Mark Klimek Blue Book [ACTUAL EXAM] LATEST VERSION [QUESTIONS AND
ANSWERS] WITH PRACTICE EXAM DETAILED AND VERIFIED FOR GUARANTEED
PASS- LATEST UPDATE 2025 GRADED A ALL TESTS
Water acounts for __________ to _________% of an infant's total weight? - CORRECT
ANSWER 70 to 75%
An individual is obese if they weigh ________% above the ideal weight. - CORRECT
ANSWER 20
Should you retract the foreskin of a 5 week old male, uncircumcised infant to cleanse
the area? - CORRECT ANSWER No, not until foreskin retracts naturally and without
resistance- then it should be retracted, cleansed and replaced.
How long does it take for the umbilical stump to fall off? - CORRECT ANSWER 7 to
14 days
What cranial nerve is affected in Bell's Palsy? - CORRECT ANSWER #7, facial nerve
What is the #1 symptom of Bell's Palsy? - CORRECT ANSWER One sided
(unilateral) facial paralysis
Complete recovery from the paralysis of Bell's Palsy should occur in _______ to ______
months. - CORRECT ANSWER 4 to 6
In addition to the facial paralysis, the sense of ______ is also affected in Bell's Palsy. -
CORRECT ANSWER taste
Will the patient be able to close their eye on the affected side? (Bell's Palsy) -
CORRECT ANSWER no
Give three eye interventions for the client with Bell's Palsy. - CORRECT ANSWER
Dark glasses, artificial tears, cover eye at night
As the prostate enlarges it compresses the ___________ and causes urinary
________. - CORRECT ANSWER Urethra, rentention
At what age does BPH occur? - CORRECT ANSWER men over 50 years of age
What does BPH stand for? - CORRECT ANSWER Benign Prostatic Hypertrophy
IN BPH the man has (increased/decreased) frequency of urination - CORRECT
ANSWER increased
,The man with BPH has a _________-stream of urine - CORRECT ANSWER forked
Will the man with BPH have enuresis, nocturia or hematuria? - CORRECT ANSWER
Enuresis-No, Nocturia-Yes, and Hematuria-Maybe
Enuresis - CORRECT ANSWER inability to control the flow of urine and involuntary
urination
What is the best way to screen men for BPH? - CORRECT ANSWER Digital rectal
exam
What type of diet is used in BPH? - CORRECT ANSWER Acid Ash
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 is the primary purpose of a 3 way continuous bladder irrigation (CBI) after TURP?
- CORRECT ANSWER To keep the catheter clear of clots and to drain urine
What solution is used for continuous bladder irrigation? - CORRECT ANSWER
Normal saline (0.9 NaCl)
How fast do you run the continuous bladder irrigation? - CORRECT ANSWER At
whatever rate it takes to keep the urine flowing and free of clots
What drug is use to treat bladder spasm? - CORRECT ANSWER B&O suppositories
(Belladonna & Opiates)
You should call the MD after TURP when you see _________ thick ________,
_____________ clots, and ____________ urine drainage on the dressing. - CORRECT
ANSWER Bright thick blood, persistent clots, persistent urine on dressing (don't call
MD for transitory clots and urine on dressing.)
If you see an increase in blood content of urine coming out of the catheter, you would
first ___________. - CORRECT ANSWER Pull carefully on the catheter to apply local
pressure on the prostate with the Foley balloon.
If you see clots in the tubing you would first ____________. - CORRECT ANSWER
Increase the flow-rate.
How often should the drainage bag be emptied? - CORRECT ANSWER Every 8
hours
,What is the most common route for organisms to enter the blader when a
catheterization is used? - CORRECT ANSWER Up through the inside of the catheter
in the days following catheterization
Name foods that make acid urine - CORRECT ANSWER Cranberry juice, apple juice
(avoid citrus juices- they make alkaline urine)
How is the catheter taped in a male client? - CORRECT ANSWER To the lateral
thigh or abdomen
How is the catheter taped in a female client? - CORRECT ANSWER To the upper
thigh
What urinary pH prevents UTI? - CORRECT ANSWER Acidity, low pH
Should the drainage bag ever touch the floor? - CORRECT ANSWER No
Is it ok to routinely irrigate indwelling catheters? - CORRECT ANSWER No
What agents are best for catheter care? - CORRECT ANSWER Soap and water
What is the most effective way to decrease UTI with catheters? - CORRECT ANSWER
Keep the drainage system closed, do not disconnect junction of tubing
Give some signs of infection in a Foley catheter - CORRECT ANSWER Cloudy urine,
foul smelling urine, hematuria
Is urinary incontinence an indication for catheterization? - CORRECT ANSWER No
Give three appropriate indications for bladder catheterization? - CORRECT ANSWER
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? - CORRECT
ANSWER #1- Potential for infection; Potential impairment of urethral tissue integrity
What is systole? - CORRECT ANSWER The MAXIMAL force of blood on artery walls
What is diastole? - CORRECT ANSWER The LOWEST force of blood on artery walls
Accurate blood pressure is obtained by using a cuff that has width of __________ of the
arm. - CORRECT ANSWER Two-thirds
Which artery is most commonly used to measure blood pressure? - CORRECT
ANSWER Brachial
, Can the thigh EVER be used to obtain a blood pressure? - CORRECT ANSWER
Yes, but this is rare.
