NCLEX DAVIS REVIEW

Question 1

WHEN CARING FOR A PATIENT WITH SPINAL CORD INJURY, NURSE RECOGNIZES MOST IMPORTANT PRIORITY OF CARE WHEN HE BEGINS TO GET OUT BED INTO A CHAIR IS:

Answer 1

MONITORING VITALS BECAUSE SPINAL CORD INJURY PTS ARE HIGHLY SUSCEPTIBLE TO HYPOTENSION AND BRADYCARDIA WHEN CHANGING POSITIONS.

Question 2

COMMON SIDE EFFECTS OF CORTICOSTEROID:

Answer 2

HYPERGLYCEMIA AND WEIGHT GAIN BECAUSE PROLONGED USE OF STEROIDS CAUSES SODIUM RETENTION AND EDEMA, HYPERGLYCEMIA IS OFTEN NOTED

Question 3

ANURIC URINE OUTPUT:

Answer 3

LESS THAN 100 ML IN 24 HOURS

Question 4

72 year old patient had a total replacement of the left hip joint, nurse positions the client’s legs in which?

Answer 4

abducted at all times because abduction of the legs will maintain the left hip in proper alignment

Question 5

Patient with heart block has temporary pacemaker inserted as precautionary measure, nurse knows the client will be susceptible to:

Answer 5

electrical hazards because pacemaker electrode provides a direct pathway for conduction of stray electricity to heart muscle