Mark Klimek NCLEX Review- Lecture/Yellow Book Exam Questions and Answers 100% Pass

Mark Klimek NCLEX Review-
Lecture/Yellow Book Exam Questions
and Answers 100% Pass


Rule of the B's: If the ____ and the _____ are ______ in the same direction

then it is meta_____ - ✔✔pH, Bicarb, Both, Bolic


pH 7.30_______ HCO3 20_______ - ✔✔↓= acidosis; ↓= metabolic


pH 7.58_______ HCO3 32_______ - ✔✔↑= alkalosis; ↑= metabolic


pH 7.22_______ HCO3 30_______ - ✔✔↓= 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: - ✔✔↓= acidosis; ↑= respiratory




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,MacKussmaul - ✔✔The only acid base to cause Kussmaul respirations is

Metabolic ACidosis


As the _______ goes, so goes _______ except for _______ - ✔✔pH, my

patient, Potassium


Up - ✔✔hyokalemia, alkalosis, HTN, Tachycardia, Tachypnea, Seizures,

Irritability, Spastic, Diarrhea, Borborygme, hyperreflexia, etc


Down - ✔✔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 _______ - ✔✔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



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, what to pick, choose _______ _______ - ✔✔metabolic, prolonged gastric,

alkalosis, metabolic acidosis, metabolic acidosis


High pressure alarms are triggered by _______ resistance to air flow. -

✔✔increased


High pressure alarms are triggered by increased resistance to airflow and

can be caused by obstructions of three types: _______ action, _______

action, _______ action - ✔✔(kinked tube) unkink, (water in tube) empty,

(mucus in airway) cough and deep breathe


Low pressure alarms are triggered by _______ resistance to airflow. -

✔✔decreased


Low pressure alarms are triggered by decreased resistance to airflow and

can be caused by disconnections of the _______ or _______ - ✔✔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 _______ -

✔✔high



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