NCLEX EXAM ga ga
Exam Solution ga
PEARSON NCLEX- ga
RN Questions & Rationales 2026 A+ GRADE ASSURED C
ga ga ga ga ga ga ga ga
OMPLETE SOLUTIONS AND VERIFIED ANSWERS ga ga ga ga
QUESTION 1 ga
2. A 30-year-
ga ga
old male from Haiti is brought to the emergency department in sickle cell crisis. What is
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the best position for this client?
a ga ga ga ga ga
ANSWER
Semi-Fowler's with legs extended on the bed ga ga ga ga ga ga
QUESTION 2 ga
3. A 25-year-
ga ga
old male is admitted in sickle cell crisis. Which of the following interventions would be o
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
f highest priority for this client?
ga ga ga ga ga
ANSWER
Encouraging fluid intake of at least 200mL per hour.
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QUESTION 3 ga
4. Which of the following foods would the nurse encourage the client in sickle cell crisis
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to eat? ga
ANSWER
Popsicle.
QUESTION 4 ga
,6. The nurse is instructing a client with iron-
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deficiency anemia. Which of the following meal plans would the nurse expect the client t
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
o select?
ga
ANSWER
Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie
ga ga ga ga ga ga ga ga ga ga
QUESTION 5 ga
7. Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hy
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
poxemia. Which of the following activities would the nurse recommend?
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ANSWER
A bus trip to the Museum of Natural History
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QUESTION 6 ga
8. The nurse is conducting an admission assessment of a client with vitamin B12 deficie
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ncy. Which of the following would the nurse include in the physical assessment?
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ANSWER
Examine the tongue ga ga
QUESTION 7 ga
9. An African American female comes to the outpatient clinic. The physician suspects vit
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amin B12 deficiency anemia. Because jaundice is often a clinical manifestation of this ty
ga ga ga ga ga ga ga ga ga ga ga ga ga
pe of anemia, what body part would be the best indicator?
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ANSWER
Roof of the mouthga ga ga
QUESTION 8 ga
10. The nurse is conducting a physical assessment on a client with anemia. Which of the
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following clinical manifestations would be most indicative of the anemia?
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ANSWER
Respirations 28 shallow ga ga
QUESTION 9 ga
,11. The nurse is teaching the client with polycythemia vera about prevention of complic
ga ga ga ga ga ga ga ga ga ga ga ga ga
ations of the disease. Which of the following statements by the client indicates a need fo
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
r further teaching?
ga ga
ANSWER
"I will drink 500mL of fluid or less each day."
ga ga ga ga ga ga ga ga ga
QUESTION 10 ga
12. A 33-year-
ga ga
old male is being evaluated for possible acute leukemia. Which of the following would th
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
e nurse inquire about as a part of the assessment?
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ANSWER
The client had radiation for treatment of Hodgkin's disease as a teenager.
ga ga ga ga ga ga ga ga ga ga ga
QUESTION 11 ga
13. An African American client is admitted with acute leukemia. The nurse is assessing f
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
or signs and symptoms of bleeding. Where is the best site for examining for the presenc
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
e of petechiae?
ga ga
ANSWER
The soles of the feet
ga ga ga ga
QUESTION 12 ga
14. A client with acute leukemia is admitted to the oncology unit. Which of the following
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
would be most important for the nurse to inquire?
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ANSWER
"Have you had a respiratory infection in the last 6 months?"
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QUESTION 13 ga
15. Which of the following would be the priority nursing diagnosis for the adult client wi
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
th acute leukemia?
ga ga
ANSWER
Risk for injury related to thrombocytopenia
ga ga ga ga ga
QUESTION 14 ga
, 17. A client has autoimmune thrombocytopenic purpura. To determine the client's respo
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nse to treatment, the nurse would monitor:
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ANSWER
Platelet count ga
QUESTION 15 ga
18. The home health nurse is visiting a client with autoimmune thrombocytopenic purp
ga ga ga ga ga ga ga ga ga ga ga ga
ura (ATP). The client's platelet count currently is 80, It will be most important to teach t
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
he client and family about:
ga ga ga ga
ANSWER
Bleeding precautions ga
QUESTION 16 ga
19. A client with a pituitary tumor has had a transphenoidal hyposphectomy. Which of t
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
he following interventions would be appropriate for this client?
ga ga ga ga ga ga ga ga
ANSWER
Elevate the head of the bed 30°
ga ga ga ga ga ga
QUESTION 17 ga
20. The client with a history of diabetes insipidus is admitted with polyuria, polydipsia,
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and mental confusion. The priority intervention for this client is:
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ANSWER
Check the vital signs
ga ga ga
QUESTION 18 ga
21. A client with hemophilia has a nosebleed. Which nursing action is most appropriate
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to control the bleeding?
ga ga ga
ANSWER
Pinch the soft lower part of the nose for a minimum of 5 minutes
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QUESTION 19 ga
Exam Solution ga
PEARSON NCLEX- ga
RN Questions & Rationales 2026 A+ GRADE ASSURED C
ga ga ga ga ga ga ga ga
OMPLETE SOLUTIONS AND VERIFIED ANSWERS ga ga ga ga
QUESTION 1 ga
2. A 30-year-
ga ga
old male from Haiti is brought to the emergency department in sickle cell crisis. What is
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga g
the best position for this client?
a ga ga ga ga ga
ANSWER
Semi-Fowler's with legs extended on the bed ga ga ga ga ga ga
QUESTION 2 ga
3. A 25-year-
ga ga
old male is admitted in sickle cell crisis. Which of the following interventions would be o
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
f highest priority for this client?
ga ga ga ga ga
ANSWER
Encouraging fluid intake of at least 200mL per hour.
ga ga ga ga ga ga ga ga
QUESTION 3 ga
4. Which of the following foods would the nurse encourage the client in sickle cell crisis
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
to eat? ga
ANSWER
Popsicle.
QUESTION 4 ga
,6. The nurse is instructing a client with iron-
ga ga ga ga ga ga ga ga
deficiency anemia. Which of the following meal plans would the nurse expect the client t
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
o select?
ga
ANSWER
Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie
ga ga ga ga ga ga ga ga ga ga
QUESTION 5 ga
7. Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hy
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
poxemia. Which of the following activities would the nurse recommend?
ga ga ga ga ga ga ga ga ga
ANSWER
A bus trip to the Museum of Natural History
ga ga ga ga ga ga ga ga
QUESTION 6 ga
8. The nurse is conducting an admission assessment of a client with vitamin B12 deficie
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ncy. Which of the following would the nurse include in the physical assessment?
ga ga ga ga ga ga ga ga ga ga ga ga
ANSWER
Examine the tongue ga ga
QUESTION 7 ga
9. An African American female comes to the outpatient clinic. The physician suspects vit
ga ga ga ga ga ga ga ga ga ga ga ga ga
amin B12 deficiency anemia. Because jaundice is often a clinical manifestation of this ty
ga ga ga ga ga ga ga ga ga ga ga ga ga
pe of anemia, what body part would be the best indicator?
ga ga ga ga ga ga ga ga ga ga
ANSWER
Roof of the mouthga ga ga
QUESTION 8 ga
10. The nurse is conducting a physical assessment on a client with anemia. Which of the
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
following clinical manifestations would be most indicative of the anemia?
ga ga ga ga ga ga ga ga ga
ANSWER
Respirations 28 shallow ga ga
QUESTION 9 ga
,11. The nurse is teaching the client with polycythemia vera about prevention of complic
ga ga ga ga ga ga ga ga ga ga ga ga ga
ations of the disease. Which of the following statements by the client indicates a need fo
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
r further teaching?
ga ga
ANSWER
"I will drink 500mL of fluid or less each day."
ga ga ga ga ga ga ga ga ga
QUESTION 10 ga
12. A 33-year-
ga ga
old male is being evaluated for possible acute leukemia. Which of the following would th
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
e nurse inquire about as a part of the assessment?
ga ga ga ga ga ga ga ga ga
ANSWER
The client had radiation for treatment of Hodgkin's disease as a teenager.
ga ga ga ga ga ga ga ga ga ga ga
QUESTION 11 ga
13. An African American client is admitted with acute leukemia. The nurse is assessing f
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
or signs and symptoms of bleeding. Where is the best site for examining for the presenc
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
e of petechiae?
ga ga
ANSWER
The soles of the feet
ga ga ga ga
QUESTION 12 ga
14. A client with acute leukemia is admitted to the oncology unit. Which of the following
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
would be most important for the nurse to inquire?
ga ga ga ga ga ga ga ga
ANSWER
"Have you had a respiratory infection in the last 6 months?"
ga ga ga ga ga ga ga ga ga ga
QUESTION 13 ga
15. Which of the following would be the priority nursing diagnosis for the adult client wi
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
th acute leukemia?
ga ga
ANSWER
Risk for injury related to thrombocytopenia
ga ga ga ga ga
QUESTION 14 ga
, 17. A client has autoimmune thrombocytopenic purpura. To determine the client's respo
ga ga ga ga ga ga ga ga ga ga ga
nse to treatment, the nurse would monitor:
ga ga ga ga ga ga
ANSWER
Platelet count ga
QUESTION 15 ga
18. The home health nurse is visiting a client with autoimmune thrombocytopenic purp
ga ga ga ga ga ga ga ga ga ga ga ga
ura (ATP). The client's platelet count currently is 80, It will be most important to teach t
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
he client and family about:
ga ga ga ga
ANSWER
Bleeding precautions ga
QUESTION 16 ga
19. A client with a pituitary tumor has had a transphenoidal hyposphectomy. Which of t
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
he following interventions would be appropriate for this client?
ga ga ga ga ga ga ga ga
ANSWER
Elevate the head of the bed 30°
ga ga ga ga ga ga
QUESTION 17 ga
20. The client with a history of diabetes insipidus is admitted with polyuria, polydipsia,
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
and mental confusion. The priority intervention for this client is:
ga ga ga ga ga ga ga ga ga
ANSWER
Check the vital signs
ga ga ga
QUESTION 18 ga
21. A client with hemophilia has a nosebleed. Which nursing action is most appropriate
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
to control the bleeding?
ga ga ga
ANSWER
Pinch the soft lower part of the nose for a minimum of 5 minutes
ga ga ga ga ga ga ga ga ga ga ga ga ga
QUESTION 19 ga