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Mark Klimek Blue Book exam with complete solutions 2024_2025
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Mark Klimek Blue Book exam with complete solutions 2024_2025
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Mark Klimek Blue Book exam withcomplete solutions 2024/2025
Water acounts for __________ to _________% of an infant's total weight? -
ANSWER-70 to 75%
What temperature is appropriate for the water used to bathe an infant? -
ANSWER-100 to 105
What cranial nerve is affected in Bell's Palsy? - ANSWER-#7, facial nerve
Give three eye interventions for the client with Bell's Palsy. - ANSWER-Dark
glasses, artificial tears, cover eye at night
The man with BPH has a _________-stream of urine - ANSWER-forked
The most radical prostate surgery is the ____________ prostatectomy. -
ANSWER-Perineal
Acid Ash diet - ANSWER-Decrease pH (makes urine acid)
Chz, eggs, Meat, fish, oysters, poultry, Bread, Cereal, Whole Grains, Pastries,
Cranberries, Prunes, Plums, Tomatoes, Peas, Corn, Legumes.
What drug is use to treat bladder spasm? - ANSWER-B&O suppositories
(Belladonna & Opiates)
If you see an increase in blood content of urine coming out of the catheter, you
would first ___________. if - ANSWER-Pull carefully on the catheter to apply local
pressure on the prostate with the Foley balloon.
,How often should the drainage bag be emptied? - ANSWER-Every 8 hours
Name foods that make acid urine - ANSWER-Cranberry juice, apple juice (avoid
citrus juices- they make alkaline urine)
Increased intracranial pressure will _________ the pulse pressure. - ANSWER-
Increase or Widen
If a unit of blood is infused through a central line it must be__________. -
ANSWER-Warmed
Which of the following are signs of transfusion reaction? Bradycardia, Fever,
Hives, Wheezing,
Increased Blood Pressure, Low Back Pain - ANSWER-Low back pain, wheezing,
fever, hives
What are the signs and symptoms of a hemolytic transfusion reaction? -
ANSWER-Shivering, HA, low back pain, increased pulse & respirations,
decreasing BP, oliguria, hematuria
What are the signs and symptoms of a febrile transfusion reaction? - ANSWER-
Low back pain, shaking HA, increasing temperature, confusion, hemoptysis
What are the signs of symptoms of an allergic reaction to a transfusion? -
ANSWER-Hives- uticaria, wheezing, pruritus, joint pain, (arthralgia)
When are hemolytic transfusion reactions likely to occur? - ANSWER-In the first
10 to 15 minutes
When is a febrile reaction likely to occur? - ANSWER-Within 30 minutes of
beginning the transfusion
What would you do if the client had an increasing temperature and was to get
blood? - ANSWER-Call the MD because blood is often held with an elevated
temperature
How long should it take for one unit of blood to infuse? - ANSWER-From one
hour to three hours
What is the routine for vital sign measurement with a transfusion? - ANSWER-
Once before administration
,Q15 x 2 after administration is begun
Q1 x1 after transfusion has stopped
Which two nutrients is breast milk lower in? - ANSWER-Fluoride and iron
What is another name for Buerger's disease? - ANSWER-Thromboangiitis
obliterans
Which extremities are affected by it? - ANSWER-Lower only
The group with the highest incidence of Buerger's disease is __________. -
ANSWER-Smokers
Upon walking the patient with Buerger's experiences _______ _________. -
ANSWER-Intermittent Claudication
What is the only IM given to a burn patient? - ANSWER-Tetanus toxoid- if they
had a previous immunization; tetanus antitoxin- if they have never been
immunized before (or immune globulin)
In the emergent phase do you cover burns? (in the field) - ANSWER-Yes, with
anything clean and dry.
How long does the fluid mobilization or diuretic phase of a burn last? - ANSWER-
2 to 5 days
Is there a higher or lower incidence of fetal death with Abruptio Placenta
compared to Placenta Previa? - ANSWER-Highter
Children at highest risk for seizure activity after ingestion are those who have
swallowed _____________ and ______________. - ANSWER-drugs, insecticides
Name 3 drugs given for acne? - ANSWER-Vitamin A, Antibiotics, Retinoids
Accutane (isotretinoin) is an analog of which vitamin? - ANSWER-Vitamin A
What is the most common side effect of (isotretinoin)? And what is most
important in health teaching in administration? - ANSWER-Inflammation of the
lips; Causes birth defects
, What is the antibiotic most commonly given to clients with acne? - ANSWER-
Tetracycline
How long will it take for the person to see results when acne is being treated? -
ANSWER-4 to 6 weeks
What instructions do you give to a client taking tetracycline? - ANSWER-Take it
on an empty stomach and avoid the sunlight (photosensitivity)
The AIDS virus invades helper ____________. - ANSWER-T-lymphocytes (or CD4
cells)
HIV is present in all body fluids? - ANSWER-Yes, but not transmitted by all, only
blood, semen and breast milk
What is the first test for HIV antibodies? - ANSWER-ELISA
What test confirms the ELISA? - ANSWER-Western Blot
A CD4 count of under __________ is associated with the onset of AIDS-related
symptoms. - ANSWER-500
A CD4 count of under _______ is associated with the onset of opportunistic
infections. - ANSWER-200
Give 6 symptoms of HIV disease. - ANSWER-Anorexia, fatigue, weakness, night
sweats, fever, diarrhea
Which 2 classes of drugs are given in combination for HIV sero-positivity? -
ANSWER-NRTI's (nucleoside reverse transcriptease inhibitors) and PI's (protease
inhibitors)
They prevent viral replication.
NRTI (nucleoside reverse transcriptease inhibitors) - ANSWER-an antiviral drug
used against HIV (is incorporated into the DNA of the virus and stops the building
process; results in incomplete DNA that cannot create a new virus; often used in
combination with other drugs)
PI's (Protease inhibitors) - ANSWER-most potent of antiviral meds, inhibit cell
protein synthesis that interferes with viral replication, does not cure but slows
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