MARK KLIMEK BLUE BOOK (ALL) NCLEX STUDY GUIDE 2023 (OVER 2000 SOLUTIONS)

MARK KLIMEK BLUE BOOK (ALL) NCLEX STUDY GUIDE 2023 (OVER 2000 SOLUTIONS) 1. Name the five/six essential nutrients CORRECT ANSWER carbs, fats, proteins, vitamins, minerals, water 2. The major source of energy for the body is CORRECT ANSWER carbs 3. carbs provide ____________ Kcalories per 1 gram CORRECT ANSWER 4 4. Sucrose is a sugar found in ____________ and _____________. CORRECT ANSWER fruits, veggies 5. Lactose is a sugar found in ? CORRECT ANSWER milk 6. What is glycogen? CORRECT ANSWER It is a stored formed of glucose/energy manufactured by the liver 7. Is glycogen eaten in foods? CORRECT ANSWER NO! It is a stored form of glucose MANUFACTURED by the liver. 8. When the body does not receive enough carbs it burns ___________ and _____________. CORRECT ANSWER protein, fat 9. The most concentrated source of energy for the body is ___________. CORRECT ANSWER fats 10. Fats provide ___________ Kcalories per 1 gram. CORRECT ANSWER 9 11. Fats carry vitamins CORRECT ANSWER A,D,E,K (Remember FADE K!) 12. The nutrient needed most for growth and repair of tissues is _____________. CORRECT ANSWER protein (second best is Vit C) 13. Proteins provide __________ Kcalories per 1 gram. CORRECT ANSWER 4 14. Vitamins and minerals provide energy for the body. (T/F) CORRECT ANSWER False- they are necessary for a body's chemical reactions. 15. Water is present in ALL body tissues. (T/F) CORRECT ANSWER True (even bone) 16. Water accounts for ________ to ___________% of an adult's total weight? CORRECT ANSWER 50 to 60% 17. Name the four basic food groups CORRECT ANSWER Milk & Cheese, Meat & Legumes, Veggies & Fruits, Bread & Cereal 18. Water acounts for __________ to _________% of an infant's total weight? CORRECT ANSWER 70 to 75% 19. An individual is overweight if they are ________% above the ideal weight. CORRECT ANSWER 10 20. An individual is obese if they weigh ________% above the ideal weight. CORRECT ANSWER 20 21. What solution and material are used to cleanse the eyes of an infant? CORRECT ANSWER Plain water, cotton balls, washcloths 22. Can you use cotton swabs to clean the eyes, nares or ears of an infant? CORRECT ANSWER No, this is dangerous 23. Can you use the same cotton ball/washcloth edge for both eyes? CORRECT ANSWER No, it would cross contaminate 24. Should you cover an unhealed umbilical site with the diaper? CORRECT ANSWER No, fold the diaper down. 25. What temperature is appropriate for the water used to bathe an infant? CORRECT ANSWER 100 to 105 26. What is the #1 purpose of a tepid sponge bath? CORRECT ANSWER Lower body temperature during fever. 27. How should the temperature of the water be tested if no thermometer is available? CORRECT ANSWER Dropping water on inside surface of your forearm. 28. With which body part do you begin when bathing an infant? CORRECT ANSWER Eyes always 29. When cleansing an infant's eye, cleanse from outer to inner canthus? CORRECT ANSWER No, inner to outer 30. Should you retract the foreskin of a 5 week old male, uncircumcised infant to cleanse the area? CORRECT ANSWER No, not until foreskin retracts naturally and without resistance- then it should be retracted, cleansed and replaced. 31. When sponge-bathing with tepid water the correct temp is _____________. CORRECT ANSWER 98.6 F 32. How long does it take for the umbilical stump to fall off? CORRECT ANSWER 7 to 14 days 33. The primary reason why an infant is draped during the bath is to provide privacy. (T/F) CORRECT ANSWER False, the primary purpose of draping is to prevent chilling. 