Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
Unlock the complete Mark Klimek Blue Book NCLEX Study Guide, featuring all key concepts and 2000 must-know terms for exam success. This all-in-one resource is trusted by nursing students worldwide and covers the latest NCLEX topics, prioritizing what you need to pass. Includes easy-to-understand explanations, memory aids, and concise summaries to help you master pharmacology, lab values, disease processes, prioritization, and more. Ideal for comprehensive review and last-minute revision. Mark Klimek notes, Blue Book NCLEX, NCLEX study guide, NCLEX terms, nursing mnemonics, nursing exam prep, Klimek review, NCLEX 2025, nursing concepts, NCLEX pharmacology, nursing memory aids, NCLEX lab values, NCLEX quick review, NCLEX must-know, nursing prioritization, NCLEX summary, nursing test tips, NCLEX cheat sheet, NCLEX complete guide
Typology: Study Guides, Projects, Research
1 / 223
This page cannot be seen from the preview
Don't miss anything!
The "Blue Book" study guide typically encompasses
approximately 2000 meticulously curated terms, concepts,
and key points that are central to the NCLEX-RN exam. The
document is organized into succinct notes, mnemonics, rationales,
pharmacological principles, and “must-know” facts across all major nursing
content areas, including:
A,D,E,K (Remember FADE 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, Veggies & Fruits, Bread & Cereal
Water acounts for __________ to _________% of an infant's total weight?
70 to 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
What solution and material are used to cleanse the eyes of an infant?
Plain water, cotton balls, washcloths
Can you use cotton swabs to clean the eyes, nares or ears of an infant?
No, this is dangerous
Can you use the same cotton ball/washcloth edge for both eyes?
No, it would cross contaminate
Should you cover an unhealed umbilical site with the diaper?
No, fold the diaper down.
What temperature is appropriate for the water used to bathe an infant?
100 to 105
What is the #1 purpose of a tepid sponge bath?
Lower body temperature during fever.
How should the temperature of the water be tested if no thermometer is available?
Dropping water on inside surface of your forearm.
With which body part do you begin when bathing an infant?
Eyes always
When cleansing an infant's eye, cleanse from outer to inner canthus?
No, inner to outer
Should you retract the foreskin of a 5 week old male, uncircumcised infant to cleanse the area?
No, not until foreskin retracts naturally and without resistance- then it should be retracted, cleansed and replaced.
no
Give three eye interventions for the client with Bell's Palsy.
Dark glasses, artificial tears, cover eye at night
As the prostate enlarges it compresses the ___________ and causes urinary ________.
Urethra, rentention
At what age does BPH occur?
men over 50 years of age
What does BPH stand for?
Benign Prostatic Hypertrophy
IN BPH the man has (increased/decreased) frequency of urination
increased
In BPH the force of the urinary stream is (increased/decreased).
decreased
The man with BPH has a _________-stream of urine
forked
The man with BPH has hesitancey. What does this mean?
Difficulty starting to void
Will the man with BPH have enuresis, nocturia or hematuria?
Enuresis-No, Nocturia-Yes, and Hematuria-Maybe
Enuresis
inability to control the flow of urine and involuntary urination
What is the best way to screen men for BPH?
Digital rectal exam
Should fluids be forced or restricted in BPH?
forced
What does TURP stand for?
Transurethral resection of the prostate
The most radical prostate surgery is the ____________ prostatectomy.
Perineal
What type of diet is used in BPH?
Acid Ash
Acid Ash diet
Decrease pH (makes urine acid) Chz, eggs, Meat, fish, oysters, poultry, Bread, Cereal, Whole Grains, Pastries, Cranberries, Prunes, Plums, Tomatoes, Peas, Corn, Legumes.
What is the primary purpose of a 3 way continuous bladder irrigation (CBI) after TURP?
To keep the catheter clear of clots and to drain urine
What solution is used for CBI?
Normal saline (0.9 NaCl)
How fast do you run the CBI?
At whatever rate it takes to keep the urine flowing and free of clots
What drug is use to treat bladder spasm?
B&O suppositories (Belladonna & Opiates)
E. coli
What is the most common route for organisms to enter the blader when a catheterization is used?
Up through the inside of the catheter in the days following catheterization
Name foods that make acid urine
Cranberry juice, apple juice (avoid citrus juices- they make alkaline urine)
What is important about the level of the urinary drainage bag?
