NCSBN TEST BANK d d
NCLEX TEST BANK FOR NCLEX-RN
d d d d
300dQUESTIONSdANDdANSWERSdWITHdRATIONALES
COPYIGHTdOFd2021dEDUCATIONALdTESTINGdSYSTEM
1. Ad43-year-olddAfricandAmericandmaledisdadmitteddwithdsickledcell
anemia.dThednursedplansdtodassessdcirculationdindthedlowerdextremitiesdeverydtwodhours.dWhichdofdthedfol
lowingdoutcomedcriteria?
woulddthednurseduse?
❍ A.dBodydtemperaturedofd99°Fdordless
❍ B.dToesdmoveddindactivedrangedofdmotion
❍ C.dSensationdreporteddwhendsolesdofdfeetdaredtouched
❍ D.dCapillarydrefilldofd<d3dseconds
2. Ad30-year-
olddmaledfromdHaitidisdbroughtdtodthedemergencyddepartmentdindsickledcelldcrisis.dWhatdisdthedbestdpositio
ndfordthisdclient?
❍ A.dSide-lyingdwithdkneesdflexed
❍ B.dKnee-chest
❍ C.dHighdFowler’sdwithdkneesdflexed
❍ D.dSemi-Fowler’sdwithdlegsdextendeddondthedbed
3. Ad25-year-
olddmaledisdadmitteddindsickledcelldcrisis.dWhichdofdthedfollowingdint
erventionsdwoulddbedofdhighestdprioritydfordthisdclient?
❍ A.dTakingdhourlydblooddpressuresdwithdmechanicaldcuff
❍ B.dEncouragingdfluiddintakedofdatdleastd200mLdperdhour
❍ C.dPositiondindhighdFowler’sdwithdkneedgatchdraised
❍ D.dAdministeringdTylenoldasdordered
4. Whichdofdthedfollowingdfoodsdwoulddthednursedencouragedthedclient
indsickledcelldcrisisdtodeat?
d
,❍ A.dSteak
❍ B.dCottagedcheese
❍ C.dPopsicle
❍ D.dLimadbeansd
QuickdAnswer:d223
DetaileddAnswer:d225
QuickdAnswer:d223
DetaileddAnswer:d225
QuickdAnswer:d223
DetaileddAnswer:d225
QuickdAnswer:d223
DetaileddAnswer:d225
QuickdCheckd✓170dChapterd3
5. Adnewlydadmitteddclientdhasdsickledcelldcrisis.dHedisdcomplainingdof
paindindhisdfeetdanddhands.dThednurse’sdassessmentdfindingsdinclu
dedadpulsedoximetrydofd92.dAssumingdthatdalldthedfollowingdinterve
ntionsdaredordered,dwhichdshoulddbeddonedfirst?
❍ A.dAdjustdthedroomdtemperature
❍ B.dGivedadbolusdofdIVdfluids
❍ C.dStartdO
2
d
❍ D.dAdministerdmeperidined(Demerol)d75mgdIVdpush
6. Thednursedisdinstructingdadclientdwithdiron-
deficiencydanemia.dWhichdofdthedfollowingdmealdplansdwoulddt
hednursedexpectdthedclientdtodselect?
❍ A.dRoastdbeef,dgelatindsalad,dgreendbeans,danddpeachdpie
❍ B.dChickendsaladdsandwich,dcoleslaw,dFrenchdfries,dice
cream
d
,❍ C.dEggdsaladdondwheatdbread,dcarrotdsticks,dlettucedsalad,
raisindpie
d
❍ D.dPorkdchop,dcreameddpotatoes,dcorn,danddcoconutdcake
7. Clientsdwithdsickledcelldanemiadaredtaughtdtodavoiddactivitiesdthat
causedhypoxiadanddhypoxemia.dWhichdofdthedfollowingdactivitiesd
d
woulddthednursedrecommend?
❍ A.dAdfamilydvacationdindthedRockydMountains
❍ B.dChaperoningdthedlocaldboysdclubdondadsnow-skiingdtrip
❍ C.dTravelingdbydairplanedfordbusinessdtrips
❍ D.dAdbusdtripdtodthedMuseumdofdNaturaldHistory
8. Thednursedisdconductingdandadmissiondassessmentdofdadclientdwith
vitamindB12ddeficiency.dWhichdfindingdreinforcesdtheddiagnosisdofdB
d
12ddeficiency?
