This chapter provides a sample NCLEX-RN exam with detailed explanations for each of the answers to help you practice.

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 2 hours. Which of the following outcome criteria would the nurse use?

1. Body temperature of 99°F or less
2. Toes moved in active range of motion
3. Sensation reported when soles of feet are touched
4. 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?

1. Side-lying with knees flexed
2. Knee-chest
3. High Fowler's with knees flexed
4. 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?

1. Taking hourly blood pressures with mechanical cuff
2. Encouraging fluid intake of at least 200mL per hour
3. Position in high Fowler's with knee gatch raised
4. Administering Tylenol as ordered

4.Which of the following foods would the nurse encourage the client in sickle cell crisis to eat?

1. Peaches
2. Cottage cheese
3. Popsicle
4. Lima beans

5.A newly admitted client has sickle cell crisis. The nurse is planning care based on assessment of the client. The client is complaining of severe pain in his feet and hands. The pulse oximetry is 92. Which of the following interventions would be implemented first? Assume that there are orders for each intervention.

1. Adjust the room temperature
2. Give a bolus of IV fluids
3. Start O2
4. 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?

1. Roast beef, gelatin salad, green beans, and peach pie
2. Chicken salad sandwich, coleslaw, French fries, ice cream
3. Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie
4. Pork chop, creamed potatoes, corn, and coconut cake

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