Full copy of the blue book created by Mark K (former NCLEX question writer) going into details and hints about NCLEX questions and topics that frequently show up. He used to work for NCSBN and created these study guides for his paid sessions.
The nutrient needed most for growth and repair of tissues is _____________. Correct Answer:
protein (second best is Vit C)
Proteins provide __________ Kcalories per 1 gram. Correct Answer: 4
Vitamins and minerals provide energy for the body. (T/F) Correct Answer: False- they are
necessary for a body's chemical reactions.
Water is present in ALL body tissues. (T/F) Correct Answer: True (even bone)
Water accounts for ________ to ___________% of an adult's total weight? Correct Answer: 50
to 60%
Name the four basic food groups Correct Answer: Milk & Cheese, Meat & Legumes, Veggies &
Fruits, Bread & Cereal
,Water acounts for __________ to _________% of an infant's total weight? Correct Answer: 70
to 75%
An individual is overweight if they are ________% above the ideal weight. Correct Answer: 10
An individual is obese if they weigh ________% above the ideal weight. Correct Answer: 20
What solution and material are used to cleanse the eyes of an infant? Correct Answer: Plain
water, cotton balls, washcloths
Can you use cotton swabs to clean the eyes, nares or ears of an infant? Correct Answer: No, this
is dangerous
Can you use the same cotton ball/washcloth edge for both eyes? Correct Answer: No, it would
cross contaminate
Should you cover an unhealed umbilical site with the diaper? Correct Answer: No, fold the
diaper down.
What temperature is appropriate for the water used to bathe an infant? Correct Answer: 100 to
105
What is the #1 purpose of a tepid sponge bath? Correct Answer: Lower body temperature during
fever.
How should the temperature of the water be tested if no thermometer is available? Correct
Answer: Dropping water on inside surface of your forearm.
With which body part do you begin when bathing an infant? Correct Answer: Eyes always
When cleansing an infant's eye, cleanse from outer to inner canthus? Correct Answer: No, inner
to outer
Should you retract the foreskin of a 5 week old male, uncircumcised infant to cleanse the area?
Correct Answer: No, not until foreskin retracts naturally and without resistance- then it should
be retracted, cleansed and replaced.
When sponge-bathing with tepid water the correct temp is _____________. Correct Answer:
98.6 F
How long does it take for the umbilical stump to fall off? Correct Answer: 7 to 14 days
The primary reason why an infant is draped during the bath is to provide privacy. (T/F) Correct
Answer: False, the primary purpose of draping is to prevent chilling.
,You may use friction to remove vernix caseosa from an infant's skin. (T/F) Correct Answer:
False, it causes damage/bruising
What solution is commonly used for care of umbilical cord? Correct Answer: 70% alcohol to
promote drying (trend is toward soap and water)
What cranial nerve is affected in Bell's Palsy? Correct Answer: #7, facial nerve
What is the #1 symptom of Bell's Palsy? Correct Answer: One sided (unilateral) facial paralysis
Complete recovery from the paralysis of Bell's Palsy should occur in _______ to ______ months.
Correct Answer: 4 to 6
In addition to the facial paralysis, the sense of ______ is also affected. Correct Answer: taste
Will the patient be able to close their eye on the affected side? Correct Answer: no
Give three eye interventions for the client with Bell's Palsy. Correct Answer: Dark glasses,
artificial tears, cover eye at night
As the prostate enlarges it compresses the ___________ and causes urinary ________. Correct
Answer: Urethra, rentention
At what age does BPH occur? Correct Answer: men over 50 years of age
What does BPH stand for? Correct Answer: Benign Prostatic Hypertrophy
IN BPH the man has (increased/decreased) frequency of urination Correct Answer: increased
In BPH the force of the urinary stream is (increased/decreased). Correct Answer: decreased
The man with BPH has a _________-stream of urine Correct Answer: forked
The man with BPH has hesitancey. What does this mean? Correct Answer: Difficulty starting to
void
Will the man with BPH have enuresis, nocturia or hematuria? Correct Answer: Enuresis-No,
Nocturia-Yes, and Hematuria-Maybe
Enuresis Correct Answer: inability to control the flow of urine and involuntary urination
What is the best way to screen men for BPH? Correct Answer: Digital rectal exam
Should fluids be forced or restricted in BPH? Correct Answer: forced
What does TURP stand for? Correct Answer: Transurethral resection of the prostate
, The most radical prostate surgery is the ____________ prostatectomy. Correct Answer: Perineal
What type of diet is used in BPH? Correct Answer: Acid Ash
What is the primary purpose of a 3 way continuous bladder irrigation (CBI) after TURP? Correct
Answer: To keep the catheter clear of clots and to drain urine
What solution is used for CBI? Correct Answer: Normal saline (0.9 NaCl)
How fast do you run the CBI? Correct Answer: At whatever rate it takes to keep the urine
flowing and free of clots
What drug is use to treat bladder spasm? Correct Answer: B&O suppositories (Belladonna &
Opiates)
Should you take a rectal temp after prostatectomy? Give stool softeners? Correct Answer: No
rectal temperatures, yes stool softeners
You should call the MD after TURP when you see _________ thick ________, _____________
clots, and ____________ urine drainage on the dressing. Correct Answer: Bright thick blood,
persistent clots, persistent urine on dressing (don't call MD for transitory clots and urine on
dressing.)
If you see an increase in blood content of urine coming out of the catheter, you would first
___________. Correct Answer: Pull carefully on the catheter to apply local pressure on the
prostate with the Foley balloon.
If you see clots in the tubing you would first ____________. Correct Answer: Increase the flow-
rate.
What exercises should the post prostectomy patient do upon discharge? Why? Correct Answer:
Perineal exercises, start and stop stream of urine, because dribbling is a common but temporary
problem post op
Will the post prostectomy patient be impotent? Correct Answer: If TURP, no impotence, if
perineal prostatectomy, yes impotence
How often should the drainage bag be emptied? Correct Answer: Every 8 hours
What is the most common problem due to catheterization? Correct Answer: UTI
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