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Mark Klimek Blue Book – NCLEX Questions Update | Complete Test Bank (2026 Edition) with 2 Versions: 358 Questions & Answers + 1998 Questions Only

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This updated NCLEX test bank is based on Mark Klimek’s Blue Book and contains two full versions of practice materials: one with 358 questions and detailed rationales and another with 1,998 additional NCLEX-style questions without answers. It covers essential nursing topics such as acid-base imbalances, electrolyte disorders, endocrine, cardiac, respiratory, psychiatric, maternal, pediatric, and pharmacology concepts. The document is newly updated for verified learners and aligns closely with the latest NCLEX-RN exam format, making it ideal for final review and self-assessment.

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KLIMEK NCLEX
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Uploaded on
June 27, 2024
File latest updated on
October 8, 2025
Number of pages
432
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

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a




Mark Klimek Blue Book
Nclex Questions Update With 2 Versions Of Questions: 358

Questions And Answers And 1998 Questions Only |Newly

Updated For Verified Learners




This Document Contains:


 Test Bank For Mark Klimek Blue Book

 Nclex Questions Update

 358 Questions And Answers

 1998 Questions Only

, Test Bank For Mark Klimek Blue Book Nclex
Questions Update With 2 Versions Of
Questions: 358 Questions And Answers And
1998 Questions Only |Newly Updated For
Verified Learners


VERSION 1:

358 QUESTIONS AND ANSWERS




Your pt has respiratory acidosis your pt
has: (select all that apply)
a) +1 reflexes

b) diarrhea

c) a dynamic ileus

d) spasm

e) urinary retention

,f) paraxysmol atrial tachycardia

e) 2nd degree, mobitz, type 2 heart block

g) hypokalemia

ANSWER:- a) +1 reflexes

c) a dynamic ileus

e) urinary retention

g) 2nd degree, mobitz, type 2 heart block



A pt has pneumonia present in 4 lobes, they have a RR of 52, and a SpO2 of
78. What acid-base imbalance is the patient exhibiting?
a) respiratory alkalosis

b) metabolic alkalosis

c) respiratory acidosis

d) metabolic acidosis

ANSWER:-c) respiratory acidosis

-the rate is less important than the gas exchange, if the SpO2 is 78 then gas exchange is
not good and shows acidosis
-they are under ventilating, under = acidosis

-not about rate about SaO2 or SpO2



If your pt is on a PCA pump, what acid-base imbalance will cause you to take
them off of it?
a) respiratory alkalosis

, b) metabolic alkalosis
c) respiratory acidosis

d) metabolic acidosis

ANSWER:- c) respiratory acidosis

-PCA pumps depress respirations = underventilation



If your male pt comes in with hyper-emesis what acid-base imbalance would he
have?

a) respiratory alkalosis

b) metabolic alkalosis

c) respiratory acidosis

d) metabolic acidosis

ANSWER:- b) metabolic alkalosis

-vomiting or suctioning = met alkalosis

-losing acid

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