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HURST REVIEW NCLEX-RN READINESS
EXAM 1 2025–2026 | VERIFIED
QUESTIONS, CORRECT ANSWERS &
DETAILED RATIONALES FOR GUARANTEED
PASS & SUCCESS
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
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
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safely be delivered over a period of at least
2 minutes.
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
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
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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.
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.
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
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tornado warnings. Regular practice
prepares everyone for an actual event.
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.
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
HURST REVIEW NCLEX-RN READINESS
EXAM 1 2025–2026 | VERIFIED
QUESTIONS, CORRECT ANSWERS &
DETAILED RATIONALES FOR GUARANTEED
PASS & SUCCESS
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
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
,2|Page
safely be delivered over a period of at least
2 minutes.
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
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
,3|Page
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.
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.
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
, 4|Page
tornado warnings. Regular practice
prepares everyone for an actual event.
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.
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
