Saunder-s Comprehensive NCLEX Review Exam Questions & Answers (Grade A+).docx

Saunder's Comprehensive NCLEX
Review Exam Questions & Answers
(Grade A+)
Fluid volume deficit assessment findings -
correct answer ✅Cardiovascular:
- thready, increased pulse rate
- decreased blood pressure and orthostatic hypotension
- flat neck and hand veins
- diminished peripheral pulses
- decreased central venous pressure
- dysrhythmias


Respiratory:
- increased rate and depth of respirations
- dyspnea


Neuromuscular:
- decreased central nervous system activity, from lethargy to coma
- fever
- skeletal muscle weakness


Renal:

,Saunder's Comprehensive NCLEX
Review Exam Questions & Answers
(Grade A+)
- decreased urine output


Integumentary:
- dry skin
- poor turgor, tenting
- dry mouth


Gastrointestinal:
- decreased motility and diminished bowel sounds
- constipation
- thirst
- decreased body weight


Lab findings:
- increased serum osmolality
- increased hematocrit
- increased BUN
- increased Na+

,Saunder's Comprehensive NCLEX
Review Exam Questions & Answers
(Grade A+)
- increased urine specific gravity


Fluid volume excess assessment findings -
correct answer ✅Cardiovascular:
- bounding, increased pulse rate
- elevated bp
- distended neck and hand veins
- elevated central venous pressure
- dysrhythmias


Respiratory:
- increased RR and shallow respirations
- dyspnea
- crackles on auscultation


Neuromuscular:
- altered LOC
- headache
- visual disturbances

, Saunder's Comprehensive NCLEX
Review Exam Questions & Answers
(Grade A+)
- skeletal muscle weakness
- paresthesias


Renal:
- increased output if kidneys can compensate, decreased output if
kidneys are damaged


Integumentary:
- pitting edema
- pale, cool skin


GI:
- increased motility
- diarrhea
- increased body weight
- liver enlargement
- ascites


Lab findings: