MARK KLIMEK YELLOW BOOK (KV) EXAM
QUESTIONS AND ANSWERS ACTUAL COMPLETE
BEST SOLUTION THAT COVERS 2024/2025 ALL
ANSWERS 100% CORRECT VERIFIED/DETAILED
BEST GRADED TO SCORE A+ FOR PASS
If the pH and the BiCarb are both in the same direction then it is? - CORRECT ANSWERS
Metabolc
If the pH is up it is? - CORRECT ANSWERS Alkalosis
As the pH goes so goes my patient except for? - CORRECT ANSWERS Potassium
If the pH is down it is? - CORRECT ANSWERS Acidosis
If the pH is up my patient with show signs and symptoms of? - CORRECT ANSWERS
Increase... like tachycardia,diarrhea and borborygmi
If the pH is down my patient will show signs and symtoms of? - CORRECT ANSWERS
Decrease... like decreased output, bradycardia and constipation
If my pH is up my potassium (K+) is ? - CORRECT ANSWERS Down
If my pH is down my potassium (K+) is? - CORRECT ANSWERS Up
If my patient is overventilating I should choose? - CORRECT ANSWERS Respiratory Alkalosis
If my patient is underventilating I should choose? - CORRECT ANSWERS Respiratory Acidosis
If my patient has prolonged gastric vomiting or suction I choose? - CORRECT ANSWERS
Metabolic Alkalosis
,MARK KLIMEK YELLOW BOOK (KV) EXAM
QUESTIONS AND ANSWERS ACTUAL COMPLETE
BEST SOLUTION THAT COVERS 2024/2025 ALL
ANSWERS 100% CORRECT VERIFIED/DETAILED
BEST GRADED TO SCORE A+ FOR PASS
If it is not lung or prolonged vomiting or suctioning I choose? - CORRECT ANSWERS
Metabolic Acidosis
Kussmal Respirations - CORRECT ANSWERS Metabolic Acidosis ( Remember MacKussmal
Before measuing ABGs you should check what? - CORRECT ANSWERS 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 - CORRECT ANSWERS PH is normal! It is never compensated if it
is abnormal.
If PH normal - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS Metabolic
Acidosis
,MARK KLIMEK YELLOW BOOK (KV) EXAM
QUESTIONS AND ANSWERS ACTUAL COMPLETE
BEST SOLUTION THAT COVERS 2024/2025 ALL
ANSWERS 100% CORRECT VERIFIED/DETAILED
BEST GRADED TO SCORE A+ FOR PASS
If in doubt in ABGs, always pick - CORRECT ANSWERS Headache, nausea, weakness &
numbness+ tingling. It can be either up or down.
High pressure alarms are triggered when? - CORRECT ANSWERS They cannot push air in
High pressure alarms are caused by what three types of obstructions? - CORRECT ANSWERS
Kinking, Water in dependant loops and mucus in the airway.
If kinking in the tube is present you? - CORRECT ANSWERS Unkink
If water is present in the dependant loops you? - CORRECT ANSWERS Open system and
empty water.
If mucus is present you? - CORRECT ANSWERS Turn them, cough and have them deeo
breath first. If ineffective you then suction.
Don't suction unless - CORRECT ANSWERS Coughing & deep breathing is deemed
inappropriate.
In order to suction, you must be able to hear - CORRECT ANSWERS Mucus in the lung
Low pressure alarms are triggered when? - CORRECT ANSWERS It is to easy to push air in.
Low pressure alarms are normally caused by? - CORRECT ANSWERS Disconnection
If the tubing is disconnected you? - CORRECT ANSWERS Reconnect
, MARK KLIMEK YELLOW BOOK (KV) EXAM
QUESTIONS AND ANSWERS ACTUAL COMPLETE
BEST SOLUTION THAT COVERS 2024/2025 ALL
ANSWERS 100% CORRECT VERIFIED/DETAILED
BEST GRADED TO SCORE A+ FOR PASS
If O2 sensor line is disconnected you? - CORRECT ANSWERS Reconnect
In a vented client respiratory alkalosis means the vent setting may be too? - CORRECT
ANSWERS High
In a vented client respiratory acidosis means the vent may be too? - CORRECT ANSWERS
Low
What do you do if the patients disconnected tube is on the floor? - CORRECT ANSWERS Bag
them, (call for help) get new tube and then reconnect.
First question to ask if the low pressure alarm sounds - CORRECT ANSWERS Where is the
tubing?!
HOLD - CORRECT ANSWERS H- High Pressure
O- Obstruction
L- Low
D- Disconnections
Never put anything in YOUR scope of practice - CORRECT ANSWERS On anyone else
Make sure your answer is - CORRECT ANSWERS PATIENT FOCUSED.
TAKE CARE OF YOUR PATIENT!
Don't answer based on staff, building, machine, etc.
