MARK KLIMEK BLUE BOOK PART 2
COMPREHENSIVE STUDY GUIDE 2026
FULL QUESTIONS AND SOLUTIONS
GRADED A+
◍ What does gluten do to the intestines of the client with celiac's disease?.
Answer: It destroys the lining of the intestine.
◍ The stools of a client with celiac's disease are ______, ______ and _____-
_____..
Answer: LargeGreasyFoul-smelling
◍ Clients with celiac's disease do not absorb what mineral?.
Answer: Iron
◍ Clients with celiac's disease don't absorb fats; therefore they don't absorb
_____ ______ ______..
Answer: Fat soluble vitamins
◍ What are the four fat-soluble vitamins?.
Answer: A,D,E,K
◍ Malabsorption of which vitamin leads to bleeding disorder?.
Answer: Vitamin K, remember do not mix up potassium with Vitamin K
◍ What will the abdomen of clients with celiac's disease look like?.
Answer: Distended with flatus
◍ What is the #1 treatment of celiac's disease?.
Answer: Gluten-free diet
◍ Veggies are allowed or not allowed in diet of client with Celiac's disease?.
Answer: Allowed
,◍ Fruits are allowed or not allowed?.
Answer: Allowed
◍ Grains of all kinds are prohibited. (T/F).
Answer: False
◍ What grains are allowed in a gluten-free diet?.
Answer: Rice and corn
◍ What grains are not allowed in a gluten-free diet?.
Answer: WheatOatsRyeAlfalfaBarley
◍ Are foods made with wheat, oat, or rye flour allowed?.
Answer: No
◍ Is milk allowed on a gluten-free diet?.
Answer: Yes
◍ Are meats allowed on a gluten-free diet?.
Answer: Yes, but watch for breaded meats and hot dogs/lunch meats- may
have grain in them and are not allowed
◍ Are eggs allowed on a gluten-free diet?.
Answer: Yes
◍ Is commercial ice cream allowed on a gluten-free diet?.
Answer: No, even though it is a milk product, commercial ice cream has
GRAIN in it.
◍ Are puddings allowed on a gluten-free diet?.
Answer: No, for the same reason ice cream isn't.
◍ Which soups are not allowed on a gluten free diet?.
Answer: Creamed soups- these often have flour
◍ The #1 problem with central lines ___________.
Answer: Infection
◍ How often should central line dressings be changed?.
, Answer: QOD- every other day
◍ What type of dressing is applied to a central line insertion site?.
Answer: Sterile occlusive
◍ Can drugs be piggybacked into central --TPN?.
Answer: No, use another lumen.
◍ When changing central line tubing the patient should be told to_________?.
Answer: Turn his head away from the site, hold breath, and perform the
Valsalva maneuver
◍ If a central line is found accidentally open the patient should be positioned
on his ______ ______..
Answer: Left side
◍ A CVA is a __________ of the brain cells due to decreased _____ _____
and ______..
Answer: Destruction; blood flow and oxygen
◍ Women have a (higher/lower) incidence of stroke than men?.
Answer: Lower
◍ Name the three types of CVA.
Answer: EmbolusThrombusHemorrhage
◍ Use of oral contraceptives increases the risk of CVA (T/F)..
Answer: True
◍ Chronic abuse of alcohol increases risk of CV
A. (T/F).
Answer: False
◍ Obesity increases risk of CVA (T/F).
Answer: True
◍ Smoking increases the risk of CV
A. (T/F).
Answer: True
COMPREHENSIVE STUDY GUIDE 2026
FULL QUESTIONS AND SOLUTIONS
GRADED A+
◍ What does gluten do to the intestines of the client with celiac's disease?.
Answer: It destroys the lining of the intestine.
◍ The stools of a client with celiac's disease are ______, ______ and _____-
_____..
Answer: LargeGreasyFoul-smelling
◍ Clients with celiac's disease do not absorb what mineral?.
Answer: Iron
◍ Clients with celiac's disease don't absorb fats; therefore they don't absorb
_____ ______ ______..
Answer: Fat soluble vitamins
◍ What are the four fat-soluble vitamins?.
Answer: A,D,E,K
◍ Malabsorption of which vitamin leads to bleeding disorder?.
Answer: Vitamin K, remember do not mix up potassium with Vitamin K
◍ What will the abdomen of clients with celiac's disease look like?.
Answer: Distended with flatus
◍ What is the #1 treatment of celiac's disease?.
Answer: Gluten-free diet
◍ Veggies are allowed or not allowed in diet of client with Celiac's disease?.
Answer: Allowed
,◍ Fruits are allowed or not allowed?.
Answer: Allowed
◍ Grains of all kinds are prohibited. (T/F).
Answer: False
◍ What grains are allowed in a gluten-free diet?.
Answer: Rice and corn
◍ What grains are not allowed in a gluten-free diet?.
Answer: WheatOatsRyeAlfalfaBarley
◍ Are foods made with wheat, oat, or rye flour allowed?.
Answer: No
◍ Is milk allowed on a gluten-free diet?.
Answer: Yes
◍ Are meats allowed on a gluten-free diet?.
Answer: Yes, but watch for breaded meats and hot dogs/lunch meats- may
have grain in them and are not allowed
◍ Are eggs allowed on a gluten-free diet?.
Answer: Yes
◍ Is commercial ice cream allowed on a gluten-free diet?.
Answer: No, even though it is a milk product, commercial ice cream has
GRAIN in it.
◍ Are puddings allowed on a gluten-free diet?.
Answer: No, for the same reason ice cream isn't.
◍ Which soups are not allowed on a gluten free diet?.
Answer: Creamed soups- these often have flour
◍ The #1 problem with central lines ___________.
Answer: Infection
◍ How often should central line dressings be changed?.
, Answer: QOD- every other day
◍ What type of dressing is applied to a central line insertion site?.
Answer: Sterile occlusive
◍ Can drugs be piggybacked into central --TPN?.
Answer: No, use another lumen.
◍ When changing central line tubing the patient should be told to_________?.
Answer: Turn his head away from the site, hold breath, and perform the
Valsalva maneuver
◍ If a central line is found accidentally open the patient should be positioned
on his ______ ______..
Answer: Left side
◍ A CVA is a __________ of the brain cells due to decreased _____ _____
and ______..
Answer: Destruction; blood flow and oxygen
◍ Women have a (higher/lower) incidence of stroke than men?.
Answer: Lower
◍ Name the three types of CVA.
Answer: EmbolusThrombusHemorrhage
◍ Use of oral contraceptives increases the risk of CVA (T/F)..
Answer: True
◍ Chronic abuse of alcohol increases risk of CV
A. (T/F).
Answer: False
◍ Obesity increases risk of CVA (T/F).
Answer: True
◍ Smoking increases the risk of CV
A. (T/F).
Answer: True
