NCSBN TEST BANK FOR NCLEX-RN WITH COMPLETE 300
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
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, NCSBN TEST BANK FOR NCLEX-RN WITH COMPLETE 300
QUESTIONS AND ANSWERS WITH RATIONALES
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?
❍ 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
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, NCSBN TEST BANK FOR NCLEX-RN WITH COMPLETE 300
QUESTIONS AND ANSWERS WITH RATIONALES
❍ C. Traveling by airplane for business trips
❍ D. A bus trip to the Museum of Natural History
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 darkskinned individual is the:
❍ A. Conjunctiva of the eye
❍ B. Soles of the feet
❍ C. Roof of the mouth
❍ D. Shins Quick Check ✓
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 Answer: 223
Detailed Answer: 225Practice Exam 3 and Rationales 171
Page 3 of 122
, NCSBN TEST BANK FOR NCLEX-RN WITH COMPLETE 300
QUESTIONS AND ANSWERS WITH RATIONALES
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.”
❍ 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
Page 4 of 122
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
Page 1 of 122
, NCSBN TEST BANK FOR NCLEX-RN WITH COMPLETE 300
QUESTIONS AND ANSWERS WITH RATIONALES
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?
❍ 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
Page 2 of 122
, NCSBN TEST BANK FOR NCLEX-RN WITH COMPLETE 300
QUESTIONS AND ANSWERS WITH RATIONALES
❍ C. Traveling by airplane for business trips
❍ D. A bus trip to the Museum of Natural History
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 darkskinned individual is the:
❍ A. Conjunctiva of the eye
❍ B. Soles of the feet
❍ C. Roof of the mouth
❍ D. Shins Quick Check ✓
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 Answer: 223
Detailed Answer: 225Practice Exam 3 and Rationales 171
Page 3 of 122
, NCSBN TEST BANK FOR NCLEX-RN WITH COMPLETE 300
QUESTIONS AND ANSWERS WITH RATIONALES
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.”
❍ 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
Page 4 of 122
