NCLEX MARK KLIMEK PRACTICE EXAM
QUESTIONS WITH CORRECT ANSWERS
Obtunded - Answer-lethargy
dynamic ileus - Answer-decrease or loss of bowel motility
Kalcemias - Answer-Do the same as the prefix except for heart rate and urine output
clonus - Answer-muscle spasm or twitching
Calcemias - Answer-do the opposite of prefix. Muscles and nerves
Chvostek's sign - Answer-Cheek, facial spasm when Cheek is tapped associates with
hypocalcemia
Trousseau's sign - Answer-BP cuff; hand/finger spasms due to hypocalcemia
Magnesemias - Answer-Do the opposite of the prefix
hypErnatremia - Answer-dehydration
hypOnatremia - Answer-Fluid Overload
Paresthesia - Answer-Numbness and tingling; earliest sign of electrolyte imbalance
Paresis - Answer-Muscle Weakness; all electrolyte imbalances will cause this
Potassium - Answer-Never give more than 40 of K+ per L of IV fluid
Lower Potassium - Answer-Give D5W w/ Insulin; this will drive K+ into the cell and out
of the blood.
Kayexalate - Answer-Full of sodium, given via enema or orally. Trades Na+ for K+ then
you shit it out.
K+ Exits Late
Assess pt abdomen and normal bowel function to avoid risk of intestinal necrosis
Laminectomy - Answer-Removal of vertebral spinal processes; relieves nerve root
compression
S/s: pain, paresthesia, paresis
, Location: cervical - airway and arm function
thoracic - cough & bowel mechanisms
lumbar - bladder (last void?) Leg function
Spinal Cord Injuries post-op - Answer-Log Roll
Can't sit longer than 30 mins
May walk, stand, lay down w/o restrictions
Creatinine - Answer-0.6-1.2
INR - Answer-2-3
Anything 4+ is C
Potassium - Answer-3.5-5.0
Low or high is C unless it reaches 6+ then it's a D
Assess Heart, give K+, call doc
PH - Answer-7.35-7.45
Anything in the 6's is a D
BUN - Answer-10-20
Assess for dehydration
Hgb - Answer-12-18
8-11 it's a B Assess for Anemia/bleeding/ malnutrition
Below 8 it's a C Assess for bleeding, prepare to give blood, call doc
CO2 - Answer-46-59 (C) assess respiration, Pursed lip breathing
60+ (D) assess respiration, prepare fir intubation, ventilation, call respiratory therapy the
doc
Phenothiazines 1st Gen/ Typical Antipsychotics
"ZINES" - Answer-Major tranquilizers
Zzz.. zines (sedatives)
QUESTIONS WITH CORRECT ANSWERS
Obtunded - Answer-lethargy
dynamic ileus - Answer-decrease or loss of bowel motility
Kalcemias - Answer-Do the same as the prefix except for heart rate and urine output
clonus - Answer-muscle spasm or twitching
Calcemias - Answer-do the opposite of prefix. Muscles and nerves
Chvostek's sign - Answer-Cheek, facial spasm when Cheek is tapped associates with
hypocalcemia
Trousseau's sign - Answer-BP cuff; hand/finger spasms due to hypocalcemia
Magnesemias - Answer-Do the opposite of the prefix
hypErnatremia - Answer-dehydration
hypOnatremia - Answer-Fluid Overload
Paresthesia - Answer-Numbness and tingling; earliest sign of electrolyte imbalance
Paresis - Answer-Muscle Weakness; all electrolyte imbalances will cause this
Potassium - Answer-Never give more than 40 of K+ per L of IV fluid
Lower Potassium - Answer-Give D5W w/ Insulin; this will drive K+ into the cell and out
of the blood.
Kayexalate - Answer-Full of sodium, given via enema or orally. Trades Na+ for K+ then
you shit it out.
K+ Exits Late
Assess pt abdomen and normal bowel function to avoid risk of intestinal necrosis
Laminectomy - Answer-Removal of vertebral spinal processes; relieves nerve root
compression
S/s: pain, paresthesia, paresis
, Location: cervical - airway and arm function
thoracic - cough & bowel mechanisms
lumbar - bladder (last void?) Leg function
Spinal Cord Injuries post-op - Answer-Log Roll
Can't sit longer than 30 mins
May walk, stand, lay down w/o restrictions
Creatinine - Answer-0.6-1.2
INR - Answer-2-3
Anything 4+ is C
Potassium - Answer-3.5-5.0
Low or high is C unless it reaches 6+ then it's a D
Assess Heart, give K+, call doc
PH - Answer-7.35-7.45
Anything in the 6's is a D
BUN - Answer-10-20
Assess for dehydration
Hgb - Answer-12-18
8-11 it's a B Assess for Anemia/bleeding/ malnutrition
Below 8 it's a C Assess for bleeding, prepare to give blood, call doc
CO2 - Answer-46-59 (C) assess respiration, Pursed lip breathing
60+ (D) assess respiration, prepare fir intubation, ventilation, call respiratory therapy the
doc
Phenothiazines 1st Gen/ Typical Antipsychotics
"ZINES" - Answer-Major tranquilizers
Zzz.. zines (sedatives)
