HURST REVIEW NCLEX-RN READINESS EXAM 1 , 2025-2026
ACTUAL COMPLETE REAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) GRADED A+ / NEWEST
VERSION / JUST RELEASED!!
A client arrives in the emergency department after severely
lacerating the left hand with a knife. HR 96, BP 150/88, R 36. The
client is extremely anxious and crying uncontrollably. Based on
this assessment, the nurse should anticipate that this client is
likely in which acid base imbalance?
1. Respiratory acidosis
2. Respiratory alkalosis
3. Metabolic acidosis
4. Metabolic alkalosis - ANSWER-2. Correct: Hyperventilation
due to anxiety, pain, shock, severe infection, fever, liver
failure can lead to respiratory alkalosis. With each of these,
the client loses too much CO2. The reduction of CO2 creates
an excessive loss of acid, resulting in an alkalotic state.
Since the problem is respiratory, it is respiratory alkalosis.
1. Incorrect: This problem is respiratory, but there is excessive
CO2 loss. CO2 combines with water to form an acid. If too
much of the CO2 is lost, the result of the acid forming
substance loss would be alkalosis-Not acidosis.
,3. Incorrect: The problem in this situation is respiratory in
origin and has acid
loss. Therefore, it is not metabolic nor
acidotic in nature.
4. Incorrect: The problem in this situation is the excessive loss
of CO2 from the
respiratory system secondary to hyperventilation.
Although the CO2 loss
creates an alkalotic state, it is respiratory, not
metabolic in origin.
A client diagnosed with rheumatoid arthritis has been
prescribed celecoxib. What should the nurse include in the
client's education regarding this medication?
1. Do not take celecoxib with ibuprofen.
2. GI complaints and headache are among the most common
side effects.
3. Drink a lot of water to offset the dehydration that may occur.
4. Notify the healthcare provider immediately if black stools are
noted.
5. This medication provides relief of pain and swelling so you
can perform normal daily activities. - ANSWER-1., 2., 4., & 5.
Correct: Concomitant use of celecoxib with aspirin or other
NSAIDs (for example, ibuprofen, naproxen, etc.) may increase
the occurrence of stomach and intestinal ulcers. This would
increase the risk of GI bleeders. GI complaints and headache
are two of the most common side effects. The client should
stop taking celecoxib and get medical help right away if the
, client notices bloody or black/tarry stools. This would be an
indication of GI bleeding. This medication is a nonsteroidal
antiinflammatory drug (NSAID), which relieves pain and
swelling. It is used to treat
arthritis. The pain and swelling relief provided by this medication
should help the
client perform normal daily
activities.
3. Incorrect: The client may develop fluid retention while taking
this medication.
They should decrease the intake of sodium to decrease
fluid retention.
Which statements should a nurse make when educating a client
about advance directives?
1. Used as guidelines for client treatment should the client's
family deem them necessary.
2. Legally binding document.
3. Should be documented in the client's medical record as to
whether or not the client has an advance directive.
4. Specifies a client's wishes for healthcare treatment should
the client become incapacitated.
5. Allows the client's spouse to make end-of-life decisions. -
ANSWER-2., 3. & 4. Correct: Advance directives are legally
binding documents. Documentation is required in the medical
record as to whether an advance directive exists. If one
exists, a copy should be placed in the medical record. The
document is prepared by the client detailing wishes for
, treatment should the client become unable to make informed
healthcare decisions.
1. Incorrect: The family's wishes for treatment of the client do
not take the place
of or negate the client's advance
directive.
5. Incorrect: The spouse's wishes for treatment of the client
do not take the
place of or negate the client's advance
directive.
Two hours after a gastrectomy, a client has pink tinged
drainage from the nasogastric (NG) tube, and the tube appears
occluded. What is the nurse's initial action at this time?
1. Call the primary healthcare provider.
2. Reposition the client.
3. Increase the suction level.
4. Irrigate the tube. - ANSWER-1. Correct: Do not tamper with
fresh surgery tubes. Call the primary healthcare provider for
blood draining from the NG tube after gastrectomy.
2. Incorrect: This delays care and does not resolve an occluded
NG tube.
3. Incorrect: Increasing the suction level is very dangerous for
the client. This could cause hemorrhage in this client. Don't
be a killer nurse! Call the primary healthcare provider.
