NCLEX Daily Practical Exercise 51


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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?

Correct Answer: C

Answer Explanation:

Egg yolks, wheat bread, carrots, raisins, and green, leafy vegetables are all high in iron, which is an important mineral for this client.

Options A, B, and D: Roast beef, cabbage, and pork chops are also high in iron, but the side dishes accompanying these choices are not.

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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?

Correct Answer: D

Answer Explanation:

Taking a trip to the museum is the only answer that does not pose a threat.

Options A, B, and C: A family vacation in the Rocky Mountains at high altitudes, cold temperatures, and airplane travel can cause sickling episodes and should be avoided.

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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?

Correct Answer: D

Answer Explanation:

The tongue is smooth and beefy red in the client with vitamin B12 deficiency, so examining the tongue should be included in the physical assessment.

Options A, B, and C: Bleeding, splenomegaly, and blood pressure changes do not occur.

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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?

Correct Answer: C

Answer Explanation:

The oral mucosa and hard palate (roof of the mouth) are the best indicators of jaundice in dark-skinned persons.

Option A: The conjunctiva can have normal deposits of fat, which give a yellowish hue.
Option B: The soles of the feet can be yellow if they are calloused.
Option D: The shins would be an area of darker pigment.

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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?

Correct Answer: B

Answer Explanation:

When there are fewer red blood cells, there is less hemoglobin and less oxygen. Therefore, the client is often short of breath.

Options A, C, and D: The client with anemia is often pale in color, has weight loss, and may be hypotensive.

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