Mark Klimek NCLEX Review Questions

Mark Klimek NCLEX Review Questions with Certified Solutions

Primary dietary prescription for calcium nephrolithiasis (kidney stones) ? PG. 85 ✔✔Low calcium diet

For client with nephrolithiasis the diet should be ___ ash ✔✔Acid

If kidney stone is calcium phosphate the diet must be low in ___ too ✔✔Phosphorus

Primary diet tx for uric acid nephrolithiasis is __ ____ ✔✔Low purine

Client with uric acid nephrolithiasis should have a diet low in ____ ✔✔Methionine

What is methionine? ✔✔Precursor of the amino acid cystine

• foods high in methionine? ✔✔Eggs, milk

Clients with cystine nephrolithiasis should have an ____ ash diet ✔✔Alkaline

Inc. fluids over 3000 cc /day is more effective in treating renal calculi than ANY dietary modification, T/F? ✔✔True. Want to flush tract than worry about diet

What is the common name for Laryngotracheobronchitis - LTB ✔✔Croup

What is the typical temp elevation in croup? ✔✔Low grade, usually below 102, but can go up to 104.

Are ATBs helpful for croup? For epiglottits? ✔✔For croup, no. Epiglottitis, yes

Is croup viral or bacterial? ✔✔Viral

With which condition is croup most often confused? ✔✔Epiglottitis

Can croup be managed at home? Can epiglottitis be managed at home? ✔✔Yes. No, epiglottitis is a 911 emergency

Are sedatives used for kids with croup? ✔✔No, bc this would mask the signs of respiratory distress

What causes epiglottitis? A virus or bacteria? ✔✔H. influenza BACTERIA

What is the best tx for croup? ✔✔Cool moist air

What should never be done to a child with epiglottitis? ✔✔Never put anything in the child's mouth, ie, a tongue blade can lead to obstruction

What are the typical signs and symptoms of croup? ✔✔Barking cough, inspiratory stridor, labored resp. pattern

What 3 signs tell you that the child has epiglottitis instead of croup? ✔✔Muffled voice, drooling, increased fever

When is croup bad enough to be evaluated by a doc? ✔✔When retractions, and high pitched stridor are present

What lead level needs intervention? ✔✔50-60 micrograms/ dl

With which class of drugs will a child with lead poisoning be treated? ✔✔Chelating agents

What do chelating drugs do? ✔✔They increase the excretion of heavy metals

The most freq. cause of lead poisoning is... ✔✔Ingestion of lead-based paint chips

Name 3 common chelating agents for lead poisoning ✔✔EDTA, desferal, BAL in oil

S&S of lead poisoning ✔✔Drowsiness, clumsiness, ataxia, seizures, coma, resp. arrest

Sx of lead poisoning show up in the ____ system ✔✔Neuro

Leukemia is cancer of the ___ forming tissues ✔✔Blood