NCLEX-RN Exam Cram
Questions and Answers Latest
Versions 2025
Capillary refill of < 3 seconds
A 43-year-old African American male is admitted with sickle cell
anemia. The nurse plans to assess circulation in the lower
extremities every two hours. Which of the following outcome
criteria would the nurse use?
Semi-Fowler's with legs extended on the bed
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?
Encouraging fluid intake of at least 200mL per hour
A 25-year-old male is admitted in sickle cell crisis. Which of the
following interventions would be of highest priority for this client?
Popsicle
Which of the following foods would the nurse encourage the client
in sickle cell crisis to eat?
Start O2
A newly admitted client has sickle cell crisis. He is complaining of
pain in his feet and hands. The nurse's assessment findings
include a pulse oximetry of 92. Assuming that all the following
interventions are ordered, which should be done first?
Egg salad on wheat bread, carrot sticks, lettuce salad, raisin
pie
The nurse is instructing a client with iron-deficiency anemia.
Which of the following meal plans would the nurse expect the
client to select?
,A bus trip to the Museum of Natural History
Clients with sickle cell anemia are taught to avoid activities that
cause hypoxia and hypoxemia. Which of the following activities
would the nurse recommend?
Beefy tongue
The nurse is conducting an admission assessment of a client with
vitamin B12 deficiency. Which finding reinforces the diagnosis of
B12 deficiency?
Roof of the mouth
The body part that would most likely display jaundice in the dark-
skinned individual is the:
Respirations 28 shallow
The nurse is conducting a physical assessment on a client with
anemia. Which of the following clinical manifestations would be
most indicative of the anemia?
"I will drink 500mL of fluid or less each day."
The nurse is teaching the client with polycythemia vera about
prevention of complications of the disease. Which of the following
statements by the client indicates a need for further teaching?
The client had radiation for treatment of Hodgkin's disease
as a teenager.
A 33-year-old male is being evaluated for possible acute
leukemia. Which of the following findings is most likely related to
the diagnosis of leukemia?
The soles of the feet
Where is the best site for examining for the presence of petechiae
in an African American client?
"Have you had a respiratory infection in the last six
months?"
The client is being evaluated for possible acute leukemia. Which
inquiry by the nurse is most important?
Risk for injury related to thrombocytopenia
Which of the following would be the priority nursing diagnosis for
the adult client with acute leukemia?
Sexual dysfunction related to radiation therapy
, A 21-year-old male with Hodgkin's lymphoma is a senior at the
local university. He is engaged to be married and is to begin a
new job upon graduation. Which of the following diagnoses would
be a priority for this client?
Platelet count
A client has autoimmune thrombocytopenic purpura. To
determine the client's response to treatment, the nurse would
monitor:
Bleeding precautions
The home health nurse is visiting a client with autoimmune
thrombocytopenic purpura (ATP). The client's platelet count
currently is 80,000. It will be most important to teach the client
and family about:
Elevate the head of the bed 30°.
The client has surgery for removal of a Prolactinoma. Which of
the following interventions would be appropriate for this client?
Check the vital signs.
The client with a history of diabetes insipidus is admitted with
polyuria, polydipsia, and mental confusion. The priority
intervention for this client is:
Pinch the soft lower part of the nose.
A client with hemophilia has a nosebleed. Which nursing action is
most appropriate to control the bleeding?
The blood pressure
A client has had a unilateral adrenalectomy to remove a tumor.
The most important measurement in the immediate post-operative
period for the nurse to take is:
Glucometer readings as ordered
A client with Addison's disease has been admitted with a history
of nausea and vomiting for the past three days. The client is
receiving IV glucocorticoids (Solu-Medrol). Which of the following
interventions would the nurse implement?
Check the calcium level.
Questions and Answers Latest
Versions 2025
Capillary refill of < 3 seconds
A 43-year-old African American male is admitted with sickle cell
anemia. The nurse plans to assess circulation in the lower
extremities every two hours. Which of the following outcome
criteria would the nurse use?
Semi-Fowler's with legs extended on the bed
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?
Encouraging fluid intake of at least 200mL per hour
A 25-year-old male is admitted in sickle cell crisis. Which of the
following interventions would be of highest priority for this client?
Popsicle
Which of the following foods would the nurse encourage the client
in sickle cell crisis to eat?
Start O2
A newly admitted client has sickle cell crisis. He is complaining of
pain in his feet and hands. The nurse's assessment findings
include a pulse oximetry of 92. Assuming that all the following
interventions are ordered, which should be done first?
Egg salad on wheat bread, carrot sticks, lettuce salad, raisin
pie
The nurse is instructing a client with iron-deficiency anemia.
Which of the following meal plans would the nurse expect the
client to select?
,A bus trip to the Museum of Natural History
Clients with sickle cell anemia are taught to avoid activities that
cause hypoxia and hypoxemia. Which of the following activities
would the nurse recommend?
Beefy tongue
The nurse is conducting an admission assessment of a client with
vitamin B12 deficiency. Which finding reinforces the diagnosis of
B12 deficiency?
Roof of the mouth
The body part that would most likely display jaundice in the dark-
skinned individual is the:
Respirations 28 shallow
The nurse is conducting a physical assessment on a client with
anemia. Which of the following clinical manifestations would be
most indicative of the anemia?
"I will drink 500mL of fluid or less each day."
The nurse is teaching the client with polycythemia vera about
prevention of complications of the disease. Which of the following
statements by the client indicates a need for further teaching?
The client had radiation for treatment of Hodgkin's disease
as a teenager.
A 33-year-old male is being evaluated for possible acute
leukemia. Which of the following findings is most likely related to
the diagnosis of leukemia?
The soles of the feet
Where is the best site for examining for the presence of petechiae
in an African American client?
"Have you had a respiratory infection in the last six
months?"
The client is being evaluated for possible acute leukemia. Which
inquiry by the nurse is most important?
Risk for injury related to thrombocytopenia
Which of the following would be the priority nursing diagnosis for
the adult client with acute leukemia?
Sexual dysfunction related to radiation therapy
, A 21-year-old male with Hodgkin's lymphoma is a senior at the
local university. He is engaged to be married and is to begin a
new job upon graduation. Which of the following diagnoses would
be a priority for this client?
Platelet count
A client has autoimmune thrombocytopenic purpura. To
determine the client's response to treatment, the nurse would
monitor:
Bleeding precautions
The home health nurse is visiting a client with autoimmune
thrombocytopenic purpura (ATP). The client's platelet count
currently is 80,000. It will be most important to teach the client
and family about:
Elevate the head of the bed 30°.
The client has surgery for removal of a Prolactinoma. Which of
the following interventions would be appropriate for this client?
Check the vital signs.
The client with a history of diabetes insipidus is admitted with
polyuria, polydipsia, and mental confusion. The priority
intervention for this client is:
Pinch the soft lower part of the nose.
A client with hemophilia has a nosebleed. Which nursing action is
most appropriate to control the bleeding?
The blood pressure
A client has had a unilateral adrenalectomy to remove a tumor.
The most important measurement in the immediate post-operative
period for the nurse to take is:
Glucometer readings as ordered
A client with Addison's disease has been admitted with a history
of nausea and vomiting for the past three days. The client is
receiving IV glucocorticoids (Solu-Medrol). Which of the following
interventions would the nurse implement?
Check the calcium level.
