Pearson NCLEX-RN Questions & Rationales – Complete Practice and Study Guide 1 2026-03-07
Pearson NCLEX-RN
Questions & Rationales –
Complete Practice and Study
Guide
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Page 1 of 140 Pearson NCLEX-RN Questions & Rationales – Complete Practice and Study Guide.pdf
,PEARSON NCLEX-RN Questions & Rationales 2 2026-03-07
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.
Page 2 of 140 Page 2 PEARSON NCLEX-RN Questions & Rationales.pdf
,PEARSON NCLEX-RN Questions & Rationales 3 2026-03-07
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 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
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.
Page 3 of 140 Page 3 PEARSON NCLEX-RN Questions & Rationales.pdf
, PEARSON NCLEX-RN Questions & Rationales 4 2026-03-07
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
Page 4 of 140 Page 4 PEARSON NCLEX-RN Questions & Rationales.pdf
Pearson NCLEX-RN
Questions & Rationales –
Complete Practice and Study
Guide
Guidehttps://www.stuvia.com/dashboard!@_)#*)(@$)($@*($@)($@*_Page 1
Page 1 of 140 Pearson NCLEX-RN Questions & Rationales – Complete Practice and Study Guide.pdf
,PEARSON NCLEX-RN Questions & Rationales 2 2026-03-07
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.
Page 2 of 140 Page 2 PEARSON NCLEX-RN Questions & Rationales.pdf
,PEARSON NCLEX-RN Questions & Rationales 3 2026-03-07
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 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
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.
Page 3 of 140 Page 3 PEARSON NCLEX-RN Questions & Rationales.pdf
, PEARSON NCLEX-RN Questions & Rationales 4 2026-03-07
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
Page 4 of 140 Page 4 PEARSON NCLEX-RN Questions & Rationales.pdf
