Nclex Rn Exam A+ Grade Assured Complete Solutions And Verified Answers

NCLEX EXAM ms ms




Exam Solution ms




PEARSON NCLEX RN Questions & Rationales 2026 A+ G ms ms ms ms ms ms ms ms




RADE ASSURED COMPLETE SOLUTIONS AND VERIFIED
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ANSWERS (184D0) ms




QUESTION 1 ms




2. A 30-year-
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old male from Haiti is brought to the emergency department in sickle cell crisis. What
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is the best position for this client? Side-lying with knees flexed Knee-
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chest High Fowler's with knees flexed Semi-Fowler's with legs extended on the bed
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ANSWER

Semi-Fowler's with legs extended on the bed ms ms ms ms ms ms




QUESTION 2 ms




3. A 25-year-
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old male is admitted in sickle cell crisis. Which of the following interventions would b
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e of highest priority for this client? Taking hourly blood pressures with mechanical cu
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ff Encouraging fluid intake of at least 200mL per hour Position in high Fowler's with
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knee gatch raised Administering Tylenol as ordered
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ANSWER

Encouraging fluid intake of at least 200mL per hour. It is important to keep the client in sickle cell
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crisis hydrated to prevent further sickling of the blood.
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QUESTION 3 ms




4. Which of the following foods would the nurse encourage the client in sickle cell cris
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is to eat? Peaches Cottage cheese Popsicle Lima beans
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ANSWER

Popsicle. Hydration is important in the client with sickle cell disease to prevent thrombus formation.
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Popsicles, gelatin, juice, and pudding have high fluid content.
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,QUESTION 4 ms




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 clien
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t to select? Roast beef, gelatin salad, green beans, and peach pie Chicken salad sandwi
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ch, coleslaw, French fries, ice cream Egg salad on wheat bread, carrot sticks, lettuce sa
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lad, raisin pie Pork chop, creamed potatoes, corn, and coconut cake
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ANSWER

Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie Egg yolks, wheat bread, carrots, rais
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ins, and green, leafy vegetables are all high in iron, which is an important mineral for this client. Ro
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ast beef, cabbage, and pork chops are also high in iron, but the side dishes accompanying these choi
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ces are notms ms




QUESTION 5 ms




7. Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and
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hypoxemia. Which of the following activities would the nurse recommend? A family va
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cation in the Rocky Mountains Chaperoning the local boys club on a snow-
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skiing trip Traveling by airplane for business trips A bus trip to the Museum of Natur
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al History
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ANSWER

A bus trip to the Museum of Natural History A family vacation in the Rocky Mountains at high altitu
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des, cold temperatures, and airplane travel can cause sickling episodes and should be avoided
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QUESTION 6 ms




8. The nurse is conducting an admission assessment of a client with vitamin B12 defic
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iency. Which of the following would the nurse include in the physical assessment? Pal
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pate the spleen Take the blood pressure Examine the feet for petechiae Examine the t
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ongue
ANSWER

Examine the tongue The tongue is smooth and beefy red in the client with vitamin B12 deficiency, s
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o examining the tongue should be included in the physical assessment.
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QUESTION 7 ms




9. An African American female comes to the outpatient clinic. The physician suspects v
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itamin B12 deficiency anemia. Because jaundice is often a clinical manifestation of thi
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s type of anemia, what body part would be the best indicator? Conjunctiva of the eye
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Soles of the feet Roof of the mouth Shins
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,ANSWER

Roof of the mouth The oral mucosa and hard palate (roof of the mouth) are the best indicators of ja
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undice in dark- ms ms



skinned persons. The conjunctiva can have normal deposits of fat, which give a yellowish hue; thus,
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answer A is incorrect. The soles of the feet can be yellow if they are calloused, making answer B inc
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orrect; the shins would be an area of darker pigment
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QUESTION 8 ms




10. The nurse is conducting a physical assessment on a client with anemia. Which of t
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he following clinical manifestations would be most indicative of the anemia? BP 146/8
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8 Respirations 28 shallow Weight gain of 10 pounds in 6 months Pink complexion
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ANSWER

Respirations 28 shallow When there are fewer red blood cells, there is less hemoglobin and less oxy
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gen. Therefore, the client is often short of breath
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QUESTION 9 ms




11. The nurse is teaching the client with polycythemia vera about prevention of compl
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ications of the disease. Which of the following statements by the client indicates a nee
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d for further teaching? "I will drink 500mL of fluid or less each day." "I will wear sup
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port hose when I am up." "I will use an electric razor for shaving." "I will eat foods lo
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w in iron."
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ANSWER

"I will drink 500mL of fluid or less each day." The client with polycythemia vera is at risk for throm
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bus formation. Hydrating the client with at least 3L of fluid per day is important in preventing clot f
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ormation



QUESTION 10 ms




12. A 33-year-
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old male is being evaluated for possible acute leukemia. Which of the following would
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the nurse inquire about as a part of the assessment? The client collects stamps as a h
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obby. The client recently lost his job as a postal worker. The client had radiation for t
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reatment of Hodgkin's disease as a teenager. The client's brother had leukemia as a c
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hild.
ANSWER

The client had radiation for treatment of Hodgkin's disease as a teenager. Radiation treatment for ot
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her types of cancer can result in leukemia. Some hobbies and occupations involving chemicals are li
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nked to leukemia, but not the ones in these answers; therefore, answers A and B are incorrect. Ans
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wer D is incorrect because the incidence of leukemia is higher in twins than in siblings.
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, QUESTION 11 ms




13. An African American client is admitted with acute leukemia. The nurse is assessin
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g for signs and symptoms of bleeding. Where is the best site for examining for the pre
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sence of petechiae? The abdomen The thorax The earlobes The soles of the feet
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ANSWER

The soles of the feet Petechiae are not usually visualized on dark skin. The soles of the feet and pal
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ms of the hand provide a lighter surface for assessing the client for petichiae.
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QUESTION 12 ms




14. A client with acute leukemia is admitted to the oncology unit. Which of the followi
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ng would be most important for the nurse to inquire? "Have you noticed a change in s
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leeping habits recently?" "Have you had a respiratory infection in the last 6 months?"
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"Have you lost weight recently?" "Have you noticed changes in your alertness?"
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ANSWER

"Have you had a respiratory infection in the last 6 months?" The client with leukemia is at risk for i
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nfection and has often had recurrent respiratory infections during the previous 6 months. Insomnole
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nce, weight loss, and a decrease in alertness also occur in leukemia, but bleeding tendencies and inf
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ections are the primary clinical manifestations
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QUESTION 13 ms




15. Which of the following would be the priority nursing diagnosis for the adult client
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with acute leukemia? Oral mucous membrane, altered related to chemotherapy Risk f
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or injury related to thrombocytopenia Fatigue related to the disease process Interrupt
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ed family processes related to life-threatening illness of a family member
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ANSWER

Risk for injury related to thrombocytopenia The client with acute leukemia has bleeding tendencies
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due to decreased platelet counts, and any injury would exacerbate the problem. The client would re
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quire close monitoring for hemorrhage, which is of higher priority
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QUESTION 14 ms




17. A client has autoimmune thrombocytopenic purpura. To determine the client's res
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ponse to treatment, the nurse would monitor: Platelet count White blood cell count P
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otassium levels Partial prothrombin time (PTT)ms ms ms ms ms




ANSWER