NCLEX-RN QUESTIONS & RATIONALES -
GEORGE BROWN COLLEGE NURSING
COMPLETE STUDY GUIDE 2026 | PRACTICE
QUESTIONS, RATIONALES & CHEAT SHEET
| GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,5. A newly admitted client has sickle cell crisis. The nurse Start O2.
is planning care based on assessment of the client. The The most prominent clinical manifestation of sickle cell crisis is pain. However, the
client is complaining of severe pain in his feet and hands. pulse oximetry indicates that oxygen levels are low; thus, oxygenation takes
The pulse oximetry is 92. Which of the following precedence over pain relief.
interventions would be implemented first? Assume that
there are orders for each intervention.
Adjust the room temperature
Give a bolus of IV fluids
Start O2
Administer meperidine (Demerol) 75mg IV push
6. The nurse is instructing a client with iron-deficiency Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie
anemia. Which of the following meal plans would the Egg yolks, wheat bread, carrots, raisins, and green, leafy vegetables are all high in
nurse expect the client to select? iron, which is an important mineral for this client. Roast beef, cabbage, and pork
Roast beef, gelatin salad, green beans, and peach pie chops are also high in iron, but the side dishes accompanying these choices are
Chicken salad sandwich, coleslaw, French fries, ice cream not
Egg salad on wheat bread, carrot sticks, lettuce salad,
raisin pie
Pork chop, creamed potatoes, corn, and coconut cake
7. Clients with sickle cell anemia are taught to avoid A bus trip to the Museum of Natural History
activities that cause hypoxia and hypoxemia. Which of the A family vacation in the Rocky Mountains at high altitudes, cold temperatures, and
following activities would the nurse recommend? airplane travel can cause sickling episodes and should be avoided
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
8. The nurse is conducting an admission assessment of a Examine the tongue
client with vitamin B12 deficiency. Which of the following The tongue is smooth and beefy red in the client with vitamin B12 deficiency, so
would the nurse include in the physical assessment? examining the tongue should be included in the physical assessment.
Palpate the spleen
Take the blood pressure
Examine the feet for petechiae
Examine the tongue
9. An African American female comes to the outpatient Roof of the mouth
clinic. The physician suspects vitamin B12 deficiency The oral mucosa and hard palate (roof of the mouth) are the best indicators of
anemia. Because jaundice is often a clinical manifestation jaundice in dark-skinned persons. The conjunctiva can have normal deposits of fat,
of this type of anemia, what body part would be the best which give a yellowish hue; thus, answer A is incorrect. The soles of the feet can
indicator? be yellow if they are calloused, making answer B incorrect; the shins would be an
Conjunctiva of the eye area of darker pigment
Soles of the feet
Roof of the mouth
Shins
,10. The nurse is conducting a physical assessment on a Respirations 28 shallow
client with anemia. Which of the following clinical When there are fewer red blood cells, there is less hemoglobin and less oxygen.
manifestations would be most indicative of the anemia? Therefore, the client is often short of breath
BP 146/88
Respirations 28 shallow
Weight gain of 10 pounds in 6 months
Pink complexion
11. The nurse is teaching the client with polycythemia vera "I will drink 500mL of fluid or less each day."
about prevention of complications of the disease. Which The client with polycythemia vera is at risk for thrombus formation. Hydrating the
of the following statements by the client indicates a need client with at least 3L of fluid per day is important in preventing clot formation
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."
12. A 33-year-old male is being evaluated for possible The client had radiation for treatment of Hodgkin's disease as a teenager.
acute leukemia. Which of the following would the nurse Radiation treatment for other types of cancer can result in leukemia. Some
inquire about as a part of the assessment? hobbies and occupations involving chemicals are linked to leukemia, but not the
The client collects stamps as a hobby. ones in these answers; therefore, answers A and B are incorrect. Answer D is
The client recently lost his job as a postal worker. incorrect because the incidence of leukemia is higher in twins than in siblings.
The client had radiation for treatment of Hodgkin's
disease as a teenager.
