Hurst Readiness Actual Exam iii, IV EXAM JUST
RELEASED THIS YEAR WITH COMPLETE 200
QUESTIONS AND CORRECT DETAILED
SOLUTIONS.
A nurse from an adult unit was reassigned to the pediatric unit. Which client would be least appropriate to
assign to this nurse?
1. Ten-year-old with 2nd and 3rd degree burns.
2. Five year old that was in a MVA and has a femur fracture.
3. Six year old admitted for evaluation of possible sexual abuse by a parent
4. Two month old with bronchopulmonary dysplasia being admitted for reflux.
3
The occupational health nurse is leading a group discussion about addiction. What should the nurse include as
the primary barrier to the client with alcohol addiction seeking treatment?
1. Co-dependency
2. Denial
3. Depression
4. Stigma
2
.
The nurse is administering the prescribed Mantoux tuberculin skin test to a client. The nurse does not observe
the tense blister-like formation at the injection site. Which action should the nurse take?
1. Chart the injection site response as the only action.
2. Administer another Mantoux tuberculin skin test at a different site.
3. Circle the area, wait 48 to 72 hours, and assess for a reaction.
4. Call the primary healthcare provider.
2
,.
What should a nurse teach a client who has been diagnosed with hepatitis A?
1. Hepatitis A is spread through blood and body fluid.
2. Chronic liver disease is a common complication of hepatitis A.
3. Symptoms of hepatitis A include malaise, dark colored urine, and jaundice.
4. Treatment includes alpha-interferon and ribavirin.
3
The nurse is caring for an adolescent client diagnosed with depression. The client is prescribed fluoxetine. What
is the best response by the nurse when the client says, "What will this medicine do to me?"
1. It will increase the level of serotonin in the brain.
2. It will decrease the production of noradrenaline.
3. It will lower your level of the brain hormone norepinephrine.
4. It will balance blood glucose and dopamine levels in your head.
1
A parent tells the clinic nurse, "My child has just been diagnosed with attention-deficit/hyperactivity disorder
(ADHD). What will be done to help my child?" How should the nurse best respond to the parent?
1. The primary healthcare provider will want to start your child on a central nervous system (CNS) depressant in
order to decrease hyperactivity and improve attention.
2. You will need to admit your child to the psychiatric behavioral unit so that group therapy can be initiated.
3. Children are often placed on central nervous system stimulants that improve behavior associated with ADHD.
4. The standard of care for children with ADHD includes central nervous system stimulants along with behavior
and family therapy.
4
,A charge nurse is planning care for several clients on the unit. Which activities can the nurse safely
delegate to an unlicensed assistive personnel (UAP)?
1. Administer a nebulizer treatment to a client diagnosed with pneumonia.
2. Obtain vital signs on a postoperative client who required naloxone 5 minutes ago.
3. Report a urinary output (UOP) less than 50 ml/hr on a post-op client.
4. Assist a client with obtaining a clean catch urine sample.
5. Remove an indwelling urinary catheter from a client.
3,4
What should the nurse teach a pregnant client who comes to the clinic reporting hemorrhoids and
constipation?
1. Increased rectal pressure from the gravid uterus may result in hemorrhoids.
2. Hormones decrease maternal GI motility, resulting in constipation.
3. The client needs more fiber in the diet.
4. A mild laxative is recommended to alleviate constipation.
5. The client needs to increase fluid intake.
Rationale
1,2,3,5
.
What statements by a new nurse would indicate to the charge nurse an understanding of how to
maintain skin integrity for a client on bedrest?
1. "Clients on bedrest should be placed on therapeutic mattresses."
, 2. "I will assess for the skin every 4 hours."
3. "I will assess the skin using the Braden scale."
4. "A pillow will be placed between the knees when client is side lying."
5. "The incontinent client will be kept clean and dry."
1,3,4,5
The primary healthcare provider suspects the client has tuberculosis (TB) and prescribes a Mantoux test.
What precautions should the nurse take when administering the Mantoux test?
1. Don sterile gloves.
2. Place the client on reverse isolation.
3. Wear a particulate respirator
4. Obtain a consent form.
5. Initiate airborne precautions.
3,5
Which finding should a nurse expect when assessing a healthy 65 year old client?
1. Anomia
2. Presbyopia
3. BP 156/88
4. Apraxia
2
.
