NCLEX TEST BANK FOR NCLEX-RN 2024-2025 300 QUESTIONS
AND ANSWERS WITH RATIONALES AND ANSWER
KEY AFTER THE QUESTIONS
1. A 43-year-old African American male is admitted with sickle cell
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anemia. The nurse plans to assess circulation in the lower extremities every two hours. Which of the
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following outcome criteria?
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would the nurse use?f f f
❍ A. Body temperature of 99°F or less
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❍ B. Toes moved in active range of motion
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❍ C. Sensation reported when soles of feet are touched
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❍ D. Capillary refill of < 3 seconds
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2. A 30-year-old male from Haiti is brought to the emergency department in sickle cell
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crisis. What is the best position for this client? ❍ A. Side-lying with knees flexed
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❍ B. Knee-chest
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❍ C. High Fowler’s with knees flexed
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❍ D. Semi-Fowler’s with legs extended on the bed
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3. A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions
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would be of highest priority for this client?
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❍ A. Taking hourly blood pressures with mechanical cuff
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❍ B. Encouraging fluid intake of at least 200mL per hour
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❍ C. Position in high Fowler’s with knee gatch raised
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❍ D. Administering Tylenol as ordered
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4. Which of the following foods would the nurse encourage the client in sickle cell crisis
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to eat?
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❍ A. Steak f
❍ B. Cottage cheese
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❍ C. Popsicle ❍ f f
D. Lima beans
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f Quick Answer: f
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Detailed Answer: 225 f f
Quick Answer: 223 f f
Detailed Answer: 225 f f
Quick Answer: 223 f f
Detailed Answer: 225 f f
Quick Answer: 223 f f
Detailed Answer: 225 f f
Quick Check ✓170 Chapter 3f f f f
5. A newly admitted client has sickle cell crisis. He is complaining of
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f pain in his feet and hands. The nurse’s assessment findings include
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a pulse oximetry of 92. Assuming that all the following
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interventions are ordered, which should be done first? f f f f f f f
❍ A. Adjust the room temperature
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❍ B. Give a bolus of IV fluids
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❍ C. Start O f f
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❍ D. Administer meperidine (Demerol) 75mg IV push
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6. The nurse is instructing a client with iron-deficiency anemia. Which
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of the following meal plans would the nurse expect the client to
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f select?
❍ A. Roast beef, gelatin salad, green beans, and peach pie ❍
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B. Chicken salad sandwich, coleslaw, French fries, ice cream
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C. Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie
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❍ D. Pork chop, creamed potatoes, corn, and coconut cake
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7. Clients with sickle cell anemia are taught to avoid activities that
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cause hypoxia and hypoxemia. Which of the following activities
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would the nurse recommend?
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❍ A. A family vacation in the Rocky Mountains
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❍ B. Chaperoning the local boys club on a snow-skiing trip
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❍ C. Traveling by airplane for business trips
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❍ D. A bus trip to the Museum of Natural History
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8. The nurse is conducting an admission assessment of a client with
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vitamin B12 deficiency. Which finding reinforces the diagnosis of
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B12 deficiency?
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❍ A. Enlarged spleen
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❍ B. Elevated blood pressure
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❍ C. Bradycardia
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❍ D. Beefy tongue f f
9. The body part that would most likely display jaundice in the
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darkskinned individual is the:
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❍ A. Conjunctiva of the eye
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❍ B. Soles of the feet
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❍ C. Roof of the mouth
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❍ D. Shins f
f Quick Check f
✓
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Quick Answer: 223 f f
Detailed Answer: 225 f f
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Quick Answer: 223
f f
Detailed Answer: 225 f f
Quick Answer: 223
f f
Detailed Answer: 225 f f
Quick Answer: 223
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Detailed Answer: 225 f f
Quick Answer: 223
f f
Detailed Answer: 225Practice Exam 3 and Rationales 171
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10. The nurse is conducting a physical assessment on a client with
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anemia. Which of the following clinical manifestations would be
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most indicative of the anemia?
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❍ A. BP 146/88
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❍ B. Respirations 28 shallow
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❍ C. Weight gain of 10 pounds in six months
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❍ D. Pink complexion
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11. The nurse is teaching the client with polycythemia vera about
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prevention of complications of the disease. Which of the following
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statements by the client indicates a need for further teaching?
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❍ A. “I will drink 500mL of fluid or less each day.”
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❍ B. “I will wear support hose.”
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❍ C. “I will check my blood pressure regularly.”
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❍ D. “I will report ankle edema.”
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12. A 33-year-old male is being evaluated for possible acute leukemia.
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Which of the following findings is most likely related to the diagnosis of leukemia?
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❍ A. The client collects stamps as a hobby.
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❍ B. The client recently lost his job as a postal worker.
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