HURST REVIEW NCLEX-RN READINESS EXAM 1
ELABORATIONS QUESTIONS AND VERIFIED
ANSWERS 2025 UPDATE | 100% SOLVED!!
Save
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.
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
The primary healthcare because of the risk of severe hypotension and cardiac
provider has prescribed arrhythmias. So 100 mg can safely be delivered over a
phenytoin 100 mg period of at least 2 minutes. Giving this dose over only
intravenous push (IVP) stat one minute could lead to these or other potential
for an adult client. What is harmful effects.
the least amount of time
that the nurse can safely 3. Incorrect: The rate of IV administration should not
administer this exceed 50 mg/min. for adults and 1-3 mg/kg/min (or
medication? 50 mg/min, whichever is slower) in pediatric clients
1. 1 minute because of the risk of severe hypotension and cardiac
2. 2 minutes arrhythmias. So 100 mg can safely be delivered over a
3. 5 minutes period of at least 2 minutes. Five minutes would be
4. 10 minutes 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 enzymes become activated in the pancreas when
fluid or food accumulates in the stomach. The goal in
A client, hospitalized with
treating this client is to stop the activation of the
possible acute pancreatitis
pancreatic enzymes. Treatment is focused on keeping
secondary to chronic
the stomach empty and dry. This allows the pancreas
cholecystitis, has severe
time to rest and heal. Note: Autodigestion (pancreas
abdominal pain and
digesting itself) is painful for the client and can lead
nausea. The client is kept
to other problems such as bleeding.
NPO, an NG tube is
inserted, and IV fluids are
1. Incorrect: The primary purpose of the NG tube to
being administered. What
suction is to keep the stomach empty and dry to
is the rationale for the
decrease pancreatic enzyme production, not to
client being NPO with an
relieve nausea.
NG tube to low suction?
1. Relieve nausea
3. Incorrect: Because gastric contents are removed,
2. Reduce pancreatic
the NG tube to suction may lead to fluid and
secretions
electrolyte disturbances rather than helping to
3. Control fluid and
control them.
electrolyte imbalance
4. Remove the
4. Incorrect: Although the food in the stomach causes
precipitating irritants
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 1., 2., 3. & 5. Correct: Everyone should be aware of safe
a committee at the local zones within the school. Personnel should be given
school to develop an this information and signs posted in safe zones. There
emergency preparedness must be systems in place to accurately determine the
plan for tornados. What number of people in the building at any given time.
should be included in the There also must be a system in place to alert
plan? personnel and students of tornado warnings. Regular
1. Identification of safe practice prepares everyone for an actual event.
zones.
2. Methods for accounting 4. Incorrect: Gymnasiums are not considered safe
for all people present in places due to wide expanse of roof. Safe zones
the building. should be on interior walls, no windows, and a strong
3. Warning system concrete floor if possible.
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
What should a nurse teach
this client because of the presence of a low white
family members prior to
blood cell count. We are protecting the client from
them entering the room of
acquiring an infection. So any visitors will need to
a client who has
have meticulous hand washing prior to entering. The
agranulocytosis?
visitor should not enter if he or she has any type of
1. Meticulous hand
infection. To decrease the risk of infection, small
washing is needed.
children should not visit. Even the mildest symptom of
2. Do not visit if you have
infection could be detrimental to the client. Flowers
any infection.
have bacteria and should not be brought into the
3. The client must wear a
room.
mask.
4. Children under 12 may
3. Incorrect: A mask must be worn by the visitor, not
not visit.
the client. The mask is worn by visitors to prevent a
5. Flowers are not allowed
possible spread of an airborne infection to the
in the room.
immunocompromised client.
ELABORATIONS QUESTIONS AND VERIFIED
ANSWERS 2025 UPDATE | 100% SOLVED!!
Save
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.
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
The primary healthcare because of the risk of severe hypotension and cardiac
provider has prescribed arrhythmias. So 100 mg can safely be delivered over a
phenytoin 100 mg period of at least 2 minutes. Giving this dose over only
intravenous push (IVP) stat one minute could lead to these or other potential
for an adult client. What is harmful effects.
the least amount of time
that the nurse can safely 3. Incorrect: The rate of IV administration should not
administer this exceed 50 mg/min. for adults and 1-3 mg/kg/min (or
medication? 50 mg/min, whichever is slower) in pediatric clients
1. 1 minute because of the risk of severe hypotension and cardiac
2. 2 minutes arrhythmias. So 100 mg can safely be delivered over a
3. 5 minutes period of at least 2 minutes. Five minutes would be
4. 10 minutes 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 enzymes become activated in the pancreas when
fluid or food accumulates in the stomach. The goal in
A client, hospitalized with
treating this client is to stop the activation of the
possible acute pancreatitis
pancreatic enzymes. Treatment is focused on keeping
secondary to chronic
the stomach empty and dry. This allows the pancreas
cholecystitis, has severe
time to rest and heal. Note: Autodigestion (pancreas
abdominal pain and
digesting itself) is painful for the client and can lead
nausea. The client is kept
to other problems such as bleeding.
NPO, an NG tube is
inserted, and IV fluids are
1. Incorrect: The primary purpose of the NG tube to
being administered. What
suction is to keep the stomach empty and dry to
is the rationale for the
decrease pancreatic enzyme production, not to
client being NPO with an
relieve nausea.
NG tube to low suction?
1. Relieve nausea
3. Incorrect: Because gastric contents are removed,
2. Reduce pancreatic
the NG tube to suction may lead to fluid and
secretions
electrolyte disturbances rather than helping to
3. Control fluid and
control them.
electrolyte imbalance
4. Remove the
4. Incorrect: Although the food in the stomach causes
precipitating irritants
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 1., 2., 3. & 5. Correct: Everyone should be aware of safe
a committee at the local zones within the school. Personnel should be given
school to develop an this information and signs posted in safe zones. There
emergency preparedness must be systems in place to accurately determine the
plan for tornados. What number of people in the building at any given time.
should be included in the There also must be a system in place to alert
plan? personnel and students of tornado warnings. Regular
1. Identification of safe practice prepares everyone for an actual event.
zones.
2. Methods for accounting 4. Incorrect: Gymnasiums are not considered safe
for all people present in places due to wide expanse of roof. Safe zones
the building. should be on interior walls, no windows, and a strong
3. Warning system concrete floor if possible.
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
What should a nurse teach
this client because of the presence of a low white
family members prior to
blood cell count. We are protecting the client from
them entering the room of
acquiring an infection. So any visitors will need to
a client who has
have meticulous hand washing prior to entering. The
agranulocytosis?
visitor should not enter if he or she has any type of
1. Meticulous hand
infection. To decrease the risk of infection, small
washing is needed.
children should not visit. Even the mildest symptom of
2. Do not visit if you have
infection could be detrimental to the client. Flowers
any infection.
have bacteria and should not be brought into the
3. The client must wear a
room.
mask.
4. Children under 12 may
3. Incorrect: A mask must be worn by the visitor, not
not visit.
the client. The mask is worn by visitors to prevent a
5. Flowers are not allowed
possible spread of an airborne infection to the
in the room.
immunocompromised client.
