HURST REVIEW NCLEX-RN Readiness
Exam 1*** QUESTION & ANSWERS
2025
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 - CORRECT ANSWERS ✔✔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.
,HURST REVIEW NCLEX-RN Readiness
Exam 1*** QUESTION & ANSWERS
2025
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
,HURST REVIEW NCLEX-RN Readiness
Exam 1*** QUESTION & ANSWERS
2025
2. Reduce pancreatic secretions
3. Control fluid and electrolyte imbalance
4. Remove the precipitating irritants - CORRECT
ANSWERS ✔✔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.
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.
, HURST REVIEW NCLEX-RN Readiness
Exam 1*** QUESTION & ANSWERS
2025
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 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. - CORRECT ANSWERS
✔✔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 tornado warnings. Regular practice prepares
everyone for an actual event.
Exam 1*** QUESTION & ANSWERS
2025
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 - CORRECT ANSWERS ✔✔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.
,HURST REVIEW NCLEX-RN Readiness
Exam 1*** QUESTION & ANSWERS
2025
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
,HURST REVIEW NCLEX-RN Readiness
Exam 1*** QUESTION & ANSWERS
2025
2. Reduce pancreatic secretions
3. Control fluid and electrolyte imbalance
4. Remove the precipitating irritants - CORRECT
ANSWERS ✔✔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.
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.
, HURST REVIEW NCLEX-RN Readiness
Exam 1*** QUESTION & ANSWERS
2025
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 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. - CORRECT ANSWERS
✔✔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 tornado warnings. Regular practice prepares
everyone for an actual event.
