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MARK KLIMEK NCLEX REVIEW LECTURE NOTES|QUESTIONS AND 100% CORRECT WELL DETAILED ANSWERS|LATEST UPDATE!!!!!!2026|GUARANTEED PASS|GRADED A+|VERIFIED

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MARK KLIMEK NCLEX REVIEW LECTURE NOTES|QUESTIONS AND 100% CORRECT WELL DETAILED ANSWERS|LATEST UPDATE!!!!!!2026|GUARANTEED PASS|GRADED A+|VERIFIED

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100% CORRECT WELL DETAILED ANSWERS|LATEST




CORRECT = 100
100


INCORRECT=0




STUDY MATERIALS.......DESIGNED TO HELP YOU SUCCEED




SPOTLIGHT 1


1

, AND 100% CORRECT WELL DETAILED ANSWERS|LATEST
UPDATE!!!!!!2026|GUARANTEED PASS|GRADED




Concept:

• ABGs (identifying & cause) -
ANSWER •••••••••••••••••••••••••••••••••••••••••••••••••••••



Rule of the B's: If the ____ and the _____ are ______ in the same direction then it is
meta_____ - ANSWER pH, Bicarb, Both, Bolic



Compensated v.s. Partially Compensated - ANSWER COMPENSATED: pH will be
within the normal range (body has corrected the problem)



PARTIALLY COMPENSATED: pH is not normal. Look at the system that is supposed to fix the
problem (if you have a respiratory problem, the metabolic system will try to compensate and
vice versa) and see if it is abnormal, which means it is trying to compensate

• If YES, then you have PARTIAL compensation

• If NO, then you have UNCOMPENSATION



As the _______ goes, so goes _______ except for _______ - ANSWER pH, my
patient, potassium



Up (alkalosis) - ANSWER Hyperkalemia, Hypertension, Tachycardia, Tachypnea,
Diarrhea, Seizures, Irritability, Spastic, Tentany, Borborygme, Hyperreflexia, etc.




2

, Down (acid) - ANSWER Hyperkalemia, Hypotension, Bradycardia, Bradypnea,
Constipation, Coma, - Arrest, Lethargic, Absent bowel sounds, Flacid, etc.



MAC Kussmaul - ANSWER The only acid base to cause Kussmaul respirations is
Metabolic ACidosis



(Note: does not follow rule as it is not a symptom but a compensation mechanism.)



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 or underventilating

overventilating = alkalosis

underventilating = acidosis



(Note: generally respiration rate does not correlate to ventilation but SaO2 DOES.)



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 not lungs =
metabolic



prolonged gastric vomiting or suction = alkalosis



3

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