MARK KLIMEK NCLEX REVIEW
QUESTIONS 2026 STUDY GUIDE |
PRACTICE QUESTIONS, ANSWERS
& RATIONALES
| GRADED A+ | GUARANTEED
SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,Are ATBs helpful for croup? For epiglottits? For croup, no. Epiglottitis, yes
Is croup viral or bacterial? Viral
With which condition is croup most often confused? Epiglottitis
Can croup be managed at home? Can epiglottitis be Yes. No, epiglottitis is a 911 emergency
managed at home?
Are sedatives used for kids with croup? No, bc this would mask the signs of respiratory distress
What causes epiglottitis? A virus or bacteria? H. influenza BACTERIA
What is the best tx for croup? Cool moist air
What should never be done to a child with epiglottitis? Never put anything in the child's mouth, ie, a tongue blade can lead to
obstruction
What are the typical signs and symptoms of croup? Barking cough, inspiratory stridor, labored resp. pattern
What 3 signs tell you that the child has epiglottitis instead Muffled voice, drooling, increased fever
of croup?
When is croup bad enough to be evaluated by a doc? When retractions, and high pitched stridor are present
What lead level needs intervention? 50-60 micrograms/ dl
With which class of drugs will a child with lead poisoning Chelating agents
be treated?
What do chelating drugs do? They increase the excretion of heavy metals
The most freq. cause of lead poisoning is... Ingestion of lead-based paint chips
Name 3 common chelating agents for lead poisoning EDTA, desferal, BAL in oil
S&S of lead poisoning Drowsiness, clumsiness, ataxia, seizures, coma, resp. arrest
Sx of lead poisoning show up in the ____ system Neuro
Leukemia is cancer of the ___ forming tissues Blood
The type of cell that is most common and problematic in Immature WBC
leukemia is ____
In leukemia the RBC count is ... Low, bc the bone marrow is going "wild" producing all those immature WBC - no
energy or nutrients to make platelets
,In leukemia, the platelet count is ... Low, bc the bone marrow is going "wild" producing all those immature WBC - no
energy or nutrients to make platelets
Bc the RBCs are low, the pt will exhibit ___ and ___ Pallor and fatigue
Bc of the immature WBCs, the pt is at risk for ___ Infection
Bc of low platelets, the pt is at risk for ___, ___, and ___ Bruising, ecchymosis, bleeding, petechiae
What causes lymph gland enlargement in leukemia? All those small immature WBC clog the lymph system
Should you take a rectal temp on a child with leukemia? No
Should you take an oral temp on a child with leukemia? Yes, as long as they are over 4 years old, in remission, and have no sores in their
mouth
Should the child with active leukemia use straws, forks, NO straws, NO forks, YES cups
cups?
RN's priority in tx a child with newly diagnosed leukemia Dec. risk of infection
is...
When the leukemia child's platelets and WBC's are low, Limited
his activities should be ...
When the platelet and WBCs are low the nurse should Suppository
not insert a..
Are IM injections and IV sticks permitted on a child with When labs are low IMs avoided and IVs limited; only done when absolutely
leukemia? necessary (to give chemo or measure blood counts)
Why are kids on chemo also on allopurinol To prevent uric acid kidney stones (remember when chemo kills cancer cells,
purines and uric acid build up and could cause kidney stones
Why do some kids with leukemia have joint pain? The immature WBCs infiltrate the joint and cause inflammation
Why is a child with leukemia at risk for neuro sx due to The immature WBCs infiltrate the brain and cause inflammation
ICP
What is alopecia? Hair loss
If the platelet count is low what drug should the child not Aspirin
take?
Is the alopecia from chemo permanent? No. It will grow back. (Alopecia of radiation therapy is permanent bc the follicle is
destroyed)
What does ANC mean? Absolute Neutrophil Count
, What is the ANC used for in leukemia? If ANC <500, then pt will be on protective isolation
Which is used more commonly to decide if the pt should ANC is more reliable and valid
be on isolation: WBC or ANC
By the end of the 1st 6 months of life an infants Double
birthweight should ____
By the end of the first year of life an infants birthweight Triple
should ___
Ideal food for infants is ___ Breast milk
Breast milk contains substances that increase immunities True
T/F?
Bottle-fed infants dont bond well with their moms T/F? False
The 1 nutrient that commercial formulas are typically low Fe
in is ___
Breast milk does not contain iron T/F? False. However, it does not contain enough iron- so they should be fed iron
fortified cereal starting at 6 months
At what age should the infant be fed cows/goats milk? Not before 12 months
What is the major problem with feeding an infant skim They dont get enough calories and dont grow. Dehydration from excessive solute
milk? load and inability to concentrate urine
When should the infant be introduced to textured solid 4-6 months
foods?
What is the first food that an infant should be introduced Iron fortified rice cereal
to?
When forced to eat, the preschool child will... Rebel
Parents of preschool children should be taught that as One
long as the child eats ___ good nutritious meal per day,
they should not make eating food an issue
Refusal to eat is common in preschoolers T/F? True, but still offer a variety
Youngsters develop food preferences by.. Observing significant ppl in their environ
School-age kids grow at a slower rate than infants, True
toddlers, or adolescents T/F?
