MARK KLIMEK NCLEXGOLD 2026 PRACTICE QUESTION SET TWO, Exams of
Nursing
Primary dietary prescription for calcium nephrolithiasis (kidney stones) ? PG.
85 - ANSWERLow calcium diet
For client with nephrolithiasis the diet should be ___ ash - ANSWERAcid
If kidney stone is calcium phosphate the diet must be low in ___ too -
ANSWERPhosphorus
Primary diet tx for uric acid nephrolithiasis is __ ____ - ANSWERLow purine
Client with uric acid nephrolithiasis should have a diet low in ____ -
ANSWERMethionine
What is methionine? - ANSWERPrecursor of the amino acid cystine
2 foods high in methionine? - ANSWEREggs, milk
,Clients with cystine nephrolithiasis should have an ____ ash diet -
ANSWERAlkaline
Inc. fluids over 3000 cc /day is more effective in treating renal calculi than
ANY dietary modification, T/F? - ANSWERTrue. Want to flush tract than worry
about diet
What is the common name for Laryngotracheobronchitis - LTB -
ANSWERCroup
What is the typical temp elevation in croup? - ANSWERLow grade, usually
below 102, but can go up to 104.
Are ATBs helpful for croup? For epiglottits? - ANSWERFor croup, no.
Epiglottitis, yes
Is croup viral or bacterial? - ANSWERViral
With which condition is croup most often confused? - ANSWEREpiglottitis
Can croup be managed at home? Can epiglottitis be managed at home? -
ANSWERYes. No, epiglottitis is a 911 emergency
Are sedatives used for kids with croup? - ANSWERNo, bc this would mask the
signs of respiratory distress
,What causes epiglottitis? A virus or bacteria? - ANSWERH. influenza
BACTERIA
What is the best tx for croup? - ANSWERCool moist air
What should never be done to a child with epiglottitis? - ANSWERNever put
anything in the child's mouth, ie, a tongue blade can lead to obstruction
What are the typical signs and symptoms of croup? - ANSWERBarking cough,
inspiratory stridor, labored resp. pattern
What 3 signs tell you that the child has epiglottitis instead of croup? -
ANSWERMuffled voice, drooling, increased fever
When is croup bad enough to be evaluated by a doc? - ANSWERWhen
retractions, and high pitched stridor are present
What lead level needs intervention? - ANSWER50-60 micrograms/ dl
With which class of drugs will a child with lead poisoning be treated? -
ANSWERChelating agents
What do chelating drugs do? - ANSWERThey increase the excretion of heavy
metals
The most freq. cause of lead poisoning is... - ANSWERIngestion of lead-based
paint chips
, Name 3 common chelating agents for lead poisoning - ANSWEREDTA,
desferal, BAL in oil
S&S of lead poisoning - ANSWERDrowsiness, clumsiness, ataxia, seizures,
coma, resp. arrest
Sx of lead poisoning show up in the ____ system - ANSWERNeuro
Leukemia is cancer of the ___ forming tissues - ANSWERBlood
The type of cell that is most common and problematic in leukemia is ____ -
ANSWERImmature WBC
In leukemia the RBC count is ... - ANSWERLow, 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 ... - ANSWERLow, bc the bone marrow is
going "wild" producing all those immature WBC - no energy or nutrients to
make platelets
Bc the RBCs are low, the pt will exhibit ___ and ___ - ANSWERPallor and
fatigue
Bc of the immature WBCs, the pt is at risk for ___ - ANSWERInfection
Nursing
Primary dietary prescription for calcium nephrolithiasis (kidney stones) ? PG.
85 - ANSWERLow calcium diet
For client with nephrolithiasis the diet should be ___ ash - ANSWERAcid
If kidney stone is calcium phosphate the diet must be low in ___ too -
ANSWERPhosphorus
Primary diet tx for uric acid nephrolithiasis is __ ____ - ANSWERLow purine
Client with uric acid nephrolithiasis should have a diet low in ____ -
ANSWERMethionine
What is methionine? - ANSWERPrecursor of the amino acid cystine
2 foods high in methionine? - ANSWEREggs, milk
,Clients with cystine nephrolithiasis should have an ____ ash diet -
ANSWERAlkaline
Inc. fluids over 3000 cc /day is more effective in treating renal calculi than
ANY dietary modification, T/F? - ANSWERTrue. Want to flush tract than worry
about diet
What is the common name for Laryngotracheobronchitis - LTB -
ANSWERCroup
What is the typical temp elevation in croup? - ANSWERLow grade, usually
below 102, but can go up to 104.
Are ATBs helpful for croup? For epiglottits? - ANSWERFor croup, no.
Epiglottitis, yes
Is croup viral or bacterial? - ANSWERViral
With which condition is croup most often confused? - ANSWEREpiglottitis
Can croup be managed at home? Can epiglottitis be managed at home? -
ANSWERYes. No, epiglottitis is a 911 emergency
Are sedatives used for kids with croup? - ANSWERNo, bc this would mask the
signs of respiratory distress
,What causes epiglottitis? A virus or bacteria? - ANSWERH. influenza
BACTERIA
What is the best tx for croup? - ANSWERCool moist air
What should never be done to a child with epiglottitis? - ANSWERNever put
anything in the child's mouth, ie, a tongue blade can lead to obstruction
What are the typical signs and symptoms of croup? - ANSWERBarking cough,
inspiratory stridor, labored resp. pattern
What 3 signs tell you that the child has epiglottitis instead of croup? -
ANSWERMuffled voice, drooling, increased fever
When is croup bad enough to be evaluated by a doc? - ANSWERWhen
retractions, and high pitched stridor are present
What lead level needs intervention? - ANSWER50-60 micrograms/ dl
With which class of drugs will a child with lead poisoning be treated? -
ANSWERChelating agents
What do chelating drugs do? - ANSWERThey increase the excretion of heavy
metals
The most freq. cause of lead poisoning is... - ANSWERIngestion of lead-based
paint chips
, Name 3 common chelating agents for lead poisoning - ANSWEREDTA,
desferal, BAL in oil
S&S of lead poisoning - ANSWERDrowsiness, clumsiness, ataxia, seizures,
coma, resp. arrest
Sx of lead poisoning show up in the ____ system - ANSWERNeuro
Leukemia is cancer of the ___ forming tissues - ANSWERBlood
The type of cell that is most common and problematic in leukemia is ____ -
ANSWERImmature WBC
In leukemia the RBC count is ... - ANSWERLow, 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 ... - ANSWERLow, bc the bone marrow is
going "wild" producing all those immature WBC - no energy or nutrients to
make platelets
Bc the RBCs are low, the pt will exhibit ___ and ___ - ANSWERPallor and
fatigue
Bc of the immature WBCs, the pt is at risk for ___ - ANSWERInfection
