NCLEX Basic Care And Comfort Actual
Exam Questions and CORRECT Answers
Rheumatoid Arthritis assessment - CORRECT ANSWER✔✔- joint and muscle stiffness,
present upon wakening to an hour later, or after periods of inactivity. contrcture deformities
or nodules may appear, fever.
-systemic, worse over time, remissions and exacerbations
Osteoarthritis - CORRECT ANSWER✔✔- pain and stiffness, nodules on finger (heberdens
nodules on small upper joints, bouchards nodules on middle joint)
-degenerative, non systemic, no remissions
Care for RA and Osteo - CORRECT ANSWER✔✔- balance rest and activity, weight control
if obese, analgesics, anti-inflammatory drugs
Caring for gout - CORRECT ANSWER✔✔- increase PO fluid intake, monitor for renal
calculi, give meds w/ milk or food o avoid GI upset.
-dietary restrictions: avoid alcohol and caffeine, organ meat, food made from yeast
cerebral palsy - CORRECT ANSWER✔✔- affect movement, muscle tone, posture
-caused by abnormal development of brain, damage of brain prior to birth
-permanent but not progressive
assessment of cerebral palsy - CORRECT ANSWER✔✔- voluntary muscles poorly
controlled, spasticity, rigidity, ataxia, repetitive involuntary gross motor movements
implementation of cerebral palsy - CORRECT ANSWER✔✔- ambulation devices, PT/OT,
muscle relaxers, anticonvulsants
, muscular dystrophy - CORRECT ANSWER✔✔- cause progressive muscle weakness, loss of
muscle mass, eventually lose ability to walk.
assessment of muscular dystrophy - CORRECT ANSWER✔✔- atrophy of voluntary
muscles, muscle weakness, lordosis, high risk for falls
Implementation for muscular dystrophy - CORRECT ANSWER✔✔- braces to help
ambulation, balance activity and rest (very exhausting)
mutiple sclerosis - CORRECT ANSWER✔✔- demyelination of white matter in the brain and
spinal cord.
-body attacks myelination of neurons
assessment of multiple sclerosis - CORRECT ANSWER✔✔- changes in vision, sensation,
motor fxn, bowel and bladder fxn, spastic muscles
implementation of multiple sclerosis - CORRECT ANSWER✔✔- bowel and bladder
training, ROM, coordination exercises, meds (muscle relaxants)
sterile= - CORRECT ANSWER✔✔- aseptic
clean= - CORRECT ANSWER✔✔- antiseptic
assessment of developmental displasia of the hip (DDH) - CORRECT ANSWER✔✔- -
uneven gluteal folds and thigh creases (affected hip will be deeper and longer)
-limited abduction of hip
-ortolani's sign (<4 weeks), when placing infant on back and the leg is flexed, a flick sound is
heard when affected hip is moved to abduction
-affected limb is shorter
care for DDH (newborn-6 mos) - CORRECT ANSWER✔✔- reduced by manipulation,
pavlik harness for 3-6 mos
