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HURST NCLEX-RN REVIEW LATEST 2025/ 2026
ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||LATEST EXAM!!!||
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 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.
,2|Page
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 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
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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 - 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.
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.
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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. - Answer-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.
HURST NCLEX-RN REVIEW LATEST 2025/ 2026
ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||LATEST EXAM!!!||
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 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.
,2|Page
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 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
,3|Page
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 - 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.
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|Page
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. - Answer-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.
