8/10/25, 9:59
AM
***HURST REVIEW NCLEX-RN Readiness Exam 1***
ACTUAL QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED LATEST RELEASED VERSION 2025/2026
Terms in this set (125)
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.
The primary healthcare 1. Incorrect: The rate of IV administration
provider has should not exceed 50 mg/min. for adults and 1-
prescribed phenytoin 3 mg/kg/min (or 50 mg/min, whichever is
100 mg intravenous slower) in pediatric clients because of the risk
push (IVP) stat for an of severe hypotension and cardiac
adult client. What is the arrhythmias. So 100 mg can safely be
least amount of time delivered over a period of at least 2 minutes.
that the nurse can Giving this dose over only one minute could
safely administer this lead to these or other potential harmful
medication? effects.
1. 1 minute
1/
112
,8/10/25, 9:59
AM
2. 2 minutes 3. Incorrect: The rate of IV administration
3. 5 minutes should not exceed 50 mg/min. for adults and 1-
3 mg/kg/min (or 50 mg/min, whichever is
4. 10 minutes
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.
2. Correct: In clients with pancreatitis, the pancreatic
enzymes cannot exit the
pancreas. These enzymes, when activated,
begin to digest the pancreas itself. The
A client, hospitalized with enzymes become activated in the pancreas
possible acute when fluid or food accumulates in the
pancreatitis secondary stomach. The goal in treating this client is to
to chronic stop the activation of the pancreatic enzymes.
cholecystitis, has severe
2/
112
,8/10/25, 9:59
AM
abdominal pain Treatment is focused on keeping the stomach
and nausea. The client is empty and dry. This allows the pancreas time to
kept NPO, an NG tube is rest and heal. Note: Autodigestion (pancreas
inserted, and IV fluids digesting itself) is painful for the client and
are being administered. can lead to other problems such as
What is the rationale for bleeding.
the client being NPO
with an NG tube to low 1. Incorrect: The primary purpose of the NG
suction? tube to suction is to keep the stomach empty
1. Relieve nausea and dry to decrease pancreatic enzyme
2. Reduce pancreatic production, not to relieve nausea.
secretions
3. Control fluid and 3. Incorrect: Because gastric contents are
electrolyte imbalance removed, the NG tube to suction may lead to
4. Remove the fluid and electrolyte disturbances rather than
precipitating irritants 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.
3/
112
, 8/10/25, 9:59
AM
The nurse is working 1., 2., 3. & 5. Correct: Everyone should be
with a committee at the aware of safe zones within the school.
local school to Personnel should be given this information and
develop an signs posted in safe zones. There must be
emergency systems in place to accurately determine
preparedness plan for the number of people in the
tornados. What building at any given time. There also must be a system
should be included in the in place to alert personnel
plan? and students of tornado warnings. Regular
1. Identification of safe practice prepares everyone for an actual event.
zones.
2. Methods for 4. Incorrect: Gymnasiums are not considered
accounting for all safe places due to wide expanse of roof. Safe
people present in zones should be on interior walls, no windows,
the building. and a strong concrete floor if possible.
3. Warning system
activation.
4. Identification of the
gymnasium as the
routine safe place.
5. Regular practice
protocols.
1., 2., 4., & 5. Correct: Protective isolation is
needed for this client because of the presence
What should a nurse of a low white blood cell count. We are
teach family members protecting the client from
prior to them entering acquiring an infection. So any visitors will need to have
the room of a client meticulous hand washing
who has prior to entering. The visitor should not enter if
4/
112
AM
***HURST REVIEW NCLEX-RN Readiness Exam 1***
ACTUAL QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED LATEST RELEASED VERSION 2025/2026
Terms in this set (125)
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.
The primary healthcare 1. Incorrect: The rate of IV administration
provider has should not exceed 50 mg/min. for adults and 1-
prescribed phenytoin 3 mg/kg/min (or 50 mg/min, whichever is
100 mg intravenous slower) in pediatric clients because of the risk
push (IVP) stat for an of severe hypotension and cardiac
adult client. What is the arrhythmias. So 100 mg can safely be
least amount of time delivered over a period of at least 2 minutes.
that the nurse can Giving this dose over only one minute could
safely administer this lead to these or other potential harmful
medication? effects.
1. 1 minute
1/
112
,8/10/25, 9:59
AM
2. 2 minutes 3. Incorrect: The rate of IV administration
3. 5 minutes should not exceed 50 mg/min. for adults and 1-
3 mg/kg/min (or 50 mg/min, whichever is
4. 10 minutes
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.
2. Correct: In clients with pancreatitis, the pancreatic
enzymes cannot exit the
pancreas. These enzymes, when activated,
begin to digest the pancreas itself. The
A client, hospitalized with enzymes become activated in the pancreas
possible acute when fluid or food accumulates in the
pancreatitis secondary stomach. The goal in treating this client is to
to chronic stop the activation of the pancreatic enzymes.
cholecystitis, has severe
2/
112
,8/10/25, 9:59
AM
abdominal pain Treatment is focused on keeping the stomach
and nausea. The client is empty and dry. This allows the pancreas time to
kept NPO, an NG tube is rest and heal. Note: Autodigestion (pancreas
inserted, and IV fluids digesting itself) is painful for the client and
are being administered. can lead to other problems such as
What is the rationale for bleeding.
the client being NPO
with an NG tube to low 1. Incorrect: The primary purpose of the NG
suction? tube to suction is to keep the stomach empty
1. Relieve nausea and dry to decrease pancreatic enzyme
2. Reduce pancreatic production, not to relieve nausea.
secretions
3. Control fluid and 3. Incorrect: Because gastric contents are
electrolyte imbalance removed, the NG tube to suction may lead to
4. Remove the fluid and electrolyte disturbances rather than
precipitating irritants 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.
3/
112
, 8/10/25, 9:59
AM
The nurse is working 1., 2., 3. & 5. Correct: Everyone should be
with a committee at the aware of safe zones within the school.
local school to Personnel should be given this information and
develop an signs posted in safe zones. There must be
emergency systems in place to accurately determine
preparedness plan for the number of people in the
tornados. What building at any given time. There also must be a system
should be included in the in place to alert personnel
plan? and students of tornado warnings. Regular
1. Identification of safe practice prepares everyone for an actual event.
zones.
2. Methods for 4. Incorrect: Gymnasiums are not considered
accounting for all safe places due to wide expanse of roof. Safe
people present in zones should be on interior walls, no windows,
the building. and a strong concrete floor if possible.
3. Warning system
activation.
4. Identification of the
gymnasium as the
routine safe place.
5. Regular practice
protocols.
1., 2., 4., & 5. Correct: Protective isolation is
needed for this client because of the presence
What should a nurse of a low white blood cell count. We are
teach family members protecting the client from
prior to them entering acquiring an infection. So any visitors will need to have
the room of a client meticulous hand washing
who has prior to entering. The visitor should not enter if
4/
112