❍ A.dEnlargeddspleen
❍ B.dElevateddblooddpressure
❍ C.dBradycardia
❍ D.dBeefydtongue
9. Thedbodydpartdthatdwoulddmostdlikelyddisplaydjaundicedindtheddarkskinneddindividualdisdthe:
❍ A.dConjunctivadofdthedeye
❍ B.dSolesdofdthedfeet
❍ C.dRoofdofdthedmouth
❍ D.dShinsdQui
ckdCheckd✓
QuickdAnswer:d223
DetaileddAnswer:d225
QuickdAnswer:d223
DetaileddAnswer:d225
QuickdAnswer:d223
, DetaileddAnswer:d225
QuickdAnswer:d223
DetaileddAnswer:d225
QuickdAnswer:d223
DetaileddAnswer:d225PracticedExamd3danddRationalesd171
10. Thednursedisdconductingdadphysicaldassessmentdondadclientdwith
anemia.dWhichdofdthedfollowingdclinicaldmanifestationsdwoulddbed
d
mostdindicativedofdthedanemia?
❍ A.dBPd146/88
❍ B.dRespirationsd28dshallow
❍ C.dWeightdgaindofd10dpoundsdindsixdmonths
❍ D.dPinkdcomplexion
11. Thednursedisdteachingdthedclientdwithdpolycythemiadveradaboutdpreventiondofdcomplicationsdofdthe
ddisease.dWhichdofdthedfollowing
statementsdbydthedclientdindicatesdadneeddfordfurtherdteaching?
❍ A.d“Idwillddrinkd500mLdofdfluiddordlessdeachdday.”
❍ B.d“Idwilldweardsupportdhose.”
❍ C.d“Idwilldcheckdmydblooddpressuredregularly.”
❍ D.d“Idwilldreportdanklededema.”
12. Ad33-year-olddmaledisdbeingdevaluateddfordpossibledacutedleukemia.
Whichdofdthedfollowingdfindingsdisdmostdlikelydrelateddtodtheddiagnosisdofdleukemia?
❍ A.dThedclientdcollectsdstampsdasdadhobby.
❍ B.dThedclientdrecentlydlostdhisdjobdasdadpostaldworker.
❍ C.dThedclientdhaddradiationdfordtreatmentdofdHodgkin’sddiseasedasdadteenager.
❍ D.dThedclient’sdbrotherdhaddleukemiadasdadchild.
13. Wheredisdthedbestdsitedfordexaminingdfordthedpresencedofdpetechiae
indandAfricandAmericandclient?
d
❍ A.dThedabdomen
NCLEX TEST BANK FOR NCLEX-RN
d d d d
300dQUESTIONSdANDdANSWERSdWITHdRATIONALES
COPYIGHTdOFd2021dEDUCATIONALdTESTINGdSYSTEM
1. Ad43-year-olddAfricandAmericandmaledisdadmitteddwithdsickledcell
anemia.dThednursedplansdtodassessdcirculationdindthedlowerdextremitiesdeverydtwodhours.dWhichdofdthedfol
lowingdoutcomedcriteria?
woulddthednurseduse?
❍ A.dBodydtemperaturedofd99°Fdordless
❍ B.dToesdmoveddindactivedrangedofdmotion
❍ C.dSensationdreporteddwhendsolesdofdfeetdaredtouched
❍ D.dCapillarydrefilldofd<d3dseconds
2. Ad30-year-
olddmaledfromdHaitidisdbroughtdtodthedemergencyddepartmentdindsickledcelldcrisis.dWhatdisdthedbestdpositio
ndfordthisdclient?
❍ A.dSide-lyingdwithdkneesdflexed
❍ B.dKnee-chest
❍ C.dHighdFowler’sdwithdkneesdflexed
❍ D.dSemi-Fowler’sdwithdlegsdextendeddondthedbed
3. Ad25-year-
olddmaledisdadmitteddindsickledcelldcrisis.dWhichdofdthedfollowingdint
erventionsdwoulddbedofdhighestdprioritydfordthisdclient?
❍ A.dTakingdhourlydblooddpressuresdwithdmechanicaldcuff
❍ B.dEncouragingdfluiddintakedofdatdleastd200mLdperdhour
❍ C.dPositiondindhighdFowler’sdwithdkneedgatchdraised
❍ D.dAdministeringdTylenoldasdordered
4. Whichdofdthedfollowingdfoodsdwoulddthednursedencouragedthedclient
indsickledcelldcrisisdtodeat?
d
,❍ A.dSteak
❍ B.dCottagedcheese
❍ C.dPopsicle
❍ D.dLimadbeansd
QuickdAnswer:d223
DetaileddAnswer:d225
QuickdAnswer:d223
DetaileddAnswer:d225
QuickdAnswer:d223
DetaileddAnswer:d225
QuickdAnswer:d223
DetaileddAnswer:d225
QuickdCheckd✓170dChapterd3
5. Adnewlydadmitteddclientdhasdsickledcelldcrisis.dHedisdcomplainingdof
paindindhisdfeetdanddhands.dThednurse’sdassessmentdfindingsdinclu
dedadpulsedoximetrydofd92.dAssumingdthatdalldthedfollowingdinterve
ntionsdaredordered,dwhichdshoulddbeddonedfirst?
