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NCLEX-RN Readiness Exam 1 (Latest 2025 / 2026 Update) Questions and Verified Answers | 100% Correct | Grade A+

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NCLEX-RN Readiness Exam 1 (Latest 2025 / 2026 Update) Questions and Verified Answers | 100% Correct | Grade A+

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NCLEX-RN Readiness Exam 1 (Latest 2025 /
2026 Update) Questions and Verified Answers |
100% Correct | Grade A+

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Terms in this set (125)

,The primary healthcare provider 2. Correct: The rate of IV administration should
has prescribed phenytoin 100 mg not exceed 50 mg/min. for adults and 1-3
intravenous push (IVP) stat for an mg/kg/min (or 50 mg/min, whichever is slower) in
adult client. What is the least pediatric clients because of the risk of severe
amount of time that the nurse can hypotension and cardiac arrhythmias. So 100 mg
safely administer this medication? can safely be delivered over a period of at least 2
1. 1 minute minutes.
2. 2 minutes
3. 5 minutes 1. Incorrect: The rate of IV administration should
4. 10 minutes 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 2. Correct: In clients with pancreatitis, the
acute pancreatitis secondary to pancreatic enzymes cannot exit the pancreas.
chronic cholecystitis, has severe These enzymes, when activated, begin to digest
abdominal pain and nausea. The the pancreas itself. The enzymes become
client is kept NPO, an NG tube is activated in the pancreas when fluid or food
inserted, and IV fluids are being accumulates in the stomach. The goal in treating
administered. What is the rationale this client is to stop the activation of the
for the client being NPO with an pancreatic enzymes. Treatment is focused on
NG tube to low suction? keeping the stomach empty and dry. This allows
1. Relieve nausea the pancreas time to rest and heal. Note:
2. Reduce pancreatic secretions Autodigestion (pancreas digesting itself) is
3. Control fluid and electrolyte painful for the client and can lead to other
imbalance problems such as bleeding.
4. Remove the precipitating irritants
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 food is not considered an irritant.
Precipitating irritants are not a part of the
pathophysiology occurring with pancreatitis.

, The nurse is working with a 1., 2., 3. & 5. Correct: Everyone should be aware of
committee at the local school to safe zones within the school. Personnel should
develop an emergency be given this information and signs posted in safe
preparedness plan for tornados. zones. There must be systems in place to
What should be included in the accurately determine the number of people in
plan? the building at any given time. There also must be
1. Identification of safe zones. a system in place to alert personnel and students
2. Methods for accounting for all of tornado warnings. Regular practice prepares
people present in the building. everyone for an actual event.
3. Warning system activation.
4. Identification of the gymnasium 4. Incorrect: Gymnasiums are not considered safe
as the routine safe place. places due to wide expanse of roof. Safe zones
5. Regular practice protocols. should be on interior walls, no windows, and a
strong concrete floor if possible.

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