NCLEX TEST BANK FOR NCLEX-RN QUESTIONS AND ANSWERS WITH RATIONALES

NCLEX TEST BANK FOR NCLEX-RN QUESTIONS AND ANSWERS WITH RATIONALES 1. 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? A. Body temperature of 99°F or less B. Toes moved in active range of motion C. Sensation reported when soles of feet are touched D. Capillary refill of 3 seconds 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? A. Side-lying with knees flexed B. Knee-chest C. High Fowler’s with knees flexed D. 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? A. Taking hourly blood pressures with mechanical cuff B. Encouraging fluid intake of at least 200mL per hour C. Position in high Fowler’s with knee gatch raised D. Administering Tylenol as ordered 4. Which of the following foods would the nurse encourage the client in sickle cell crisis to eat? A. Steak B. Cottage cheese lOMoARcPSD| C. Popsicle D. Lima beans Quick Answer: 223 Detailed Answer: 225 Quick Answer: 223 Detailed Answer: 225 Quick Answer: 223 Detailed Answer: 225 Quick Answer: 223 Detailed Answer: 225 Quick Check 170 Chapter 3 5. 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? A. Adjust the room temperature B. Give a bolus of IV fluids C. Start O 2 D. Administer meperidine (Demerol) 75mg IV push 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? A. Roast beef, gelatin salad, green beans, and peach pie B. Chicken salad sandwich, coleslaw, French fries, ice cream lOMoARcPSD| C. Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie D. Pork chop, creamed potatoes, corn, and coconut cake 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. A family vacation in the Rocky Mountains B. Chaperoning the local boys club on a snow-skiing trip C. Traveling by airplane for business trips D. A bus trip to the Museum of Natural History 8. The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which finding reinforces the diagnosis of B12 deficiency? A. Enlarged spleen B. Elevated blood pressure C. Bradycardia D. Beefy tongue 9. The body part that would most likely display jaundice in the darkskinned individual is the: A. Conjunctiva of the eye B. Soles of the feet C. Roof of the mouth D. Shins Quick Check Quick Answer: 223 Detailed Answer: 225