PATIENT FIRST.
QUESTIONS AND ANSWERS ACTUAL COMPLETE
BEST SOLUTION THAT COVERS 2024/2025 ALL
ANSWERS 100% CORRECT VERIFIED/DETAILED
BEST GRADED TO SCORE A+ FOR PASS
If the pH and the BiCarb are both in the same direction then it is? - CORRECT ANSWERS
Metabolc
If the pH is up it is? - CORRECT ANSWERS Alkalosis
As the pH goes so goes my patient except for? - CORRECT ANSWERS Potassium
If the pH is down it is? - CORRECT ANSWERS Acidosis
If the pH is up my patient with show signs and symptoms of? - CORRECT ANSWERS
Increase... like tachycardia,diarrhea and borborygmi
If the pH is down my patient will show signs and symtoms of? - CORRECT ANSWERS
Decrease... like decreased output, bradycardia and constipation
If my pH is up my potassium (K+) is ? - CORRECT ANSWERS Down
If my pH is down my potassium (K+) is? - CORRECT ANSWERS Up
If my patient is overventilating I should choose? - CORRECT ANSWERS Respiratory Alkalosis
If my patient is underventilating I should choose? - CORRECT ANSWERS Respiratory Acidosis
If my patient has prolonged gastric vomiting or suction I choose? - CORRECT ANSWERS
Metabolic Alkalosis
,MARK KLIMEK YELLOW BOOK (KV) EXAM
QUESTIONS AND ANSWERS ACTUAL COMPLETE
BEST SOLUTION THAT COVERS 2024/2025 ALL
ANSWERS 100% CORRECT VERIFIED/DETAILED
BEST GRADED TO SCORE A+ FOR PASS
If it is not lung or prolonged vomiting or suctioning I choose? - CORRECT ANSWERS
Metabolic Acidosis
Kussmal Respirations - CORRECT ANSWERS Metabolic Acidosis ( Remember MacKussmal
Before measuing ABGs you should check what? - CORRECT ANSWERS 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 - CORRECT ANSWERS PH is normal! It is never compensated if it
is abnormal.
If PH normal - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS Metabolic
Acidosis
,MARK KLIMEK YELLOW BOOK (KV) EXAM
QUESTIONS AND ANSWERS ACTUAL COMPLETE
BEST SOLUTION THAT COVERS 2024/2025 ALL
ANSWERS 100% CORRECT VERIFIED/DETAILED
BEST GRADED TO SCORE A+ FOR PASS
If in doubt in ABGs, always pick - CORRECT ANSWERS Headache, nausea, weakness &
numbness+ tingling. It can be either up or down.
High pressure alarms are triggered when? - CORRECT ANSWERS They cannot push air in
High pressure alarms are caused by what three types of obstructions? - CORRECT ANSWERS
Kinking, Water in dependant loops and mucus in the airway.
If kinking in the tube is present you? - CORRECT ANSWERS Unkink
If water is present in the dependant loops you? - CORRECT ANSWERS Open system and
empty water.
If mucus is present you? - CORRECT ANSWERS Turn them, cough and have them deeo
breath first. If ineffective you then suction.
Don't suction unless - CORRECT ANSWERS Coughing & deep breathing is deemed
inappropriate.
In order to suction, you must be able to hear - CORRECT ANSWERS Mucus in the lung
Low pressure alarms are triggered when? - CORRECT ANSWERS It is to easy to push air in.
Low pressure alarms are normally caused by? - CORRECT ANSWERS Disconnection
If the tubing is disconnected you? - CORRECT ANSWERS Reconnect
, MARK KLIMEK YELLOW BOOK (KV) EXAM
QUESTIONS AND ANSWERS ACTUAL COMPLETE
BEST SOLUTION THAT COVERS 2024/2025 ALL
ANSWERS 100% CORRECT VERIFIED/DETAILED
BEST GRADED TO SCORE A+ FOR PASS
If O2 sensor line is disconnected you? - CORRECT ANSWERS Reconnect
In a vented client respiratory alkalosis means the vent setting may be too? - CORRECT
ANSWERS High
In a vented client respiratory acidosis means the vent may be too? - CORRECT ANSWERS
Low
What do you do if the patients disconnected tube is on the floor? - CORRECT ANSWERS Bag
them, (call for help) get new tube and then reconnect.
First question to ask if the low pressure alarm sounds - CORRECT ANSWERS Where is the
tubing?!
HOLD - CORRECT ANSWERS H- High Pressure
O- Obstruction
L- Low
D- Disconnections
Never put anything in YOUR scope of practice - CORRECT ANSWERS On anyone else
Make sure your answer is - CORRECT ANSWERS PATIENT FOCUSED.
TAKE CARE OF YOUR PATIENT!
Don't answer based on staff, building, machine, etc.
PATIENT FIRST.
