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م7:45 2024/4/1 Mark Klimek - Blue Book - Nclex Review Lectures
Blue Book
NUTRITION
Name the 5/6 essential nutrients Carbs, fats, proteins, vitamins, minerals, water
The major source of energy for the body is… Carbs
Carbs provide ____ Kcalories per 1 gram 4
Sucrose is a sugar found in _______ and _______ Fruits, veggies
Lactose is a sugar found in? Milk
What is glycogen? It is a stored formed of glucose/energy manufactured by the liver
Is glycogen eaten in foods? NO! It is a stored form of glucose manufactured by the liver.
When the body does not receive enough carbs, it burns _____ & ____. protein; fats
The most concentrated source of energy for the body is ____ Fats
Fats provide ________ Kcalories per 1 gram 9
Fats carry vitamins A; D; E; K
The nutrient needed most for growth and repair of tissues is ___ Protein (second best is Vit C)
Proteins provide __________ Kcalories per 1 gram. 4
Vitamins and minerals provide energy for the body. (T/F) False—they are necessary for a body’s chemical reactions
Water is present in ALL body tissues. (T/F) True (even bone)
Water accounts for _ to __% of an adult's total weight. 50% to 60%
Name the four basic food groups Milk/cheese, meat/legumes, vegetables/fruits, bread/cereal
Water accounts for ___ to ___% of an infant's total weight. 70; 75
An individual is overweight if they are ___% above the ideal weight 10
An individual is obese if they weigh __% above the ideal weight. 20
INFANTS
Can you use cotton swabs to clean the eyes, nares or ears of No, this is dangerous
an infant?
Can you use the same cotton ball/washcloth edge for both eyes? No, it would cross contaminate
What temperature is appropriate for the water used to bathe 100-105
an infant?
How should the temperature of the water be tested is no Dropping water on inside surface of your forearm
thermometer is available?
When cleansing an infant’s eye, cleanse from outer to inner No, inner to outer
canthus?
Should you retract the foreskin of a 5-week-old male, No, not until foreskin retracts naturally and without
uncircumcised infant to cleanse the area? resistance—then it should be retracted, cleansed & replaced
When sponge-bathing with tepid water the correct temp is ___. 98.6F
The primary reason why an infant is draped during the bath is False, the primary purpose of draping is to prevent chilling.
to provide privacy. (T/F)
You may use friction to remove vernix caseosa from an infant's False, it causes damage/bruising
skin. (T/F)
What solution is commonly used for care of umbilical cord? 70% alcohol to promote drying (trend is toward soap & water)
BELLS PALSY
What cranial nerve is affected in Bell's Palsy? #7, facial nerve
What is the #1 symptom of Bell's Palsy? One sided (unilateral) facial paralysis
Complete recovery from the paralysis of Bell's Palsy should 4 to 6
occur in _______ to ______ months.
In addition to the facial paralysis, the sense of ___ is also affected taste
Will the patient be able to close their eye on the affected side? no
Give three eye interventions for the client with Bell's Palsy Dark glasses, artificial tears, cover eye at nig
Download the Complete Blue Book here: https://linktr.ee/NclexRN
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Mark Klimek - Blue Book - Nclex Review
ExamLectures.pdf
Preparation
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Complete Study Guide with Solution 2025/ 2026
, Exam Preparation Complete
Mark
Study
Klimek
Guide
Exam
- with
Blue
Preparation
Solution
Book - Nclex
2025/
Complete
Review
2026Study
Lectures
Guide with Solution 2025/ 2026
م7:45 2024/4/1 Mark Klimek - Blue Book - Nclex Review Lectures
about:blank 3/21
Mark Klimek - Blue Book - Nclex Review
ExamLectures.pdf
Preparation
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Complete Study Guide with Solution 2025/ 2026
, Exam Preparation Complete
Mark
Study
Klimek
Guide
Exam
- with
Blue
Preparation
Solution
Book - Nclex
2025/
Complete
Review
2026Study
Lectures
Guide with Solution 2025/ 2026
م7:45 2024/4/1 Mark Klimek - Blue Book - Nclex Review Lectures
What urinary pH prevents UTI? Acidity, low pH
Should the drainage bag ever touch the floor? NO
Is it ok to routinely irrigate indwelling catheters? NO
What agents are best for catheter care? Soap & Water
What is the most effective way to decrease UTI with catheters? Keep the drainage system closed, do not disconnect junction
of tubing
Give some signs of infection in a Foley catheter Cloudy urine, foul smelling urine, hematuria
Is urinary incontinence an indication for catheterization? NO
Give 3 appropriate indications for bladder catheterization? Urinary retention, to check for residual, to monitor hourly
output
What are the top 2 diagnoses for a client with a catheter? #1- Potential for infection; Potential impairment of urethral
Which is #1? tissue integrity
BLOOD PRESSURE
What is systole? The MAXIMAL force of blood on artery walls
What is diastole? The LOWEST force of blood on artery walls
Accurate blood pressure is obtained by using a cuff that has Two-thirds
width of __________ the arm.
