurst Readiness Exam 1 Complete
Questions and Answers with
Rationales.,
The nurse is teaching a group of pregnant women about hormonal changes
during pregnancy. The nurse recognizes that teaching was successful when
the women identify which hormone as causing amenorrhea?
1. Progesterone 2. Estrogen 3. Follicle-stimulating hormone (FSH) 4. Human
chorionic gonadotropin (hCG) - CORRECT ANSWER>>Rationale
1. Correct: Progesterone causes amenorrhea. 2. Incorrect: Estrogen renders
the female genital tract suitable for fertilization. 3. Incorrect: This stimulates
the growth of the graafian follicle in the ovary. 4. Incorrect: This is the
hormone present in urine for pregnancy test
The client is admitted to the hospital following a motor vehicle accident and
has sustained a closed chest wound. The nurse notes paradoxical chest wall
movement. Which problem does the nurse suspect?
1. Mediastinal shift 2. Tension pneumothorax 3. Flail chest 4. Pulmonary
contusion - CORRECT ANSWER>>Rationale
3. Correct: Hallmark of flail chest is paradoxical chest wall movement. This is
often described as a see-saw effect when observing the rise and fall of the
chest. 1. Incorrect: A closed or open tension pneumothorax results from the
lung collapsing and air entering into the pleural cavity. This results in
pressure shifting toward the unaffected pleural cavity. 2. Incorrect: Tension
pneumothorax occurs when there is an accumulation of air in the pleural
,cavity. The client may exhibit dyspnea, tachycardia, or hypotension. 4.
Incorrect: A pulmonary contusion usually results from blunt trauma. Bruising
of lung would be demonstrated by pain but not paradoxical chest wall
movement.
Which client can a nurse manager safely transfer from the telemetry unit to
the obstetrical unit in order to receive a new admit?
1. Client admitted with possible tuberculosis (TB) awaiting skin test results. 2.
Client diagnosed with seizure disorder. 3. Client with a new pacemaker
scheduled to be discharged in the morning. 4. Client with a history of mild
heart failure prescribed one unit of packed red blood cells for anemia. -
CORRECT ANSWER>>Rationale
2. Correct: OB nurses would have the appropriate knowledge needed to care
for a client with a seizure disorders, because they care for clients who have
eclampsia (seizures). 1. Incorrect: This client might have tuberculosis (TB) and
is not a good choice to move to the OB floor, because of the risk for
transmission of an infectious disease. 3. Incorrect: This client is not the best
one to be transferred to the OB floor, because these nurses do not routinely
care for clients with a new pacemaker. The client is also likely to remain on a
cardiac monitor until discharge. 4. Incorrect: This client is at risk for fluid
volume overload since there is a history of heart failure and would require
close monitoring while receiving a blood transfusion.
The nurse is teaching a group of clients who have reduced peripheral
circulation how to care for their feet. What points should the nurse include?
,1. Check shoes for rough spots in the lining. 2. File toenails straight across. 3.
Cover feet and between toes with creams to moisten the skin. 4. Break in
new shoes gradually. 5. Use pumice stones to treat calluses. - CORRECT
ANSWER>>Rationale
1., 2., & 4. Correct: Rubbing from rough spots in the shoe can lead to corns or
calluses. File the toenails rather than cutting to avoid skin injury. File nails
straight across the ends of the toes. If the nails are too thick or misshapen to
file, consult podiatrist. Break in new shoes gradually by increasing the
wearing time 30-60 minutes each day. 3. Incorrect: Cover the feet, except
between the toes, with creams or lotions to moisten the skin. Lotion will also
soften calluses. A lotion that reduces dryness effectively is a mixture of
lanolin and mineral oil. 5. Incorrect: Avoid self-treatment of corns or calluses.
Pumice stones and some callus and corn applications are injurious to the
skin. Do not cut calluses or corns. Consult a podiatrist or primary healthcare
provider first.
When caring for young adult clients, which developmental tasks would the
nurse expect to see?