The client's brother had leukemia as a child.
13. An African American client is admitted with acute The soles of the feet
leukemia. The nurse is assessing for signs and symptoms Petechiae are not usually visualized on dark skin. The soles of the feet and palms
of bleeding. Where is the best site for examining for the of the hand provide a lighter surface for assessing the client for petichiae.
presence of petechiae?
The abdomen
The thorax
The earlobes
The soles of the feet
14. A client with acute leukemia is admitted to the "Have you had a respiratory infection in the last 6 months?"
oncology unit. Which of the following would be most The client with leukemia is at risk for infection and has often had recurrent
important for the nurse to inquire? respiratory infections during the previous 6 months. Insomnolence, weight loss,
"Have you noticed a change in sleeping habits recently?" and a decrease in alertness also occur in leukemia, but bleeding tendencies and
"Have you had a respiratory infection in the last 6 infections are the primary clinical manifestations
months?"
"Have you lost weight recently?"
"Have you noticed changes in your alertness?"
, 15. Which of the following would be the priority nursing Risk for injury related to thrombocytopenia
diagnosis for the adult client with acute leukemia? The client with acute leukemia has bleeding tendencies due to decreased platelet
Oral mucous membrane, altered related to counts, and any injury would exacerbate the problem. The client would require
chemotherapy close monitoring for hemorrhage, which is of higher priority
Risk for injury related to thrombocytopenia
Fatigue related to the disease process
Interrupted family processes related to life-threatening
illness of a family member
16. A 21-year-old male with Hodgkin's lymphoma is a Sexual dysfunction related to radiation therapy
senior at the local university. He is engaged to be Radiation therapy often causes sterility in male clients and would be of primary
married and is to begin a new job upon graduation. importance to this client. The psychosocial needs of the client are important to
Which of the following diagnoses would be a priority for address in light of the age and life choices. Hodgkin’s disease, however, has a
this client? good prognosis when diagnosed early.
Sexual dysfunction related to radiation therapy
Anticipatory grieving related to terminal illness
Tissue integrity related to prolonged bed rest
Fatigue related to chemotherapy
17. A client has autoimmune thrombocytopenic purpura. Platelet count
To determine the client's response to treatment, the nurse Clients with autoimmune thrombocytopenic purpura (ATP) have low platelet
would monitor: counts, making answer A the correct answer. White cell counts, potassium levels,
Platelet count and PTT are not affected in ATP
White blood cell count
Potassium levels
Partial prothrombin time (PTT)
18. The home health nurse is visiting a client with Bleeding precautions
autoimmune thrombocytopenic purpura (ATP). The The normal platelet count is 120,000–400, Bleeding occurs in clients with low
client's platelet count currently is 80, It will be most platelets. The priority is to prevent and minimize bleeding.
important to teach the client and family about:
Bleeding precautions
Prevention of falls
Oxygen therapy
Conservation of energy
19. A client with a pituitary tumor has had a transphenoidal Elevate the head of the bed 30°
hyposphectomy. Which of the following interventions Elevating the head of the bed 30° avoids pressure on the sella turcica and
would be appropriate for this client? alleviates headaches. Answers A, B, and D are incorrect because Trendelenburg,
Place the client in Trendelenburg position for postural Valsalva maneuver, and coughing all increase the intracranial pressure.
drainage
Encourage coughing and deep breathing every 2 hours
Elevate the head of the bed 30°
Encourage the Valsalva maneuver for bowel movements
20. The client with a history of diabetes insipidus is Check the vital signs
admitted with polyuria, polydipsia, and mental confusion. The large amount of fluid loss can cause fluid and electrolyte imbalance that
The priority intervention for this client is: should be corrected. The loss of electrolytes would be reflected in the vital signs.
Measure the urinary output Measuring the urinary output is important, but the stem already says that the client
Check the vital signs has polyuria, so answer A is incorrect. Encouraging fluid intake will not correct the
Encourage increased fluid intake problem, making answer C incorrect.
