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Nclex Rn Exam A+ Grade Assured Complete Solutions And Verified Answers

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NCLEX RN EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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NCLEX EXAM ms ms




Exam Solution ms




PEARSON NCLEX RN Questions & Rationales 2026 A+ G ms ms ms ms ms ms ms ms




RADE ASSURED COMPLETE SOLUTIONS AND VERIFIED
ms ms ms ms ms ms




ANSWERS (184D0) ms




QUESTION 1 ms




2. A 30-year-
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old male from Haiti is brought to the emergency department in sickle cell crisis. What
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is the best position for this client? Side-lying with knees flexed Knee-
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chest High Fowler's with knees flexed Semi-Fowler's with legs extended on the bed
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ANSWER

Semi-Fowler's with legs extended on the bed ms ms ms ms ms ms




QUESTION 2 ms




3. A 25-year-
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old male is admitted in sickle cell crisis. Which of the following interventions would b
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e of highest priority for this client? Taking hourly blood pressures with mechanical cu
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ff Encouraging fluid intake of at least 200mL per hour Position in high Fowler's with
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knee gatch raised Administering Tylenol as ordered
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ANSWER

Encouraging fluid intake of at least 200mL per hour. It is important to keep the client in sickle cell
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crisis hydrated to prevent further sickling of the blood.
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QUESTION 3 ms




4. Which of the following foods would the nurse encourage the client in sickle cell cris
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is to eat? Peaches Cottage cheese Popsicle Lima beans
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ANSWER

Popsicle. Hydration is important in the client with sickle cell disease to prevent thrombus formation.
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Popsicles, gelatin, juice, and pudding have high fluid content.
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,QUESTION 4 ms




6. The nurse is instructing a client with iron-
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deficiency anemia. Which of the following meal plans would the nurse expect the clien
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t to select? Roast beef, gelatin salad, green beans, and peach pie Chicken salad sandwi
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ch, coleslaw, French fries, ice cream Egg salad on wheat bread, carrot sticks, lettuce sa
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lad, raisin pie Pork chop, creamed potatoes, corn, and coconut cake
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ANSWER

Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie Egg yolks, wheat bread, carrots, rais
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



ins, and green, leafy vegetables are all high in iron, which is an important mineral for this client. Ro
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ast beef, cabbage, and pork chops are also high in iron, but the side dishes accompanying these choi
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ces are notms ms




QUESTION 5 ms




7. Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and
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hypoxemia. Which of the following activities would the nurse recommend? A family va
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cation in the Rocky Mountains Chaperoning the local boys club on a snow-
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skiing trip Traveling by airplane for business trips A bus trip to the Museum of Natur
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al History
ms




ANSWER

A bus trip to the Museum of Natural History A family vacation in the Rocky Mountains at high altitu
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des, cold temperatures, and airplane travel can cause sickling episodes and should be avoided
ms ms ms ms ms ms ms ms ms ms ms ms ms




QUESTION 6 ms




8. The nurse is conducting an admission assessment of a client with vitamin B12 defic
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iency. Which of the following would the nurse include in the physical assessment? Pal
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pate the spleen Take the blood pressure Examine the feet for petechiae Examine the t
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ongue
ANSWER

Examine the tongue The tongue is smooth and beefy red in the client with vitamin B12 deficiency, s
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



o examining the tongue should be included in the physical assessment.
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QUESTION 7 ms




9. An African American female comes to the outpatient clinic. The physician suspects v
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itamin B12 deficiency anemia. Because jaundice is often a clinical manifestation of thi
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s type of anemia, what body part would be the best indicator? Conjunctiva of the eye
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Soles of the feet Roof of the mouth Shins
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,ANSWER

Roof of the mouth The oral mucosa and hard palate (roof of the mouth) are the best indicators of ja
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undice in dark- ms ms



skinned persons. The conjunctiva can have normal deposits of fat, which give a yellowish hue; thus,
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answer A is incorrect. The soles of the feet can be yellow if they are calloused, making answer B inc
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orrect; the shins would be an area of darker pigment
ms ms ms ms ms ms ms ms ms