1. Satisfying and supporting the next generation. 2. Reflecting on life
accomplishments. 3. Developing meaningful and intimate relationships. 4.
Giving and sharing with an individual without asking what will be given or
shared in return. 5. Developing sense of fulfillment by volunteering in the
community. - CORRECT ANSWER>>Rationale
3. & 4. Correct: In young adulthood, the developmental tasks involve
intimacy versus isolation. Intimacy relates more to sharing than to sex.
Intimacy produces feelings of safety, closeness, and trust. 1. Incorrect:
Parenting is a primary task of middle adulthood. This is the middle adulthood
, stage of Generativity versus Stagnation, where each adult must find some
way to satisfy and support the next generation. 2. Incorrect: During late
adulthood, there is refection on life accomplishments. This is the maturity
stage of Ego Integrity versus Despair, where there is a reflection of one's life.
5. Incorrect: During middle age, a sense of fulfillment can be found by
volunteering in the community. This is part of middle age, where the adult is
finding ways to support others.
What symptoms does the nurse expect to see in a client with bulimia
nervosa?
1. Amenorrhea 2. Feelings of self-worth unduly influenced by weight 3.
Recurrent episodes of binge eating 4. Recurrent inappropriate compensatory
behavior to prevent weight gain 5. Lack of exercise - CORRECT
ANSWER>>Rationale
2., 3. & 4. Correct: Diagnostic criteria for bulimia nervosa are recurrent
episodes of binge eating: recurrent inappropriate compensatory behavior to
prevent weight gain such as laxative, diuretic, or enema use, induced
vomiting, fasting, and excessive exercise; and feeling of self-worth unduly
influenced by weight. Amenorrhea is found in anorexia nervosa. 1. Incorrect:
Amenorrhea is found in anorexia nervosa. 5. Incorrect: Excessive exercise is
found in bulimia nervosa as a means to compensate for the binge eating.
A client who has had a laparoscopic cholecystectomy develops pain in the
left shoulder. Vital signs, laboratory studies, and an electrocardiogram are
within normal limits. What does the nurse recognize as a contributing cause
of the pain?
Questions and Answers with
Rationales.,
The nurse is teaching a group of pregnant women about hormonal changes
during pregnancy. The nurse recognizes that teaching was successful when
the women identify which hormone as causing amenorrhea?
1. Progesterone 2. Estrogen 3. Follicle-stimulating hormone (FSH) 4. Human
chorionic gonadotropin (hCG) - CORRECT ANSWER>>Rationale
1. Correct: Progesterone causes amenorrhea. 2. Incorrect: Estrogen renders
the female genital tract suitable for fertilization. 3. Incorrect: This stimulates
the growth of the graafian follicle in the ovary. 4. Incorrect: This is the
hormone present in urine for pregnancy test
The client is admitted to the hospital following a motor vehicle accident and
has sustained a closed chest wound. The nurse notes paradoxical chest wall
movement. Which problem does the nurse suspect?
1. Mediastinal shift 2. Tension pneumothorax 3. Flail chest 4. Pulmonary
contusion - CORRECT ANSWER>>Rationale
3. Correct: Hallmark of flail chest is paradoxical chest wall movement. This is
often described as a see-saw effect when observing the rise and fall of the
chest. 1. Incorrect: A closed or open tension pneumothorax results from the
lung collapsing and air entering into the pleural cavity. This results in
pressure shifting toward the unaffected pleural cavity. 2. Incorrect: Tension
pneumothorax occurs when there is an accumulation of air in the pleural
,cavity. The client may exhibit dyspnea, tachycardia, or hypotension. 4.
Incorrect: A pulmonary contusion usually results from blunt trauma. Bruising
of lung would be demonstrated by pain but not paradoxical chest wall
movement.
Which client can a nurse manager safely transfer from the telemetry unit to
the obstetrical unit in order to receive a new admit?
