Mark Klimek NCLEX Prep UPDATED
ACTUAL Exam Questions and CORRECT
Answers
As the pH goes, - CORRECT ANSWER - so goes my patient, EXCEPT for potassium
(Mac) Kussmaul's is only seen in... - CORRECT ANSWER - Metabolic Acidosis
In respiratory, if the patient is OVERventilating, - CORRECT ANSWER - Respiratory
Alkalosis
In respiratory, if the patient is UNDERventilating, - CORRECT ANSWER - Respiratory
Acidosis
The only cause for metabolic alkalosis is... - CORRECT ANSWER - prolonged vomiting
or suctioning
A HIGH pressure alarm is due to... - CORRECT ANSWER - obstructions (kinks in tubing,
mucus secretions)
A LOW pressure alarm is due to... - CORRECT ANSWER - disconnections (disconnected
main tubing or O2 sensor tubing)
BEFORE choosing to suction a patient, you should... - CORRECT ANSWER - Change
their position (turn, cough, deep breathe)
What are the stages of grief? - CORRECT ANSWER - DABDA (Denial, Anger,
Bargaining, Depression, Acceptance)
,The number one problem in abusive situations is _______. How do you treat it? - CORRECT
ANSWER - Denial
Treat by CONFRONTING IT!
The number two problem in abusers is... - CORRECT ANSWER -
Dependency/Codependency
If what a codependent person is being asked to do is harmful/dangerous, this is called
_________. How do you treat it? - CORRECT ANSWER - Manipulation
Treat by setting limits + enforcing it. SAY NO!
What is Wernicke-Korsakoff syndrome? - CORRECT 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? - CORRECT ANSWER - Take
vitamin B1
What is Disulfiram (Antabuse)? How long does it take to be effective? - CORRECT
ANSWER - Aversion therapy for alcoholism
2 weeks to be effective
What does Naltrexone (Revia) do? - CORRECT ANSWER - Reduces alcohol cravings
What should you teach patients to avoid when taking Disulfiram? - CORRECT
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? - CORRECT ANSWER - Caffeine
, Cocaine
PCP/LSD
Methamphetamines
Adderall
*Everything else is a downer...
What is an overdose? What are the sxs like? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER -
Downer overdose + Upper withdrawal
In what two situations would seizures be your priority? - CORRECT ANSWER - Upper
overdose + Downer withdrawal
In drug addiction in newborns, always assume _______________ at birth/first 24 hours. After 24
hours, assume the baby is ________________. - CORRECT ANSWER - Intoxication at
birth/first 24 hours
After 24 hours, baby is in withdrawal
24 hours after an alcoholic stops drinking, they go through _______________________. -
CORRECT ANSWER - Alcohol withdrawal syndrome
ACTUAL Exam Questions and CORRECT
Answers
As the pH goes, - CORRECT ANSWER - so goes my patient, EXCEPT for potassium
(Mac) Kussmaul's is only seen in... - CORRECT ANSWER - Metabolic Acidosis
In respiratory, if the patient is OVERventilating, - CORRECT ANSWER - Respiratory
Alkalosis
In respiratory, if the patient is UNDERventilating, - CORRECT ANSWER - Respiratory
Acidosis
The only cause for metabolic alkalosis is... - CORRECT ANSWER - prolonged vomiting
or suctioning
A HIGH pressure alarm is due to... - CORRECT ANSWER - obstructions (kinks in tubing,
mucus secretions)
A LOW pressure alarm is due to... - CORRECT ANSWER - disconnections (disconnected
main tubing or O2 sensor tubing)
BEFORE choosing to suction a patient, you should... - CORRECT ANSWER - Change
their position (turn, cough, deep breathe)
What are the stages of grief? - CORRECT ANSWER - DABDA (Denial, Anger,
Bargaining, Depression, Acceptance)
,The number one problem in abusive situations is _______. How do you treat it? - CORRECT
ANSWER - Denial
Treat by CONFRONTING IT!
The number two problem in abusers is... - CORRECT ANSWER -
Dependency/Codependency
If what a codependent person is being asked to do is harmful/dangerous, this is called
_________. How do you treat it? - CORRECT ANSWER - Manipulation
Treat by setting limits + enforcing it. SAY NO!
What is Wernicke-Korsakoff syndrome? - CORRECT 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? - CORRECT ANSWER - Take
vitamin B1
What is Disulfiram (Antabuse)? How long does it take to be effective? - CORRECT
ANSWER - Aversion therapy for alcoholism
2 weeks to be effective
What does Naltrexone (Revia) do? - CORRECT ANSWER - Reduces alcohol cravings
What should you teach patients to avoid when taking Disulfiram? - CORRECT
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? - CORRECT ANSWER - Caffeine
, Cocaine
PCP/LSD
Methamphetamines
Adderall
*Everything else is a downer...
What is an overdose? What are the sxs like? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER -
Downer overdose + Upper withdrawal
In what two situations would seizures be your priority? - CORRECT ANSWER - Upper
overdose + Downer withdrawal
In drug addiction in newborns, always assume _______________ at birth/first 24 hours. After 24
hours, assume the baby is ________________. - CORRECT ANSWER - Intoxication at
birth/first 24 hours
After 24 hours, baby is in withdrawal
24 hours after an alcoholic stops drinking, they go through _______________________. -
CORRECT ANSWER - Alcohol withdrawal syndrome
