250-ITEM NOVEMBER 2014 NURSE LICENSURE EXAM (NLE) PRACTICE TEST
The test will cover the following topics:
- Blood Disorders
- Endocrine Disorders
- Cardiovascular Disorders
- Neurolgical Disorders
- Pregnacy, Labor and Delivery
- Burns
- Psychological Disorders
- Immobility
- Digestive Disorders
- Wounds
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?
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.Peaches
B. Cottage cheese
C. Popsicle
D.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.
A.Adjust the room temperature
B. Give a bolus of IV fluids
C. Start O2
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
8. The nurse is conducting an
admission assessment of a client with vitamin B12 deficiency. Which of the
following would the nurse include in the physical assessment?
A.Palpate the spleen
B. Take the blood pressure
C. Examine the feet for
petechiae
D.Examine the tongue
9. An African American female
comes to the outpatient clinic. The physician suspects vitamin B12 deficiency
anemia. Because jaundice is often a clinical manifestation of this type of
anemia, what body part would be the best indicator?
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
6 months
D.Pink complexion
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