NUR 211 FINAL EXAM WITH 100%
CORRECT ANSWERS 2025
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 correct answers >> 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
correct answers >> 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 correct answers >> 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.
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 correct answers >> 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. correct
answers >> C. Keep the lower extremities warm
During a sickle cell crisis, the tissue distal to the occlusion has
decreased blood flow and ischemia, leading to pain. Due to
decreased blood flow, the clients legs will be cool or cold. The UAP
can attempt to keep the clients legs warm. Ice and elevation will
further decrease perfusion. Elastic bandage wraps are not
indicated and may constrict perfusion in the legs
A client admitted for sickle cell crisis is distraught after learning
her child also has the disease. What response by the nurse is
best?
A. Both you and the father are equally responsible for passing it
on.
B. I can see you are upset. I can stay here with you awhile if you
like
C. It's not your fault; there is no way to know who will have this
disease
, D. There are many good treatments for sickle cell disease these
days. correct answers >> B. I can see you are upset. I can
stay here with you awhile if you like.
The best response is for the nurse to offer self, a therapeutic
communication technique that uses presence. Attempting to
assign blame to both parents will not help the client feel better.
There is genetic testing available, so it is inaccurate to state there
is no way to know who will have the disease. Stating that good
treatments exist belittles the client's feelings.
A client with sickle cell disease (SCD) takes hydroxyurea (Droxia).
The client presents to the clinic reporting an increase in fatigue.
What laboratory result should the nurse report immediately?
A. Hematocrit: 25%
B. Hemoglobin: 9.2
C. Potassium: 3.2
D. WBC: 38,000 correct answers >> D. WBC: 38,000
Although individuals with SCD often have elevated WBC counts,
this extreme elevation could indicate leukemia, a complication of
taking hydoxyurea. The nurse should report this finding
immediately. Alternatively, it could indicate infection, a serious
problem for clients with SCD. Hematocrit and hemoglobin levels
are normally low in people with SCD. The potassium level, while
slightly low, is not worrisome as the WBCs.
A nurse working with clients with sickle cell disease teaches about
self-management to prevent exacerbations and sickle cell crisis.
What factors should clients be taught to avoid? (Select all that
apply)
CORRECT ANSWERS 2025
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 correct answers >> 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
correct answers >> 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 correct answers >> 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.
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 correct answers >> 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. correct
answers >> C. Keep the lower extremities warm
During a sickle cell crisis, the tissue distal to the occlusion has
decreased blood flow and ischemia, leading to pain. Due to
decreased blood flow, the clients legs will be cool or cold. The UAP
can attempt to keep the clients legs warm. Ice and elevation will
further decrease perfusion. Elastic bandage wraps are not
indicated and may constrict perfusion in the legs
A client admitted for sickle cell crisis is distraught after learning
her child also has the disease. What response by the nurse is
best?
A. Both you and the father are equally responsible for passing it
on.
B. I can see you are upset. I can stay here with you awhile if you
like
C. It's not your fault; there is no way to know who will have this
disease
, D. There are many good treatments for sickle cell disease these
days. correct answers >> B. I can see you are upset. I can
stay here with you awhile if you like.
The best response is for the nurse to offer self, a therapeutic
communication technique that uses presence. Attempting to
assign blame to both parents will not help the client feel better.
There is genetic testing available, so it is inaccurate to state there
is no way to know who will have the disease. Stating that good
treatments exist belittles the client's feelings.
A client with sickle cell disease (SCD) takes hydroxyurea (Droxia).
The client presents to the clinic reporting an increase in fatigue.
What laboratory result should the nurse report immediately?
A. Hematocrit: 25%
B. Hemoglobin: 9.2
C. Potassium: 3.2
D. WBC: 38,000 correct answers >> D. WBC: 38,000
Although individuals with SCD often have elevated WBC counts,
this extreme elevation could indicate leukemia, a complication of
taking hydoxyurea. The nurse should report this finding
immediately. Alternatively, it could indicate infection, a serious
problem for clients with SCD. Hematocrit and hemoglobin levels
are normally low in people with SCD. The potassium level, while
slightly low, is not worrisome as the WBCs.
A nurse working with clients with sickle cell disease teaches about
self-management to prevent exacerbations and sickle cell crisis.
What factors should clients be taught to avoid? (Select all that
apply)
