age 1 of 270
HURST REVIEW NCLEX RN FINAL EXAM PREP
2025/2026 ACCURATE QUESTIONS WITH CORRECT
DETAILED ANSWERS || 100% GUARANTEED PASS
<LATEST VERSION>
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
,age 2 of 270
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
,age 3 of 270
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?
, age 4 of 270
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 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.
HURST REVIEW NCLEX RN FINAL EXAM PREP
2025/2026 ACCURATE QUESTIONS WITH CORRECT
DETAILED ANSWERS || 100% GUARANTEED PASS
<LATEST VERSION>
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
,age 2 of 270
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
,age 3 of 270
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?
, age 4 of 270
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 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.
