NUR 210 (MED/SURG 2 - Test 1) NCLEX STYLE PRACTICE
Questions with Correct Answers (Grade A+)
Question 1: The nurse is caring for a client with sickle cell anemia. The nurse teaches the client that the
inherited alteration of which type of hemoglobin causes the abnormal shape to the red blood cell?
A) Hgb A
B) Hgb S
C) Hgb B
D) Hgb E **P-2**
Answer: B (Hgb S)
Question 2: The nurse is caring for a toddler who is undergoing treatment for sickle cell crisis. The
parents ask the nurse, "Our child has been potty trained for 2 years, but suddenly he's wetting the bed
again. What do we do?" How should the nurse respond?
A) "He is likely rebelling because he doesn't like the treatments. You may need to discipline him."
B) "Bedwetting is often a sign of urinary tract infection. I will have the provider check for that."
C) "Toddlers often regress in behaviors when they are sick. Just be patient with him."
D) "Nocturnal enuresis is a side effect of his medications. Once he's done with his treatment, he will stop
wetting the bed." **P-2**
Answer: C ("Toddlers often regress in behaviors when they are sick. Just be patient with him.")
Question 3: A nurse educator is teaching a group of parents how to prevent a sickle cell crisis in the
child with sickle cell disease. What precipitating factors that could contribute to a sickle cell crisis
should the nurse teach the parents? (Select all that apply)
A) Increased fluid intake
B) High altitudes
C) Fever and infection
D) Emotional or physical stress
E) Warm temperatures **P-2**
Answer: B, C, & D (High altitudes) (Fever and infection) (Emotional or physical stress)
Question 4: Parents of a newborn infant are concerned that their baby may have sickle cell disease. The
nurse reviews the medical record and finds that both parents have the sickle cell trait. Which is the best
response for the nurse to give the parents?
A) "Since neither of you actually has sickle cell disease, your baby is not at risk."
B) "Your baby has the disease, as you both carry the trait."
C) "We are required to test all babies for sickle cell disease."
D) "Have you talked to a genetic counselor about your concerns?" **P-2**
Answer: C ("We are required to test all babies for sickle cell disease.")
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,Question 5: The nurse is assigned to care for a client with sickle cell disease who is being admitted with
splenic sequestration crisis. Which room would be the most appropriate for this client?
A) Private room
B) Semi-private room
C) Contact-isolation room
D) Airborne-isolation room **P-23**
Answer: A (Private room)
Question 6: A client in sickle cell crisis reports taking a recent skiing trip that caused a respiratory
infection from the cold weather. The client reports a pain level of 8 on a pain scale from 1 to 10. Which
nursing diagnosis is a priority for this client?
A) Fluid Volume Excess
B) Risk for Self-Mutilation
C) Knowledge Deficit
D) Acute Pain **P-2**
Answer: D (Acute pain)
Question 7: A client is admitted to the emergency department in a sickle cell crisis. The nurse assesses
the client and documents the following clinical findings: temperature 102°F, O2 saturation of 89%, and
complaints of severe abdominal pain. Based on the assessment findings, which intervention is the
greatest priority?
A) Apply oxygen per nasal cannula at 3 L/minute
B) Assess and document peripheral pulses
C) Administer morphine sulfate 10 mg IM
D) Administer Tylenol 650 mg by mouth **P-2**
Answer: A (Apply oxygen per nasal cannula at 3 L/minute)
Question 8: The nurse is planning care for a young child who is admitted with sickle cell crisis. The
parents are with the child, and neither has much information about the disease. When planning care
for this family, the nurse will set which goal with this family?
A) The child will drink adequate amounts of fluid each day
B) The child will play outside in the sun
C) The family will not have the child vaccinated
D) The family will plan vacations in high-altitude areas **P-2**
Answer: A (The child will drink adequate amounts of fluid each day)
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, Question 9: The nurse is caring for a client who was admitted to a medical-surgical unit in sickle cell
crisis. Which medication should the nurse expect to administer to this client?
A) Acetaminophen (Tylenol)
B) Ibuprofen (Advil)
C) Meperidine (Demerol)
D) Hydroxyurea **P-2**
Answer: D (Hydroxyurea)
Question 10: The nurse is providing care to a 3-year-old client who is receiving treatment for sickle cell
disease. The client is at risk for infection. Which medication does the nurse expect to administer to this
client?
A) Acetaminophen
B) Penicillin
C) Morphine sulfate
D) Tamoxifen **P-2**
Answer: B (Penicillin)
Question 11: A pediatric nurse is educating the client with sickle cell disease and the client's family
regarding the genetic implications of the disease. Which information is inappropriate for the nurse to
share with the client's family?
A) If both parents have the trait, then with each pregnancy, the risk of having a child with the disease is 50%
B) The disorder is transmitted as an autosomal recessive genetic defect
C) The sickle cell gene may have originated to protect against lethal forms of malaria
D) In African Americans, sickle cell disease occurs in 1 of every 365 births **P-2**
Answer: A (If both parents have the trait, then with each pregnancy, the risk of having a child with the
disease is 50%)
Question 12: An emergency department nurse is caring for a child in sickle cell crisis. The nurse
suspects the etiology of the crisis as being thrombotic in nature because of which clinical
manifestations? (Select all that apply)
A) The client has profound pallor and fatigue
B) The client is in extreme pain
C) The client has profound hypotension and shock
D) The client has a fever
E) The client's chest CT reveals a pulmonary infarct **P-2**
Answer: B & D (The client is in extreme pain) (The client has a fever)
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Questions with Correct Answers (Grade A+)
Question 1: The nurse is caring for a client with sickle cell anemia. The nurse teaches the client that the
inherited alteration of which type of hemoglobin causes the abnormal shape to the red blood cell?
