PEARSON NCLEX-RN Questions & Rationales Latest
Update 2026 | Exam Prep | 100% Accurate Answers
1. Which food item is recommended for a client experiencing a sickle cell crisis
due to its hydrating properties?
Cottage cheese
Peaches
Lima beans
Popsicle
2. Describe the rationale behind limiting visitation time for patients with
radioactive implants.
It ensures that the patient receives adequate nursing care.
It prevents the patient from feeling lonely.
Limiting visitation time reduces radiation exposure to visitors.
It allows the patient to have more privacy during treatment.
3. What is the nurse's best response when a client newly diagnosed with
leukemia asks why infection precautions are needed even though his WBC
count is so high?
"the WBCs you are producing now are too immature to prevent or
fight infection"
"we are preparing you for the decrease in WBCs when you start
chemotherapy"
"Your WBC count is falsely high because of the semester dehydration
that occurs with leukemia"
, "It is the platelets, not your WBCs, that protect you from infection and
your platelet count is low."
4. In a scenario where a patient with acute leukemia experiences a severe
bleeding episode due to thrombocytopenia, what immediate nursing
intervention should be prioritized?
Administer pain medication for discomfort.
Implement bleeding precautions to prevent injury.
Increase the patient's fluid intake.
Encourage family members to discuss their feelings.
5. If a client with iron-deficiency anemia reports feeling fatigued despite
following the recommended meal plan, what should the nurse assess next?
The client's exercise routine and sleep patterns.
The client's adherence to the meal plan and any additional
symptoms of anemia.
The client's family history of anemia and other blood disorders.
The client's hydration status and fluid intake.
6. The nurse is planning care for a patient with acute myeloid leukemia (AML).
Which is the priority nursing diagnosis to minimize the risk of complications
associated with this diagnosis?
Fluid Volume Excess
Imbalanced Nutrition
Impaired Mobility
Risk for Bleeding
,7. Which topic will the nurse include when teaching a client who has a new
diagnosis of polycythemia vera?
Avoidance of any aspirin use
Purpose for iron supplements
Self-administration of erythropoietin
Need for high fluid intake
8. Why is it important for the nurse to check the calcium level in a patient who
has had a total thyroidectomy and is experiencing tingling?
The tingling may indicate hypocalcemia due to potential damage to
the parathyroid glands during surgery.
The tingling suggests the need for immediate oxygen therapy.
The tingling is unrelated to calcium levels and may indicate anxiety.
The tingling is a normal postoperative symptom that does not require
intervention.
9. Describe the significance of the phlebostatic axis in the context of central
venous pressure measurement.
The phlebostatic axis is used to measure blood pressure in the arm.
The phlebostatic axis indicates the location of the heart's apex.
The phlebostatic axis is a landmark for assessing lung sounds.
The phlebostatic axis serves as a reference point for accurate
central venous pressure readings, ensuring that measurements
reflect the true pressure in the right atrium.
10. A patient with sickle cell disease is being transported to the hospital. What
would the preferred patient position on the wheeled cot, as long as no
, other contraindications exits?
Supine
High Fowler's
Low Fowler's
Semi-Fowler's
11. Why is it important for the nurse to monitor glucometer readings in a client
with Addison's disease receiving glucocorticoids?
Monitoring glucometer readings helps assess the client's blood
glucose levels, which can be affected by glucocorticoid therapy.
Monitoring sodium and potassium levels is more critical than blood
glucose levels.
Daily weights are sufficient to evaluate the client's overall health
status.
It is necessary to track the client's weight changes due to fluid
retention.
12. A nurse is caring for a client who has just had a transphenoidal
hypophysectomy. The client begins to complain of a headache and nausea.
What should the nurse do first?
Encourage the client to cough to relieve pressure.
Administer an antiemetic medication immediately.
Elevate the head of the bed 30° and assess for signs of increased
intracranial pressure.
