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 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?