Mark Klimek Blue Book Part 1 UPDATED
ACTUAL Exam Questions and CORRECT
Answers
In Abruptio Placenta, the placenta ____________ from the uterine wall ____________. -
CORRECT ANSWER - Separates, prematurely
Abruptio Placenta usually occurs in (prima/multi) gravida over the age of ____________. -
CORRECT ANSWER - Multigravida, 35 (HTN, trauma, cocaine)
How is the bleeding of Abruptio Placenta different from that in Placenta Previa? - CORRECT
ANSWER - Usually painful; bleeding is more voluminous in placenta previa
If you are the nurse starting the IV on the client with Abruptia Placenta, what guage needle
should you use? - CORRECT ANSWER - 18 (in preparation to give blood if necessary)
How often should you measure the VS, vaginal bleeding, fetal HR during Abruptio Placenta? -
CORRECT ANSWER - Q5-15 minutes for bleeding, maternal VS and continuous fetal
monitoring
Deliver baby at earliest sign of fetal distress
How is an infant delivered when Abruptio Placenta is present? - CORRECT ANSWER -
Usually C-section
Is there a higher or lower incidence of fetal death with Abruptio Placenta compared to Placenta
Previa? - CORRECT ANSWER - Higher
In what trimester does Abruptio Placenta most commonly occur? - CORRECT ANSWER -
Third
,At what age are accidental poisonings most common? - CORRECT ANSWER - 2 years
old
If a child swallows a potentially poisonous substance, what should be done first? - CORRECT
ANSWER - Call for medical help
Should vomiting be induced after ingestion of gasoline? - CORRECT ANSWER - No- not
for gas or any other petroleum products
When taking a child to the ER after accidental poisoning has occurred what must accompany the
child to the ER? - CORRECT ANSWER - the suspected poison
An elderly client is a (high/low) risk for accidental poisoning? What about a school age child? -
CORRECT ANSWER - high - due to poor eyesight, high
What types of chemicals cause burns to oral mucosa when ingested? - CORRECT
ANSWER - Lye, caustic cleaners
Children at highest risk for seizure activity after ingestion are those who have swallowed
_____________ and ______________. - CORRECT ANSWER - drugs, insecticides
Can impaired skin integrity ever be an appropriate nursing diagnosis when poisoning has
occurred? - CORRECT ANSWER - Yes, when lye or caustic agents have been ingested
What is the causative organism of acne? - CORRECT ANSWER - P. acnes
(propionibacterium acnes)
What structures are involved in acne vulgaris? - CORRECT ANSWER - The sebaceous
glands
,Name 3 drugs given for acne? - CORRECT ANSWER - Vitamin A, Antibiotics, Retinoids
Dietary indiscretions and uncleanliness are causes of acne? - CORRECT ANSWER - False
What are the 3 causative factors in acne vulgaris? - CORRECT ANSWER - Hereditary,
Bacterial, Hormonal
Uncleanliness is a cause of acne? - CORRECT ANSWER - False
What is the most common retinoid given to people with acne? - CORRECT ANSWER -
Accutane
Accutane is an analog of which vitamin? - CORRECT ANSWER - Vitamin A
What is the most common side effect of accutane? And what is most important in health teaching
in adminstration? - CORRECT ANSWER - Inflammation of the lips; Causes birth defects
What is the antibiotic most commonly given to clients with acne? - CORRECT
ANSWER - Tetracycline
How long will it take for the person to see results when acne is being treated? - CORRECT
ANSWER - 4 to 6 weeks
Does stress make acne worse? - CORRECT ANSWER - yes
How often should the client with acne wash his face each day? - CORRECT ANSWER -
Twice a day
, What instructions do you give to a client taking tetracycline? - CORRECT ANSWER -
Take it on an empty stomach and avoid the sunlight (photosensitivity)
What are comedones? - CORRECT ANSWER - Blackheads and white heads
What virus causes AIDS? - CORRECT ANSWER - HIV - Human immunodeficiency virus
The AIDS virus invades helper ____________. - CORRECT ANSWER - T-lymphocytes
(or CD4 cells)
AIDS is transmissible through what four routes? - CORRECT ANSWER - blood
sexual contact
breast feeding
across placenta in utero
HIV is present in all body fluids? - CORRECT ANSWER - Yes, but it is not transmitted by
all, only blood, semen and breast milk
Name the 5 risk groups for AIDS - CORRECT ANSWER - Homosexual/bisexual men
IV drug users
Hemophiliacs
Heterosexual partners of infected people
Newborn children of infected women
What is the first test for HIV antibodies? - CORRECT ANSWER - ELISA
What test confirms the ELISA? - CORRECT ANSWER - Western Blot
