HURST REVIEW NCLEX-RN Readiness Exam 1 QUESTIONS AND
VERIFIED ANSWERS 2025(GRADED A+) DETAILED ANSWERS!!
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 - (ANSWERS)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 and cardiac arrhythmias. So 100 mg can safely be delivered
over a period of at least 2 minutes.
1. Incorrect: 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 and cardiac
arrhythmias. So 100 mg can safely be delivered over a period of at least 2
minutes. Giving this dose over only one minute could lead to these or other
potential harmful effects.
3. Incorrect: 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 and cardiac
arrhythmias. So 100 mg can safely be delivered over a period of at least 2
minutes. Five minutes would be longer than required to be able to safely
administer the medication.
,HURST REVIEW NCLEX-RN Readiness Exam 1 QUESTIONS AND
VERIFIED ANSWERS 2025(GRADED A+) DETAILED ANSWERS!!
4. Incorrect: 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 and cardiac
arrhythmias. So 100 mg can safely be delivered over a period of at least 2
minutes. Ten minutes is much longer than required to be able to safely
administer the medication.
A client, hospitalized with possible acute pancreatitis secondary to chronic
cholecystitis, has severe abdominal pain and nausea. The client is kept
NPO, an NG tube is inserted, and IV fluids are being administered. What is
the rationale for the client being NPO with an NG tube to low suction?
1. Relieve nausea
2. Reduce pancreatic secretions
3. Control fluid and electrolyte imbalance
4. Remove the precipitating irritants - (ANSWERS)2. Correct: In clients
with pancreatitis, the pancreatic enzymes cannot exit the pancreas. These
enzymes, when activated, begin to digest the pancreas itself. The enzymes
become activated in the pancreas when fluid or food accumulates in the
stomach. The goal in treating this client is to stop the activation of the
pancreatic enzymes. Treatment is focused on keeping the stomach empty
and dry. This allows the pancreas time to rest and heal. Note: Autodigestion
(pancreas digesting itself) is painful for the client and can lead to other
problems such as bleeding.
1. Incorrect: The primary purpose of the NG tube to suction is to keep the
, HURST REVIEW NCLEX-RN Readiness Exam 1 QUESTIONS AND
VERIFIED ANSWERS 2025(GRADED A+) DETAILED ANSWERS!!
stomach empty and dry to decrease pancreatic enzyme production, not to
relieve nausea.
3. Incorrect: Because gastric contents are removed, the NG tube to suction
may lead to fluid and electrolyte disturbances rather than helping to control
them.
4. Incorrect: Although the food in the stomach causes the pancreatic
enzymes to become activated in the pancreas due to the obstruction, the
food is not considered an irritant. Precipitating irritants are not a part of the
pathophysiology occurring with pancreatitis.
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. - (ANSWERS)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
, HURST REVIEW NCLEX-RN Readiness Exam 1 QUESTIONS AND
VERIFIED ANSWERS 2025(GRADED A+) DETAILED ANSWERS!!
everyone for an actual event.
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. - (ANSWERS)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 spread of an airborne infection to the
immunocompromised client.
VERIFIED ANSWERS 2025(GRADED A+) DETAILED ANSWERS!!
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 - (ANSWERS)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 and cardiac arrhythmias. So 100 mg can safely be delivered
over a period of at least 2 minutes.
1. Incorrect: 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 and cardiac
arrhythmias. So 100 mg can safely be delivered over a period of at least 2
minutes. Giving this dose over only one minute could lead to these or other
potential harmful effects.
3. Incorrect: 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 and cardiac
arrhythmias. So 100 mg can safely be delivered over a period of at least 2
minutes. Five minutes would be longer than required to be able to safely
administer the medication.
,HURST REVIEW NCLEX-RN Readiness Exam 1 QUESTIONS AND
VERIFIED ANSWERS 2025(GRADED A+) DETAILED ANSWERS!!
4. Incorrect: 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 and cardiac
arrhythmias. So 100 mg can safely be delivered over a period of at least 2
minutes. Ten minutes is much longer than required to be able to safely
administer the medication.
A client, hospitalized with possible acute pancreatitis secondary to chronic
cholecystitis, has severe abdominal pain and nausea. The client is kept
NPO, an NG tube is inserted, and IV fluids are being administered. What is
the rationale for the client being NPO with an NG tube to low suction?
1. Relieve nausea
2. Reduce pancreatic secretions
3. Control fluid and electrolyte imbalance
4. Remove the precipitating irritants - (ANSWERS)2. Correct: In clients
with pancreatitis, the pancreatic enzymes cannot exit the pancreas. These
enzymes, when activated, begin to digest the pancreas itself. The enzymes
become activated in the pancreas when fluid or food accumulates in the
stomach. The goal in treating this client is to stop the activation of the
pancreatic enzymes. Treatment is focused on keeping the stomach empty
and dry. This allows the pancreas time to rest and heal. Note: Autodigestion
(pancreas digesting itself) is painful for the client and can lead to other
problems such as bleeding.
1. Incorrect: The primary purpose of the NG tube to suction is to keep the
, HURST REVIEW NCLEX-RN Readiness Exam 1 QUESTIONS AND
VERIFIED ANSWERS 2025(GRADED A+) DETAILED ANSWERS!!
stomach empty and dry to decrease pancreatic enzyme production, not to
relieve nausea.
3. Incorrect: Because gastric contents are removed, the NG tube to suction
may lead to fluid and electrolyte disturbances rather than helping to control
them.
4. Incorrect: Although the food in the stomach causes the pancreatic
enzymes to become activated in the pancreas due to the obstruction, the
food is not considered an irritant. Precipitating irritants are not a part of the
pathophysiology occurring with pancreatitis.
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. - (ANSWERS)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
, HURST REVIEW NCLEX-RN Readiness Exam 1 QUESTIONS AND
VERIFIED ANSWERS 2025(GRADED A+) DETAILED ANSWERS!!
everyone for an actual event.
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. - (ANSWERS)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 spread of an airborne infection to the
immunocompromised client.
