Mark Klimek NCLEX Review-
Lecture/Yellow Book UPDATED ACTUAL
Exam Questions and CORRECT Answers
Rule of the B's: If the ____ and the _____ are ______ in the same direction then it is meta_____
- CORRECT ANSWER - pH, Bicarb, Both, Bolic
pH 7.30_______ HCO3 20_______ - CORRECT ANSWER - ↓= acidosis; ↓= metabolic
pH 7.58_______ HCO3 32_______ - CORRECT ANSWER - ↑= alkalosis; ↑= metabolic
pH 7.22_______ HCO3 30_______ - CORRECT ANSWER - ↓= acidosis; ↑= respiratory
You are providing care to a client with the following blood gas results: pH 7.32, CO2 49, HCO3
29, PO2 80, and SaO2 90%. Based on these results, the client is experiencing: - CORRECT
ANSWER - ↓= acidosis; ↑= respiratory
MacKussmaul - CORRECT ANSWER - The only acid base to cause Kussmaul
respirations is Metabolic ACidosis
As the _______ goes, so goes _______ except for _______ - CORRECT ANSWER - pH,
my patient, Potassium
Up - CORRECT ANSWER - hyokalemia, alkalosis, HTN, Tachycardia, Tachypnea,
Seizures, Irritability, Spastic, Diarrhea, Borborygme, hyperreflexia, etc
Down - CORRECT ANSWER - hyperkalemia, acidosis, htn, bradycardia, constipation,
absent bowel sounds, flacid, bradypnea
, 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
_______ - CORRECT ANSWER - lung, respiratory, overventilating, underventilating,
overventilating, alkalosis, underventilating, acidosis
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 _______ _______ - CORRECT
ANSWER - metabolic, prolonged gastric, alkalosis, metabolic acidosis, metabolic acidosis
High pressure alarms are triggered by _______ resistance to air flow. - CORRECT
ANSWER - increased
High pressure alarms are triggered by increased resistance to airflow and can be caused by
obstructions of three types: _______ action, _______ action, _______ action - CORRECT
ANSWER - (kinked tube) unkink, (water in tube) empty, (mucus in airway) cough and
deep breathe
Low pressure alarms are triggered by _______ resistance to airflow. - CORRECT
ANSWER - decreased
Low pressure alarms are triggered by decreased resistance to airflow and can be caused by
disconnections of the _______ or _______ - CORRECT ANSWER - tubing (reconnect it),
oxygen sensor tube (reconnect it UNLESS tube is on the floor- bag them and call RT if this
happens)
Respiratory alkalosis means ventilator settings may be too _______ - CORRECT
ANSWER - high
Respiratory acidosis means ventilator settings may be too _______ - CORRECT
ANSWER - low
Lecture/Yellow Book UPDATED ACTUAL
Exam Questions and CORRECT Answers
Rule of the B's: If the ____ and the _____ are ______ in the same direction then it is meta_____
- CORRECT ANSWER - pH, Bicarb, Both, Bolic
pH 7.30_______ HCO3 20_______ - CORRECT ANSWER - ↓= acidosis; ↓= metabolic
pH 7.58_______ HCO3 32_______ - CORRECT ANSWER - ↑= alkalosis; ↑= metabolic
pH 7.22_______ HCO3 30_______ - CORRECT ANSWER - ↓= acidosis; ↑= respiratory
You are providing care to a client with the following blood gas results: pH 7.32, CO2 49, HCO3
29, PO2 80, and SaO2 90%. Based on these results, the client is experiencing: - CORRECT
ANSWER - ↓= acidosis; ↑= respiratory
MacKussmaul - CORRECT ANSWER - The only acid base to cause Kussmaul
respirations is Metabolic ACidosis
As the _______ goes, so goes _______ except for _______ - CORRECT ANSWER - pH,
my patient, Potassium
Up - CORRECT ANSWER - hyokalemia, alkalosis, HTN, Tachycardia, Tachypnea,
Seizures, Irritability, Spastic, Diarrhea, Borborygme, hyperreflexia, etc
Down - CORRECT ANSWER - hyperkalemia, acidosis, htn, bradycardia, constipation,
absent bowel sounds, flacid, bradypnea
, 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
_______ - CORRECT ANSWER - lung, respiratory, overventilating, underventilating,
overventilating, alkalosis, underventilating, acidosis
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 _______ _______ - CORRECT
ANSWER - metabolic, prolonged gastric, alkalosis, metabolic acidosis, metabolic acidosis
High pressure alarms are triggered by _______ resistance to air flow. - CORRECT
ANSWER - increased
High pressure alarms are triggered by increased resistance to airflow and can be caused by
obstructions of three types: _______ action, _______ action, _______ action - CORRECT
ANSWER - (kinked tube) unkink, (water in tube) empty, (mucus in airway) cough and
deep breathe
Low pressure alarms are triggered by _______ resistance to airflow. - CORRECT
ANSWER - decreased
Low pressure alarms are triggered by decreased resistance to airflow and can be caused by
disconnections of the _______ or _______ - CORRECT ANSWER - tubing (reconnect it),
oxygen sensor tube (reconnect it UNLESS tube is on the floor- bag them and call RT if this
happens)
Respiratory alkalosis means ventilator settings may be too _______ - CORRECT
ANSWER - high
Respiratory acidosis means ventilator settings may be too _______ - CORRECT
ANSWER - low
