ALL THE MARK KLIMEK NCLEX LECTURE
MATERIALS COMPREHENSIVE REVIEW 2026
QUESTIONS AND DETAILED SOLUTIONS
◉ If the pH is up it is? Answer: Alkalosis
◉ If the pH is down it is? Answer: Acidosis
◉ As the pH goes so goes my patient except for? Answer: Potassium
◉ If the pH is up my patient with show signs and symptoms of?
Answer: Increase... like tachycardia,diarrhea and borborygmi
◉ If the pH is down my patient will show signs and symtoms of?
Answer: Decrease... like decreased output, bradycardia and
constipation
◉ If my pH is up my potassium (K+) is ? Answer: Down
◉ If my pH is down my potassium (K+) is? Answer: Up
,◉ If my patient is overventilating I should choose? Answer:
Respiratory Alkalosis
◉ If my patient is underventilating I should choose? Answer:
Respiratory Acidosis
◉ If my patient has prolonged gastric vomiting or suction I choose?
Answer: Metabolic Alkalosis
◉ If it is not lung or prolonged vomiting or suctioning I choose?
Answer: Metabolic Acidosis
◉ High pressure alarms are triggered when? Answer: They cannot
push air in
◉ High pressure alarms are caused by what three types of
obstructions? Answer: Kinking, Water in dependant loops and
mucus in the airway.
◉ If kinking in the tube is present you? Answer: Unkink
◉ If water is present in the dependant loops you? Answer: Open
system and empty water.
,◉ If mucus is present you? Answer: Turn them, cough and have
them deeo breath first. If ineffective you then suction.
◉ Low pressure alarms are triggered when? Answer: It is to easy to
push air in.
◉ Low pressure alarms are normally caused by? Answer:
Disconnection
◉ If the tubing is disconnected you? Answer: Reconnect
◉ If O2 sensor line is disconnected you? Answer: Reconnect
◉ In a vented client respiratory alkalosis means the vent setting may
be too? Answer: High
◉ In a vented client respiratory acidosis means the vent may be too?
Answer: Low
◉ What do you do if the patients disconnected tube is on the floor?
Answer: Bag them, (call for help) get new tube and then reconnect.
◉ What do you do if the patients disconnected tube is on the chest?
Answer: Reconnect ... if its above the waist its ok.
, ◉ What is the biggest problem in abuse? Answer: Denial
◉ To treat denial you need to? Answer: Confront
◉ How do you confront? Answer: Point out the difference between
what they say and what they do.
◉ What is the one circumstance that you as a nurse would support
denial? Answer: Loss and Grief
◉ What is dependency? Answer: When the abuser gets a significant
other so make decisions for them or do thing for them.
◉ What is codependency? Answer: When the significant other gets
positive self esteem from doing things or making decisions for an
abuser.
◉ To treat dependency/codependency you ? Answer: Set limits and
enforce them. You also need to work or the self estreem of the
codependent.
◉ What is manipulation? Answer: When the abuser gets the
significant other fo do things for them that is not in the best interest
MATERIALS COMPREHENSIVE REVIEW 2026
QUESTIONS AND DETAILED SOLUTIONS
◉ If the pH is up it is? Answer: Alkalosis
◉ If the pH is down it is? Answer: Acidosis
◉ As the pH goes so goes my patient except for? Answer: Potassium
◉ If the pH is up my patient with show signs and symptoms of?
Answer: Increase... like tachycardia,diarrhea and borborygmi
◉ If the pH is down my patient will show signs and symtoms of?
Answer: Decrease... like decreased output, bradycardia and
constipation
◉ If my pH is up my potassium (K+) is ? Answer: Down
◉ If my pH is down my potassium (K+) is? Answer: Up
,◉ If my patient is overventilating I should choose? Answer:
Respiratory Alkalosis
◉ If my patient is underventilating I should choose? Answer:
Respiratory Acidosis
◉ If my patient has prolonged gastric vomiting or suction I choose?
Answer: Metabolic Alkalosis
◉ If it is not lung or prolonged vomiting or suctioning I choose?
Answer: Metabolic Acidosis
◉ High pressure alarms are triggered when? Answer: They cannot
push air in
◉ High pressure alarms are caused by what three types of
obstructions? Answer: Kinking, Water in dependant loops and
mucus in the airway.
◉ If kinking in the tube is present you? Answer: Unkink
◉ If water is present in the dependant loops you? Answer: Open
system and empty water.
,◉ If mucus is present you? Answer: Turn them, cough and have
them deeo breath first. If ineffective you then suction.
◉ Low pressure alarms are triggered when? Answer: It is to easy to
push air in.
◉ Low pressure alarms are normally caused by? Answer:
Disconnection
◉ If the tubing is disconnected you? Answer: Reconnect
◉ If O2 sensor line is disconnected you? Answer: Reconnect
◉ In a vented client respiratory alkalosis means the vent setting may
be too? Answer: High
◉ In a vented client respiratory acidosis means the vent may be too?
Answer: Low
◉ What do you do if the patients disconnected tube is on the floor?
Answer: Bag them, (call for help) get new tube and then reconnect.
◉ What do you do if the patients disconnected tube is on the chest?
Answer: Reconnect ... if its above the waist its ok.
, ◉ What is the biggest problem in abuse? Answer: Denial
◉ To treat denial you need to? Answer: Confront
◉ How do you confront? Answer: Point out the difference between
what they say and what they do.
◉ What is the one circumstance that you as a nurse would support
denial? Answer: Loss and Grief
◉ What is dependency? Answer: When the abuser gets a significant
other so make decisions for them or do thing for them.
◉ What is codependency? Answer: When the significant other gets
positive self esteem from doing things or making decisions for an
abuser.
◉ To treat dependency/codependency you ? Answer: Set limits and
enforce them. You also need to work or the self estreem of the
codependent.
◉ What is manipulation? Answer: When the abuser gets the
significant other fo do things for them that is not in the best interest