❍ A.dAdjustdthedroomdtemperature
❍ B.dGivedadbolusdofdIVdfluids
❍ C.dStartdO
2
d
❍ D.dAdministerdmeperidined(Demerol)d75mgdIVdpush
6. Thednursedisdinstructingdadclientdwithdiron-
deficiencydanemia.dWhichdofdthedfollowingdmealdplansdwoulddt
hednursedexpectdthedclientdtodselect?
❍ A.dRoastdbeef,dgelatindsalad,dgreendbeans,danddpeachdpie
❍ B.dChickendsaladdsandwich,dcoleslaw,dFrenchdfries,dice
cream
d
,❍ C.dEggdsaladdondwheatdbread,dcarrotdsticks,dlettucedsalad,
raisindpie
d
❍ D.dPorkdchop,dcreameddpotatoes,dcorn,danddcoconutdcake
7. Clientsdwithdsickledcelldanemiadaredtaughtdtodavoiddactivitiesdthat
causedhypoxiadanddhypoxemia.dWhichdofdthedfollowingdactivitiesd
d
woulddthednursedrecommend?
❍ A.dAdfamilydvacationdindthedRockydMountains
❍ B.dChaperoningdthedlocaldboysdclubdondadsnow-skiingdtrip
❍ C.dTravelingdbydairplanedfordbusinessdtrips
❍ D.dAdbusdtripdtodthedMuseumdofdNaturaldHistory
8. Thednursedisdconductingdandadmissiondassessmentdofdadclientdwith
vitamindB12ddeficiency.dWhichdfindingdreinforcesdtheddiagnosisdofdB
d
12ddeficiency?
❍ A.dEnlargeddspleen
❍ B.dElevateddblooddpressure
❍ C.dBradycardia
❍ D.dBeefydtongue
9. Thedbodydpartdthatdwoulddmostdlikelyddisplaydjaundicedindtheddarkskinneddindividualdisdthe:
❍ A.dConjunctivadofdthedeye
❍ B.dSolesdofdthedfeet
❍ C.dRoofdofdthedmouth
❍ D.dShinsdQui
ckdCheckd✓
QuickdAnswer:d223
DetaileddAnswer:d225
QuickdAnswer:d223
DetaileddAnswer:d225
QuickdAnswer:d223
, DetaileddAnswer:d225
QuickdAnswer:d223
DetaileddAnswer:d225
QuickdAnswer:d223
DetaileddAnswer:d225PracticedExamd3danddRationalesd171
10. Thednursedisdconductingdadphysicaldassessmentdondadclientdwith
anemia.dWhichdofdthedfollowingdclinicaldmanifestationsdwoulddbed
d
mostdindicativedofdthedanemia?
❍ A.dBPd146/88
❍ B.dRespirationsd28dshallow
❍ C.dWeightdgaindofd10dpoundsdindsixdmonths
❍ D.dPinkdcomplexion
11. Thednursedisdteachingdthedclientdwithdpolycythemiadveradaboutdpreventiondofdcomplicationsdofdthe
ddisease.dWhichdofdthedfollowing
statementsdbydthedclientdindicatesdadneeddfordfurtherdteaching?
❍ A.d“Idwillddrinkd500mLdofdfluiddordlessdeachdday.”
❍ B.d“Idwilldweardsupportdhose.”
❍ C.d“Idwilldcheckdmydblooddpressuredregularly.”
❍ D.d“Idwilldreportdanklededema.”
12. Ad33-year-olddmaledisdbeingdevaluateddfordpossibledacutedleukemia.
Whichdofdthedfollowingdfindingsdisdmostdlikelydrelateddtodtheddiagnosisdofdleukemia?
❍ A.dThedclientdcollectsdstampsdasdadhobby.
❍ B.dThedclientdrecentlydlostdhisdjobdasdadpostaldworker.
❍ C.dThedclientdhaddradiationdfordtreatmentdofdHodgkin’sddiseasedasdadteenager.
❍ D.dThedclient’sdbrotherdhaddleukemiadasdadchild.
13. Wheredisdthedbestdsitedfordexaminingdfordthedpresencedofdpetechiae
indandAfricandAmericandclient?
d
❍ A.dThedabdomen
