NCLEX-RN over 245 Questions ,
Correct answers & Rationales for
a guaranteed pass.
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
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.
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
, 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. 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
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.
Correct answers & Rationales for
a guaranteed pass.
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
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.
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
, 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. 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
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.
