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HURST REVIEW NCLEX-RN READINESS EXAM 1
||VERIFIED EXAM!!|| MOST RECENT EXAM ACTUAL
REAL EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ |
GUARANTEED SUCCESS!! NEWEST EXAM!!!
The nurse is working with a committee at the local school
to develop an emergency preparedness plan for tornados.
What should be included in the plan?
1. Identification of safe zones.
2. Methods for accounting for all people present in the
building.
3. Warning system activation.
4. Identification of the gymnasium as the routine safe
place.
5. Regular practice protocols. - Answer-1., 2., 3. & 5.
Correct: Everyone should be aware of safe zones within
the school. Personnel should be given this information and
signs posted in safe zones. There must be systems in
place to accurately determine the number of people in the
building at any given time. There also must be a system in
place to alert personnel and students of tornado warnings.
Regular practice prepares everyone for an actual event.
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4. Incorrect: Gymnasiums are not considered safe places
due to wide expanse of roof. Safe zones should be on
interior walls, no windows, and a strong concrete floor if
possible.
What should a nurse teach family members prior to them
entering the room of a client who has agranulocytosis?
1. Meticulous hand washing is needed.
2. Do not visit if you have any infection.
3. The client must wear a mask.
4. Children under 12 may not visit.
5. Flowers are not allowed in the room. - Answer-1., 2., 4.,
& 5. Correct: Protective isolation is needed for this client
because of the presence of a low white blood cell count.
We are protecting the client from acquiring an infection. So
any visitors will need to have meticulous hand washing
prior to entering. The visitor should not enter if he or she
has any type of infection. To decrease the risk of infection,
small children should not visit. Even the mildest symptom
of infection could be detrimental to the client. Flowers
have bacteria and should not be brought into the room.
3. Incorrect: A mask must be worn by the visitor, not the
client. The mask is worn by visitors to prevent a possible
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spread of an airborne infection to the
immunocompromised client.
A client diagnosed with major depression has been taking
a selective serotonin reuptake inhibitor for the past 6
weeks. When visiting the mental health center, the nurse
discusses the medication and response with the client.
The nurse's assessment reveals that the client is confused
about the date and about the prescribed dosage of the
medication. Which question would be most important for
the nurse to ask to further assess the situation?
1. Are you having trouble sleeping at night?
2. Do you have periods of muscle jerking?
3. Are you having any sexual dysfunction?
4. Is your mood improving? - Answer-2. Correct:
Myoclonus, high body temperature, shaking, chills, and
mental confusion are some of the symptoms of serotonin
syndrome. This client may be having symptoms of this
adverse reaction which, if severe, can be fatal.
1. Incorrect: Sleep disturbances are common with
depression. Selective serotonin reuptake inhibitors
(SSRIs) may cause insomnia; however, there is a more
pertinent question needed for assessment of this client.
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You should be concerned with the more serious or life-
threatening issue.
3. Incorrect: Sexual dysfunction may occur with the SSRIs;
however, the client is exhibiting significant symptoms of an
adverse reaction which would take priority.
4. Incorrect: The response to the SSRI medications is
important; however, there is a more significant issue in this
case. The possible serotonin syndrome is a serious
situation that would be the priority for the nurse to
address.
The primary healthcare provider has prescribed phenytoin
100 mg intravenous push (IVP) stat for an adult client.
What is the least amount of time that the nurse can safely
administer this medication?
1. 1 minute
2. 2 minutes
3. 5 minutes
4. 10 minutes - Answer-2. Correct: The rate of IV
administration should not exceed 50 mg/min. for adults
and 1-3 mg/kg/min (or 50 mg/min, whichever is slower) in
pediatric clients because of the risk of severe hypotension
HURST REVIEW NCLEX-RN READINESS EXAM 1
||VERIFIED EXAM!!|| MOST RECENT EXAM ACTUAL
REAL EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ |
GUARANTEED SUCCESS!! NEWEST EXAM!!!
The nurse is working with a committee at the local school
to develop an emergency preparedness plan for tornados.
What should be included in the plan?
1. Identification of safe zones.
2. Methods for accounting for all people present in the
building.
3. Warning system activation.
4. Identification of the gymnasium as the routine safe
place.
5. Regular practice protocols. - Answer-1., 2., 3. & 5.
Correct: Everyone should be aware of safe zones within
the school. Personnel should be given this information and
signs posted in safe zones. There must be systems in
place to accurately determine the number of people in the
building at any given time. There also must be a system in
place to alert personnel and students of tornado warnings.
Regular practice prepares everyone for an actual event.
,2|Page
4. Incorrect: Gymnasiums are not considered safe places
due to wide expanse of roof. Safe zones should be on
interior walls, no windows, and a strong concrete floor if
possible.
What should a nurse teach family members prior to them
entering the room of a client who has agranulocytosis?
1. Meticulous hand washing is needed.
2. Do not visit if you have any infection.
3. The client must wear a mask.
4. Children under 12 may not visit.
5. Flowers are not allowed in the room. - Answer-1., 2., 4.,
& 5. Correct: Protective isolation is needed for this client
because of the presence of a low white blood cell count.
We are protecting the client from acquiring an infection. So
any visitors will need to have meticulous hand washing
prior to entering. The visitor should not enter if he or she
has any type of infection. To decrease the risk of infection,
small children should not visit. Even the mildest symptom
of infection could be detrimental to the client. Flowers
have bacteria and should not be brought into the room.
3. Incorrect: A mask must be worn by the visitor, not the
client. The mask is worn by visitors to prevent a possible
,3|Page
spread of an airborne infection to the
immunocompromised client.
A client diagnosed with major depression has been taking
a selective serotonin reuptake inhibitor for the past 6
weeks. When visiting the mental health center, the nurse
discusses the medication and response with the client.
The nurse's assessment reveals that the client is confused
about the date and about the prescribed dosage of the
medication. Which question would be most important for
the nurse to ask to further assess the situation?
1. Are you having trouble sleeping at night?
2. Do you have periods of muscle jerking?
3. Are you having any sexual dysfunction?
4. Is your mood improving? - Answer-2. Correct:
Myoclonus, high body temperature, shaking, chills, and
mental confusion are some of the symptoms of serotonin
syndrome. This client may be having symptoms of this
adverse reaction which, if severe, can be fatal.
1. Incorrect: Sleep disturbances are common with
depression. Selective serotonin reuptake inhibitors
(SSRIs) may cause insomnia; however, there is a more
pertinent question needed for assessment of this client.
, 4|Page
You should be concerned with the more serious or life-
threatening issue.
3. Incorrect: Sexual dysfunction may occur with the SSRIs;
however, the client is exhibiting significant symptoms of an
adverse reaction which would take priority.
4. Incorrect: The response to the SSRI medications is
important; however, there is a more significant issue in this
case. The possible serotonin syndrome is a serious
situation that would be the priority for the nurse to
address.
The primary healthcare provider has prescribed phenytoin
100 mg intravenous push (IVP) stat for an adult client.
What is the least amount of time that the nurse can safely
administer this medication?
1. 1 minute
2. 2 minutes
3. 5 minutes
4. 10 minutes - Answer-2. Correct: The rate of IV
administration should not exceed 50 mg/min. for adults
and 1-3 mg/kg/min (or 50 mg/min, whichever is slower) in
pediatric clients because of the risk of severe hypotension
