Mark Klimek NCLEX Review
Notes & Complete Lecture
Guide 2025 | 12 Lectures with
Acid-Base, Psych, Cardiac,
Maternity, Prioritization &
More
, Table of Contents
Lecture 1 – Acid-Base Balance, Ventilators
Lecture 2 – Alcohol, Wernicke, Overdose and Withdrawal S/Sx, Aminoglycosides, Peak
and Trough
Lecture 3 – Cardiac Medication, Calcium Channel Blockers, Cardiac Arrhythmias,
Chest Tube, Congenital Heart Defects, Infectious Disease, PPE
Lecture 4 – Crutches, Canes, Walkers, Delusions, Hallucinations, Psychosis, Psychotic
and Non-Psychotic Hallucination, Illusion, Delusion
Lecture 5 – Diabetes Mellitus, Diabetes Insipidus SIADH, Insulin, DKA, HHNK
Lecture 6 – Drug Toxicities (Lithium, Lanoxin, Dilantin, Bilirubin, Aminophylline),
Kernicterus, Dumping / HH Electrolytes: K+, CA, MG, and NA, Treatment for
Hyperkalemia.
Lecture 7 – Thyroid (Hyper-, Hypo-), Adrenal Cortex (Addison Disease, Cushing),
Toys, Laminectomy
Lecture 8 – Lab Values, Five Deadly Ds, Neutropenic Precaution.
Lecture 9 – Psych Drugs, Tri, Benzo, MAOI, Lithium, Prozac, Haldol, Clozaril,
Zoloft.
Lecture 10 – Maternity and Neonatology
Lecture 11 – Fetal Complications, Stages of Labor, Assessments, Variations for
NB, Maternity Medications, Medication Hints, Psych Tips, Operational Stages.
Lecture 12 – Prioritization, Delegation, Staff Management, Guessing Strategies
Etsy: NursingExamSuccess Page 1 of 108
,Etsy: NursingExamSuccess Page 2 of 108
, Lecture 1
Acid-Base Balance, Ventilators
Acid/Base Balance
To solve acid-base disorders, it is important to know
the normal values for pH, CO2 and HCO3
(bicarbonate).
The first value to look at in an acid-base disorder is
the pH
- If pH is <7.35, the acid-base imbalance is acidotic
- If pH is >7.45, the acid-base imbalance is alkalotic
Now, to determine if the imbalance is metabolic or respiratory, determine whether
HCO3 goes in the same or opposite direction with pH
Rule of the Bs: If pH and Bicarb move both in the same direction, then the acid-
base imbalance is metabolic … Otherwise, it is respiratory.
Example #1
- pH 7.3 Acidosis
- HCO3 20 Metabolic
- This is an example of metabolic acidosis
Example #2
- pH 7.58 Alkalotic
- HCO3 32 Metabolic
- This is an example of metabolic alkalosis
Example #3
- pH 7.22 Acidosis -
HCO3 35 Respiratory
- This is an example of respiratory acidosis
As the pH goes, so goes my patient, except for Potassium … That means
- If pH is low, everything is low, except potassium
- If pH is high, everything is high, except potassium
Notes & Complete Lecture
Guide 2025 | 12 Lectures with
Acid-Base, Psych, Cardiac,
Maternity, Prioritization &
More
, Table of Contents
Lecture 1 – Acid-Base Balance, Ventilators
Lecture 2 – Alcohol, Wernicke, Overdose and Withdrawal S/Sx, Aminoglycosides, Peak
and Trough
Lecture 3 – Cardiac Medication, Calcium Channel Blockers, Cardiac Arrhythmias,
Chest Tube, Congenital Heart Defects, Infectious Disease, PPE
Lecture 4 – Crutches, Canes, Walkers, Delusions, Hallucinations, Psychosis, Psychotic
and Non-Psychotic Hallucination, Illusion, Delusion
Lecture 5 – Diabetes Mellitus, Diabetes Insipidus SIADH, Insulin, DKA, HHNK
Lecture 6 – Drug Toxicities (Lithium, Lanoxin, Dilantin, Bilirubin, Aminophylline),
Kernicterus, Dumping / HH Electrolytes: K+, CA, MG, and NA, Treatment for
Hyperkalemia.
Lecture 7 – Thyroid (Hyper-, Hypo-), Adrenal Cortex (Addison Disease, Cushing),
Toys, Laminectomy
Lecture 8 – Lab Values, Five Deadly Ds, Neutropenic Precaution.
Lecture 9 – Psych Drugs, Tri, Benzo, MAOI, Lithium, Prozac, Haldol, Clozaril,
Zoloft.
Lecture 10 – Maternity and Neonatology
Lecture 11 – Fetal Complications, Stages of Labor, Assessments, Variations for
NB, Maternity Medications, Medication Hints, Psych Tips, Operational Stages.
Lecture 12 – Prioritization, Delegation, Staff Management, Guessing Strategies
Etsy: NursingExamSuccess Page 1 of 108
,Etsy: NursingExamSuccess Page 2 of 108
, Lecture 1
Acid-Base Balance, Ventilators
Acid/Base Balance
To solve acid-base disorders, it is important to know
the normal values for pH, CO2 and HCO3
(bicarbonate).
The first value to look at in an acid-base disorder is
the pH
- If pH is <7.35, the acid-base imbalance is acidotic
- If pH is >7.45, the acid-base imbalance is alkalotic
Now, to determine if the imbalance is metabolic or respiratory, determine whether
HCO3 goes in the same or opposite direction with pH
Rule of the Bs: If pH and Bicarb move both in the same direction, then the acid-
base imbalance is metabolic … Otherwise, it is respiratory.
Example #1
- pH 7.3 Acidosis
- HCO3 20 Metabolic
- This is an example of metabolic acidosis
Example #2
- pH 7.58 Alkalotic
- HCO3 32 Metabolic
- This is an example of metabolic alkalosis
Example #3
- pH 7.22 Acidosis -
HCO3 35 Respiratory
- This is an example of respiratory acidosis
As the pH goes, so goes my patient, except for Potassium … That means
- If pH is low, everything is low, except potassium
- If pH is high, everything is high, except potassium
