Mark Klimek Blue Book ACTUAL EXAM 2025 TEST COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS (DETAILED & ELABORATED) 100% SOLVED 2025!!
Water acounts for __________ to _________% of an infant's total weight? - correct answer 70
to 75%
What temperature is appropriate for the water used to bathe an infant? - correct answer 100
to 105
What cranial nerve is affected in Bell's Palsy? - correct answer #7, facial nerve
Give three eye interventions for the client with Bell's Palsy. - correct answer Dark glasses,
artificial tears, cover eye at night
The man with BPH has a _________-stream of urine - correct answer forked
The most radical prostate surgery is the ____________ prostatectomy. - correct answer
Perineal
Acid Ash diet - correct 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? - correct 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 - correct 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? - correct answer Every 8 hours
Name foods that make acid urine - correct answer Cranberry juice, apple juice (avoid citrus
juices- they make alkaline urine)
Increased intracranial pressure will _________ the pulse pressure. - correct answer Increase or
Widen
If a unit of blood is infused through a central line it must be__________. - correct answer
Warmed
Which of the following are signs of transfusion reaction? Bradycardia, Fever, Hives, Wheezing,
Increased Blood Pressure, Low Back Pain - correct answer Low back pain, wheezing, fever, hives
What are the signs and symptoms of a hemolytic transfusion reaction? - correct answer
Shivering, HA, low back pain, increased pulse & respirations, decreasing BP, oliguria, hematuria
,What are the signs and symptoms of a febrile transfusion reaction? - correct answer Low back
pain, shaking HA, increasing temperature, confusion, hemoptysis
What are the signs of symptoms of an allergic reaction to a transfusion? - correct answer Hives-
uticaria, wheezing, pruritus, joint pain, (arthralgia)
When are hemolytic transfusion reactions likely to occur? - correct answer In the first 10 to 15
minutes
When is a febrile reaction likely to occur? - correct answer Within 30 minutes of beginning the
transfusion
What would you do if the client had an increasing temperature and was to get blood? - correct
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? - correct answer From one hour to
three hours
What is the routine for vital sign measurement with a transfusion? - correct 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? - correct answer Fluoride and iron
What is another name for Buerger's disease? - correct answer Thromboangiitis obliterans
Which extremities are affected by it? - correct answer Lower only
The group with the highest incidence of Buerger's disease is __________. - correct answer
Smokers
Upon walking the patient with Buerger's experiences _______ _________. - correct answer
Intermittent Claudication
What is the only IM given to a burn patient? - correct 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) - correct answer Yes, with anything
clean and dry.
How long does the fluid mobilization or diuretic phase of a burn last? - correct answer 2 to 5
days
Is there a higher or lower incidence of fetal death with Abruptio Placenta compared to Placenta
Previa? - correct answer Highter
,Children at highest risk for seizure activity after ingestion are those who have swallowed
_____________ and ______________. - correct answer drugs, insecticides
Name 3 drugs given for acne? - correct answer Vitamin A, Antibiotics, Retinoids
Accutane (isotretinoin) is an analog of which vitamin? - correct answer Vitamin A
What is the most common side effect of (isotretinoin)? And what is most important in health
teaching in administration? - correct answer Inflammation of the lips; Causes birth defects
What is the antibiotic most commonly given to clients with acne? - correct answer Tetracycline
How long will it take for the person to see results when acne is being treated? - correct answer
4 to 6 weeks
What instructions do you give to a client taking tetracycline? - correct answer Take it on an
empty stomach and avoid the sunlight (photosensitivity)
The AIDS virus invades helper ____________. - correct answer T-lymphocytes (or CD4 cells)
HIV is present in all body fluids? - correct answer Yes, but not transmitted by all, only blood,
semen and breast milk
What is the first test for HIV antibodies? - correct answer ELISA
What test confirms the ELISA? - correct answer Western Blot
A CD4 count of under __________ is associated with the onset of AIDS-related symptoms. -
correct answer 500
A CD4 count of under _______ is associated with the onset of opportunistic infections. - correct
answer 200
Give 6 symptoms of HIV disease. - correct answer Anorexia, fatigue, weakness, night sweats,
fever, diarrhea
Which 2 classes of drugs are given in combination for HIV sero-positivity? - correct answer
NRTI's (nucleoside reverse transcriptease inhibitors) and PI's (protease inhibitors)
They prevent viral replication.