Weigh the client
GEORGE BROWN COLLEGE NURSING
COMPLETE STUDY GUIDE 2026 | PRACTICE
QUESTIONS, RATIONALES & CHEAT SHEET
| GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,5. A newly admitted client has sickle cell crisis. The nurse Start O2.
is planning care based on assessment of the client. The The most prominent clinical manifestation of sickle cell crisis is pain. However, the
client is complaining of severe pain in his feet and hands. pulse oximetry indicates that oxygen levels are low; thus, oxygenation takes
The pulse oximetry is 92. Which of the following precedence over pain relief.
interventions would be implemented first? Assume that
there are orders for each intervention.
Adjust the room temperature
Give a bolus of IV fluids
Start O2
Administer meperidine (Demerol) 75mg IV push
6. The nurse is instructing a client with iron-deficiency Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie
anemia. Which of the following meal plans would the Egg yolks, wheat bread, carrots, raisins, and green, leafy vegetables are all high in
nurse expect the client to select? iron, which is an important mineral for this client. Roast beef, cabbage, and pork
Roast beef, gelatin salad, green beans, and peach pie chops are also high in iron, but the side dishes accompanying these choices are
Chicken salad sandwich, coleslaw, French fries, ice cream not
Egg salad on wheat bread, carrot sticks, lettuce salad,
raisin pie
Pork chop, creamed potatoes, corn, and coconut cake
7. Clients with sickle cell anemia are taught to avoid A bus trip to the Museum of Natural History
activities that cause hypoxia and hypoxemia. Which of the A family vacation in the Rocky Mountains at high altitudes, cold temperatures, and
following activities would the nurse recommend? airplane travel can cause sickling episodes and should be avoided
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
8. The nurse is conducting an admission assessment of a Examine the tongue
client with vitamin B12 deficiency. Which of the following The tongue is smooth and beefy red in the client with vitamin B12 deficiency, so
would the nurse include in the physical assessment? examining the tongue should be included in the physical assessment.
Palpate the spleen
Take the blood pressure
Examine the feet for petechiae
Examine the tongue
9. An African American female comes to the outpatient Roof of the mouth
clinic. The physician suspects vitamin B12 deficiency The oral mucosa and hard palate (roof of the mouth) are the best indicators of
anemia. Because jaundice is often a clinical manifestation jaundice in dark-skinned persons. The conjunctiva can have normal deposits of fat,
of this type of anemia, what body part would be the best which give a yellowish hue; thus, answer A is incorrect. The soles of the feet can
indicator? be yellow if they are calloused, making answer B incorrect; the shins would be an
Conjunctiva of the eye area of darker pigment
Soles of the feet
Roof of the mouth
Shins
,10. The nurse is conducting a physical assessment on a Respirations 28 shallow
client with anemia. Which of the following clinical When there are fewer red blood cells, there is less hemoglobin and less oxygen.
manifestations would be most indicative of the anemia? Therefore, the client is often short of breath
BP 146/88
Respirations 28 shallow
Weight gain of 10 pounds in 6 months
Pink complexion
11. The nurse is teaching the client with polycythemia vera "I will drink 500mL of fluid or less each day."
about prevention of complications of the disease. Which The client with polycythemia vera is at risk for thrombus formation. Hydrating the
of the following statements by the client indicates a need client with at least 3L of fluid per day is important in preventing clot formation
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."
12. A 33-year-old male is being evaluated for possible The client had radiation for treatment of Hodgkin's disease as a teenager.
acute leukemia. Which of the following would the nurse Radiation treatment for other types of cancer can result in leukemia. Some
inquire about as a part of the assessment? hobbies and occupations involving chemicals are linked to leukemia, but not the
The client collects stamps as a hobby. ones in these answers; therefore, answers A and B are incorrect. Answer D is
The client recently lost his job as a postal worker. incorrect because the incidence of leukemia is higher in twins than in siblings.
The client had radiation for treatment of Hodgkin's
disease as a teenager.