QUESTIONS 2026 STUDY GUIDE |
PRACTICE QUESTIONS, ANSWERS
& RATIONALES
| GRADED A+ | GUARANTEED
SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,Are ATBs helpful for croup? For epiglottits? For croup, no. Epiglottitis, yes
Is croup viral or bacterial? Viral
With which condition is croup most often confused? Epiglottitis
Can croup be managed at home? Can epiglottitis be Yes. No, epiglottitis is a 911 emergency
managed at home?
Are sedatives used for kids with croup? No, bc this would mask the signs of respiratory distress
What causes epiglottitis? A virus or bacteria? H. influenza BACTERIA
What is the best tx for croup? Cool moist air
What should never be done to a child with epiglottitis? Never put anything in the child's mouth, ie, a tongue blade can lead to
obstruction
What are the typical signs and symptoms of croup? Barking cough, inspiratory stridor, labored resp. pattern
What 3 signs tell you that the child has epiglottitis instead Muffled voice, drooling, increased fever
of croup?
When is croup bad enough to be evaluated by a doc? When retractions, and high pitched stridor are present
What lead level needs intervention? 50-60 micrograms/ dl
With which class of drugs will a child with lead poisoning Chelating agents
be treated?
What do chelating drugs do? They increase the excretion of heavy metals
The most freq. cause of lead poisoning is... Ingestion of lead-based paint chips
Name 3 common chelating agents for lead poisoning EDTA, desferal, BAL in oil
S&S of lead poisoning Drowsiness, clumsiness, ataxia, seizures, coma, resp. arrest
Sx of lead poisoning show up in the ____ system Neuro
Leukemia is cancer of the ___ forming tissues Blood
The type of cell that is most common and problematic in Immature WBC
leukemia is ____
In leukemia the RBC count is ... Low, bc the bone marrow is going "wild" producing all those immature WBC - no
energy or nutrients to make platelets
,In leukemia, the platelet count is ... Low, bc the bone marrow is going "wild" producing all those immature WBC - no
energy or nutrients to make platelets
Bc the RBCs are low, the pt will exhibit ___ and ___ Pallor and fatigue
Bc of the immature WBCs, the pt is at risk for ___ Infection
Bc of low platelets, the pt is at risk for ___, ___, and ___ Bruising, ecchymosis, bleeding, petechiae
What causes lymph gland enlargement in leukemia? All those small immature WBC clog the lymph system
Should you take a rectal temp on a child with leukemia? No
Should you take an oral temp on a child with leukemia? Yes, as long as they are over 4 years old, in remission, and have no sores in their
mouth
Should the child with active leukemia use straws, forks, NO straws, NO forks, YES cups
cups?
RN's priority in tx a child with newly diagnosed leukemia Dec. risk of infection
is...
When the leukemia child's platelets and WBC's are low, Limited
his activities should be ...
When the platelet and WBCs are low the nurse should Suppository
not insert a..
Are IM injections and IV sticks permitted on a child with When labs are low IMs avoided and IVs limited; only done when absolutely
leukemia? necessary (to give chemo or measure blood counts)
Why are kids on chemo also on allopurinol To prevent uric acid kidney stones (remember when chemo kills cancer cells,
purines and uric acid build up and could cause kidney stones
Why do some kids with leukemia have joint pain? The immature WBCs infiltrate the joint and cause inflammation
Why is a child with leukemia at risk for neuro sx due to The immature WBCs infiltrate the brain and cause inflammation
ICP
What is alopecia? Hair loss
If the platelet count is low what drug should the child not Aspirin
take?
Is the alopecia from chemo permanent? No. It will grow back. (Alopecia of radiation therapy is permanent bc the follicle is
destroyed)
What does ANC mean? Absolute Neutrophil Count
, What is the ANC used for in leukemia? If ANC <500, then pt will be on protective isolation
Which is used more commonly to decide if the pt should ANC is more reliable and valid
be on isolation: WBC or ANC
By the end of the 1st 6 months of life an infants Double
birthweight should ____
By the end of the first year of life an infants birthweight Triple
should ___
Ideal food for infants is ___ Breast milk
Breast milk contains substances that increase immunities True
T/F?
Bottle-fed infants dont bond well with their moms T/F? False
The 1 nutrient that commercial formulas are typically low Fe
in is ___
Breast milk does not contain iron T/F? False. However, it does not contain enough iron- so they should be fed iron
fortified cereal starting at 6 months
At what age should the infant be fed cows/goats milk? Not before 12 months
What is the major problem with feeding an infant skim They dont get enough calories and dont grow. Dehydration from excessive solute
milk? load and inability to concentrate urine
When should the infant be introduced to textured solid 4-6 months
foods?
What is the first food that an infant should be introduced Iron fortified rice cereal
to?
When forced to eat, the preschool child will... Rebel
Parents of preschool children should be taught that as One
long as the child eats ___ good nutritious meal per day,
they should not make eating food an issue
Refusal to eat is common in preschoolers T/F? True, but still offer a variety
Youngsters develop food preferences by.. Observing significant ppl in their environ
School-age kids grow at a slower rate than infants, True
toddlers, or adolescents T/F?
