It was actually one of Dick Cheney's initiatives to create a process which would remove targets from the nuclear warplan's to get the number of weapons used down to a manageable number - and end the feedback of "oh no we've assigned all the weapons - we need more weapons in case there's more targets".
EDIT: A critical element with nuclear warplan's is that you don't have one bomb per target - you generally have several bombs per target via different delivery systems with different priorities, because the key element of MAD is survivability - there has to always be a guarantee in your adversary's mind that they cannot destroy enough capability to create a winning scenario for them.
In that context, you are already so resigned at killing others over your own safety, that hitting a few other countries is a no-brainer.