Never have the bag at a higher level than the bladder.
How is the catheter taped in a male client?
To the lateral thigh or abdomen
How is the catheter taped in a female client?
To the upper thigh
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 and 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 three 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? Which is #1?
#1- Potential for infection; Potential impairment of urethral tissue integrity
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 width of __________ of the arm.
Two-thirds
Which artery is most commonly used to measure blood pressure?
Brachial
Can the thigh EVER be used to obtain a blood pressure?
Yes, but this is rare.
When pressure is auscultated the first sound heard is the ____________ measurement.
Systolic
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
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 requried 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 saline
How long can a unit of blood be on the unit before it must be started?
Less than 1/2 hour
What should the nurse do with the IV line if transfusion reaction is suspected?
Keep it open with saline
If a transfusion reaction is suspected, what two samples are collected and sent to the lab?
Urine & blood
If a unit of blood is infused through a central line it must be__________.
Warmed
Which of the following are signs of transfusion reaction? Bradycardia, Fever, Hives, Wheezing, Increased Blood Pressure, Low Back Pain
Low back pain, wheezing, fever, hives
What are three types of transfusion reactions that can occur?
Hemolytic, febrile, allergic
What would you do first if you suspected transfusion reaction?
Stop the blood and start the saline
What are the signs and symptoms of a hemolytic transfusion reaction?
Shivering, HA, low back pain, increased pulse & respirations, decreasing BP, oliguria, hematuria
What are the signs and symptoms of a febrile transfusion reaction?
What would you do if the client had an increasing temperature and was to get blood?
Call the MD because blood is often held with an elevated temperature
How long should it take for one unit of blood to infuse?
From one hour to three hours
How long should you stay with the patient after beginning a transfusion?
At least 15 to 30 minutes
What blood type is the universal recipient?
AB
What blood type is the universal donor?
O
What is the routine for vital sign measurement with a transfusion?
Once before administration Q15 x 2 after administration is begun Q1 x1 after transfusion has stopped
What IV solution is hung with a blood transfusion?
0.9 normal saline (No glucose)
What gauge needle is used with a blood transfusion?
Large gauge, 18 gauge
What other things are appropriate after a reaction?
Call MD, get a blood sample, get urine sample, monitor vitals, send blood to lab
Can blood be given immediately after removal from refrigeration?
No, it has to be warmed first for only about 20 to 30 minutes.
With what solution & when should a breast feeding mother cleanse the areola?
Plain water, before & after each feeding
For a woman who doesn"t have retracted nipples, is towel drying or air drying better?
Air drying of the nipples is best
The goal is for the infant to breast feed for __________ minutes per side.
20
How does the mother break the suction of the breast feeding infant?
She inserts her little finger into the side of the infant's mouth
When should the breast feeding infant be burped?
After feeding from each breast
Assuming no mastitis, on which side should the breastfeeding begin?
Begin nursing on the side that the baby finished on the last feeding
How long can breast milk be refrigerated?
24 hours
How long can breast milk be frozen?
6 months
In what type of container should breast milk be stored?
Sealed plastic bags
What is intermittent claudication?
Pain in calf upon walking
A first degree burn is pale or red?
Red
A first degree burn has vesicles (T/F)?
False
A second-degree burn is pale or red?
Red
A second-degree burn is dull or shiny?
Shiny
A second-degree burn has vesicles? (T/F)
True
A Second degree-burn is wet or dry?
Wet
A third-degree burn is white or red?
White
A third-degree burn is wet or dry?
Dry
A third degre burn is hard or soft?
Hard
Of first, second and third degree burns which has less pain? Why?
Third degree burns, nerve damage has occured
For what purpose do you use the rule of nines?
To estimate the percentage of body surface burned; is NOT used for children.
In the rule of nines, the head and neck receive _______: each arm receives_______.
9%, 9%
In the rule of nines, the front trunk gets_____, the posterior trunk gets_____, each leg gets ______ and the genitalia gets________.
18%, 18%, 18%, 1%
What is the only IM given to a burn patient?
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)
Yes, with anything clean and dry.
Should you remove adhered clothing?
No
Name the 3 phases of burn
Shock, diuretic, recovery
Fluid moves from the___________ to the _______ in the SHOCK phase.
Bloodstream, interstitial space
The shock phase lasts for the first ________ to ________ hours after a burn.
24 to 48 hours
