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NCLEX TEST BANK FOR NCLEX-RN 2024-2025 300 QUESTIONS
AND ANSWERS WITH RATIONALES
1. A 43-year-old African American male is admitted with sickle cell
anemia. The nurse plans to assess circulation in the lower extremities every two hours. Which of the
following outcome criteria?
would the nurse use?
❍ A. Body temperature of 99°F or less
❍ B. Toes moved in active range of motion
❍ C. Sensation reported when soles of feet are touched
❍ D. Capillary refill of < 3 seconds
2. A 30-year-old male from Haiti is brought to the emergency department in sickle cell
crisis. What is the best position for this client? ❍ A. Side-lying with knees flexed
❍ B. Knee-chest
❍ C. High Fowler’s with knees flexed
❍ D. Semi-Fowler’s with legs extended on the bed
3. A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions
would be of highest priority for this client?
❍ A. Taking hourly blood pressures with mechanical cuff
❍ B. Encouraging fluid intake of at least 200mL per hour
❍ C. Position in high Fowler’s with knee gatch raised
❍ D. Administering Tylenol as ordered
4. Which of the following foods would the nurse encourage the client in sickle cell crisis
to eat?
❍ A. Steak
❍ B. Cottage cheese
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❍ C. Popsicle ❍
D. Lima beans
Quick Answer: 223
Detailed Answer: 225
Quick Answer: 223
Detailed Answer: 225
Quick Answer: 223
Detailed Answer: 225
Quick Answer: 223
Detailed Answer: 225
Quick Check ✓170 Chapter 3
5. A newly admitted client has sickle cell crisis. He is complaining of
pain in his feet and hands. The nurse’s assessment findings include
a pulse oximetry of 92. Assuming that all the following
interventions are ordered, which should be done first?
❍ A. Adjust the room temperature
❍ B. Give a bolus of IV fluids
❍ C. Start O
2
❍ D. Administer meperidine (Demerol) 75mg IV push
6. The nurse is instructing a client with iron-deficiency anemia. Which
of the following meal plans would the nurse expect the client to
select?
❍ A. Roast beef, gelatin salad, green beans, and peach pie ❍
B. Chicken salad sandwich, coleslaw, French fries, ice cream
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C. Egg salad on wheat bread, carrot sticks, lettuce salad, raisin
pie
❍ D. Pork chop, creamed potatoes, corn, and coconut cake
7. Clients with sickle cell anemia are taught to avoid activities that
cause hypoxia and hypoxemia. Which of the following activities
would the nurse recommend?
❍ A. A family vacation in the Rocky Mountains
❍ B. Chaperoning the local boys club on a snow-skiing trip
❍ C. Traveling by airplane for business trips
❍ D. A bus trip to the Museum of Natural History
8. The nurse is conducting an admission assessment of a client with
vitamin B12 deficiency. Which finding reinforces the diagnosis of
B12 deficiency?
❍ A. Enlarged spleen
❍ B. Elevated blood pressure
❍ C. Bradycardia
❍ D. Beefy tongue
9. The body part that would most likely display jaundice in the
darkskinned individual is the:
❍ A. Conjunctiva of the eye
❍ B. Soles of the feet
❍ C. Roof of the mouth
❍ D. Shins
Quick Check ✓
Quick Answer: 223
Detailed Answer: 225
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Quick Answer: 223
Detailed Answer: 225
Quick Answer: 223
Detailed Answer: 225
Quick Answer: 223
Detailed Answer: 225
Quick Answer: 223
Detailed Answer: 225Practice Exam 3 and Rationales 171
10. The nurse is conducting a physical assessment on a client with
anemia. Which of the following clinical manifestations would be
most indicative of the anemia?
❍ A. BP 146/88
❍ B. Respirations 28 shallow
❍ C. Weight gain of 10 pounds in six months
❍ D. Pink complexion
11. The nurse is teaching the client with polycythemia vera about
prevention of complications of the disease. Which of the following
statements by the client indicates a need for further teaching?
❍ A. “I will drink 500mL of fluid or less each day.”
❍ B. “I will wear support hose.”
❍ C. “I will check my blood pressure regularly.”
❍ D. “I will report ankle edema.”
12. A 33-year-old male is being evaluated for possible acute leukemia.
Which of the following findings is most likely related to the diagnosis of leukemia?
❍ A. The client collects stamps as a hobby.
❍ B. The client recently lost his job as a postal worker.
