6/13/26, 1:55 NCLEX-RN flashcard sets |
PM Quizlet
Pearson NCLEX-RN Questions & Rationales 2026-2027
| 250 Verified Q&A | Maternity, Med-Surg, Pediatrics,
Infection Control & More | Nursing Licensure Study
Guide.
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?
Side-lying with knees flexed
Knee-chest
High Fowler's with knees flexed
Semi-Fowler's with legs extended on the bed
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?
Taking hourly blood pressures with mechanical cuff
Encouraging fluid intake of at least 200mL per hour
Position in high Fowler's with knee gatch raised
Administering Tylenol as ordered
Encouraging fluid intake of at least 200mL per hour.
It is important to keep the client in sickle cell crisis hydrated to prevent
further sickling of the blood.
4. Which of the following foods would the nurse encourage the client in sickle
cell crisis to eat?
Peaches
Cottage cheese
Popsicle
Lima beans
Popsicle.
Hydration is important in the client with sickle cell disease to prevent thrombus
formation. Popsicles, gelatin, juice, and pudding have high fluid content.
5. A newly admitted client has sickle cell crisis. The nurse is planning care based
https://quizlet.com/search?query=NCLEX 1/95
%252DRN&type=sets&page=3
,6/13/26, 1:55 NCLEX-RN flashcard sets |
PM Quizlet
on assessment of the client. The client is complaining of severe pain in his feet
and hands. The pulse oximetry is 92. Which of the following interventions would be
implemented first? Assume that there are orders for each intervention.
Adjust the room temperature
https://quizlet.com/search?query=NCLEX 2/95
%252DRN&type=sets&page=3
,6/13/26, 1:55 NCLEX-RN flashcard sets |
PM Quizlet
Give a bolus of IV fluids
Start O2
Administer meperidine (Demerol) 75mg IV push
Start O2.
The most prominent clinical manifestation of sickle cell crisis is pain.
However, the pulse oximetry indicates that oxygen levels are low; thus,
oxygenation takes precedence over pain relief.
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?
Roast beef, gelatin salad, green beans, and peach pie
Chicken salad sandwich, coleslaw, French fries, ice cream
Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie
Pork chop, creamed potatoes, corn, and coconut cake
Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie
Egg yolks, wheat bread, carrots, raisins, and green, leafy vegetables are all
high in iron, which is an important mineral for this client. Roast beef, cabbage,
and pork chops are also high in iron, but the side dishes accompanying these
choices are not
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 family vacation in the Rocky Mountains
Chaperoning the local boys club on a snow-skiing trip
Traveling by airplane for business trips
A bus trip to the Museum of Natural History
A bus trip to the Museum of Natural History
A family vacation in the Rocky Mountains at high altitudes, cold temperatures,
and airplane travel can cause sickling episodes and should be avoided
8. The nurse is conducting an admission assessment of a client
with vitamin B12 deficiency. Which of the following would the nurse
include in the physical assessment?
Palpate the spleen
Take the blood pressure
Examine the feet for petechiae
Examine the tongue
Examine the tongue
https://quizlet.com/search?query=NCLEX 3/95
%252DRN&type=sets&page=3
, 6/13/26, 1:55 NCLEX-RN flashcard sets |
PM Quizlet
The tongue is smooth and beefy red in the client with vitamin
B12 deficiency, so examining the tongue should be included in
the physical assessment.
9. An African American female comes to the outpatient clinic. The physician
suspects vitamin B12 deficiency anemia. Because jaundice is often a clinical
manifestation of this type of anemia, what body part would be the best
indicator? Conjunctiva of the eye
Soles of the feet
Roof of the mouth
Shins
Roof of the mouth
The oral mucosa and hard palate (roof of the mouth) are the best indicators of
jaundice in dark-skinned persons. The conjunctiva can have normal deposits
of fat, which give a yellowish hue; thus, answer A is incorrect. The soles of the
feet can be yellow if they are calloused, making answer B incorrect; the shins
would be an area of darker pigment
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?
BP 146/88
Respirations 28 shallow
Weight gain of 10 pounds in 6 months
Pink complexion
Respirations 28 shallow
When there are fewer red blood cells, there is less hemoglobin and less
oxygen. Therefore, the client is often short of breath
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?
"I will drink 500mL of fluid or less each
day." "I will wear support hose when I am
up."
"I will use an electric razor for shaving."
"I will eat foods low in iron."
