NUR 211 Final 2026 Exam
Questions with 100% Correct
Answers | Latest Update
A nurse caring for a client with sickle cell disease (SCD) reviews the client's
laboratory work. Which finding should the nurse report to the provider?
A. Creatinine: 2.9
B. Hematocrit: 30%
C. Sodium: 147
,D. WBC: 12,000 - 🧠 ANSWER ✔✔A. Creatinine: 2.9
An elevated creatinine indicates kidney damage, which occurs in SCD. A
hematocrit level of 30% is an expected finding, as is a slightly elevated
white blood cell count. A sodium of 147, although slightly high, is not
concerning
A client hospitalized with sickle cell crisis frequently asks for opioid pain
medications, often shortly after receiving a dose. The nurses on the unit
believe the client is drug seeking. When the client requests pain
medication, what action by the nurse is best?
A. Give the client pain medication if it is time for another dose.
B. Instruct the client not to request pain medication too early.
C. Request the provider to leave a prescription for a placebo
D. Tell the client it is too early to have more pain medication - 🧠 ANSWER
✔✔A. Give the client pain medication it it is time for another dose.
,Clients with sickle cell crisis often have severe pain that is managed with
up to 48 hours of IV opioid analgesics. Even if the client is addicted and
drug seeking, he or she is still in extreme pain. If the client can receive
another doe of medication, the nurse should provide it, The other options
are judgmental and do not address the client's pain. Giving placebos is
unethical.
A client in sickle cell crisis is dehydrated and in the emergency department.
The nurse plans to start an IV. Which fluid choice is best?
A. 0.45% normal saline
B. 0.9% normal saline
C. Dextrose 50% (D50)
D. Lactated Ringers solution - 🧠 ANSWER ✔✔A. 0.45% normal saline
Because clients in sickle cell crisis are often dehydrated, the fluid of choice
is a hypotonic solution such as 0.45% normal saline. ).9% normal saline
and lactated ringers solution are isotonic. D50 is hypertonic and not used
for hydration.
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, A client presents to the emergency department in sickle cell crisis. What
intervention by the nurse takes priority?
A. Administer oxygen
B. Apply an oximetry probe
C. Give pain medication
D. Start an IV line - 🧠 ANSWER ✔✔A. Administer oxygen
All actions are appropriate, but remembering the ABCs, oxygen would
come first. The main problem in a sickle cell crisis is tissue and organ
hypoxia, so providing oxygen helps halt the process.
A client has a sickle cell crisis with extreme lower extremity pain. What
comfort measure does the nurse delegate to the UAP?
A. Apply ice packs to the client's legs
B. Elevate the clients legs on pillows
C. Keep the lower extremities warms.
D. Place elastic bandage wraps on the client's legs. - 🧠 ANSWER ✔✔C.
Keep the lower extremities warm
Questions with 100% Correct
Answers | Latest Update
A nurse caring for a client with sickle cell disease (SCD) reviews the client's
laboratory work. Which finding should the nurse report to the provider?
A. Creatinine: 2.9
B. Hematocrit: 30%
C. Sodium: 147
,D. WBC: 12,000 - 🧠 ANSWER ✔✔A. Creatinine: 2.9
An elevated creatinine indicates kidney damage, which occurs in SCD. A
hematocrit level of 30% is an expected finding, as is a slightly elevated
white blood cell count. A sodium of 147, although slightly high, is not
concerning
A client hospitalized with sickle cell crisis frequently asks for opioid pain
medications, often shortly after receiving a dose. The nurses on the unit
believe the client is drug seeking. When the client requests pain
medication, what action by the nurse is best?
A. Give the client pain medication if it is time for another dose.
B. Instruct the client not to request pain medication too early.
C. Request the provider to leave a prescription for a placebo
D. Tell the client it is too early to have more pain medication - 🧠 ANSWER
✔✔A. Give the client pain medication it it is time for another dose.
,Clients with sickle cell crisis often have severe pain that is managed with
up to 48 hours of IV opioid analgesics. Even if the client is addicted and
drug seeking, he or she is still in extreme pain. If the client can receive
another doe of medication, the nurse should provide it, The other options
are judgmental and do not address the client's pain. Giving placebos is
unethical.
A client in sickle cell crisis is dehydrated and in the emergency department.
The nurse plans to start an IV. Which fluid choice is best?
A. 0.45% normal saline
B. 0.9% normal saline
C. Dextrose 50% (D50)
D. Lactated Ringers solution - 🧠 ANSWER ✔✔A. 0.45% normal saline
Because clients in sickle cell crisis are often dehydrated, the fluid of choice
is a hypotonic solution such as 0.45% normal saline. ).9% normal saline
and lactated ringers solution are isotonic. D50 is hypertonic and not used
for hydration.
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, A client presents to the emergency department in sickle cell crisis. What
intervention by the nurse takes priority?
A. Administer oxygen
B. Apply an oximetry probe
C. Give pain medication
D. Start an IV line - 🧠 ANSWER ✔✔A. Administer oxygen
All actions are appropriate, but remembering the ABCs, oxygen would
come first. The main problem in a sickle cell crisis is tissue and organ
hypoxia, so providing oxygen helps halt the process.
A client has a sickle cell crisis with extreme lower extremity pain. What
comfort measure does the nurse delegate to the UAP?
A. Apply ice packs to the client's legs
B. Elevate the clients legs on pillows
C. Keep the lower extremities warms.
D. Place elastic bandage wraps on the client's legs. - 🧠 ANSWER ✔✔C.
Keep the lower extremities warm