When pressure is auscultated the first sound heard is the ____________ measurement.
- CORRECT ANSWER Systolic
The change in the character of the sounds is known as the ________ - CORRECT
ANSWER First diastolic sound
The cessation of sounds is known as the _________ - CORRECT ANSWER Second
diastolic sound
When 2 values are given in a blood pressure the first is the __________measurement. -
CORRECT ANSWER Systolic
When 2 values are given in a blood pressue, the bottom number stands for the change
in sounds or cessation of sounds? - CORRECT ANSWER Cessation of sounds
What is the normal adult blood pressure? - CORRECT ANSWER 120/80
Abnromally high blood pressure is called____________. - CORRECT ANSWER
Hypertension
What is the pulse pressure? - CORRECT ANSWER The difference between the
systolic and the diastolic blood pressure
If you deflate a cuff TOO SLOWLY, the reading will be too high or low? Why? -
CORRECT ANSWER High, venous congestion makes the arterial pressure higher
(increases resistance)
If you use too narrow of a cuff the reading will be too high or low? - CORRECT
ANSWER High
Vasoconstriction will ___________ blood pressure. - CORRECT ANSWER Increase
Vasodilation will ____________ blood pressure. - CORRECT ANSWER Decrease
Shock will ___________ blood pressure. - CORRECT ANSWER Decrease
Increased intracranial pressure will _________ the pulse pressure. - CORRECT
ANSWER Increase or Widen
If my blood pressure is 190/110, what is my pulse pressure? - CORRECT ANSWER
80 mmHg
ANSWERS] WITH PRACTICE EXAM DETAILED AND VERIFIED FOR GUARANTEED
PASS- LATEST UPDATE 2025 GRADED A ALL TESTS
Water acounts for __________ to _________% of an infant's total weight? - CORRECT
ANSWER 70 to 75%
An individual is obese if they weigh ________% above the ideal weight. - CORRECT
ANSWER 20
Should you retract the foreskin of a 5 week old male, uncircumcised infant to cleanse
the area? - CORRECT ANSWER No, not until foreskin retracts naturally and without
resistance- then it should be retracted, cleansed and replaced.
How long does it take for the umbilical stump to fall off? - CORRECT ANSWER 7 to
14 days
What cranial nerve is affected in Bell's Palsy? - CORRECT ANSWER #7, facial nerve
What is the #1 symptom of Bell's Palsy? - CORRECT ANSWER One sided
(unilateral) facial paralysis
Complete recovery from the paralysis of Bell's Palsy should occur in _______ to ______
months. - CORRECT ANSWER 4 to 6
In addition to the facial paralysis, the sense of ______ is also affected in Bell's Palsy. -
CORRECT ANSWER taste
Will the patient be able to close their eye on the affected side? (Bell's Palsy) -
CORRECT ANSWER no
Give three eye interventions for the client with Bell's Palsy. - CORRECT ANSWER
Dark glasses, artificial tears, cover eye at night
As the prostate enlarges it compresses the ___________ and causes urinary
________. - CORRECT ANSWER Urethra, rentention
At what age does BPH occur? - CORRECT ANSWER men over 50 years of age
What does BPH stand for? - CORRECT ANSWER Benign Prostatic Hypertrophy
IN BPH the man has (increased/decreased) frequency of urination - CORRECT
ANSWER increased
,The man with BPH has a _________-stream of urine - CORRECT ANSWER forked
Will the man with BPH have enuresis, nocturia or hematuria? - CORRECT ANSWER
Enuresis-No, Nocturia-Yes, and Hematuria-Maybe
Enuresis - CORRECT ANSWER inability to control the flow of urine and involuntary
urination
What is the best way to screen men for BPH? - CORRECT ANSWER Digital rectal
exam
What type of diet is used in BPH? - CORRECT ANSWER Acid Ash
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 is the primary purpose of a 3 way continuous bladder irrigation (CBI) after TURP?
