PEARSON NCLEX-RN Questions &
Rationales 2026 | Complete Practice
Question Bank with Answers &
Detailed Explanations
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1. 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
2. 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.
3. 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.
4. 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
inter ventions 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.
x
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5. 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
6. 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
7. 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
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.
8. 9. An African American female comes to the outpatient clinic. The
physician
Rationales 2026 | Complete Practice
Question Bank with Answers &
Detailed Explanations
Study online at https://quizlet.com/_cnpmsu
1. 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
2. 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.
3. 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.
4. 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
inter ventions 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.
x
Study online at https://quizlet.com/_cnpmsu
5. 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
6. 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
7. 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
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.
8. 9. An African American female comes to the outpatient clinic. The
physician