Which artery is most commonly used to measure blood Brachial
pressure?
Can the thigh EVER be used to obtain a blood pressure? Yes, but this is rare
When pressure is auscultated the 1st sound heard is the _____ Systolic
measurement.
The change in the character of the sounds is known as the ____ 1st diastolic sound
The cessation of sounds is known as the _________ 2nd diastolic sound
When 2 values are given in a blood pressure the first is the Systolic
____ measurement.
When 2 values are given in a blood pressure, the bottom Cessation of sounds
number stands for the change in sounds or cessation of sounds?
What is the normal adult blood pressure? 120/80
Abnormally high blood pressure is called____________. Hypertension
What is the pulse pressure? The difference between the systolic & diastolic BP
If you deflate a cuff TOO SLOWLY, the reading will be too high High, venous congestion makes the arterial pressure higher
or low? Why? (increases resistance)
If you use too narrow of a cuff the reading will be too high or High
low?
Vasoconstriction will ___________ blood pressure. Increase
Vasodilation will ____________ blood pressure. Decrease
Shock will ___________ blood pressure. Decrease
Increased intracranial pressure will ______ the pulse pressure Increase or widen
If my blood pressure is 190/110, what is my pulse pressure? 80 mmHg
BLOOD TRANSFUSION
What blood test must be done before a transfusion? Type and cross match
What does a type and cross match indicate? Whether the client's blood and donor blood are compatible.
What should the nurse measure before starting a transfusion? Vital signs
With what solution should blood be transfused? 0.9 normal saline
How many nurses are required to check the blood? 2 nurses
What happens when blood is administered with Dextrose IVs? The cells clump together & don't flow well
If a transfusion reaction occurs what should the nurse do first? Stop the blood flow & start running the salin
How long can a unit of blood be on the unit before it must be Less than 1/2 hour
started?
Download the Complete Blue Book here: https://linktr.ee/NclexRN
about:blank 4/21
Mark Klimek - Blue Book - Nclex Review
ExamLectures.pdf
Preparation
Page 3 of 20
Complete Study Guide with Solution 2025/ 2026
Mark
Study
Klimek
Guide
Exam
- with
Blue
Preparation
Solution
Book - Nclex
2025/
Complete
Review
2026Study
Lectures
Guide with Solution 2025/ 2026
م7:45 2024/4/1 Mark Klimek - Blue Book - Nclex Review Lectures
Blue Book
NUTRITION
Name the 5/6 essential nutrients Carbs, fats, proteins, vitamins, minerals, water
The major source of energy for the body is… Carbs
Carbs provide ____ Kcalories per 1 gram 4
Sucrose is a sugar found in _______ and _______ Fruits, veggies
Lactose is a sugar found in? Milk
What is glycogen? It is a stored formed of glucose/energy manufactured by the liver
Is glycogen eaten in foods? NO! It is a stored form of glucose manufactured by the liver.
When the body does not receive enough carbs, it burns _____ & ____. protein; fats
The most concentrated source of energy for the body is ____ Fats
Fats provide ________ Kcalories per 1 gram 9
Fats carry vitamins A; D; E; K
The nutrient needed most for growth and repair of tissues is ___ Protein (second best is Vit C)
Proteins provide __________ Kcalories per 1 gram. 4
Vitamins and minerals provide energy for the body. (T/F) False—they are necessary for a body’s chemical reactions
Water is present in ALL body tissues. (T/F) True (even bone)
Water accounts for _ to __% of an adult's total weight. 50% to 60%
Name the four basic food groups Milk/cheese, meat/legumes, vegetables/fruits, bread/cereal
Water accounts for ___ to ___% of an infant's total weight. 70; 75
An individual is overweight if they are ___% above the ideal weight 10
An individual is obese if they weigh __% above the ideal weight. 20
INFANTS
Can you use cotton swabs to clean the eyes, nares or ears of No, this is dangerous
an infant?
Can you use the same cotton ball/washcloth edge for both eyes? No, it would cross contaminate
What temperature is appropriate for the water used to bathe 100-105
an infant?
How should the temperature of the water be tested is no Dropping water on inside surface of your forearm
thermometer is available?
When cleansing an infant’s eye, cleanse from outer to inner No, inner to outer
canthus?
