NCLEX TEST BANK FOR NCLEX-RN QUESTIONS AND DETAILED RESPONSES GRADED A+ |BRAND NEW 2024/2025|

l OMo AR c PS D |4 020 679 4 NCLEX TEST BANK FOR NCLEX -RN 2024 -2025 300 QUESTIONS AND DETAILED RESPONSES GRADED A+ 1. A 43 -year -old African American man is admitted with sickle cell anemia. The medic plans to examine circulation in the lower extremities every two hours. Which of the following outcome criteria? would the medic 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 man from Haiti is brought to the emergency department in sickle cell crisis. What is the best position for this patient? ❍ 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 man is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this patient? ❍ 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 medic encourage the patient in sickle cell crisis to eat? ❍ A. Steak ❍ B. Cottage cheese l OMo AR c PS D |4 020 679 4 ❍ C. Popsicle ❍ D. Lima beans Quick Response: 223 Detailed Response: 225 Quick Response: 223 Detailed Response: 225 Quick Response: 223 Detailed Response: 225 Quick Response: 223 Detailed Response: 225 Quick Check ✓170 Chapter 3 5. A newly admitted patient has sickle cell crisis. He is complaining of pain in his feet and hands. The medic’s examinement 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 medic is instructing a patient with iron-deficiency anemia. Which of the following meal plans would the medic expect the patient to select? ❍ A. Roast beef, gelatin salad, green beans, and peach pie ❍ B. Chicken salad sandwich, coleslaw, French fries, ice cream l OMo AR c PS D |4 020 679 4 C. Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie ❍ D. Pork chop, creamed potatoes, corn, and coconut cake 7. Patients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the medic 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 8. The medic is conducting an admission examine ment of a patient 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 Response: 223 Detailed Response: 225 l OMo AR c PS D |4 020 679 4 Quick Response: 223 Detailed Response: 225 Quick Response: 223 Detailed Response: 225 Quick Response: 223 Detailed Response: 225 Quick Response: 223 Detailed Response: 225Practice Exam 3 and Rationales 171 10. The medic is conducting a physical examinement on a patient 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 medic is teaching the patient with polycythemia vera about prevention of comp lications of the disease. Which of the following statements by the patient 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 man is being evaluated for possible acute leukemia. Which of the following findings is most likely related to the diagnosis of leukemia? ❍ A. The patient collects stamps as a hobby. ❍ B. The patient recently lost his job as a postal worker.