HURST REVIEW NCLEX RN Exam 2025 UPDATE/PRACTICE
QUESTIONS AND CORRECT VERIFIED ANSWERS LATEST
TESTBANK(complete solutions) ASSURED SUCCESS/GRADED
A+!!!
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 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.
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.
,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.
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.
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 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.
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
QUESTIONS AND CORRECT VERIFIED ANSWERS LATEST
TESTBANK(complete solutions) ASSURED SUCCESS/GRADED
A+!!!
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 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.
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.
,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.
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.
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 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.
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
