4/5/26, 10:02 PM PEARSON NCLEX-RN Questions & Rationales
PEARSON NCLEX-RN Questions & Answers Rationales \||
Most Recent Exam Actual Complete Real Exam 250
Questions And Correct Answers (Verified Answers)
Already Graded A+ | Guaranteed Success!! Newest
Exam | Just Released!!
1. The physician has ordered a histoplasmosis test for the elderly client. The
nurse is aware that histoplasmosis is transmitted to humans by:
Cats Dogs Turtles Birds
Birds.
Histoplasmosis is a fungus carried by birds.
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
1/102
,4/5/26, 10:02 PM PEARSON NCLEX-RN Questions & Rationales
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.
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.
2/102
,4/5/26, 10:02 PM PEARSON NCLEX-RN Questions & Rationales
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.
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
3/102
, 4/5/26, 10:02 PM PEARSON NCLEX-RN Questions & Rationales
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
8 . An African American female comes to the outpatient clinic. The physician
suspects vitamin B12 deficiency anemia. Because jaundice is often a clinical
manifestation of this type of anemia, what body part would be the best
indicator?
Conjunctiva of the eye Soles of the feet
Roof of the mouth Shins
Roof of the mouth
The oral mucosa and hard palate (roof of the mouth) are the best indicators
of jaundice in dark-skinned persons. The conjunctiva can have normal
deposits of fat, which give a
yellowish hue; thus, answer A is incorrect. The soles of the feet can be yellow
if they are calloused, making answer B incorrect; the shins would be an area
of darker pigment
4/102
PEARSON NCLEX-RN Questions & Answers Rationales \||
Most Recent Exam Actual Complete Real Exam 250
Questions And Correct Answers (Verified Answers)
Already Graded A+ | Guaranteed Success!! Newest
Exam | Just Released!!
1. The physician has ordered a histoplasmosis test for the elderly client. The
nurse is aware that histoplasmosis is transmitted to humans by:
Cats Dogs Turtles Birds
Birds.
Histoplasmosis is a fungus carried by birds.
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
1/102
,4/5/26, 10:02 PM PEARSON NCLEX-RN Questions & Rationales
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.
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.
2/102
,4/5/26, 10:02 PM PEARSON NCLEX-RN Questions & Rationales
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.
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
3/102
, 4/5/26, 10:02 PM PEARSON NCLEX-RN Questions & Rationales
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
8 . An African American female comes to the outpatient clinic. The physician
suspects vitamin B12 deficiency anemia. Because jaundice is often a clinical
manifestation of this type of anemia, what body part would be the best
indicator?
Conjunctiva of the eye Soles of the feet
Roof of the mouth Shins
Roof of the mouth
The oral mucosa and hard palate (roof of the mouth) are the best indicators
of jaundice in dark-skinned persons. The conjunctiva can have normal
deposits of fat, which give a
yellowish hue; thus, answer A is incorrect. The soles of the feet can be yellow
if they are calloused, making answer B incorrect; the shins would be an area
of darker pigment
4/102