ACTUAL Exam Questions and CORRECT
Answers
In Abruptio Placenta, the placenta ____________ from the uterine wall ____________. -
CORRECT ANSWER - Separates, prematurely
Abruptio Placenta usually occurs in (prima/multi) gravida over the age of ____________. -
CORRECT ANSWER - Multigravida, 35 (HTN, trauma, cocaine)
How is the bleeding of Abruptio Placenta different from that in Placenta Previa? - CORRECT
ANSWER - Usually painful; bleeding is more voluminous in placenta previa
If you are the nurse starting the IV on the client with Abruptia Placenta, what guage needle
should you use? - CORRECT ANSWER - 18 (in preparation to give blood if necessary)
How often should you measure the VS, vaginal bleeding, fetal HR during Abruptio Placenta? -
CORRECT ANSWER - Q5-15 minutes for bleeding, maternal VS and continuous fetal
monitoring
Deliver baby at earliest sign of fetal distress
How is an infant delivered when Abruptio Placenta is present? - CORRECT ANSWER -
Usually C-section
Is there a higher or lower incidence of fetal death with Abruptio Placenta compared to Placenta
Previa? - CORRECT ANSWER - Higher
In what trimester does Abruptio Placenta most commonly occur? - CORRECT ANSWER -
Third
,At what age are accidental poisonings most common? - CORRECT ANSWER - 2 years
old
If a child swallows a potentially poisonous substance, what should be done first? - CORRECT
ANSWER - Call for medical help
Should vomiting be induced after ingestion of gasoline? - CORRECT ANSWER - No- not
for gas or any other petroleum products
When taking a child to the ER after accidental poisoning has occurred what must accompany the
child to the ER? - CORRECT ANSWER - the suspected poison
An elderly client is a (high/low) risk for accidental poisoning? What about a school age child? -
CORRECT ANSWER - high - due to poor eyesight, high
What types of chemicals cause burns to oral mucosa when ingested? - CORRECT
ANSWER - Lye, caustic cleaners
Children at highest risk for seizure activity after ingestion are those who have swallowed
_____________ and ______________. - CORRECT ANSWER - drugs, insecticides
Can impaired skin integrity ever be an appropriate nursing diagnosis when poisoning has
occurred? - CORRECT ANSWER - Yes, when lye or caustic agents have been ingested
What is the causative organism of acne? - CORRECT ANSWER - P. acnes
(propionibacterium acnes)
What structures are involved in acne vulgaris? - CORRECT ANSWER - The sebaceous
glands
,Name 3 drugs given for acne? - CORRECT ANSWER - Vitamin A, Antibiotics, Retinoids
Dietary indiscretions and uncleanliness are causes of acne? - CORRECT ANSWER - False
What are the 3 causative factors in acne vulgaris? - CORRECT ANSWER - Hereditary,
Bacterial, Hormonal
Uncleanliness is a cause of acne? - CORRECT ANSWER - False
What is the most common retinoid given to people with acne? - CORRECT ANSWER -
Accutane
Accutane is an analog of which vitamin? - CORRECT ANSWER - Vitamin A
What is the most common side effect of accutane? And what is most important in health teaching
in adminstration? - CORRECT ANSWER - Inflammation of the lips; Causes birth defects
What is the antibiotic most commonly given to clients with acne? - CORRECT
ANSWER - Tetracycline
How long will it take for the person to see results when acne is being treated? - CORRECT
ANSWER - 4 to 6 weeks
Does stress make acne worse? - CORRECT ANSWER - yes
How often should the client with acne wash his face each day? - CORRECT ANSWER -
Twice a day
, What instructions do you give to a client taking tetracycline? - CORRECT ANSWER -
Take it on an empty stomach and avoid the sunlight (photosensitivity)
What are comedones? - CORRECT ANSWER - Blackheads and white heads
What virus causes AIDS? - CORRECT ANSWER - HIV - Human immunodeficiency virus
The AIDS virus invades helper ____________. - CORRECT ANSWER - T-lymphocytes
(or CD4 cells)
AIDS is transmissible through what four routes? - CORRECT ANSWER - blood
sexual contact
breast feeding
across placenta in utero
HIV is present in all body fluids? - CORRECT ANSWER - Yes, but it is not transmitted by
all, only blood, semen and breast milk
Name the 5 risk groups for AIDS - CORRECT ANSWER - Homosexual/bisexual men
IV drug users
Hemophiliacs
Heterosexual partners of infected people
Newborn children of infected women
What is the first test for HIV antibodies? - CORRECT ANSWER - ELISA
What test confirms the ELISA? - CORRECT ANSWER - Western Blot
