N224: PEARSON NCLEX-RN QUESTIONS AND
RATIONALES EXAM 2025-2026 QUESTIONS AND ANSWERS
A+ GUARANTEED PASS
1.Which of the following instructions should be included in the nurse's teaching
regarding oral contraceptives?
A. Weight gain should be reported to the physician.
B. An alternate method of birth control is needed when taking antibiotics.
C. If the client misses one or more pills, two pills should be taken per day for 1 week.
D.Changes in the menstrual flow should be reported to the physician.
B. An alternate method of birth control is needed when taking antibiotic.
When the client is taking oral contraceptives and begins antibiotics. another method of birth
control should be used. Antibiotics decrease the effectiveness of oral contraceptives.
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
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
B. 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?
A. Peaches
B. Cottage cheese
C. Popsicle
D. Lima beans
C. 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 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.
A. Adjust the room temperature
B. Give a bolus of IV fluids
C. Start O2
D. Administer meperidine (Demerol) 75mg IV push
C. 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?
A. Roast beef, gelatin salad, green beans, and peach pie
B. Chicken salad sandwich, coleslaw, French fries, ice cream
C. Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie
D. Pork chop, creamed potatoes, corn, and coconut cake
C. 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?
A. Take the blood pressure
B. Examine the feet for petechiae
, C. Examine the tongue
D. Palpate the spleen
C. Examine the tongue
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?
A. Conjunctiva of the eye
B. Soles of the feet
C. Roof of the mouth
D. Shins
C. 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 anaemia. Which of
the following clinical manifestations would be most indicative of the anaemia?
A. BP 146/88
B. Respirations 28 shallow
C. Weight gain of 10 pounds in 6 months
D. Pink complexion
B. Respirations 28 shallow
RATIONALES EXAM 2025-2026 QUESTIONS AND ANSWERS
A+ GUARANTEED PASS
1.Which of the following instructions should be included in the nurse's teaching
regarding oral contraceptives?
A. Weight gain should be reported to the physician.
B. An alternate method of birth control is needed when taking antibiotics.
C. If the client misses one or more pills, two pills should be taken per day for 1 week.
D.Changes in the menstrual flow should be reported to the physician.
B. An alternate method of birth control is needed when taking antibiotic.
When the client is taking oral contraceptives and begins antibiotics. another method of birth
control should be used. Antibiotics decrease the effectiveness of oral contraceptives.
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
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
B. 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?
A. Peaches
B. Cottage cheese
C. Popsicle
D. Lima beans
C. 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 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.
A. Adjust the room temperature
B. Give a bolus of IV fluids
C. Start O2
D. Administer meperidine (Demerol) 75mg IV push
C. 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?
A. Roast beef, gelatin salad, green beans, and peach pie
B. Chicken salad sandwich, coleslaw, French fries, ice cream
C. Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie
D. Pork chop, creamed potatoes, corn, and coconut cake
C. 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?
A. Take the blood pressure
B. Examine the feet for petechiae
, C. Examine the tongue
D. Palpate the spleen
C. Examine the tongue
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?
A. Conjunctiva of the eye
B. Soles of the feet
C. Roof of the mouth
D. Shins
C. 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 anaemia. Which of
the following clinical manifestations would be most indicative of the anaemia?
A. BP 146/88
B. Respirations 28 shallow
C. Weight gain of 10 pounds in 6 months
D. Pink complexion
B. Respirations 28 shallow
