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MARK KLIMEK BLUE BOOK 2026 REVIEW COMPLETE NCLEX RN STUDY GUIDE WITH PRACTICE QUESTIONS AND VERIFIED ANSWERS

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Prepare confidently for the NCLEX-RN examination with this comprehensive 2026 Mark Klimek Blue Book review featuring structured study notes, real exam-style practice questions, verified answers, and detailed rationales designed to strengthen clinical judgment and nursing knowledge. Ideal for nursing students and graduates preparing for licensure exams, this complete study guide helps reinforce essential NCLEX concepts, improve exam readiness, boost confidence, and support success on the NCLEX-RN examination.

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MARK KLIMEK BLUE BOOK 2026
REVIEW COMPLETE REVIEW WITH
PRACTICE QUESTIONS AND VERIFIED
ANSWERS | GRADED A+ |
GUARANTEED SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included

,The nutrient needed most for growth and repair of tissues protein (second best is Vit C)
is _____________.


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 50 to 60%
weight?


Name the 4 basic food groups 1. Bread & Cereal
2. Milk & Cheese
3. Meat & Legumes
4. Veggies & Fruits


Water acounts for __________ to _________% of an infant's total 70 to 75%
weight?


An individual is overweight if they are ________% above the 10
ideal weight.


An individual is obese if they weigh ________% above the 20
ideal weight.


What solution and material are used to cleanse the eyes Plain water, cotton balls, washcloths
of an infant?


Can you use cotton swabs to clean the eyes, nares or No, this is dangerous
ears of an infant?


Can you use the same cotton ball/washcloth edge for No, it would cross contaminate
both eyes?


Should you cover an unhealed umbilical site with the No, fold the diaper down.
diaper?


What temperature is appropriate for the water used to 100 to 105
bathe an infant?


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 Dropping water on inside surface of your forearm.
thermometer is available?


With which body part do you begin when bathing an Eyes always
infant?

,When cleansing an infant's eye, cleanse from outer to No, inner to outer
inner canthus?


Should you retract the foreskin of a 5 week old male, No, not until foreskin retracts naturally and without resistance- then it should be
uncircumcised infant to cleanse the area? retracted, cleansed and replaced.


When sponge-bathing with tepid water the correct temp 98.6 F
is _____________.


How long does it take for the umbilical stump to fall off? 7 to 14 days


The primary reason why an infant is draped during the False, the primary purpose of draping is to prevent chilling.
bath is to provide privacy. (T/F)


You may use friction to remove vernix caseosa from an False, it causes damage/bruising
infant's skin. (T/F)


What solution is commonly used for care of umbilical 70% alcohol to promote drying (trend is toward soap and water)
cord?


What cranial nerve is affected in Bell's Palsy? #7, facial nerve


What is the #1 symptom of Bell's Palsy? One sided (unilateral) facial paralysis


Complete recovery from the paralysis of Bell's Palsy 4 to 6
should occur in _______ to ______ months.


In addition to the facial paralysis, the sense of ______ is also taste
affected.


Will the patient be able to close their eye on the affected no
side?


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


In BPH the force of the urinary stream is decreased
(increased/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 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


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 ____________ Perineal
prostatectomy.


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 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)


Should you take a rectal temp after prostatectomy? Give No rectal temperatures, yes stool softeners
stool softeners?


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.


What exercises should the post prostectomy patient do Perineal exercises, start and stop stream of urine, because dribbling is a common
upon discharge? Why? but temporary problem post op


Will the post prostectomy patient be impotent? If TURP, no impotence, if perineal prostatectomy, yes impotence

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