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HURST REVIEW NCLEX-RN
READINESS EXAM 1 2026 QUESTIONS
AND ANSWERS | A+ GRADED | WITH
EXPERT SOLUTIONS
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 - correct 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 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.
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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.
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 - correct answer-2. Correct:
In clients with pancreatitis, the pancreatic enzymes cannot exit
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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 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.
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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. - correct 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.
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. - correct 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
HURST REVIEW NCLEX-RN
READINESS EXAM 1 2026 QUESTIONS
AND ANSWERS | A+ GRADED | WITH
EXPERT SOLUTIONS
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 - correct 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 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.
, Page | 2
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.
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 - correct answer-2. Correct:
In clients with pancreatitis, the pancreatic enzymes cannot exit
, Page | 3
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 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.
, Page | 4
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. - correct 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.
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. - correct 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