ACTUAL COMPLETE REAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) GRADED A+ / NEWEST
VERSION / JUST RELEASED!!
A client arrives in the emergency department after severely
lacerating the left hand with a knife. HR 96, BP 150/88, R 36. The
client is extremely anxious and crying uncontrollably. Based on
this assessment, the nurse should anticipate that this client is
likely in which acid base imbalance?
1. Respiratory acidosis
2. Respiratory alkalosis
3. Metabolic acidosis
4. Metabolic alkalosis - ANSWER-2. Correct: Hyperventilation
due to anxiety, pain, shock, severe infection, fever, liver
failure can lead to respiratory alkalosis. With each of these,
the client loses too much CO2. The reduction of CO2 creates
an excessive loss of acid, resulting in an alkalotic state.
Since the problem is respiratory, it is respiratory alkalosis.
1. Incorrect: This problem is respiratory, but there is excessive
CO2 loss. CO2 combines with water to form an acid. If too
much of the CO2 is lost, the result of the acid forming
substance loss would be alkalosis-Not acidosis.
,3. Incorrect: The problem in this situation is respiratory in
origin and has acid
loss. Therefore, it is not metabolic nor
acidotic in nature.
4. Incorrect: The problem in this situation is the excessive loss
of CO2 from the
respiratory system secondary to hyperventilation.
Although the CO2 loss
creates an alkalotic state, it is respiratory, not
metabolic in origin.
A client diagnosed with rheumatoid arthritis has been
prescribed celecoxib. What should the nurse include in the
client's education regarding this medication?
1. Do not take celecoxib with ibuprofen.
2. GI complaints and headache are among the most common
side effects.
3. Drink a lot of water to offset the dehydration that may occur.
4. Notify the healthcare provider immediately if black stools are
noted.
5. This medication provides relief of pain and swelling so you
can perform normal daily activities. - ANSWER-1., 2., 4., & 5.
Correct: Concomitant use of celecoxib with aspirin or other
NSAIDs (for example, ibuprofen, naproxen, etc.) may increase
the occurrence of stomach and intestinal ulcers. This would
increase the risk of GI bleeders. GI complaints and headache
are two of the most common side effects. The client should
stop taking celecoxib and get medical help right away if the
, client notices bloody or black/tarry stools. This would be an
indication of GI bleeding. This medication is a nonsteroidal
antiinflammatory drug (NSAID), which relieves pain and
swelling. It is used to treat
arthritis. The pain and swelling relief provided by this medication
should help the
client perform normal daily
activities.
3. Incorrect: The client may develop fluid retention while taking
this medication.
They should decrease the intake of sodium to decrease
fluid retention.
Which statements should a nurse make when educating a client
about advance directives?
1. Used as guidelines for client treatment should the client's
family deem them necessary.
2. Legally binding document.
3. Should be documented in the client's medical record as to
whether or not the client has an advance directive.
4. Specifies a client's wishes for healthcare treatment should
the client become incapacitated.
5. Allows the client's spouse to make end-of-life decisions. -
ANSWER-2., 3. & 4. Correct: Advance directives are legally
binding documents. Documentation is required in the medical
record as to whether an advance directive exists. If one
exists, a copy should be placed in the medical record. The
document is prepared by the client detailing wishes for
, treatment should the client become unable to make informed
healthcare decisions.
1. Incorrect: The family's wishes for treatment of the client do
not take the place
of or negate the client's advance
directive.
5. Incorrect: The spouse's wishes for treatment of the client
do not take the
place of or negate the client's advance
directive.
Two hours after a gastrectomy, a client has pink tinged
drainage from the nasogastric (NG) tube, and the tube appears
occluded. What is the nurse's initial action at this time?
1. Call the primary healthcare provider.
2. Reposition the client.
3. Increase the suction level.
4. Irrigate the tube. - ANSWER-1. Correct: Do not tamper with
fresh surgery tubes. Call the primary healthcare provider for
blood draining from the NG tube after gastrectomy.
2. Incorrect: This delays care and does not resolve an occluded
NG tube.
3. Incorrect: Increasing the suction level is very dangerous for
the client. This could cause hemorrhage in this client. Don't
be a killer nurse! Call the primary healthcare provider.
