Mark Klimek Yellow Book
(KV) 2026 | NCLEX Review
Notes, Questions &
Strategies
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Updated 2026 Questions and Answers
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Rationales
Included
, If it is not lung or prolonged vomiting or suctioning I Metabolic Acidosis
choose?
Kussmal Respirations Metabolic Acidosis ( Remember MacKussmal
Before measuing ABGs you should check what? Allen's test. Should be positive. Pt makes a fist and pressure is applied to the ulnar
and the radial arteries Ulnar pressure is released and color should return in 7
seconds (means it's positive and OK to take ABG's).
Definition of Compensation PH is normal! It is never compensated if it is abnormal.
If PH normal look in the direction it is going. Closer to Acidic? (7.35) acidosis.
Then look at Bicarb & figure out which is abnormal. If Bicarb is out of range, it's
metabolic acidosis.
If C02 is abnormal, it's Respiratory Acidosis :)
If your pt is acidotic and you need to pick a symptom Pick the symptom where everything is DOWN. ( And vice Versa)
Ex: 2 degree Morbitz Type 2 BLOCK. <---- Down direction
If you don't know what causes an acid base balance, pick Metabolic Acidosis
If in doubt in ABGs, always pick Headache, nausea, weakness & numbness+ tingling. It can be either up or down.
High pressure alarms are triggered when? They cannot push air in
High pressure alarms are caused by what three types of Kinking, Water in dependant loops and mucus in the airway.
obstructions?
If kinking in the tube is present you? Unkink
If water is present in the dependant loops you? Open system and empty water.
If mucus is present you? Turn them, cough and have them deeo breath first. If ineffective you then suction.
Don't suction unless Coughing & deep breathing is deemed inappropriate.
In order to suction, you must be able to hear Mucus in the lung
Low pressure alarms are triggered when? It is to easy to push air in.
Low pressure alarms are normally caused by? Disconnection
If the tubing is disconnected you? Reconnect
If O2 sensor line is disconnected you? Reconnect
(KV) 2026 | NCLEX Review
Notes, Questions &
Strategies
|Graded A+ | Guaranteed
success|
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
, If it is not lung or prolonged vomiting or suctioning I Metabolic Acidosis
choose?
Kussmal Respirations Metabolic Acidosis ( Remember MacKussmal
Before measuing ABGs you should check what? Allen's test. Should be positive. Pt makes a fist and pressure is applied to the ulnar
and the radial arteries Ulnar pressure is released and color should return in 7
seconds (means it's positive and OK to take ABG's).
Definition of Compensation PH is normal! It is never compensated if it is abnormal.
If PH normal look in the direction it is going. Closer to Acidic? (7.35) acidosis.
Then look at Bicarb & figure out which is abnormal. If Bicarb is out of range, it's
metabolic acidosis.
If C02 is abnormal, it's Respiratory Acidosis :)
If your pt is acidotic and you need to pick a symptom Pick the symptom where everything is DOWN. ( And vice Versa)
Ex: 2 degree Morbitz Type 2 BLOCK. <---- Down direction
If you don't know what causes an acid base balance, pick Metabolic Acidosis
If in doubt in ABGs, always pick Headache, nausea, weakness & numbness+ tingling. It can be either up or down.
High pressure alarms are triggered when? They cannot push air in
High pressure alarms are caused by what three types of Kinking, Water in dependant loops and mucus in the airway.
obstructions?
If kinking in the tube is present you? Unkink
If water is present in the dependant loops you? Open system and empty water.
If mucus is present you? Turn them, cough and have them deeo breath first. If ineffective you then suction.
Don't suction unless Coughing & deep breathing is deemed inappropriate.
In order to suction, you must be able to hear Mucus in the lung
Low pressure alarms are triggered when? It is to easy to push air in.
Low pressure alarms are normally caused by? Disconnection
If the tubing is disconnected you? Reconnect
If O2 sensor line is disconnected you? Reconnect