34. You may use friction to remove vernix caseosa from an infant's skin. (T/F) CORRECT ANSWER False, it causes damage/bruising 35. What solution is commonly used for care of umbilical cord? CORRECT ANSWER 70% alcohol to promote drying (trend is toward soap and water) 36. What cranial nerve is affected in Bell's Palsy? CORRECT ANSWER #7, facial nerve 37. What is the #1 symptom of Bell's Palsy? CORRECT ANSWER One sided (unilateral) facial paralysis 38. Complete recovery from the paralysis of Bell's Palsy should occur in _______ to ______ months. CORRECT ANSWER 4 to 6 39. In addition to the facial paralysis, the sense of ______ is also affected. CORRECT ANSWER taste 40. Will the patient be able to close their eye on the affected side? CORRECT ANSWER no 41. Give three eye interventions for the client with Bell's Palsy. CORRECT ANSWER Dark glasses, artificial tears, cover eye at night 42. As the prostate enlarges it compresses the ___________ and causes urinary ________. CORRECT ANSWER Urethra, rentention 43. At what age does BPH occur? CORRECT ANSWER men over 50 years of age 44. What does BPH stand for? CORRECT ANSWER Benign Prostatic Hypertrophy 45. IN BPH the man has (increased/decreased) frequency of urination CORRECT ANSWER increased 46. In BPH the force of the urinary stream is (increased/decreased). CORRECT ANSWER decreased 47. The man with BPH has a _________-stream of urine CORRECT ANSWER forked 48. The man with BPH has hesitancey. What does this mean? CORRECT ANSWER Difficulty starting to void 49. Will the man with BPH have enuresis, nocturia or hematuria? CORRECT ANSWER Enuresis-No, Nocturia-Yes, and Hematuria-Maybe Enuresis CORRECT ANSWER inability to control the flow of urine and involuntary urination 50. What is the best way to screen men for BPH? CORRECT ANSWER Digital rectal exam Should fluids be forced or restricted in BPH? CORRECT ANSWER forced What does TURP stand for? CORRECT ANSWER Transurethral resection of the prostate The most radical prostate surgery is the ____________ prostatectomy. CORRECT ANSWER Perineal What type of diet is used in BPH? CORRECT ANSWER Acid Ash Acid Ash diet CORRECT ANSWER Decrease pH (makes urine acid) Chz, eggs, Meat, fish, oysters, poultry, Bread, Cereal, Whole Grains, Pastries, Cranberries, Prunes, Plums, Tomatoes, Peas, Corn, Legumes. What is the primary purpose of a 3 way continuous bladder irrigation (CBI) after TURP? CORRECT ANSWER To keep the catheter clear of clots and to drain urine What solution is used for CBI? CORRECT ANSWER Normal saline (0.9 NaCl) How fast do you run the CBI? CORRECT ANSWER At whatever rate it takes to keep the urine flowing and free of clots What drug is use to treat bladder spasm? CORRECT ANSWER B&O suppositories (Belladonna & Opiates) Should you take a rectal temp after prostatectomy? Give stool softeners? CORRECT ANSWER No rectal temperatures, yes stool softeners You should call the MD after TURP when you see _________ thick ________, _____________ clots, and ____________ urine drainage on the dressing. CORRECT ANSWER Bright thick blood, persistent clots, persistent urine on dressing (don't call MD for transitory clots and urine on dressing.) If you see an increase in blood content of urine coming out of the catheter, you would first ___________. CORRECT ANSWER Pull carefully on the catheter to apply local pressure on the prostate with the Foley balloon. If you see clots in the tubing you would first ____________. CORRECT ANSWER Increase the flow-rate. What exercises should the post prostectomy patient do upon discharge? Why? CORRECT ANSWER Perineal exercises, start and stop stream of urine, because dribbling is a common but temporary problem post op Will the post prostectomy patient be impotent? CORRECT ANSWER If TURP, no impotence, if perineal prostatectomy, yes impotence How often should the drainage bag be emptied? CORRECT ANSWER Every 8 hours What is the most common problem due to catheterization? CORRECT ANSWER UTI What is the most common organism to cause UTI with catheterization? CORRECT ANSWER E. coli What is the most common route for organisms to enter the blader when a catheterization is used? CORRECT ANSWER Up through the inside of the catheter in the days following catheterization Name foods that make acid urine CORRECT ANSWER Cranberry juice, apple juice (avoid citrus juices- they make alkaline urine) What is important about the level of the urinary drainage bag? CORRECT ANSWER Never have the bag at a higher level than the bladder. How is the catheter taped in a male client?