Place the client in Trendelenburg position.
Update 2026 | Exam Prep | 100% Accurate Answers
1. Which food item is recommended for a client experiencing a sickle cell crisis
due to its hydrating properties?
Cottage cheese
Peaches
Lima beans
Popsicle
2. Describe the rationale behind limiting visitation time for patients with
radioactive implants.
It ensures that the patient receives adequate nursing care.
It prevents the patient from feeling lonely.
Limiting visitation time reduces radiation exposure to visitors.
It allows the patient to have more privacy during treatment.
3. What is the nurse's best response when a client newly diagnosed with
leukemia asks why infection precautions are needed even though his WBC
count is so high?
"the WBCs you are producing now are too immature to prevent or
fight infection"
"we are preparing you for the decrease in WBCs when you start
chemotherapy"
"Your WBC count is falsely high because of the semester dehydration
that occurs with leukemia"
, "It is the platelets, not your WBCs, that protect you from infection and
your platelet count is low."
4. In a scenario where a patient with acute leukemia experiences a severe
bleeding episode due to thrombocytopenia, what immediate nursing
intervention should be prioritized?
Administer pain medication for discomfort.
Implement bleeding precautions to prevent injury.
Increase the patient's fluid intake.
Encourage family members to discuss their feelings.
5. If a client with iron-deficiency anemia reports feeling fatigued despite
following the recommended meal plan, what should the nurse assess next?
The client's exercise routine and sleep patterns.
The client's adherence to the meal plan and any additional
symptoms of anemia.
The client's family history of anemia and other blood disorders.
The client's hydration status and fluid intake.
6. The nurse is planning care for a patient with acute myeloid leukemia (AML).
Which is the priority nursing diagnosis to minimize the risk of complications
associated with this diagnosis?
Fluid Volume Excess
Imbalanced Nutrition
Impaired Mobility
Risk for Bleeding
,7. Which topic will the nurse include when teaching a client who has a new
diagnosis of polycythemia vera?
Avoidance of any aspirin use
Purpose for iron supplements
Self-administration of erythropoietin
Need for high fluid intake
8. Why is it important for the nurse to check the calcium level in a patient who
has had a total thyroidectomy and is experiencing tingling?
The tingling may indicate hypocalcemia due to potential damage to
the parathyroid glands during surgery.
The tingling suggests the need for immediate oxygen therapy.
The tingling is unrelated to calcium levels and may indicate anxiety.
The tingling is a normal postoperative symptom that does not require
intervention.
9. Describe the significance of the phlebostatic axis in the context of central
venous pressure measurement.
The phlebostatic axis is used to measure blood pressure in the arm.
The phlebostatic axis indicates the location of the heart's apex.
The phlebostatic axis is a landmark for assessing lung sounds.
The phlebostatic axis serves as a reference point for accurate
central venous pressure readings, ensuring that measurements
reflect the true pressure in the right atrium.
10. A patient with sickle cell disease is being transported to the hospital. What
would the preferred patient position on the wheeled cot, as long as no
, other contraindications exits?
Supine
High Fowler's
Low Fowler's
Semi-Fowler's
11. Why is it important for the nurse to monitor glucometer readings in a client
with Addison's disease receiving glucocorticoids?
Monitoring glucometer readings helps assess the client's blood
glucose levels, which can be affected by glucocorticoid therapy.
Monitoring sodium and potassium levels is more critical than blood
glucose levels.
Daily weights are sufficient to evaluate the client's overall health
status.
It is necessary to track the client's weight changes due to fluid
retention.
12. A nurse is caring for a client who has just had a transphenoidal
hypophysectomy. The client begins to complain of a headache and nausea.
What should the nurse do first?
Encourage the client to cough to relieve pressure.
Administer an antiemetic medication immediately.
Elevate the head of the bed 30° and assess for signs of increased
intracranial pressure.
Place the client in Trendelenburg position.
