Mark Klimek NCLEX EXAM STUDY GUIDE
2026/2027 ACCURATE QUESTIONS WITH
CORRECT DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. NCLEX - ANSWER ✔ National Council Licensure Examination for
nurses.
2. Mark Klimek Lectures - ANSWER ✔ Lecture series for NCLEX exam
preparation.
3. On-Demand Lectures - ANSWER ✔ Pre-recorded lectures available
anytime for review.
4. Advance Directives - ANSWER ✔ Legal documents outlining patient care
preferences.
5. Accidental Poisoning - ANSWER ✔ Unintentional ingestion of harmful
substances.
6. Prioritization Strategies - ANSWER ✔ Techniques for determining care
order in nursing.
7. Pharmacology Review - ANSWER ✔ Study of drug effects and nursing
implications.
8. Fluid and Electrolytes - ANSWER ✔ Balance of body fluids and essential
ions.
9. EKG Rhythms - ANSWER ✔ Electrical activity patterns of the heart.
,10.High Yield Videos - ANSWER ✔ Concise videos focusing on essential
NCLEX topics.
11.Comprehensive NCLEX Review - ANSWER ✔ In-depth review covering
all NCLEX exam topics.
12.Nursing Fundamentals - ANSWER ✔ Basic principles and practices of
nursing care.
13.Live Lectures - ANSWER ✔ Real-time instructional sessions for
immediate learning.
14.Subscription Model - ANSWER ✔ Paid access to exclusive educational
content.
15.If the pH & the bicarb are both in the same direction... - ANSWER ✔
metabolic
16.If the pH & the bicarb are in opposite directions - ANSWER ✔ respritory
17.pH - ANSWER ✔ 7.35-7.45
18.HCO3 (bicarb) - ANSWER ✔ 22-26
(2+2+2=6)
19.CO2 - ANSWER ✔ 35-45
20.-when pH goes up; - ANSWER ✔ patient goes up.. (everything gets
irritable!)
21.when pH goes down; - ANSWER ✔ patient goes down! (systems in your
body shut down)
22.when pH goes up; potassium - ANSWER ✔ potassium goes down
23.when pH goes down; potassium - ANSWER ✔ potassium goes up
,24.alkalosis s/s - ANSWER ✔ (up) alkalosis: irritibility, hyper-reflexia (3 &
4), tachypnea, tachycardia, borborygmi (increased bowel sounds), seizure,
aspirate..
25.acidosis s/s - ANSWER ✔ (down) acidosis: hypo-reflexia, bradycardia,
lethergy (obtunded), paralytic ileus (decreased bowel sounds), coma,
respiratory arrest (ambu-bag!!)
26.Kussmaul breathing - ANSWER ✔ deep and labored breathing pattern
often associated with severe metabolic acidosis, particularly diabetic
ketoacidosis (DKA) but also kidney failure
27.MAC Kussmaul (breathing) !! - ANSWER ✔ Metabolic ACidosis
diarhhea will cause a ..
28.but once you get acidodic, it will shut your bowels down = - ANSWER ✔
metabolic acidosis
paralytic ileus
29.Opisthotonus: - ANSWER ✔ a position the baby assumes when they have
bilirubin on the brain; HYPEREXTEND..
30.In what position do you place an opisthotonic child? - ANSWER ✔ On
their side!
31.Hiatal hernia - ANSWER ✔ regurgitation of acid into the esophagus,
because the upper part of your stomach herniates upward through the
diaphragm... *moves in the wrong direction in the correct rate* (you want it
to empty faster; so it doesn't reflux)
32.Hiatal hernia S/S - ANSWER ✔ GERD (heartburn & indegestion) *when
lying down after eating*
33.Hiatal hernia treatment - ANSWER ✔ play around with the head of the bed
(raise), play around with water content with the meal (flush faster) & you
, can play around with the carbohydrate content of the meal (carbs go fast)...
LOW protein!!
34.Dumping syndrome - ANSWER ✔ gastric contents dump too quickly into
the duodenum... *moves in the right direction, but at the wrong rate* (you
want it to empty slower)
35.Dumping syndrome S/S - ANSWER ✔ *DRUNK* (staggering gait,
slurred speech, impaired judgement) & *SHOCK* (tachycardia, tachypnea,
cold, clammy, pale) DRUNK + SHOCK = HYPOGLYCEMIA *ACUTE
ABDOMINAL DISTRESS* (cramping, pain, doubling over, borborygmi
*increased bowel sounds*, diarhhea, bloating, distension)
36.Dumping symdrome Treatment - ANSWER ✔ Eat with head low & turned
to the side, low fluids with meal and low carb content in the meals. HIGH
protein!!
37.Kalemias do - ANSWER ✔ the SAME AS the prefix, except for heart rate
& urine output!!
38.Calcemias do the - ANSWER ✔ OPPOSITE AS the prefix
(if it skeleton or nerve, blame it on calcium!)
39.Magnesiums do the - ANSWER ✔ OPPOSITE AS the prefix
(in a tie, DON'T pick magnesium!)
40.Chvostek sign - ANSWER ✔ when you touch their CHEEK, they go into a
spasm of the face (neuromuscular irritability associated with a LOW
calcium)
41.Trousseau sign - ANSWER ✔ when you put a blood pressure cuff on, blow
it up & they go into a spasm of the hand.
