MARK KLIMEK NCLEX REVIEW-
LECTURE/YELLOW BOOK EXAM
QUESTIONS WITH COMPLETE
ANSWERS
Rule of the B's: If the ____ and the _____ are ______ in the same direction then it is
meta_____ - Answer-pH, Bicarb, Both, Bolic
pH 7.30_______ HCO3 20_______ - Answer-↓= acidosis; ↓= metabolic
pH 7.58_______ HCO3 32_______ - Answer-↑= alkalosis; ↑= metabolic
pH 7.22_______ HCO3 30_______ - Answer-↓= acidosis; ↑= respiratory
You are providing care to a client with the following blood gas results: pH 7.32, CO2 49,
HCO3 29, PO2 80, and SaO2 90%. Based on these results, the client is experiencing: -
Answer-↓= acidosis; ↑= respiratory
MacKussmaul - Answer-The only acid base to cause Kussmaul respirations is Metabolic
ACidosis
As the _______ goes, so goes _______ except for _______ - Answer-pH, my patient,
Potassium
Up - Answer-hyokalemia, alkalosis, HTN, Tachycardia, Tachypnea, Seizures, Irritability,
Spastic, Diarrhea, Borborygme, hyperreflexia, etc
Down - Answer-hyperkalemia, acidosis, htn, bradycardia, constipation, absent bowel
sounds, flacid, bradypnea
Causes of acid-base imbalances: First ask yourself, "Is it _______?" If yes, then it's
_______. Then ask yourself: "Are they _______ or _______. If _______, pick _______.
If _______, pick _______ - Answer-lung, respiratory, overventilating, underventilating,
overventilating, alkalosis, underventilating, acidosis
Causes of acid-base imbalances: If it's not lung, then it's _______. If the patient has
_______ _______ vomiting or suction, pick _______. For everything else that isn't lung,
pick _______ _______. When you don't know what to pick, choose _______ _______ -
Answer-metabolic, prolonged gastric, alkalosis, metabolic acidosis, metabolic acidosis
High pressure alarms are triggered by _______ resistance to air flow. - Answer-
increased
, High pressure alarms are triggered by increased resistance to airflow and can be
caused by obstructions of three types: _______ action, _______ action, _______ action
- Answer-(kinked tube) unkink, (water in tube) empty, (mucus in airway) cough and
deep breathe
Low pressure alarms are triggered by _______ resistance to airflow. - Answer-
decreased
Low pressure alarms are triggered by decreased resistance to airflow and can be
caused by disconnections of the _______ or _______ - Answer-tubing (reconnect it),
oxygen sensor tube (reconnect it UNLESS tube is on the floor- bag them and call RT if
this happens)
Respiratory alkalosis means ventilator settings may be too _______ - Answer-high
Respiratory acidosis means ventilator settings may be too _______ - Answer-low
What does "wean" mean? - Answer-gradually decrease with the goal of getting off
altogether
What is Maslow's highest priority to lowest priority? - Answer-1. Physiological
2. Safety
3. Comfort
4. Psychological (problems within the person)
5. Social (problems with other people)
6. Spiritual
Arrange from highest to lowest priority using Maslow's:
Denial
Spiritual Distress
Pain in Elbow
Fall Risk
Pathological Family Dynamics
Electrolyte Imbalance - Answer-Electrolyte Imbalance (Physiological)
Fall Risk (Safety)
Pain in Elbow (Comfort)
Denial (Psychological)
Pathological Family Dynamics (Social)
Spiritual Distress (Spiritual)
What are the 5 stages of grief? - Answer-Denial
Anger
Bargain
Depression
Acceptance
LECTURE/YELLOW BOOK EXAM
QUESTIONS WITH COMPLETE
ANSWERS
Rule of the B's: If the ____ and the _____ are ______ in the same direction then it is
meta_____ - Answer-pH, Bicarb, Both, Bolic
pH 7.30_______ HCO3 20_______ - Answer-↓= acidosis; ↓= metabolic
pH 7.58_______ HCO3 32_______ - Answer-↑= alkalosis; ↑= metabolic
pH 7.22_______ HCO3 30_______ - Answer-↓= acidosis; ↑= respiratory
You are providing care to a client with the following blood gas results: pH 7.32, CO2 49,
HCO3 29, PO2 80, and SaO2 90%. Based on these results, the client is experiencing: -
Answer-↓= acidosis; ↑= respiratory
MacKussmaul - Answer-The only acid base to cause Kussmaul respirations is Metabolic
ACidosis
As the _______ goes, so goes _______ except for _______ - Answer-pH, my patient,
Potassium
Up - Answer-hyokalemia, alkalosis, HTN, Tachycardia, Tachypnea, Seizures, Irritability,
Spastic, Diarrhea, Borborygme, hyperreflexia, etc
Down - Answer-hyperkalemia, acidosis, htn, bradycardia, constipation, absent bowel
sounds, flacid, bradypnea
Causes of acid-base imbalances: First ask yourself, "Is it _______?" If yes, then it's
_______. Then ask yourself: "Are they _______ or _______. If _______, pick _______.
If _______, pick _______ - Answer-lung, respiratory, overventilating, underventilating,
overventilating, alkalosis, underventilating, acidosis
Causes of acid-base imbalances: If it's not lung, then it's _______. If the patient has
_______ _______ vomiting or suction, pick _______. For everything else that isn't lung,
pick _______ _______. When you don't know what to pick, choose _______ _______ -
Answer-metabolic, prolonged gastric, alkalosis, metabolic acidosis, metabolic acidosis
High pressure alarms are triggered by _______ resistance to air flow. - Answer-
increased
, High pressure alarms are triggered by increased resistance to airflow and can be
caused by obstructions of three types: _______ action, _______ action, _______ action
- Answer-(kinked tube) unkink, (water in tube) empty, (mucus in airway) cough and
deep breathe
Low pressure alarms are triggered by _______ resistance to airflow. - Answer-
decreased
Low pressure alarms are triggered by decreased resistance to airflow and can be
caused by disconnections of the _______ or _______ - Answer-tubing (reconnect it),
oxygen sensor tube (reconnect it UNLESS tube is on the floor- bag them and call RT if
this happens)
Respiratory alkalosis means ventilator settings may be too _______ - Answer-high
Respiratory acidosis means ventilator settings may be too _______ - Answer-low
What does "wean" mean? - Answer-gradually decrease with the goal of getting off
altogether
What is Maslow's highest priority to lowest priority? - Answer-1. Physiological
2. Safety
3. Comfort
4. Psychological (problems within the person)
5. Social (problems with other people)
6. Spiritual
Arrange from highest to lowest priority using Maslow's:
Denial
Spiritual Distress
Pain in Elbow
Fall Risk
Pathological Family Dynamics
Electrolyte Imbalance - Answer-Electrolyte Imbalance (Physiological)
Fall Risk (Safety)
Pain in Elbow (Comfort)
Denial (Psychological)
Pathological Family Dynamics (Social)
Spiritual Distress (Spiritual)
What are the 5 stages of grief? - Answer-Denial
Anger
Bargain
Depression
Acceptance