1. Client admitted with possible tuberculosis (TB) awaiting skin test results. 2.
Client diagnosed with seizure disorder. 3. Client with a new pacemaker
scheduled to be discharged in the morning. 4. Client with a history of mild
heart failure prescribed one unit of packed red blood cells for anemia. -
CORRECT ANSWER>>Rationale
2. Correct: OB nurses would have the appropriate knowledge needed to care
for a client with a seizure disorders, because they care for clients who have
eclampsia (seizures). 1. Incorrect: This client might have tuberculosis (TB) and
is not a good choice to move to the OB floor, because of the risk for
transmission of an infectious disease. 3. Incorrect: This client is not the best
one to be transferred to the OB floor, because these nurses do not routinely
care for clients with a new pacemaker. The client is also likely to remain on a
cardiac monitor until discharge. 4. Incorrect: This client is at risk for fluid
volume overload since there is a history of heart failure and would require
close monitoring while receiving a blood transfusion.
The nurse is teaching a group of clients who have reduced peripheral
circulation how to care for their feet. What points should the nurse include?
,1. Check shoes for rough spots in the lining. 2. File toenails straight across. 3.
Cover feet and between toes with creams to moisten the skin. 4. Break in
new shoes gradually. 5. Use pumice stones to treat calluses. - CORRECT
ANSWER>>Rationale
1., 2., & 4. Correct: Rubbing from rough spots in the shoe can lead to corns or
calluses. File the toenails rather than cutting to avoid skin injury. File nails
straight across the ends of the toes. If the nails are too thick or misshapen to
file, consult podiatrist. Break in new shoes gradually by increasing the
wearing time 30-60 minutes each day. 3. Incorrect: Cover the feet, except
between the toes, with creams or lotions to moisten the skin. Lotion will also
soften calluses. A lotion that reduces dryness effectively is a mixture of
lanolin and mineral oil. 5. Incorrect: Avoid self-treatment of corns or calluses.
Pumice stones and some callus and corn applications are injurious to the
skin. Do not cut calluses or corns. Consult a podiatrist or primary healthcare
provider first.
When caring for young adult clients, which developmental tasks would the
nurse expect to see?
1. Satisfying and supporting the next generation. 2. Reflecting on life
accomplishments. 3. Developing meaningful and intimate relationships. 4.
Giving and sharing with an individual without asking what will be given or
shared in return. 5. Developing sense of fulfillment by volunteering in the
community. - CORRECT ANSWER>>Rationale
3. & 4. Correct: In young adulthood, the developmental tasks involve
intimacy versus isolation. Intimacy relates more to sharing than to sex.
Intimacy produces feelings of safety, closeness, and trust. 1. Incorrect:
Parenting is a primary task of middle adulthood. This is the middle adulthood
, stage of Generativity versus Stagnation, where each adult must find some
way to satisfy and support the next generation. 2. Incorrect: During late
adulthood, there is refection on life accomplishments. This is the maturity
stage of Ego Integrity versus Despair, where there is a reflection of one's life.
5. Incorrect: During middle age, a sense of fulfillment can be found by
volunteering in the community. This is part of middle age, where the adult is
finding ways to support others.
What symptoms does the nurse expect to see in a client with bulimia
nervosa?
1. Amenorrhea 2. Feelings of self-worth unduly influenced by weight 3.
Recurrent episodes of binge eating 4. Recurrent inappropriate compensatory
behavior to prevent weight gain 5. Lack of exercise - CORRECT
ANSWER>>Rationale
2., 3. & 4. Correct: Diagnostic criteria for bulimia nervosa are recurrent
episodes of binge eating: recurrent inappropriate compensatory behavior to
prevent weight gain such as laxative, diuretic, or enema use, induced
vomiting, fasting, and excessive exercise; and feeling of self-worth unduly
influenced by weight. Amenorrhea is found in anorexia nervosa. 1. Incorrect:
Amenorrhea is found in anorexia nervosa. 5. Incorrect: Excessive exercise is
found in bulimia nervosa as a means to compensate for the binge eating.
A client who has had a laparoscopic cholecystectomy develops pain in the
left shoulder. Vital signs, laboratory studies, and an electrocardiogram are
within normal limits. What does the nurse recognize as a contributing cause
of the pain?
