HURST REVIEW NCLEX-RN
Readiness Exam 1 QUESTIONS
AND VERIFIED ANSWERS 2026
(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 - 🧠 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.
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 - 🧠 ANSWER ✔✔2. Correct: In clients
with pancreatitis, the pancreatic enzymes cannot exit the pancreas. These
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, 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
Readiness Exam 1 QUESTIONS
AND VERIFIED ANSWERS 2026
(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 - 🧠 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.
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 - 🧠 ANSWER ✔✔2. Correct: In clients
with pancreatitis, the pancreatic enzymes cannot exit the pancreas. These
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, 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
