Mark Klimek NCLEX review Questions with CORRECT
Answers (Grade A+)
Question 1:
If the pH & the bicarb are both in the same direction...
Answer:
metabolic
Question 2:
If the pH & the bicarb are in opposite directions
Answer:
respritory
Question 3:
pH
Answer:
7.35-7.45
Question 4:
HCO3 (bicarb)
Answer:
22-26 (2+2+2=6)
Question 5:
CO2
Answer:
35-45
Question 6:
-when pH goes up;
Answer:
patient goes up.. (everything gets irritable!)
,Question 7:
when pH goes down;
Answer:
patient goes down! (systems in your body shut down)
Question 8:
when pH goes up; potassium
Answer:
potassium goes down
Question 9:
when pH goes down; potassium
Answer:
potassium goes up
Question 10:
alkalosis s/s
Answer:
(up) alkalosis: irritibility, hyper-reflexia (3 & 4), tachypnea, tachycardia, borborygmi (increased bowel
sounds), seizure, aspirate..
Question 11:
acidosis s/s
Answer:
(down) acidosis: hypo-reflexia, bradycardia, lethergy (obtunded), paralytic ileus (decreased bowel
sounds), coma, respiratory arrest (ambu-bag!!)
Question 12:
Kussmaul breathing
Answer:
deep and labored breathing pattern often associated with severe metabolic acidosis, particularly
diabetic ketoacidosis (DKA) but also kidney failure
,Question 13:
MAC Kussmaul (breathing) !!
Answer:
Metabolic ACidosis
Question 14:
diarhhea will cause a .. but once you get acidodic, it will shut your bowels down =
Answer:
metabolic acidosis paralytic ileus
Question 15:
over-ventilating = acidosis or alkalosis?
Answer:
alkalosis
Question 16:
under-ventilating = acidosis or alkalosis?
Answer:
acidosis
Question 17:
if pt has prolonged gastric vomiting or suctioning... it's always ... why?
Answer:
metabolic alkalosis losing acid = becomes basic.
Question 18:
high pressure alarm... triggered by increasure resistance to air flow.. (machine is pushing too hard to
get air into the lungs).. what chemical imbalance?
Answer:
respiratory alkalosis
, Question 19:
Question not clearly extracted from source.
Answer:
3 ventilator obstructions kink in tubing (get kink out), water condensing within the tube (empty and
what to do for each tube), mucus secretions in the airway (turn, cough, deep breathe... then suction)..
suction as needed!! *in that order*...
Question 20:
low pressure alarm.. decreased resistance (too easy for the machine..) what chemical imbalance?
Answer:
respiratory acidosis
Question 21:
Low pressure alarms are triggered by decreased resistance to airflow & can be caused by
disconnections of the main tubing or oxygen sensor tubing... what should you do?
Answer:
Tubing (reconnect it!) - oxygen sensor tube (reconnect it UNLESS tube is on t the floor - bag them &
call Respiratory therapist if this happens)
Question 22:
Respiratory alkalosis = ventilator setting may be too
Answer:
high
Question 23:
Respiratory acidosis = ventilator setting may be too
Answer:
low
Question 24:
what does wean mean in terms of ventilators
Answer:
gradually decrease with the goal of getting off altogether
Answers (Grade A+)
Question 1:
If the pH & the bicarb are both in the same direction...
Answer:
metabolic
Question 2:
If the pH & the bicarb are in opposite directions
Answer:
respritory
Question 3:
pH
Answer:
7.35-7.45
Question 4:
HCO3 (bicarb)
Answer:
22-26 (2+2+2=6)
Question 5:
CO2
Answer:
35-45
Question 6:
-when pH goes up;
Answer:
patient goes up.. (everything gets irritable!)
,Question 7:
when pH goes down;
Answer:
patient goes down! (systems in your body shut down)
Question 8:
when pH goes up; potassium
Answer:
potassium goes down
Question 9:
when pH goes down; potassium
Answer:
potassium goes up
Question 10:
alkalosis s/s
Answer:
(up) alkalosis: irritibility, hyper-reflexia (3 & 4), tachypnea, tachycardia, borborygmi (increased bowel
sounds), seizure, aspirate..
Question 11:
acidosis s/s
Answer:
(down) acidosis: hypo-reflexia, bradycardia, lethergy (obtunded), paralytic ileus (decreased bowel
sounds), coma, respiratory arrest (ambu-bag!!)
Question 12:
Kussmaul breathing
Answer:
deep and labored breathing pattern often associated with severe metabolic acidosis, particularly
diabetic ketoacidosis (DKA) but also kidney failure
,Question 13:
MAC Kussmaul (breathing) !!
Answer:
Metabolic ACidosis
Question 14:
diarhhea will cause a .. but once you get acidodic, it will shut your bowels down =
Answer:
metabolic acidosis paralytic ileus
Question 15:
over-ventilating = acidosis or alkalosis?
Answer:
alkalosis
Question 16:
under-ventilating = acidosis or alkalosis?
Answer:
acidosis
Question 17:
if pt has prolonged gastric vomiting or suctioning... it's always ... why?
Answer:
metabolic alkalosis losing acid = becomes basic.
Question 18:
high pressure alarm... triggered by increasure resistance to air flow.. (machine is pushing too hard to
get air into the lungs).. what chemical imbalance?
Answer:
respiratory alkalosis
, Question 19:
Question not clearly extracted from source.
Answer:
3 ventilator obstructions kink in tubing (get kink out), water condensing within the tube (empty and
what to do for each tube), mucus secretions in the airway (turn, cough, deep breathe... then suction)..
suction as needed!! *in that order*...
Question 20:
low pressure alarm.. decreased resistance (too easy for the machine..) what chemical imbalance?
Answer:
respiratory acidosis
Question 21:
Low pressure alarms are triggered by decreased resistance to airflow & can be caused by
disconnections of the main tubing or oxygen sensor tubing... what should you do?
Answer:
Tubing (reconnect it!) - oxygen sensor tube (reconnect it UNLESS tube is on t the floor - bag them &
call Respiratory therapist if this happens)
Question 22:
Respiratory alkalosis = ventilator setting may be too
Answer:
high
Question 23:
Respiratory acidosis = ventilator setting may be too
Answer:
low
Question 24:
what does wean mean in terms of ventilators
Answer:
gradually decrease with the goal of getting off altogether