NRTI (nucleoside reverse transcriptease inhibitors) - correct 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) - correct answer most potent of antiviral meds, inhibit cell protein
synthesis that interferes with viral replication, does not cure but slows progression of AIDS and
, prolongs life, used prophylactically, used in AIDS to decrease viral load and opportunistic
infections
What do NRTI's and PI's do? - correct answer They prevent viral replication
What does the physician hope to achieve with NRTI's and PI's for HIV? - correct answer A
delayed onset of AIDS for as long as possible (usually can delay onset for 10-15 years)
What is the most common NRTI used? - correct answer AZT (zidovudine)
What is the most challenging aspect of combination of drug therapy for HIV disease? - correct
answer The number of pills that must be taken in 24 hours can be overwhelming. The
frequency also makes it hard to remember-an alarm wristwatch is used.
What lab findings are present in AIDS? - correct answer Decreased RBC's, WBC's and platelets
What is the most important intervention in treating AGN? - correct answer Bedrest - they can
walk if hematuria, edema and hypertension are gone.
What is the most common dietary restriction for AGN? - correct answer Moderate sodium
restriction. Fluid restriction is #2 if edema is severe.
What are the urinaysis findings on AGN? - correct answer Hematuria
Proteinuria +3 to +4
Specific gravity Up
How do you assess fluid excess in the child with AGN? - correct answer Daily weight
What happens to the kidney in AGN? - correct answer It becomes clogged with antigen-
antibody complexes which then cause inflammation and loss of function.
What are the first signs of AGN? - correct answer Puffiness of face, dark urine
What will prevent hip flexion contracture after AKA? - correct answer Lying prone several times
a day
How long should the stump be elevated to prevent post op swelling? - correct answer 12-24
hours
How often should a stump be washed? - correct answer daily
When a stump is wrapped, the bandage should be tightest _____________ and loosest
_____________. - correct answer distally (far from the center), proximally (neareast to the
point)
What artery is widened in a thoracic aneurysm? - correct answer the aorta
VERIFIED ANSWERS (DETAILED & ELABORATED) 100% SOLVED 2025!!
Water acounts for __________ to _________% of an infant's total weight? - correct answer 70
to 75%
What temperature is appropriate for the water used to bathe an infant? - correct answer 100
to 105
What cranial nerve is affected in Bell's Palsy? - correct answer #7, facial nerve
Give three eye interventions for the client with Bell's Palsy. - correct answer Dark glasses,
artificial tears, cover eye at night
The man with BPH has a _________-stream of urine - correct answer forked
The most radical prostate surgery is the ____________ prostatectomy. - correct answer
Perineal
Acid Ash diet - correct 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? - correct 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 - correct 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? - correct answer Every 8 hours
Name foods that make acid urine - correct answer Cranberry juice, apple juice (avoid citrus
juices- they make alkaline urine)
Increased intracranial pressure will _________ the pulse pressure. - correct answer Increase or
Widen
If a unit of blood is infused through a central line it must be__________. - correct answer
Warmed
Which of the following are signs of transfusion reaction? Bradycardia, Fever, Hives, Wheezing,
Increased Blood Pressure, Low Back Pain - correct answer Low back pain, wheezing, fever, hives
What are the signs and symptoms of a hemolytic transfusion reaction? - correct answer
Shivering, HA, low back pain, increased pulse & respirations, decreasing BP, oliguria, hematuria
,What are the signs and symptoms of a febrile transfusion reaction? - correct answer Low back
pain, shaking HA, increasing temperature, confusion, hemoptysis
What are the signs of symptoms of an allergic reaction to a transfusion? - correct answer Hives-
uticaria, wheezing, pruritus, joint pain, (arthralgia)
When are hemolytic transfusion reactions likely to occur? - correct answer In the first 10 to 15
minutes
When is a febrile reaction likely to occur? - correct answer Within 30 minutes of beginning the
transfusion
What would you do if the client had an increasing temperature and was to get blood? - correct
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? - correct answer From one hour to
three hours
What is the routine for vital sign measurement with a transfusion? - correct 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? - correct answer Fluoride and iron
What is another name for Buerger's disease? - correct answer Thromboangiitis obliterans
Which extremities are affected by it? - correct answer Lower only
The group with the highest incidence of Buerger's disease is __________. - correct answer
Smokers
Upon walking the patient with Buerger's experiences _______ _________. - correct answer
Intermittent Claudication
What is the only IM given to a burn patient? - correct 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) - correct answer Yes, with anything
clean and dry.