RELEASED THIS YEAR WITH COMPLETE 200
QUESTIONS AND CORRECT DETAILED
SOLUTIONS.
A nurse from an adult unit was reassigned to the pediatric unit. Which client would be least appropriate to
assign to this nurse?
1. Ten-year-old with 2nd and 3rd degree burns.
2. Five year old that was in a MVA and has a femur fracture.
3. Six year old admitted for evaluation of possible sexual abuse by a parent
4. Two month old with bronchopulmonary dysplasia being admitted for reflux.
3
The occupational health nurse is leading a group discussion about addiction. What should the nurse include as
the primary barrier to the client with alcohol addiction seeking treatment?
1. Co-dependency
2. Denial
3. Depression
4. Stigma
2
.
The nurse is administering the prescribed Mantoux tuberculin skin test to a client. The nurse does not observe
the tense blister-like formation at the injection site. Which action should the nurse take?
1. Chart the injection site response as the only action.
2. Administer another Mantoux tuberculin skin test at a different site.
3. Circle the area, wait 48 to 72 hours, and assess for a reaction.
4. Call the primary healthcare provider.
2
,.
What should a nurse teach a client who has been diagnosed with hepatitis A?
1. Hepatitis A is spread through blood and body fluid.
2. Chronic liver disease is a common complication of hepatitis A.
3. Symptoms of hepatitis A include malaise, dark colored urine, and jaundice.
4. Treatment includes alpha-interferon and ribavirin.
3
The nurse is caring for an adolescent client diagnosed with depression. The client is prescribed fluoxetine. What
is the best response by the nurse when the client says, "What will this medicine do to me?"
1. It will increase the level of serotonin in the brain.
2. It will decrease the production of noradrenaline.
3. It will lower your level of the brain hormone norepinephrine.
4. It will balance blood glucose and dopamine levels in your head.
1
A parent tells the clinic nurse, "My child has just been diagnosed with attention-deficit/hyperactivity disorder
(ADHD). What will be done to help my child?" How should the nurse best respond to the parent?
1. The primary healthcare provider will want to start your child on a central nervous system (CNS) depressant in
order to decrease hyperactivity and improve attention.
2. You will need to admit your child to the psychiatric behavioral unit so that group therapy can be initiated.
3. Children are often placed on central nervous system stimulants that improve behavior associated with ADHD.
4. The standard of care for children with ADHD includes central nervous system stimulants along with behavior
and family therapy.
4
,A charge nurse is planning care for several clients on the unit. Which activities can the nurse safely
delegate to an unlicensed assistive personnel (UAP)?
1. Administer a nebulizer treatment to a client diagnosed with pneumonia.
2. Obtain vital signs on a postoperative client who required naloxone 5 minutes ago.
3. Report a urinary output (UOP) less than 50 ml/hr on a post-op client.
4. Assist a client with obtaining a clean catch urine sample.
5. Remove an indwelling urinary catheter from a client.
3,4
What should the nurse teach a pregnant client who comes to the clinic reporting hemorrhoids and
constipation?
1. Increased rectal pressure from the gravid uterus may result in hemorrhoids.
2. Hormones decrease maternal GI motility, resulting in constipation.
3. The client needs more fiber in the diet.
4. A mild laxative is recommended to alleviate constipation.
5. The client needs to increase fluid intake.
Rationale
1,2,3,5
.
What statements by a new nurse would indicate to the charge nurse an understanding of how to
maintain skin integrity for a client on bedrest?
1. "Clients on bedrest should be placed on therapeutic mattresses."
, 2. "I will assess for the skin every 4 hours."
3. "I will assess the skin using the Braden scale."
4. "A pillow will be placed between the knees when client is side lying."
5. "The incontinent client will be kept clean and dry."
1,3,4,5
The primary healthcare provider suspects the client has tuberculosis (TB) and prescribes a Mantoux test.
What precautions should the nurse take when administering the Mantoux test?
1. Don sterile gloves.
2. Place the client on reverse isolation.
3. Wear a particulate respirator
4. Obtain a consent form.
5. Initiate airborne precautions.
3,5
Which finding should a nurse expect when assessing a healthy 65 year old client?
1. Anomia
2. Presbyopia
3. BP 156/88
4. Apraxia
2
.