- CORRECT ANSWER To keep the catheter clear of clots and to drain urine
What solution is used for continuous bladder irrigation? - CORRECT ANSWER
Normal saline (0.9 NaCl)
How fast do you run the continuous bladder irrigation? - CORRECT ANSWER At
whatever rate it takes to keep the urine flowing and free of clots
What drug is use to treat bladder spasm? - CORRECT ANSWER B&O suppositories
(Belladonna & Opiates)
You should call the MD after TURP when you see _________ thick ________,
_____________ clots, and ____________ urine drainage on the dressing. - CORRECT
ANSWER Bright thick blood, persistent clots, persistent urine on dressing (don't call
MD for transitory clots and urine on dressing.)
If you see an increase in blood content of urine coming out of the catheter, you would
first ___________. - CORRECT ANSWER Pull carefully on the catheter to apply local
pressure on the prostate with the Foley balloon.
If you see clots in the tubing you would first ____________. - CORRECT ANSWER
Increase the flow-rate.
How often should the drainage bag be emptied? - CORRECT ANSWER Every 8
hours
,What is the most common route for organisms to enter the blader when a
catheterization is used? - CORRECT ANSWER Up through the inside of the catheter
in the days following catheterization
Name foods that make acid urine - CORRECT ANSWER Cranberry juice, apple juice
(avoid citrus juices- they make alkaline urine)
How is the catheter taped in a male client? - CORRECT ANSWER To the lateral
thigh or abdomen
How is the catheter taped in a female client? - CORRECT ANSWER To the upper
thigh
What urinary pH prevents UTI? - CORRECT ANSWER Acidity, low pH
Should the drainage bag ever touch the floor? - CORRECT ANSWER No
Is it ok to routinely irrigate indwelling catheters? - CORRECT ANSWER No
What agents are best for catheter care? - CORRECT ANSWER Soap and water
What is the most effective way to decrease UTI with catheters? - CORRECT ANSWER
Keep the drainage system closed, do not disconnect junction of tubing
Give some signs of infection in a Foley catheter - CORRECT ANSWER Cloudy urine,
foul smelling urine, hematuria
Is urinary incontinence an indication for catheterization? - CORRECT ANSWER No
Give three appropriate indications for bladder catheterization? - CORRECT ANSWER
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? - CORRECT
ANSWER #1- Potential for infection; Potential impairment of urethral tissue integrity
What is systole? - CORRECT ANSWER The MAXIMAL force of blood on artery walls
What is diastole? - CORRECT ANSWER The LOWEST force of blood on artery walls
Accurate blood pressure is obtained by using a cuff that has width of __________ of the
arm. - CORRECT ANSWER Two-thirds
Which artery is most commonly used to measure blood pressure? - CORRECT
ANSWER Brachial
, Can the thigh EVER be used to obtain a blood pressure? - CORRECT ANSWER
Yes, but this is rare.
When pressure is auscultated the first sound heard is the ____________ measurement.
- CORRECT ANSWER Systolic
The change in the character of the sounds is known as the ________ - CORRECT
ANSWER First diastolic sound
The cessation of sounds is known as the _________ - CORRECT ANSWER Second
diastolic sound
When 2 values are given in a blood pressure the first is the __________measurement. -
CORRECT ANSWER Systolic
When 2 values are given in a blood pressue, the bottom number stands for the change
in sounds or cessation of sounds? - CORRECT ANSWER Cessation of sounds
What is the normal adult blood pressure? - CORRECT ANSWER 120/80
Abnromally high blood pressure is called____________. - CORRECT ANSWER
Hypertension
What is the pulse pressure? - CORRECT ANSWER The difference between the
systolic and the diastolic blood pressure
If you deflate a cuff TOO SLOWLY, the reading will be too high or low? Why? -
CORRECT ANSWER High, venous congestion makes the arterial pressure higher
(increases resistance)
If you use too narrow of a cuff the reading will be too high or low? - CORRECT
ANSWER High
Vasoconstriction will ___________ blood pressure. - CORRECT ANSWER Increase
Vasodilation will ____________ blood pressure. - CORRECT ANSWER Decrease
Shock will ___________ blood pressure. - CORRECT ANSWER Decrease
Increased intracranial pressure will _________ the pulse pressure. - CORRECT
ANSWER Increase or Widen
If my blood pressure is 190/110, what is my pulse pressure? - CORRECT ANSWER
80 mmHg