QUESTION 8 ms




10. The nurse is conducting a physical assessment on a client with anemia. Which of t
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he following clinical manifestations would be most indicative of the anemia? BP 146/8
ms ms ms ms ms ms ms ms ms ms ms ms



8 Respirations 28 shallow Weight gain of 10 pounds in 6 months Pink complexion
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ANSWER

Respirations 28 shallow When there are fewer red blood cells, there is less hemoglobin and less oxy
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



gen. Therefore, the client is often short of breath
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QUESTION 9 ms




11. The nurse is teaching the client with polycythemia vera about prevention of compl
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ications of the disease. Which of the following statements by the client indicates a nee
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d for further teaching? "I will drink 500mL of fluid or less each day." "I will wear sup
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port hose when I am up." "I will use an electric razor for shaving." "I will eat foods lo
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



w in iron."
ms ms




ANSWER

"I will drink 500mL of fluid or less each day." The client with polycythemia vera is at risk for throm
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bus formation. Hydrating the client with at least 3L of fluid per day is important in preventing clot f
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ormation



QUESTION 10 ms




12. A 33-year-
ms ms



old male is being evaluated for possible acute leukemia. Which of the following would
ms ms ms ms ms ms ms ms ms ms ms ms ms m



the nurse inquire about as a part of the assessment? The client collects stamps as a h
s ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



obby. The client recently lost his job as a postal worker. The client had radiation for t
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reatment of Hodgkin's disease as a teenager. The client's brother had leukemia as a c
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hild.
ANSWER

The client had radiation for treatment of Hodgkin's disease as a teenager. Radiation treatment for ot
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her types of cancer can result in leukemia. Some hobbies and occupations involving chemicals are li
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nked to leukemia, but not the ones in these answers; therefore, answers A and B are incorrect. Ans
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wer D is incorrect because the incidence of leukemia is higher in twins than in siblings.
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms

, QUESTION 11 ms




13. An African American client is admitted with acute leukemia. The nurse is assessin
ms ms ms ms ms ms ms ms ms ms ms ms ms



g for signs and symptoms of bleeding. Where is the best site for examining for the pre
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sence of petechiae? The abdomen The thorax The earlobes The soles of the feet
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ANSWER

The soles of the feet Petechiae are not usually visualized on dark skin. The soles of the feet and pal
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



ms of the hand provide a lighter surface for assessing the client for petichiae.
ms ms ms ms ms ms ms ms ms ms ms ms ms




QUESTION 12 ms




14. A client with acute leukemia is admitted to the oncology unit. Which of the followi
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ng would be most important for the nurse to inquire? "Have you noticed a change in s
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leeping habits recently?" "Have you had a respiratory infection in the last 6 months?"
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"Have you lost weight recently?" "Have you noticed changes in your alertness?"
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ANSWER

"Have you had a respiratory infection in the last 6 months?" The client with leukemia is at risk for i
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nfection and has often had recurrent respiratory infections during the previous 6 months. Insomnole
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nce, weight loss, and a decrease in alertness also occur in leukemia, but bleeding tendencies and inf
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ections are the primary clinical manifestations
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QUESTION 13 ms




15. Which of the following would be the priority nursing diagnosis for the adult client
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with acute leukemia? Oral mucous membrane, altered related to chemotherapy Risk f
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or injury related to thrombocytopenia Fatigue related to the disease process Interrupt
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ed family processes related to life-threatening illness of a family member
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ANSWER

Risk for injury related to thrombocytopenia The client with acute leukemia has bleeding tendencies
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due to decreased platelet counts, and any injury would exacerbate the problem. The client would re
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quire close monitoring for hemorrhage, which is of higher priority
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QUESTION 14 ms




17. A client has autoimmune thrombocytopenic purpura. To determine the client's res
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ponse to treatment, the nurse would monitor: Platelet count White blood cell count P
ms ms ms ms ms ms ms ms ms ms ms ms ms



otassium levels Partial prothrombin time (PTT)ms ms ms ms ms




ANSWER

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