Should you retract the foreskin of a 5-week-old male, No, not until foreskin retracts naturally and without
uncircumcised infant to cleanse the area? resistance—then it should be retracted, cleansed & replaced
When sponge-bathing with tepid water the correct temp is ___. 98.6F
The primary reason why an infant is draped during the bath is False, the primary purpose of draping is to prevent chilling.
to provide privacy. (T/F)
You may use friction to remove vernix caseosa from an infant's False, it causes damage/bruising
skin. (T/F)
What solution is commonly used for care of umbilical cord? 70% alcohol to promote drying (trend is toward soap & water)
BELLS PALSY
What cranial nerve is affected in Bell's Palsy? #7, facial nerve
What is the #1 symptom of Bell's Palsy? One sided (unilateral) facial paralysis
Complete recovery from the paralysis of Bell's Palsy should 4 to 6
occur in _______ to ______ months.
In addition to the facial paralysis, the sense of ___ is also affected taste
Will the patient be able to close their eye on the affected side? no
Give three eye interventions for the client with Bell's Palsy Dark glasses, artificial tears, cover eye at nig
Download the Complete Blue Book here: https://linktr.ee/NclexRN
about:blank 2/21
Mark Klimek - Blue Book - Nclex Review
ExamLectures.pdf
Preparation
Page 1 of 20
Complete Study Guide with Solution 2025/ 2026
, Exam Preparation Complete
Mark
Study
Klimek
Guide
Exam
- with
Blue
Preparation
Solution
Book - Nclex
2025/
Complete
Review
2026Study
Lectures
Guide with Solution 2025/ 2026
م7:45 2024/4/1 Mark Klimek - Blue Book - Nclex Review Lectures
about:blank 3/21
Mark Klimek - Blue Book - Nclex Review
ExamLectures.pdf
Preparation
Page 2 of 20
Complete Study Guide with Solution 2025/ 2026
, Exam Preparation Complete
Mark
Study
Klimek
Guide
Exam
- with
Blue
Preparation
Solution
Book - Nclex
2025/
Complete
Review
2026Study
Lectures
Guide with Solution 2025/ 2026
م7:45 2024/4/1 Mark Klimek - Blue Book - Nclex Review Lectures
What urinary pH prevents UTI? Acidity, low pH
Should the drainage bag ever touch the floor? NO
Is it ok to routinely irrigate indwelling catheters? NO
What agents are best for catheter care? Soap & Water
What is the most effective way to decrease UTI with catheters? Keep the drainage system closed, do not disconnect junction
of tubing
Give some signs of infection in a Foley catheter Cloudy urine, foul smelling urine, hematuria
Is urinary incontinence an indication for catheterization? NO
Give 3 appropriate indications for bladder catheterization? Urinary retention, to check for residual, to monitor hourly
output
What are the top 2 diagnoses for a client with a catheter? #1- Potential for infection; Potential impairment of urethral
Which is #1? tissue integrity
BLOOD PRESSURE
What is systole? The MAXIMAL force of blood on artery walls
What is diastole? The LOWEST force of blood on artery walls
Accurate blood pressure is obtained by using a cuff that has Two-thirds
width of __________ the arm.
Which artery is most commonly used to measure blood Brachial
pressure?
Can the thigh EVER be used to obtain a blood pressure? Yes, but this is rare
When pressure is auscultated the 1st sound heard is the _____ Systolic
measurement.
The change in the character of the sounds is known as the ____ 1st diastolic sound
The cessation of sounds is known as the _________ 2nd diastolic sound
When 2 values are given in a blood pressure the first is the Systolic
____ measurement.
When 2 values are given in a blood pressure, the bottom Cessation of sounds
number stands for the change in sounds or cessation of sounds?
What is the normal adult blood pressure? 120/80
Abnormally high blood pressure is called____________. Hypertension
What is the pulse pressure? The difference between the systolic & diastolic BP
If you deflate a cuff TOO SLOWLY, the reading will be too high High, venous congestion makes the arterial pressure higher
or low? Why? (increases resistance)
If you use too narrow of a cuff the reading will be too high or High
low?
Vasoconstriction will ___________ blood pressure. Increase
Vasodilation will ____________ blood pressure. Decrease
Shock will ___________ blood pressure. Decrease
Increased intracranial pressure will ______ the pulse pressure Increase or widen
If my blood pressure is 190/110, what is my pulse pressure? 80 mmHg
BLOOD TRANSFUSION
What blood test must be done before a transfusion? Type and cross match
What does a type and cross match indicate? Whether the client's blood and donor blood are compatible.
What should the nurse measure before starting a transfusion? Vital signs
With what solution should blood be transfused? 0.9 normal saline
How many nurses are required to check the blood? 2 nurses
What happens when blood is administered with Dextrose IVs? The cells clump together & don't flow well
If a transfusion reaction occurs what should the nurse do first? Stop the blood flow & start running the salin
How long can a unit of blood be on the unit before it must be Less than 1/2 hour
started?
Download the Complete Blue Book here: https://linktr.ee/NclexRN
about:blank 4/21
Mark Klimek - Blue Book - Nclex Review
ExamLectures.pdf
Preparation
Page 3 of 20
Complete Study Guide with Solution 2025/ 2026
