NCSBN TEST BANK QUESTIONS AND ANSWERS
100% CORRECT
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?
❍ 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
1
, eat?
❍ A. Steak
❍ B. Cottage cheese
❍ C. Popsicle
❍ D. Lima beans
5. A newly admitted client has sickle cell crisis. He is complaining of pain in his feet and
hands. The nurse’s assessment finding 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
❍ 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
2
,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 dark skinned individual is
the:
❍ A. Conjunctiva of the eye
❍ B. Soles of the feet
❍ C. Roof of the mouth
❍ D. Shins
10. The nurse is conducting a physical assessment on a client with anemia. Which of
the following clinical manifestations would be most indicative of the anemia?
❍ A. BP 146/88
❍ B. Respirations 28 shallow
❍ C. Weight gain of 10 pounds in six months
❍ D. Pink complexion
11. The nurse is teaching the client with polycythemia vera about prevention of
complications of the disease. Which of the following statements by the client indicates a
need for further teaching?
❍ A. “I will drink 500mL of fluid or less each day.”
❍ B. “I will wear support hose.”
❍ C. “I will check my blood pressure regularly.”
3
, ❍ D. “I will report ankle edema.”
12. A 33-year-old male is being evaluated for possible acute leukemia. Which of the
following findings is most likely related to the diagnosis of leukemia?
❍ A. The client collects stamps as a hobby.
❍ B. The client recently lost his job as a postal worker.
❍ C. The client had radiation for treatment of Hodgkin’s disease as a teenager.
❍ D. The client’s brother had leukemia as a child.
13. Where is the best site for examining for the presence of petechiae in an African
American client?
❍ A. The abdomen
❍ B. The thorax
❍ C. The earlobes
❍ D. The soles of the feet
14. The client is being evaluated for possible acute leukemia. Which inquiry by the
nurse is most important?
❍ A. “Have you noticed a change in sleeping habits recently?”
❍ B. “Have you had a respiratory infection in the last six months?”
❍ C. “Have you lost weight recently?”
❍ D. “Have you noticed changes in your alertness?”
4
100% CORRECT
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?
❍ 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
1
, eat?
❍ A. Steak
❍ B. Cottage cheese
❍ C. Popsicle
❍ D. Lima beans
5. A newly admitted client has sickle cell crisis. He is complaining of pain in his feet and
hands. The nurse’s assessment finding 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
❍ 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
2
,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 dark skinned individual is
the:
❍ A. Conjunctiva of the eye
❍ B. Soles of the feet
❍ C. Roof of the mouth
❍ D. Shins
10. The nurse is conducting a physical assessment on a client with anemia. Which of
the following clinical manifestations would be most indicative of the anemia?
❍ A. BP 146/88
❍ B. Respirations 28 shallow
❍ C. Weight gain of 10 pounds in six months
❍ D. Pink complexion
11. The nurse is teaching the client with polycythemia vera about prevention of
complications of the disease. Which of the following statements by the client indicates a
need for further teaching?
❍ A. “I will drink 500mL of fluid or less each day.”
❍ B. “I will wear support hose.”
❍ C. “I will check my blood pressure regularly.”
3
, ❍ D. “I will report ankle edema.”
12. A 33-year-old male is being evaluated for possible acute leukemia. Which of the
following findings is most likely related to the diagnosis of leukemia?
❍ A. The client collects stamps as a hobby.
❍ B. The client recently lost his job as a postal worker.
❍ C. The client had radiation for treatment of Hodgkin’s disease as a teenager.
❍ D. The client’s brother had leukemia as a child.
13. Where is the best site for examining for the presence of petechiae in an African
American client?
❍ A. The abdomen
❍ B. The thorax
❍ C. The earlobes
❍ D. The soles of the feet
14. The client is being evaluated for possible acute leukemia. Which inquiry by the
nurse is most important?
❍ A. “Have you noticed a change in sleeping habits recently?”
❍ B. “Have you had a respiratory infection in the last six months?”
❍ C. “Have you lost weight recently?”
❍ D. “Have you noticed changes in your alertness?”
4
