MARK KLIMEK BLUE BOOK 2026
UPDATE | NCLEX HIGH-YIELD
STUDY GUIDE, REVIEW NOTES &
PRACTICE QUESTIONS
| GRADED A+ | GUARANTEED
SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,Will the patient be able to close their eye on the affected no
side? (Bell's Palsy)
Give three eye interventions for the client with Bell's Dark glasses, artificial tears, cover eye at night
Palsy.
As the prostate enlarges it compresses the ___________ and Urethra, rentention
causes urinary ________.
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 increased
urination
The man with BPH has a _________-stream of urine forked
Will the man with BPH have enuresis, nocturia or Enuresis-No, Nocturia-Yes, and Hematuria-Maybe
hematuria?
Enuresis inability to control the flow of urine and involuntary urination
What is the best way to screen men for BPH? Digital rectal exam
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 To keep the catheter clear of clots and to drain urine
bladder irrigation (CBI) after TURP?
What solution is used for continuous bladder irrigation? Normal saline (0.9 NaCl)
How fast do you run the continuous bladder irrigation? 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)
You should call the MD after TURP when you see _________ Bright thick blood, persistent clots, persistent urine on dressing (don't call MD for
thick ________, _____________ clots, and ____________ urine drainage transitory clots and urine on dressing.)
on the dressing.
If you see an increase in blood content of urine coming Pull carefully on the catheter to apply local pressure on the prostate with the
out of the catheter, you would first ___________. Foley balloon.
If you see clots in the tubing you would first ____________. Increase the flow-rate.
,How often should the drainage bag be emptied? Every 8 hours
What is the most common route for organisms to enter Up through the inside of the catheter in the days following catheterization
the blader when a catheterization is used?
Name foods that make acid urine Cranberry juice, apple juice (avoid citrus juices- they make alkaline urine)
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 Keep the drainage system closed, do not disconnect junction of tubing
catheters?
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 Urinary retention, to check for residual, to monitor hourly output
catheterization?
What are the top 2 diagnoses for a client with a catheter? #1- Potential for infection; Potential impairment of urethral tissue integrity
Which is #1?
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 Two-thirds
has width of __________ of the arm.
Which artery is most commonly used to measure blood Brachial
pressure?
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 Systolic
____________ measurement.
The change in the character of the sounds is known as First diastolic sound
the ________
, The cessation of sounds is known as the _________ Second diastolic sound
When 2 values are given in a blood pressure the first is Systolic
the __________measurement.
When 2 values are given in a blood pressue, the bottom Cessation of sounds
number stands for the change in sounds or cessation of
sounds?
What is the normal adult blood pressure? 120/80
Abnromally high blood pressure is called____________. Hypertension
What is the pulse pressure? The difference between the systolic and the diastolic blood pressure
If you deflate a cuff TOO SLOWLY, the reading will be too High, venous congestion makes the arterial pressure higher (increases resistance)
high or low? Why?
If you use too narrow of a cuff the reading will be too High
high or low?
Vasoconstriction will ___________ blood pressure. Increase
Vasodilation will ____________ blood pressure. Decrease
Shock will ___________ blood pressure. Decrease
Increased intracranial pressure will _________ the pulse Increase or Widen
pressure.
If my blood pressure is 190/110, what is my pulse 80 mmHg
pressure?
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 Vital signs
transfusion?
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 The cells clump together & don't flow well
IVs?
If a transfusion reaction occurs what should the nurse do Stop the blood flow & start running the saline
first?
UPDATE | NCLEX HIGH-YIELD
STUDY GUIDE, REVIEW NOTES &
PRACTICE QUESTIONS
| GRADED A+ | GUARANTEED
SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,Will the patient be able to close their eye on the affected no
side? (Bell's Palsy)
Give three eye interventions for the client with Bell's Dark glasses, artificial tears, cover eye at night
Palsy.
As the prostate enlarges it compresses the ___________ and Urethra, rentention
causes urinary ________.
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 increased
urination
The man with BPH has a _________-stream of urine forked
Will the man with BPH have enuresis, nocturia or Enuresis-No, Nocturia-Yes, and Hematuria-Maybe
hematuria?
Enuresis inability to control the flow of urine and involuntary urination
What is the best way to screen men for BPH? Digital rectal exam
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 To keep the catheter clear of clots and to drain urine
bladder irrigation (CBI) after TURP?
What solution is used for continuous bladder irrigation? Normal saline (0.9 NaCl)
How fast do you run the continuous bladder irrigation? 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)
You should call the MD after TURP when you see _________ Bright thick blood, persistent clots, persistent urine on dressing (don't call MD for
thick ________, _____________ clots, and ____________ urine drainage transitory clots and urine on dressing.)
on the dressing.
If you see an increase in blood content of urine coming Pull carefully on the catheter to apply local pressure on the prostate with the
out of the catheter, you would first ___________. Foley balloon.
If you see clots in the tubing you would first ____________. Increase the flow-rate.
,How often should the drainage bag be emptied? Every 8 hours
What is the most common route for organisms to enter Up through the inside of the catheter in the days following catheterization
the blader when a catheterization is used?
Name foods that make acid urine Cranberry juice, apple juice (avoid citrus juices- they make alkaline urine)
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 Keep the drainage system closed, do not disconnect junction of tubing
catheters?
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 Urinary retention, to check for residual, to monitor hourly output
catheterization?
What are the top 2 diagnoses for a client with a catheter? #1- Potential for infection; Potential impairment of urethral tissue integrity
Which is #1?
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 Two-thirds
has width of __________ of the arm.
Which artery is most commonly used to measure blood Brachial
pressure?
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 Systolic
____________ measurement.
The change in the character of the sounds is known as First diastolic sound
the ________
, The cessation of sounds is known as the _________ Second diastolic sound
When 2 values are given in a blood pressure the first is Systolic
the __________measurement.
When 2 values are given in a blood pressue, the bottom Cessation of sounds
number stands for the change in sounds or cessation of
sounds?
What is the normal adult blood pressure? 120/80
Abnromally high blood pressure is called____________. Hypertension
What is the pulse pressure? The difference between the systolic and the diastolic blood pressure
If you deflate a cuff TOO SLOWLY, the reading will be too High, venous congestion makes the arterial pressure higher (increases resistance)
high or low? Why?
If you use too narrow of a cuff the reading will be too High
high or low?
Vasoconstriction will ___________ blood pressure. Increase
Vasodilation will ____________ blood pressure. Decrease
Shock will ___________ blood pressure. Decrease
Increased intracranial pressure will _________ the pulse Increase or Widen
pressure.
If my blood pressure is 190/110, what is my pulse 80 mmHg
pressure?
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 Vital signs
transfusion?
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 The cells clump together & don't flow well
IVs?
If a transfusion reaction occurs what should the nurse do Stop the blood flow & start running the saline
first?
