Mark Klimek NCLEX Prep Exam
Questions and Answers 100% Pass
What are the rule of B's in interpreting blood gases - ✔✔If the pH and
HCO3 are both in the same direction, then it is metabolic, and if the pH and
HCO3 are in opposite directions, it is respiratory
Acidosis and alkalosis is decided by pH
How does the body respond to pH imbalances? - ✔✔If the pH is alkalotic,
the body is irritable (K+ goes down)
Keep suction at bedside due to possible seizures!
If the pH is acidotic, the body shuts
down (K+ goes up)
1
100% Pass Guarantee Katelyn Whitman, All Rights
,Keep ambubag at bedside due to possible respiratory arrest!
Kussmauls respiration is a compensation for which ABG imbalance? -
✔✔Metabolic acidosis
Overventilating and underventilating can cause which pH impalances? -
✔✔Overventilating can cause respiratory alkalosis
Underventilating can cause respiratory acidosis
Which scenarios would result in which types of metabolic imbalances? -
✔✔Metabolic alkalosis would result from prolonged vomiting or
suctioning such as hyperemesis gravidarum or suctioning for days
Metabolic acidosis would result from dehydration, renal failure
What triggers a high pressure alarm? - ✔✔It is triggered by resistance to
airflow (machine pushing too hard to get air into lungs) such as kinks in
the tubing, water condensing in the tube, or mucus secretions in the airway
2
100% Pass Guarantee Katelyn Whitman, All Rights
,What triggers low pressure alarms? - ✔✔It is triggered by a decreased
resistance to airflow (air is going into lungs too easily) such as
disconnections to main tubing and oxygen sensor tubing (reconnect)
When do you suction? - ✔✔Suction only as needed, and only if you have
tried turning, coughing, or deep breathing and they don't work
What are the main psychological problems with alcoholism? - ✔✔Denial
and dependency/codependency
How do you treat alcoholism denial? - ✔✔Confront the denial by pointing
out differences in what they say vs what they do (not aggression)
How do you treat dependency/codependency for alcoholism? - ✔✔Teach
the codependent to set limits and enforce them, and work on self-esteem of
the codependent
Manipulation vs dependency/codependency - ✔✔Manipulation can be
dangerous and lead to harm (includes illegal) whereas
dependency/codependency does not cause harm
3
100% Pass Guarantee Katelyn Whitman, All Rights
, How do you treat manipulation - ✔✔Same as treating dependency and
codependency, by setting limits and enforcing them
What is Wernicke-Korsakoff syndrome? - ✔✔wernicke- encephalopathy
induced by vitamin B1 or thiamine deficiency
korsakoff - memory loss, confabulation, personality changes resulting from
alcohol abuse
Stages of Wernicke-Korsakoff and treatment - ✔✔Preventable: Take
vitamin B1 as it metabolizes alcohol
Arrestable: Stop it from getting worse with vitamin B1
Irreversible: Will kill brain cells
Stopping alcohol use isn't necessary
4
100% Pass Guarantee Katelyn Whitman, All Rights
Questions and Answers 100% Pass
What are the rule of B's in interpreting blood gases - ✔✔If the pH and
HCO3 are both in the same direction, then it is metabolic, and if the pH and
HCO3 are in opposite directions, it is respiratory
Acidosis and alkalosis is decided by pH
How does the body respond to pH imbalances? - ✔✔If the pH is alkalotic,
the body is irritable (K+ goes down)
Keep suction at bedside due to possible seizures!
If the pH is acidotic, the body shuts
down (K+ goes up)
1
100% Pass Guarantee Katelyn Whitman, All Rights
,Keep ambubag at bedside due to possible respiratory arrest!
Kussmauls respiration is a compensation for which ABG imbalance? -
✔✔Metabolic acidosis
Overventilating and underventilating can cause which pH impalances? -
✔✔Overventilating can cause respiratory alkalosis
Underventilating can cause respiratory acidosis
Which scenarios would result in which types of metabolic imbalances? -
✔✔Metabolic alkalosis would result from prolonged vomiting or
suctioning such as hyperemesis gravidarum or suctioning for days
Metabolic acidosis would result from dehydration, renal failure
What triggers a high pressure alarm? - ✔✔It is triggered by resistance to
airflow (machine pushing too hard to get air into lungs) such as kinks in
the tubing, water condensing in the tube, or mucus secretions in the airway
2
100% Pass Guarantee Katelyn Whitman, All Rights
,What triggers low pressure alarms? - ✔✔It is triggered by a decreased
resistance to airflow (air is going into lungs too easily) such as
disconnections to main tubing and oxygen sensor tubing (reconnect)
When do you suction? - ✔✔Suction only as needed, and only if you have
tried turning, coughing, or deep breathing and they don't work
What are the main psychological problems with alcoholism? - ✔✔Denial
and dependency/codependency
How do you treat alcoholism denial? - ✔✔Confront the denial by pointing
out differences in what they say vs what they do (not aggression)
How do you treat dependency/codependency for alcoholism? - ✔✔Teach
the codependent to set limits and enforce them, and work on self-esteem of
the codependent
Manipulation vs dependency/codependency - ✔✔Manipulation can be
dangerous and lead to harm (includes illegal) whereas
dependency/codependency does not cause harm
3
100% Pass Guarantee Katelyn Whitman, All Rights
, How do you treat manipulation - ✔✔Same as treating dependency and
codependency, by setting limits and enforcing them
What is Wernicke-Korsakoff syndrome? - ✔✔wernicke- encephalopathy
induced by vitamin B1 or thiamine deficiency
korsakoff - memory loss, confabulation, personality changes resulting from
alcohol abuse
Stages of Wernicke-Korsakoff and treatment - ✔✔Preventable: Take
vitamin B1 as it metabolizes alcohol
Arrestable: Stop it from getting worse with vitamin B1
Irreversible: Will kill brain cells
Stopping alcohol use isn't necessary
4
100% Pass Guarantee Katelyn Whitman, All Rights
