MARK KLIMEK NCLEX PREP 2024 TEST
QUESTIONS WITH CORRECT ANSWERS
As the pH goes, - Answer-so goes my patient, EXCEPT for potassium
(Mac) Kussmaul's is only seen in... - Answer-Metabolic Acidosis
In respiratory, if the patient is OVER ventilating, - Answer-Respiratory Alkalosis
In respiratory, if the patient is UNDER ventilating, - Answer-Respiratory Acidosis
The only cause for metabolic alkalosis is... - Answer-prolonged vomiting or suctioning
A HIGH pressure alarm is due to... - Answer-obstructions (kinks in tubing, mucus
secretions)
A LOW pressure alarm is due to... - Answer-disconnections (disconnected main tubing
or O2 sensor tubing)
BEFORE choosing to suction a patient, you should... - Answer-Change their position
(turn, cough, deep breathe)
What are the stages of grief? - Answer-DABDA (Denial, Anger, Bargaining, Depression,
Acceptance)
The number one problem in abusive situations is _______. How do you treat it? -
Answer-Denial
Treat by CONFRONTING IT!
The number two problem in abusers is... - Answer-Dependency/Codependency
If what a codependent person is being asked to do is harmful/dangerous, this is called
_________. How do you treat it? - Answer-Manipulation
Treat by setting limits + enforcing it. SAY NO!
What is Wernicke-Korsakoff syndrome? - Answer-Psychosis-induced by vitamin B1
(thiamine) deficiency
Amnesia with confabulation (pt making up stories + believes it)
It is IRREVERSIBLE
How do you prevent Wernicke-Korsakoff syndrome? - Answer-Take vitamin B1
What is Disulfiram (Antabuse)? How long does it take to be effective? - Answer-
Aversion therapy for alcoholism
, 2 weeks to be effective
What does Naltrexone (Revia) do? - Answer-Reduces alcohol cravings
What should you teach patients to avoid when taking Disulfiram? - Answer-Mouthwash,
aftershaves, perfume/cologne, insect repellent, any OTC that ends in "elixir", alcohol-
based hand sanitizer, uncooked icings (no bake), red wine vinaigrette
What are the 5 uppers? - Answer-Caffeine
Cocaine
PCP/LSD
Methamphetamines
Adderall
*Everything else is a downer...
What is an overdose? What are the sxs like? - Answer-Too much of an upper/downer
Upper overdose sxs make you GO UP
Downer overdose sxs make you GO DOWN
What is a withdrawal? What are the sxs like? - Answer-Too little upper/downer
Upper withdrawal sxs make you go DOWN
Downer withdrawal sxs make you go UP
In what two situations would respiratory arrest be your priority? - Answer-Downer
overdose + Upper withdrawal
In what two situations would seizures be your priority? - Answer-Upper overdose +
Downer withdrawal
In drug addiction in newborns, always assume _______________ at birth/first 24 hours.
After 24 hours, assume the baby is ________________. - Answer-Intoxication at
birth/first 24 hours
After 24 hours, baby is in withdrawal
24 hours after an alcoholic stops drinking, they go through
_______________________. - Answer-Alcohol withdrawal syndrome
Only a minority of alcoholics go through _____________________________ 72 hours
after they stop drinking. - Answer-Delirium tremens
AWS always _____________________, however DT does not always
_____________________________. - Answer-AWS always precedes DT, however DT
does not always follow AWS.
What are some cares for AWS? - Answer-Reg diet
QUESTIONS WITH CORRECT ANSWERS
As the pH goes, - Answer-so goes my patient, EXCEPT for potassium
(Mac) Kussmaul's is only seen in... - Answer-Metabolic Acidosis
In respiratory, if the patient is OVER ventilating, - Answer-Respiratory Alkalosis
In respiratory, if the patient is UNDER ventilating, - Answer-Respiratory Acidosis
The only cause for metabolic alkalosis is... - Answer-prolonged vomiting or suctioning
A HIGH pressure alarm is due to... - Answer-obstructions (kinks in tubing, mucus
secretions)
A LOW pressure alarm is due to... - Answer-disconnections (disconnected main tubing
or O2 sensor tubing)
BEFORE choosing to suction a patient, you should... - Answer-Change their position
(turn, cough, deep breathe)
What are the stages of grief? - Answer-DABDA (Denial, Anger, Bargaining, Depression,
Acceptance)
The number one problem in abusive situations is _______. How do you treat it? -
Answer-Denial
Treat by CONFRONTING IT!
The number two problem in abusers is... - Answer-Dependency/Codependency
If what a codependent person is being asked to do is harmful/dangerous, this is called
_________. How do you treat it? - Answer-Manipulation
Treat by setting limits + enforcing it. SAY NO!
What is Wernicke-Korsakoff syndrome? - Answer-Psychosis-induced by vitamin B1
(thiamine) deficiency
Amnesia with confabulation (pt making up stories + believes it)
It is IRREVERSIBLE
How do you prevent Wernicke-Korsakoff syndrome? - Answer-Take vitamin B1
What is Disulfiram (Antabuse)? How long does it take to be effective? - Answer-
Aversion therapy for alcoholism
, 2 weeks to be effective
What does Naltrexone (Revia) do? - Answer-Reduces alcohol cravings
What should you teach patients to avoid when taking Disulfiram? - Answer-Mouthwash,
aftershaves, perfume/cologne, insect repellent, any OTC that ends in "elixir", alcohol-
based hand sanitizer, uncooked icings (no bake), red wine vinaigrette
What are the 5 uppers? - Answer-Caffeine
Cocaine
PCP/LSD
Methamphetamines
Adderall
*Everything else is a downer...
What is an overdose? What are the sxs like? - Answer-Too much of an upper/downer
Upper overdose sxs make you GO UP
Downer overdose sxs make you GO DOWN
What is a withdrawal? What are the sxs like? - Answer-Too little upper/downer
Upper withdrawal sxs make you go DOWN
Downer withdrawal sxs make you go UP
In what two situations would respiratory arrest be your priority? - Answer-Downer
overdose + Upper withdrawal
In what two situations would seizures be your priority? - Answer-Upper overdose +
Downer withdrawal
In drug addiction in newborns, always assume _______________ at birth/first 24 hours.
After 24 hours, assume the baby is ________________. - Answer-Intoxication at
birth/first 24 hours
After 24 hours, baby is in withdrawal
24 hours after an alcoholic stops drinking, they go through
_______________________. - Answer-Alcohol withdrawal syndrome
Only a minority of alcoholics go through _____________________________ 72 hours
after they stop drinking. - Answer-Delirium tremens
AWS always _____________________, however DT does not always
_____________________________. - Answer-AWS always precedes DT, however DT
does not always follow AWS.
What are some cares for AWS? - Answer-Reg diet
