NCLEX-RN NURSING 2026 EXAM fall .. 100% verified
chamberlain WITH CORRECT SOLUTIONS A++
1. Question1 point(s)
Category: Reduction of Risk Potential
A 43-year-old African American male is admitted with sickle cell anemia. The
nurse plans to assess circulation in the lower extremities every 2 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
Incorrect
C. Sensation reported when soles of feet are touched
D. Capillary refill of < 3 seconds
Correct Answer
Incorrect
Correct Answer: D. Capillary refill of < 3 seconds
,It is important to assess the extremities for blood vessel occlusion in the client
with sickle cell anemia because a change in capillary refill would indicate a change
in circulation.
Options A, B, and C: Body temperature, motion, and sensation would not give
information regarding peripheral circulation.
2. Question1 point(s)
Category: Physiological Adaptation
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
Incorrect
D. Semi-Fowler’s with legs extended on the bed
Correct Answer
Incorrect
,Correct Answer: D. Semi-Fowler’s with legs extended on the bed
Placing the client in a semi-Fowler’s position provides the best oxygenation for
this client.
Options A, B, and C: Flexion of the hips and knees, which includes the knee-chest
position, impedes circulation and is not correct positioning for this client.
3. Question1 point(s)
Category: Physiological Adaptation
A 25-year-old male is admitted in sickle cell crisis. Which of the following
interventions would be of the highest priority for this client?
A. Taking hourly blood pressures with mechanical cuff
B. Encouraging fluid intake of at least 200mL per hour
Correct
C. Position in high Fowler’s with knee gatch raised
D. Administering Tylenol as ordered
Correct
Correct Answer: 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.
Option A: Taking hourly blood pressures with mechanical cuff is incorrect because
a mechanical cuff places too much pressure on the arm.
Option C: Position in high Fowler’s with knee gatch raised is inappropriate
because it impedes circulation.
Option D: Administering Tylenol is too mild an analgesic for the client in crisis.
4. Question1 point(s)
Category: Basic Care and Comfort
Which of the following foods would the nurse encourage the client in sickle cell
crisis to eat?
A. Peaches
B. Cottage cheese
C. Popsicle
Correct
D. Lima beans
chamberlain WITH CORRECT SOLUTIONS A++
1. Question1 point(s)
Category: Reduction of Risk Potential
A 43-year-old African American male is admitted with sickle cell anemia. The
nurse plans to assess circulation in the lower extremities every 2 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
Incorrect
C. Sensation reported when soles of feet are touched
D. Capillary refill of < 3 seconds
Correct Answer
Incorrect
Correct Answer: D. Capillary refill of < 3 seconds
,It is important to assess the extremities for blood vessel occlusion in the client
with sickle cell anemia because a change in capillary refill would indicate a change
in circulation.
Options A, B, and C: Body temperature, motion, and sensation would not give
information regarding peripheral circulation.
2. Question1 point(s)
Category: Physiological Adaptation
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
Incorrect
D. Semi-Fowler’s with legs extended on the bed
Correct Answer
Incorrect
,Correct Answer: D. Semi-Fowler’s with legs extended on the bed
Placing the client in a semi-Fowler’s position provides the best oxygenation for
this client.
Options A, B, and C: Flexion of the hips and knees, which includes the knee-chest
position, impedes circulation and is not correct positioning for this client.
3. Question1 point(s)
Category: Physiological Adaptation
A 25-year-old male is admitted in sickle cell crisis. Which of the following
interventions would be of the highest priority for this client?
A. Taking hourly blood pressures with mechanical cuff
B. Encouraging fluid intake of at least 200mL per hour
Correct
C. Position in high Fowler’s with knee gatch raised
D. Administering Tylenol as ordered
Correct
Correct Answer: 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.
Option A: Taking hourly blood pressures with mechanical cuff is incorrect because
a mechanical cuff places too much pressure on the arm.
Option C: Position in high Fowler’s with knee gatch raised is inappropriate
because it impedes circulation.
Option D: Administering Tylenol is too mild an analgesic for the client in crisis.
4. Question1 point(s)
Category: Basic Care and Comfort
Which of the following foods would the nurse encourage the client in sickle cell
crisis to eat?
A. Peaches
B. Cottage cheese
C. Popsicle
Correct
D. Lima beans