A) Hgb A
B) Hgb S
C) Hgb B
D) Hgb E **P-2**
Answer: B (Hgb S)
Question 2: The nurse is caring for a toddler who is undergoing treatment for sickle cell crisis. The
parents ask the nurse, "Our child has been potty trained for 2 years, but suddenly he's wetting the bed
again. What do we do?" How should the nurse respond?
A) "He is likely rebelling because he doesn't like the treatments. You may need to discipline him."
B) "Bedwetting is often a sign of urinary tract infection. I will have the provider check for that."
C) "Toddlers often regress in behaviors when they are sick. Just be patient with him."
D) "Nocturnal enuresis is a side effect of his medications. Once he's done with his treatment, he will stop
wetting the bed." **P-2**
Answer: C ("Toddlers often regress in behaviors when they are sick. Just be patient with him.")
Question 3: A nurse educator is teaching a group of parents how to prevent a sickle cell crisis in the
child with sickle cell disease. What precipitating factors that could contribute to a sickle cell crisis
should the nurse teach the parents? (Select all that apply)
A) Increased fluid intake
B) High altitudes
C) Fever and infection
D) Emotional or physical stress
E) Warm temperatures **P-2**
Answer: B, C, & D (High altitudes) (Fever and infection) (Emotional or physical stress)
Question 4: Parents of a newborn infant are concerned that their baby may have sickle cell disease. The
nurse reviews the medical record and finds that both parents have the sickle cell trait. Which is the best
response for the nurse to give the parents?
A) "Since neither of you actually has sickle cell disease, your baby is not at risk."
B) "Your baby has the disease, as you both carry the trait."
C) "We are required to test all babies for sickle cell disease."
D) "Have you talked to a genetic counselor about your concerns?" **P-2**
Answer: C ("We are required to test all babies for sickle cell disease.")
Page 1
,Question 5: The nurse is assigned to care for a client with sickle cell disease who is being admitted with
splenic sequestration crisis. Which room would be the most appropriate for this client?
A) Private room
B) Semi-private room
C) Contact-isolation room
D) Airborne-isolation room **P-23**
Answer: A (Private room)
Question 6: A client in sickle cell crisis reports taking a recent skiing trip that caused a respiratory
infection from the cold weather. The client reports a pain level of 8 on a pain scale from 1 to 10. Which
nursing diagnosis is a priority for this client?
A) Fluid Volume Excess
B) Risk for Self-Mutilation
C) Knowledge Deficit
D) Acute Pain **P-2**
Answer: D (Acute pain)
Question 7: A client is admitted to the emergency department in a sickle cell crisis. The nurse assesses
the client and documents the following clinical findings: temperature 102°F, O2 saturation of 89%, and
complaints of severe abdominal pain. Based on the assessment findings, which intervention is the
greatest priority?
A) Apply oxygen per nasal cannula at 3 L/minute
B) Assess and document peripheral pulses
C) Administer morphine sulfate 10 mg IM
D) Administer Tylenol 650 mg by mouth **P-2**
Answer: A (Apply oxygen per nasal cannula at 3 L/minute)
Question 8: The nurse is planning care for a young child who is admitted with sickle cell crisis. The
parents are with the child, and neither has much information about the disease. When planning care
for this family, the nurse will set which goal with this family?
A) The child will drink adequate amounts of fluid each day
B) The child will play outside in the sun
C) The family will not have the child vaccinated
D) The family will plan vacations in high-altitude areas **P-2**
Answer: A (The child will drink adequate amounts of fluid each day)
Page 2
, Question 9: The nurse is caring for a client who was admitted to a medical-surgical unit in sickle cell
crisis. Which medication should the nurse expect to administer to this client?
A) Acetaminophen (Tylenol)
B) Ibuprofen (Advil)
C) Meperidine (Demerol)
D) Hydroxyurea **P-2**
Answer: D (Hydroxyurea)
Question 10: The nurse is providing care to a 3-year-old client who is receiving treatment for sickle cell
disease. The client is at risk for infection. Which medication does the nurse expect to administer to this
client?
A) Acetaminophen
B) Penicillin
C) Morphine sulfate
D) Tamoxifen **P-2**
Answer: B (Penicillin)
Question 11: A pediatric nurse is educating the client with sickle cell disease and the client's family
regarding the genetic implications of the disease. Which information is inappropriate for the nurse to
share with the client's family?
A) If both parents have the trait, then with each pregnancy, the risk of having a child with the disease is 50%
B) The disorder is transmitted as an autosomal recessive genetic defect
C) The sickle cell gene may have originated to protect against lethal forms of malaria
D) In African Americans, sickle cell disease occurs in 1 of every 365 births **P-2**
Answer: A (If both parents have the trait, then with each pregnancy, the risk of having a child with the
disease is 50%)
Question 12: An emergency department nurse is caring for a child in sickle cell crisis. The nurse
suspects the etiology of the crisis as being thrombotic in nature because of which clinical
manifestations? (Select all that apply)
A) The client has profound pallor and fatigue
B) The client is in extreme pain
C) The client has profound hypotension and shock
D) The client has a fever
E) The client's chest CT reveals a pulmonary infarct **P-2**
Answer: B & D (The client is in extreme pain) (The client has a fever)
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