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
1
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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
2
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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
3
100% Pass Guarantee Katelyn Whitman, All Rights
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
1
100% Pass Guarantee Katelyn Whitman, All Rights
,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
2
100% Pass Guarantee Katelyn Whitman, All Rights
, 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
3
100% Pass Guarantee Katelyn Whitman, All Rights