"I will drink 500mL of fluid or less each day."
https://quizlet.com/search?query=NCLEX 4/95
%252DRN&type=sets&page=3
PM Quizlet
Pearson NCLEX-RN Questions & Rationales 2026-2027
| 250 Verified Q&A | Maternity, Med-Surg, Pediatrics,
Infection Control & More | Nursing Licensure Study
Guide.
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?
Side-lying with knees flexed
Knee-chest
High Fowler's with knees flexed
Semi-Fowler's with legs extended on the bed
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?
Taking hourly blood pressures with mechanical cuff
Encouraging fluid intake of at least 200mL per hour
Position in high Fowler's with knee gatch raised
Administering Tylenol as ordered
Encouraging fluid intake of at least 200mL per hour.
It is important to keep the client in sickle cell crisis hydrated to prevent
further sickling of the blood.
4. Which of the following foods would the nurse encourage the client in sickle
cell crisis to eat?
Peaches
Cottage cheese
Popsicle
Lima beans
Popsicle.
Hydration is important in the client with sickle cell disease to prevent thrombus
formation. Popsicles, gelatin, juice, and pudding have high fluid content.
5. A newly admitted client has sickle cell crisis. The nurse is planning care based
https://quizlet.com/search?query=NCLEX 1/95
%252DRN&type=sets&page=3
,6/13/26, 1:55 NCLEX-RN flashcard sets |
PM Quizlet
on assessment of the client. The client is complaining of severe pain in his feet
and hands. The pulse oximetry is 92. Which of the following interventions would be
implemented first? Assume that there are orders for each intervention.
Adjust the room temperature
https://quizlet.com/search?query=NCLEX 2/95
%252DRN&type=sets&page=3
,6/13/26, 1:55 NCLEX-RN flashcard sets |
PM Quizlet
Give a bolus of IV fluids
Start O2
Administer meperidine (Demerol) 75mg IV push
Start O2.
The most prominent clinical manifestation of sickle cell crisis is pain.
However, the pulse oximetry indicates that oxygen levels are low; thus,
oxygenation takes precedence over pain relief.
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?
Roast beef, gelatin salad, green beans, and peach pie
Chicken salad sandwich, coleslaw, French fries, ice cream
Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie
Pork chop, creamed potatoes, corn, and coconut cake
Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie
Egg yolks, wheat bread, carrots, raisins, and green, leafy vegetables are all
high in iron, which is an important mineral for this client. Roast beef, cabbage,
and pork chops are also high in iron, but the side dishes accompanying these
choices are not
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 family vacation in the Rocky Mountains
Chaperoning the local boys club on a snow-skiing trip
Traveling by airplane for business trips
A bus trip to the Museum of Natural History
A bus trip to the Museum of Natural History
A family vacation in the Rocky Mountains at high altitudes, cold temperatures,
and airplane travel can cause sickling episodes and should be avoided
8. The nurse is conducting an admission assessment of a client
with vitamin B12 deficiency. Which of the following would the nurse
include in the physical assessment?
Palpate the spleen
Take the blood pressure
Examine the feet for petechiae
Examine the tongue
Examine the tongue
https://quizlet.com/search?query=NCLEX 3/95
%252DRN&type=sets&page=3
, 6/13/26, 1:55 NCLEX-RN flashcard sets |
PM Quizlet
The tongue is smooth and beefy red in the client with vitamin
B12 deficiency, so examining the tongue should be included in
the physical assessment.
9. An African American female comes to the outpatient clinic. The physician
suspects vitamin B12 deficiency anemia. Because jaundice is often a clinical
manifestation of this type of anemia, what body part would be the best
indicator? Conjunctiva of the eye
Soles of the feet
Roof of the mouth
Shins
Roof of the mouth
The oral mucosa and hard palate (roof of the mouth) are the best indicators of
jaundice in dark-skinned persons. The conjunctiva can have normal deposits
of fat, which give a yellowish hue; thus, answer A is incorrect. The soles of the
feet can be yellow if they are calloused, making answer B incorrect; the shins
would be an area of darker pigment
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?
BP 146/88
Respirations 28 shallow
Weight gain of 10 pounds in 6 months
Pink complexion
Respirations 28 shallow
When there are fewer red blood cells, there is less hemoglobin and less
oxygen. Therefore, the client is often short of breath
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?
"I will drink 500mL of fluid or less each
day." "I will wear support hose when I am
up."
"I will use an electric razor for shaving."
"I will eat foods low in iron."
"I will drink 500mL of fluid or less each day."
https://quizlet.com/search?query=NCLEX 4/95
%252DRN&type=sets&page=3
