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MARK KLIMEK BLUE BOOK (ALL) NCLEX STUDY GUIDE EXAM QUESTIONS AND ANSWERS
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MARK KLIMEK BLUE BOOK (ALL) NCLEX STUDY GUIDE EXAM QUESTIONS AND ANSWERS
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MARK KLIMEK BLUE BOOK (ALL)NCLEX STUDY GUIDE EXAM
QUESTIONS AND ANSWERS
Of: married, divorced, and separated, which marital status is highest risk for suicide?
Lowest risk of suicide? - Answer-Highest-separated then divorced
Lowest-married
The goal of action while the suicidal patient is still of
the phone is to get _______ person _______ the ______. - Answer-Another person on
the scene (then immediately decreases risk) Remember: people who are alone are
always high risk
What are the four classic suicide precautions? - Answer-Search personal belongings for
drugs & alcohol, remove any sharp objects, remove any device for hanging or
strangling; must be on constant one-to-one observation (NEVER out of sight)
Once the patient is admitted for attempted suicide should you ever discuss the attempt
with them? - Answer-No, you should not focus on the attempt, focus on the present and
future.
-pathy - Answer-Disease, suffering
-penia - Answer-Lack, deficiency of
-sect - Answer-To cut
-plast - Answer-Plastic surgery on a specified part
-sclerosis - Answer-Hardening of a tissue by: inflammation, deposition of mineral salt;
an infiltration of connective tissue fibers
-centesis - Answer-A perforation or puncture
-genic - Answer-Produce, originate, become
-emia - Answer-Blood
-otomy - Answer-Butting
-pexy - Answer-Fixation of something
-atresia - Answer-Condition of occlusion
,-desis - Answer-Binding, fusing
-cele - Answer-Combining form meaning a tumor or swelling or a cavity
-cis - Answer-Cut, kill
-rhapy; -rrhapy - Answer-Joining in a seam, suturation
-scope; -scopy - Answer-Instrument for observation
-osis - Answer-Indicates condition, process
-oma - Answer-Tumor
-ostomy - Answer-Surgical opening
-stasis - Answer-Stoppage
-itis - Answer-Inflammation
-ology - Answer-Study of; knowledge, science
-lysis - Answer-Breaking down
-ectomy - Answer-Surgical removal of
-tripsy - Answer-Crushing of something by a surgical instrument
-ase - Answer-Used in naming enzymes
-gram; -graphy - Answer-Write; record
Syphilis is sexually transmiteed. (T/F) - Answer-True
Syphilis first infects the _____ ______. - Answer-Mucous membranes
What are the stages of syphilis? - Answer-Primary, secondary, latent, late
Syphilis is a fatal disease if untreated. (T/F) - Answer-True
What organism causes syphilis? - Answer-Treponema palladium
What is the lesion like in primary syphilis? - Answer-The chancre (pronounced shanker)
The chancres of syphilis are (painful/painless). - Answer-Painless
,Chancres disappear without treatment. (T/F) - Answer-True
Late syphilis attacks which 3 body organs? - Answer-Liver, heart, brain
What test CONFIRMS the presence of syphilis? - Answer-Dark-field illumination of the
treponema palladium
What is the treatment of choice for syphilis? - Answer-Penicillin
Why is penicillin administered with Procaine?
With Probenecid? - Answer-Procaine makes the shot less painful; Probenecid blocks
the excretion of penicillin
What is the most common sign of neurosyphillis? - Answer-Ataxia (gait problems)
Mastitis and breast engorgement are more likely to occur in (primipara/multipara). -
Answer-Primipara
Where does the organism that causes mastitis come from? - Answer-The infant's nose
or mouth
Which organism most commonly causes mastitis? - Answer-Staph
Prolonged intervals between breast-feeding (decrease/increase) the incidence of
mastitis. - Answer-Increase
Can too tight bras lead to mastitis? - Answer-Yes, preventing emptying of ducts
Mastitis usually occurs at least _______days after delivery. - Answer-10
When mastitis is present the breasts are ________, _________, and __________. -
Answer-Hard, swollen, warm
Mastitis is accompanied by a fever over _________. - Answer-102 degrees
If mastitis is caused by an organism, what causes breast engorgement? - Answer-
Temporary increase in vascular and lymph supply to the breast in preparation for milk
production
If mastitis occurs 1+ weeks after delivery, when does breast engorgement occur? -
Answer-2 to 5 days after delivery
Does breast engorgement interfere with nursing? - Answer-Yes, the infant has a difficult
time latching on (getting nipple in its mouth)
, What class of drugs is used to treat mastitis? - Answer-Antibiotics
Antibiotics are used to treat breast engorgment? (T/F) - Answer-False
Application of (warm H2O compress/ice packs) is the preferred treatment for breast
engorgement. - Answer-Ice packs to decrease swelling
The mother with mastitis should stop breast feeding. (T/F) - Answer-False, the mother
must keep breast feeding. (Offer unaffected breast first)
If the mother has an open abscess on her breast, must not breast-feed. (T/F) - Answer-
True
For breast engorgement, the non-breastfeeding mother should be told to express breast
milk. (T/F) - Answer-No, that would increase milk production and would make the
problem worse (warm compresses or warm shower to let milk "leak" is okay- Ice is best)
What is the best treatment for breast engorgement? - Answer-Breast-feeding - it will
balance supply and demand
What is mastoiditis? - Answer-Inflammation/infection of the mastoid process
What is the most common cause of mastoiditis? - Answer-Chronic otitis media
What are 4 signs and symptoms of mastoiditis? - Answer-Drainage from ear, high fever,
headache and ear pain, tenderness over mastoid process
What unusual post-operative complication can result from mastoidectomy? - Answer-
Facial nerve paralysis due to accidental damage during surgery (law suit time!)
What should you do to assess for facial nerve paralysis post-mastoidectomy? - Answer-
Have the patient smile and wrinkle forehead.
What is the medical treatment for mastoiditis? - Answer-Systemic antibitoics
What is the surgery for mastoiditis called? - Answer-Simple or radical mastoidectomy
Will a simple mastoidectomy worsen hearing? - Answer-No, a radical mastoidectomy
may
Should the nurse change the post-mastoidectomy dressing? - Answer-No, reinforce it.
Physician changes first post op dressing
What is a common side effect of mastoidectomy? - Answer-Dizziness (vertigo)
What is a major nursing diagnosis post-mastoidectomy? - Answer-Safety
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