3/4/2026, 7:46:53 PM 3/4/2026, 7:46:50 PM 3/4/2026
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NCLEX TEST BANK FOR NCLEX-RN 2024-2025 300 QUESTIONS
AND ANSWERS WITH RATIONALES
1. A 43-year-old African American male is admitted with sickle cell
anemia. The nurse plans to assess circulation in the lower extremities every two hours. Which of the
following outcome criteria?
would the nurse use?
❍ A. Body temperature of 99°F or less
❍ B. Toes moved in active range of motion
❍ C. Sensation reported when soles of feet are touched
❍ D. Capillary refill of < 3 seconds
2. A 30-year-old male from Haiti is brought to the emergency department in sickle cell
crisis. What is the best position for this client? ❍ A. Side-lying with knees flexed
❍ B. Knee-chest
❍ C. High Fowler’s with knees flexed
❍ D. Semi-Fowler’s with legs extended on the bed
3. A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions
would be of highest priority for this client?
❍ A. Taking hourly blood pressures with mechanical cuff
❍ B. Encouraging fluid intake of at least 200mL per hour
❍ C. Position in high Fowler’s with knee gatch raised
❍ D. Administering Tylenol as ordered
4. Which of the following foods would the nurse encourage the client in sickle cell crisis
to eat?
❍ A. Steak
❍ B. Cottage cheese
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❍ C. Popsicle ❍
D. Lima beans
Quick Answer: 223
Detailed Answer: 225
Quick Answer: 223
Detailed Answer: 225
Quick Answer: 223
Detailed Answer: 225
Quick Answer: 223
Detailed Answer: 225
Quick Check ✓170 Chapter 3
5. A newly admitted client has sickle cell crisis. He is complaining of
pain in his feet and hands. The nurse’s assessment findings include
a pulse oximetry of 92. Assuming that all the following
interventions are ordered, which should be done first?
❍ A. Adjust the room temperature
❍ B. Give a bolus of IV fluids
❍ C. Start O
2
❍ D. Administer meperidine (Demerol) 75mg IV push
6. The nurse is instructing a client with iron-deficiency anemia. Which
of the following meal plans would the nurse expect the client to
select?
❍ A. Roast beef, gelatin salad, green beans, and peach pie ❍
B. Chicken salad sandwich, coleslaw, French fries, ice cream
3/4/2026, 7:46:53 PM 3/4/2026, 7:46:50 PM 3/4/2026
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C. Egg salad on wheat bread, carrot sticks, lettuce salad, raisin
pie
❍ D. Pork chop, creamed potatoes, corn, and coconut cake
7. Clients with sickle cell anemia are taught to avoid activities that
cause hypoxia and hypoxemia. Which of the following activities
would the nurse recommend?
❍ A. A family vacation in the Rocky Mountains
❍ B. Chaperoning the local boys club on a snow-skiing trip
❍ C. Traveling by airplane for business trips
❍ D. A bus trip to the Museum of Natural History
8. The nurse is conducting an admission assessment of a client with
vitamin B12 deficiency. Which finding reinforces the diagnosis of
B12 deficiency?
❍ A. Enlarged spleen
❍ B. Elevated blood pressure
❍ C. Bradycardia
❍ D. Beefy tongue
9. The body part that would most likely display jaundice in the
darkskinned individual is the:
❍ A. Conjunctiva of the eye
❍ B. Soles of the feet
❍ C. Roof of the mouth
❍ D. Shins
Quick Check ✓
Quick Answer: 223
Detailed Answer: 225
3/4/2026, 7:46:53 PM 3/4/2026, 7:46:50 PM 3/4/2026
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Quick Answer: 223
Detailed Answer: 225
Quick Answer: 223
Detailed Answer: 225
Quick Answer: 223
Detailed Answer: 225
Quick Answer: 223
Detailed Answer: 225Practice Exam 3 and Rationales 171
10. The nurse is conducting a physical assessment on a client with
anemia. Which of the following clinical manifestations would be
most indicative of the anemia?
❍ A. BP 146/88
❍ B. Respirations 28 shallow
❍ C. Weight gain of 10 pounds in six months
❍ D. Pink complexion
11. The nurse is teaching the client with polycythemia vera about
prevention of complications of the disease. Which of the following
statements by the client indicates a need for further teaching?
❍ A. “I will drink 500mL of fluid or less each day.”
❍ B. “I will wear support hose.”
❍ C. “I will check my blood pressure regularly.”
❍ D. “I will report ankle edema.”
12. A 33-year-old male is being evaluated for possible acute leukemia.
Which of the following findings is most likely related to the diagnosis of leukemia?
❍ A. The client collects stamps as a hobby.
❍ B. The client recently lost his job as a postal worker.
3/4/2026, 7:46:53 PM 3/4/2026, 7:46:50 PM 3/4/2026
