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Hurst Readiness Exam 1 (1)
Hurst Readiness Exam 1 (1)
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Hurst Readiness Exam 1The 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? - CORRECT ANSWER-Progesterone
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? - CORRECT ANSWER-Flail chest is 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? - CORRECT ANSWER-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).
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? - CORRECT ANSWER-1. Check shoes for rough
spots in the lining.
2. File toenails straight across.
4. Break in new shoes gradually. 5. Use pumice stones to treat calluses.
When caring for young adult clients, which developmental tasks would the nurse expect to see? -
CORRECT ANSWER-3. Developing meaningful and intimate relationships.
4. Giving and sharing with an individual without asking what will be given or shared in return.
What symptoms does the nurse expect to see in a client with bulimia nervosa? - CORRECT
ANSWER-2. Feelings of self-worth unduly influenced by weight
3. Recurrent episodes of binge eating
4. Recurrent inappropriate compensatory behavior to prevent weight gain
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? - CORRECT ANSWER-Carbon dioxide used
intraperitoneally is irritating the phrenic nerve.
A client is admitted to the medical unit with an acute onset of fever, chills and RUQ pain. Vital
signs are: T 99.8°F (37.7°C), P 132, RR 34, B/P 142/82. ABG results are: pH-7.53, PaCO2 30,
HCO3 22. The nurse determines that this client is in what acid/base imbalance? - CORRECT
ANSWER-Respiratory alkalosis
An unlicensed assistive personnel (UAP) has explained how to prevent the spread of infection to
the charge nurse. Which statement by the UAP indicates that further teaching is needed? -
CORRECT ANSWER-"When caring for a client who has a suppressed immune response, a N95
mask should be worn."
The nurse is preparing to discharge a client who has been placed on tranylcypromine. The nurse
teaches the client about food to avoid while taking this medication. What food choice by the client
confirms appropriate understanding of the teaching? - CORRECT ANSWER-Salami
, Which nurse is providing cost effective care to a client? - CORRECT ANSWER-1. Providing
palliative care to a terminally ill client.
2. Beginning discharge planning on admit.
3. Counseling clients on cigarette smoking cessation.
4. Educating a group of parents on the importance of childhood immunizations.
A client is admitted for observation following an unrestrained motor vehicle accident. A bystander
stated that the client lost consciousness for 1-2 minutes. On admission, the client reports a
headache and had a Glasgow coma scale (GCS) of 14. The GCS is now 12. What is the priority
nursing intervention for this client? - CORRECT ANSWER-Notify the primary healthcare provider.
The nurse is assessing a client who is being treated with a non-steroidal anti-inflammatory
medication (NSAID) for an acute flare-up of gout. Which finding is expected in the assessment? -
CORRECT ANSWER-Dramatic decrease in pain after beginning medications.
A home care nurse is preparing to perform venipuncture on a client to draw blood. As the nurse
gathers supplies, the client begins to experience palpitations, trembling, nausea, shortness of
breath and a feeling of losing control. How should the nurse communicate with this client? -
CORRECT ANSWER-Use simple words
The nurse is preparing a client for surgery. Which methods are appropriate for the nurse to use in
removing excessive body hair? - CORRECT ANSWER-2. Removing the hair with clippers.
4. Using a depilatory cream.
A new mother calls the clinic and tells the nurse, "I don't have any help taking care of my 3 week
old baby. I don't know what to do. I just feel like I can't take care of him anymore. I wish I never
had him sometimes. Maybe then my husband would spend more time at home." What would be
the nurse's best response? - CORRECT ANSWER-"Come to the clinic now so that we can help
you."
The primary healthcare provider instructs the nurse to place body tissue obtained from a biopsy
into a container with formalin prior to sending it to pathology. The nurse has not handled formalin
before. What would be the nurse's best action? - CORRECT ANSWER-Read about formalin on
the Material Safety Data Sheet (MSDS).
The nurse is administering medication to an elderly client who has no visitors. The client takes the
pills, and, as the client hands the medication cup back to the nurse, grabs onto the nurse's hand
tightly. What is the most logical rationale for the client's action? - CORRECT ANSWER-Scared
and lonely and grabs the nurse's hand for comfort.
A nurse is caring for a 65 year-old client diagnosed with dehydration. The client has been
receiving intravenous normal saline at 150 mL/hour for the past 4 hours. Which finding would the
nurse need to notify the primary healthcare provider? - CORRECT ANSWER-Anxiety
The nurse reassesses the client's pain level after administering an oral analgesic. The client states
that the pain is better but continues to report a backache. Which non-pharmacologic interventions
may help the client's backache? - CORRECT ANSWER-2. Assisting the client into a side lying
position.
3. Providing a back massage.
4. Providing heat therapy.
5. Using distraction techniques.
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