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Mark Klimek NCLEX Review Questions and Answers (100% Correct Answers) Already Graded A+

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Mark Klimek NCLEX Review Questions and Answers (100% Correct Answers) Already Graded A+

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Mark Klimek NCLEX Review
Questions and Answers (100%
Correct Answers) Already Graded A+


Primary dietary prescription for calcium nephrolithiasis
(kidney stones) ? PG. 85 Ans: Low calcium diet
© 2026 Assignment




For client with nephrolithiasis the diet should be ___ ash Ans:
Acid
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Expert




If kidney stone is calcium phosphate the diet must be low in
___ too Ans: Phosphorus


Primary diet tx for uric acid nephrolithiasis is __ ____ Ans:
Low purine


Client with uric acid nephrolithiasis should have a diet low in
____ Ans: Methionine


What is methionine? Ans: Precursor of the amino acid cystine


2 foods high in methionine? Ans: Eggs, milk


Clients with cystine nephrolithiasis should have an ____ ash
diet Ans: Alkaline


Inc. fluids over 3000 cc /day is more effective in treating renal
calculi than ANY dietary modification, T/F? Ans: True. Want
to flush tract than worry about diet

, 2


What is the common name for Laryngotracheobronchitis - LTB
Ans: Croup


What is the typical temp elevation in croup? Ans: Low grade,
usually below 102, but can go up to 104.


Are ATBs helpful for croup? For epiglottits? Ans: For croup,
no. Epiglottitis, yes


Is croup viral or bacterial? Ans: Viral
© 2026 Assignment




With which condition is croup most often confused? Ans:
Epiglottitis
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Can croup be managed at home? Can epiglottitis be managed
at home? Ans: Yes. No, epiglottitis is a 911 emergency


Are sedatives used for kids with croup? Ans: No, bc this
would mask the signs of respiratory distress


What causes epiglottitis? A virus or bacteria? Ans: H.
influenza BACTERIA


What is the best tx for croup? Ans: Cool moist air


What should never be done to a child with epiglottitis? Ans:
Never put anything in the child's mouth, ie, a tongue blade can
lead to obstruction


What are the typical signs and symptoms of croup? Ans:
Barking cough, inspiratory stridor, labored resp. pattern


What 3 signs tell you that the child has epiglottitis instead of
croup? Ans: Muffled voice, drooling, increased fever

, 3


When is croup bad enough to be evaluated by a doc? Ans:
When retractions, and high pitched stridor are present


What lead level needs intervention? Ans: 50-60 micrograms/
dl


With which class of drugs will a child with lead poisoning be
treated? Ans: Chelating agents


What do chelating drugs do? Ans: They increase the excretion
© 2026 Assignment




of heavy metals

The most freq. cause of lead poisoning is... Ans: Ingestion of
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lead-based paint chips
Expert




Name 3 common chelating agents for lead poisoning Ans:
EDTA, desferal, BAL in oil


S&S of lead poisoning Ans: Drowsiness, clumsiness, ataxia,
seizures, coma, resp. arrest

Sx of lead poisoning show up in the ____ system Ans: Neuro


Leukemia is cancer of the ___ forming tissues Ans: Blood


The type of cell that is most common and problematic in
leukemia is ____ Ans: Immature WBC


In leukemia the RBC count is ... Ans: Low, bc the bone marrow
is going "wild" producing all those immature WBC - no energy
or nutrients to make platelets


In leukemia, the platelet count is ... Ans: Low, bc the bone
marrow is going "wild" producing all those immature WBC - no
energy or nutrients to make platelets

, 4


Bc the RBCs are low, the pt will exhibit ___ and ___ Ans: Pallor
and fatigue


Bc of the immature WBCs, the pt is at risk for ___ Ans:
Infection


Bc of low platelets, the pt is at risk for ___, ___, and ___ Ans:
Bruising, ecchymosis, bleeding, petechiae


What causes lymph gland enlargement in leukemia? Ans: All
© 2026 Assignment




those small immature WBC clog the lymph system

Should you take a rectal temp on a child with leukemia? Ans:
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No
Expert




Should you take an oral temp on a child with leukemia? Ans:
Yes, as long as they are over 4 years old, in remission, and
have no sores in their mouth


Should the child with active leukemia use straws, forks, cups?
Ans: NO straws, NO forks, YES cups


RN's priority in tx a child with newly diagnosed leukemia is...
Ans: Dec. risk of infection


When the leukemia child's platelets and WBC's are low, his
activities should be ... Ans: Limited


When the platelet and WBCs are low the nurse should not
insert a.. Ans: Suppository


Are IM injections and IV sticks permitted on a child with
leukemia? Ans: When labs are low IMs avoided and IVs
limited; only done when absolutely necessary (to give chemo
or measure blood counts)

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