How long does the fluid mobilization or diuretic phase of a burn last? - correct answer 2 to 5
days
Is there a higher or lower incidence of fetal death with Abruptio Placenta compared to Placenta
Previa? - correct answer Highter
,Children at highest risk for seizure activity after ingestion are those who have swallowed
_____________ and ______________. - correct answer drugs, insecticides
Name 3 drugs given for acne? - correct answer Vitamin A, Antibiotics, Retinoids
Accutane (isotretinoin) is an analog of which vitamin? - correct answer Vitamin A
What is the most common side effect of (isotretinoin)? And what is most important in health
teaching in administration? - correct answer Inflammation of the lips; Causes birth defects
What is the antibiotic most commonly given to clients with acne? - correct answer Tetracycline
How long will it take for the person to see results when acne is being treated? - correct answer
4 to 6 weeks
What instructions do you give to a client taking tetracycline? - correct answer Take it on an
empty stomach and avoid the sunlight (photosensitivity)
The AIDS virus invades helper ____________. - correct answer T-lymphocytes (or CD4 cells)
HIV is present in all body fluids? - correct answer Yes, but not transmitted by all, only blood,
semen and breast milk
What is the first test for HIV antibodies? - correct answer ELISA
What test confirms the ELISA? - correct answer Western Blot
A CD4 count of under __________ is associated with the onset of AIDS-related symptoms. -
correct answer 500
A CD4 count of under _______ is associated with the onset of opportunistic infections. - correct
answer 200
Give 6 symptoms of HIV disease. - correct answer Anorexia, fatigue, weakness, night sweats,
fever, diarrhea
Which 2 classes of drugs are given in combination for HIV sero-positivity? - correct answer
NRTI's (nucleoside reverse transcriptease inhibitors) and PI's (protease inhibitors)
They prevent viral replication.
NRTI (nucleoside reverse transcriptease inhibitors) - correct 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) - correct answer most potent of antiviral meds, inhibit cell protein
synthesis that interferes with viral replication, does not cure but slows progression of AIDS and
, prolongs life, used prophylactically, used in AIDS to decrease viral load and opportunistic
infections
What do NRTI's and PI's do? - correct answer They prevent viral replication
What does the physician hope to achieve with NRTI's and PI's for HIV? - correct answer A
delayed onset of AIDS for as long as possible (usually can delay onset for 10-15 years)
What is the most common NRTI used? - correct answer AZT (zidovudine)
What is the most challenging aspect of combination of drug therapy for HIV disease? - correct
answer The number of pills that must be taken in 24 hours can be overwhelming. The
frequency also makes it hard to remember-an alarm wristwatch is used.
What lab findings are present in AIDS? - correct answer Decreased RBC's, WBC's and platelets
What is the most important intervention in treating AGN? - correct answer Bedrest - they can
walk if hematuria, edema and hypertension are gone.
What is the most common dietary restriction for AGN? - correct answer Moderate sodium
restriction. Fluid restriction is #2 if edema is severe.
What are the urinaysis findings on AGN? - correct answer Hematuria
Proteinuria +3 to +4
Specific gravity Up
How do you assess fluid excess in the child with AGN? - correct answer Daily weight
What happens to the kidney in AGN? - correct answer It becomes clogged with antigen-
antibody complexes which then cause inflammation and loss of function.
What are the first signs of AGN? - correct answer Puffiness of face, dark urine
What will prevent hip flexion contracture after AKA? - correct answer Lying prone several times
a day
How long should the stump be elevated to prevent post op swelling? - correct answer 12-24
hours
How often should a stump be washed? - correct answer daily
When a stump is wrapped, the bandage should be tightest _____________ and loosest
_____________. - correct answer distally (far from the center), proximally (neareast to the
point)
What artery is widened in a thoracic aneurysm? - correct answer the aorta