42.What is another name for Buerger's disease? - ANSWER ✔
Thromboangiitis obliterans - caused by small blood vessels that become
2026/2027 ACCURATE QUESTIONS WITH
CORRECT DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. NCLEX - ANSWER ✔ National Council Licensure Examination for
nurses.
2. Mark Klimek Lectures - ANSWER ✔ Lecture series for NCLEX exam
preparation.
3. On-Demand Lectures - ANSWER ✔ Pre-recorded lectures available
anytime for review.
4. Advance Directives - ANSWER ✔ Legal documents outlining patient care
preferences.
5. Accidental Poisoning - ANSWER ✔ Unintentional ingestion of harmful
substances.
6. Prioritization Strategies - ANSWER ✔ Techniques for determining care
order in nursing.
7. Pharmacology Review - ANSWER ✔ Study of drug effects and nursing
implications.
8. Fluid and Electrolytes - ANSWER ✔ Balance of body fluids and essential
ions.
9. EKG Rhythms - ANSWER ✔ Electrical activity patterns of the heart.
,10.High Yield Videos - ANSWER ✔ Concise videos focusing on essential
NCLEX topics.
11.Comprehensive NCLEX Review - ANSWER ✔ In-depth review covering
all NCLEX exam topics.
12.Nursing Fundamentals - ANSWER ✔ Basic principles and practices of
nursing care.
13.Live Lectures - ANSWER ✔ Real-time instructional sessions for
immediate learning.
14.Subscription Model - ANSWER ✔ Paid access to exclusive educational
content.
15.If the pH & the bicarb are both in the same direction... - ANSWER ✔
metabolic
16.If the pH & the bicarb are in opposite directions - ANSWER ✔ respritory
17.pH - ANSWER ✔ 7.35-7.45
18.HCO3 (bicarb) - ANSWER ✔ 22-26
(2+2+2=6)
19.CO2 - ANSWER ✔ 35-45
20.-when pH goes up; - ANSWER ✔ patient goes up.. (everything gets
irritable!)
21.when pH goes down; - ANSWER ✔ patient goes down! (systems in your
body shut down)
22.when pH goes up; potassium - ANSWER ✔ potassium goes down
23.when pH goes down; potassium - ANSWER ✔ potassium goes up
,24.alkalosis s/s - ANSWER ✔ (up) alkalosis: irritibility, hyper-reflexia (3 &
4), tachypnea, tachycardia, borborygmi (increased bowel sounds), seizure,
aspirate..
25.acidosis s/s - ANSWER ✔ (down) acidosis: hypo-reflexia, bradycardia,
lethergy (obtunded), paralytic ileus (decreased bowel sounds), coma,
respiratory arrest (ambu-bag!!)
26.Kussmaul breathing - ANSWER ✔ deep and labored breathing pattern
often associated with severe metabolic acidosis, particularly diabetic
ketoacidosis (DKA) but also kidney failure
27.MAC Kussmaul (breathing) !! - ANSWER ✔ Metabolic ACidosis
diarhhea will cause a ..
28.but once you get acidodic, it will shut your bowels down = - ANSWER ✔
metabolic acidosis
paralytic ileus
29.Opisthotonus: - ANSWER ✔ a position the baby assumes when they have
bilirubin on the brain; HYPEREXTEND..
30.In what position do you place an opisthotonic child? - ANSWER ✔ On
their side!
31.Hiatal hernia - ANSWER ✔ regurgitation of acid into the esophagus,
because the upper part of your stomach herniates upward through the
diaphragm... *moves in the wrong direction in the correct rate* (you want it
to empty faster; so it doesn't reflux)
32.Hiatal hernia S/S - ANSWER ✔ GERD (heartburn & indegestion) *when
lying down after eating*
33.Hiatal hernia treatment - ANSWER ✔ play around with the head of the bed
(raise), play around with water content with the meal (flush faster) & you
, can play around with the carbohydrate content of the meal (carbs go fast)...
LOW protein!!
34.Dumping syndrome - ANSWER ✔ gastric contents dump too quickly into
the duodenum... *moves in the right direction, but at the wrong rate* (you
want it to empty slower)
35.Dumping syndrome S/S - ANSWER ✔ *DRUNK* (staggering gait,
slurred speech, impaired judgement) & *SHOCK* (tachycardia, tachypnea,
cold, clammy, pale) DRUNK + SHOCK = HYPOGLYCEMIA *ACUTE
ABDOMINAL DISTRESS* (cramping, pain, doubling over, borborygmi
*increased bowel sounds*, diarhhea, bloating, distension)
36.Dumping symdrome Treatment - ANSWER ✔ Eat with head low & turned
to the side, low fluids with meal and low carb content in the meals. HIGH
protein!!
37.Kalemias do - ANSWER ✔ the SAME AS the prefix, except for heart rate
& urine output!!
38.Calcemias do the - ANSWER ✔ OPPOSITE AS the prefix
(if it skeleton or nerve, blame it on calcium!)
39.Magnesiums do the - ANSWER ✔ OPPOSITE AS the prefix
(in a tie, DON'T pick magnesium!)
40.Chvostek sign - ANSWER ✔ when you touch their CHEEK, they go into a
spasm of the face (neuromuscular irritability associated with a LOW
calcium)
41.Trousseau sign - ANSWER ✔ when you put a blood pressure cuff on, blow
it up & they go into a spasm of the hand.
42.What is another name for Buerger's disease? - ANSWER ✔
Thromboangiitis obliterans - caused by small blood vessels that become
