PEARSON NCLEX-RN Questions &
Rationales | Questions & Answers |
Grade A | 100% Correct (2026/2027)
Key Features of Pearson NCLEX-RN Resources
Comprehensive Review: Organizes content by client needs (similar to the NCLEX-RN
exam) rather than by school subject, covering key areas like management,
delegation, leadership, and pharmacology.
Practice Questions & Rationales: Features over 200 updated NCLEX-style questions
(including NGN formats) with detailed rationales
Next Gen NCLEX (NGN) Focus: Includes case studies featuring unfolding client
scenarios and item types like bow-tie, matrix, cloze, and highlight, which assess
clinical judgment.
Exam Cram Format: Includes special sections like the "Cram Sheet" tear card for
quick review of key facts and formulas.
Computerized Adaptive Test (CAT) Simulation: Practice tests mimic the CAT format,
where the test adjusts to your ability level, presenting 200 Q&A
Content Areas Covered
The review material focuses on the major client need categories in the NCLEX-RN
Test Plan:
Safe and Effective Care Environment: Management of Care, Safety and Infection
Control.
Health Promotion and Maintenance.
Psychosocial Integrity.
Physiological Integrity: Basic Care and Comfort, Pharmacological and Parenteral
Therapies, Reduction of Risk Potential, and Physiological Adaptation.
Quiz_________________?
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?
1
, Side-lying with knees flexed
Knee-chest
High Fowler's with knees flexed
Semi-Fowler's with legs extended on the bed -
Answer
Semi-Fowler's with legs extended on the bed
Quiz_________________?
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 -
Answer
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.
Quiz_________________?
4. Which of the following foods would the nurse encourage the client in sickle cell crisis to eat?
Peaches
Cottage cheese
Popsicle
Lima beans -
Answer
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
, Quiz_________________?
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 -
Answer
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.
Quiz_________________?
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 -
Answer
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
Quiz_________________?
3
, 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 -
Answer
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
Quiz_________________?
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 -
Answer
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.
Quiz_________________?
9. 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
4
Rationales | Questions & Answers |
Grade A | 100% Correct (2026/2027)
Key Features of Pearson NCLEX-RN Resources
Comprehensive Review: Organizes content by client needs (similar to the NCLEX-RN
exam) rather than by school subject, covering key areas like management,
delegation, leadership, and pharmacology.
Practice Questions & Rationales: Features over 200 updated NCLEX-style questions
(including NGN formats) with detailed rationales
Next Gen NCLEX (NGN) Focus: Includes case studies featuring unfolding client
scenarios and item types like bow-tie, matrix, cloze, and highlight, which assess
clinical judgment.
Exam Cram Format: Includes special sections like the "Cram Sheet" tear card for
quick review of key facts and formulas.
Computerized Adaptive Test (CAT) Simulation: Practice tests mimic the CAT format,
where the test adjusts to your ability level, presenting 200 Q&A
Content Areas Covered
The review material focuses on the major client need categories in the NCLEX-RN
Test Plan:
Safe and Effective Care Environment: Management of Care, Safety and Infection
Control.
Health Promotion and Maintenance.
Psychosocial Integrity.
Physiological Integrity: Basic Care and Comfort, Pharmacological and Parenteral
Therapies, Reduction of Risk Potential, and Physiological Adaptation.
Quiz_________________?
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?
1
, Side-lying with knees flexed
Knee-chest
High Fowler's with knees flexed
Semi-Fowler's with legs extended on the bed -
Answer
Semi-Fowler's with legs extended on the bed
Quiz_________________?
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 -
Answer
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.
Quiz_________________?
4. Which of the following foods would the nurse encourage the client in sickle cell crisis to eat?
Peaches
Cottage cheese
Popsicle
Lima beans -
Answer
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
, Quiz_________________?
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 -
Answer
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.
Quiz_________________?
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 -
Answer
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
Quiz_________________?
3
, 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 -
Answer
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
Quiz_________________?
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 -
Answer
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.
Quiz_________________?
9. 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
4