The client's brother had leukemia as a child.
13. An African American client is admitted with acute The soles of the feet
leukemia. The nurse is assessing for signs and symptoms Petechiae are not usually visualized on dark skin. The soles of the feet and palms
of bleeding. Where is the best site for examining for the of the hand provide a lighter surface for assessing the client for petichiae.
presence of petechiae?
The abdomen
The thorax
The earlobes
The soles of the feet
14. A client with acute leukemia is admitted to the "Have you had a respiratory infection in the last 6 months?"
oncology unit. Which of the following would be most The client with leukemia is at risk for infection and has often had recurrent
important for the nurse to inquire? respiratory infections during the previous 6 months. Insomnolence, weight loss,
"Have you noticed a change in sleeping habits recently?" and a decrease in alertness also occur in leukemia, but bleeding tendencies and
"Have you had a respiratory infection in the last 6 infections are the primary clinical manifestations
months?"
"Have you lost weight recently?"
"Have you noticed changes in your alertness?"
, 15. Which of the following would be the priority nursing Risk for injury related to thrombocytopenia
diagnosis for the adult client with acute leukemia? The client with acute leukemia has bleeding tendencies due to decreased platelet
Oral mucous membrane, altered related to counts, and any injury would exacerbate the problem. The client would require
chemotherapy close monitoring for hemorrhage, which is of higher priority
Risk for injury related to thrombocytopenia
Fatigue related to the disease process
Interrupted family processes related to life-threatening
illness of a family member
16. A 21-year-old male with Hodgkin's lymphoma is a Sexual dysfunction related to radiation therapy
senior at the local university. He is engaged to be Radiation therapy often causes sterility in male clients and would be of primary
married and is to begin a new job upon graduation. importance to this client. The psychosocial needs of the client are important to
Which of the following diagnoses would be a priority for address in light of the age and life choices. Hodgkin’s disease, however, has a
this client? good prognosis when diagnosed early.
Sexual dysfunction related to radiation therapy
Anticipatory grieving related to terminal illness
Tissue integrity related to prolonged bed rest
Fatigue related to chemotherapy
17. A client has autoimmune thrombocytopenic purpura. Platelet count
To determine the client's response to treatment, the nurse Clients with autoimmune thrombocytopenic purpura (ATP) have low platelet
would monitor: counts, making answer A the correct answer. White cell counts, potassium levels,
Platelet count and PTT are not affected in ATP
White blood cell count
Potassium levels
Partial prothrombin time (PTT)
18. The home health nurse is visiting a client with Bleeding precautions
autoimmune thrombocytopenic purpura (ATP). The The normal platelet count is 120,000–400, Bleeding occurs in clients with low
client's platelet count currently is 80, It will be most platelets. The priority is to prevent and minimize bleeding.
important to teach the client and family about:
Bleeding precautions
Prevention of falls
Oxygen therapy
Conservation of energy
19. A client with a pituitary tumor has had a transphenoidal Elevate the head of the bed 30°
hyposphectomy. Which of the following interventions Elevating the head of the bed 30° avoids pressure on the sella turcica and
would be appropriate for this client? alleviates headaches. Answers A, B, and D are incorrect because Trendelenburg,
Place the client in Trendelenburg position for postural Valsalva maneuver, and coughing all increase the intracranial pressure.
drainage
Encourage coughing and deep breathing every 2 hours
Elevate the head of the bed 30°
Encourage the Valsalva maneuver for bowel movements
20. The client with a history of diabetes insipidus is Check the vital signs
admitted with polyuria, polydipsia, and mental confusion. The large amount of fluid loss can cause fluid and electrolyte imbalance that
The priority intervention for this client is: should be corrected. The loss of electrolytes would be reflected in the vital signs.
Measure the urinary output Measuring the urinary output is important, but the stem already says that the client
Check the vital signs has polyuria, so answer A is incorrect. Encouraging fluid intake will not correct the
Encourage increased fluid intake problem, making answer C incorrect.
Weigh the client
