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Mark Klimek NCLEX Lecture Notes – 2025/2026 | 300+ Critical Concepts | Lab Values, Prioritization, Diseases, Pharmacology

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This document contains over 300 condensed and expert-organized lecture notes based on Mark Klimek’s NCLEX Review, updated for the 2025/2026 exam cycle. It provides a comprehensive and highly practical summary of high-yield concepts necessary for success on the NCLEX-RN and NCLEX-PN exams. Designed in a streamlined bullet-point format, the content emphasizes memory aids, decision-making strategies, and clinical reasoning—core to passing the licensing exam. Core topics include: Lab Values: Critical ranges for ABGs, electrolytes, hematology, liver/kidney panels, and cardiac markers Pharmacology: Toxic drug levels, side effects, antidotes, therapeutic windows, medication suffixes, and administration rules Disease Management: Signs and symptoms, nursing priorities, interventions, isolation protocols, acid-base imbalances Priority & Delegation: Maslow’s hierarchy, ABCs, stable vs unstable clients, role differentiation (RN, LPN, UAP) Psychiatric Nursing: Defense mechanisms, therapeutic communication, psych disorders, restraints, suicide precautions OB/Peds: Labor stages, fetal monitoring, neonatal complications, growth milestones, pregnancy warning signs Infection Control: Transmission-based precautions (airborne, droplet, contact), PPE use, isolation protocols Test-Taking Strategies: Klimek’s critical thinking techniques, priority words, and NCLEX “traps” to avoid Perfect for: Students preparing for NCLEX-RN or NCLEX-PN exams in the U.S. Nursing graduates and repeat test-takers looking for a focused, review-heavy supplement LPN/LVN and RN candidates who prefer guided lecture-style summaries Nursing instructors providing exam prep or remediation content This document distills years of Klimek’s trusted teaching into digestible notes that promote long-term retention and critical thinking—key elements for acing the NCLEX. Keywords: NCLEX review, Mark Klimek notes, lab values NCLEX, nursing pharmacology, prioritization, delegation, Maslow, ABCs, toxic drug levels, side effects, acid-base balance, therapeutic communication, OB NCLEX, pediatrics nursing, infection control, psychiatric nursing, restraints, nursing interventions, RN exam prep, LPN test guide

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Uploaded on
October 1, 2025
Number of pages
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Written in
2025/2026
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Mark Klimek Lecture 2025/2026 Exam
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Rule of B's for ABGs - 🧠 ANSWER ✔✔if the pH and the Bicarb are Both in

the same direction it is metaBolic

normal pH


normal Bicarb - 🧠 ANSWER ✔✔pH: 7.35-7.45


Bicarb: 22-26


Kussmul respirations - 🧠 ANSWER ✔✔MACkussmul= metabolic acidosis


S&S of acid-base imbalance - 🧠 ANSWER ✔✔as the pH goes, so goes my

patient except for potassium

UP: (alkolosis):decreased K+, highest risk for seizures

,DOWN: (acidosis): increased K+, highest risk for respiratory arrest

causes of respiratory acid-base imbalance - 🧠 ANSWER

✔✔lung=respiratory


overvent or undervent

overvent= alkolosis

undervent=acidosis


causes of metabolic acid-base imbalance - 🧠 ANSWER ✔✔not

lung=metabolic

prolonged gastric vomiting or suction=metabolic alkolosis (losing acid)

everything else=metabolic acidosis


high pressured ventilator alarms - 🧠 ANSWER ✔✔triggered by increase

resistance to air flow and can be caused by obstruction of three types:

kinked tube: unkink it

water in tube: empty it

mucus in airway: turn, cough, deep breathe

,low pressured ventilator alarams - 🧠 ANSWER ✔✔triggered by decreased

resistance to air flow and can be caused by disconnections:

tubing: reconnect if not contaminate

if contaminated (below bed level): call first, then bag, reconnect


respiratory alkalosis vs acidosis - 🧠 ANSWER ✔✔alkalosis: ventilator

setting may be too high (overvent)

acidosis: ventilator setting may too low (undervent)


HOLD - 🧠 ANSWER ✔✔high pressured alarms


obstruction

low pressured alarms

disconnection


Maslow - 🧠 ANSWER ✔✔1. physiological


2. safety

3. comfort

4. psychological

5. social


COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3

, 6. spiritual


#1 problem in substance abuse - 🧠 ANSWER ✔✔denial: refusal to accept

the reality of their problem

treatment: confront it by pointing out to the person the difference between

what they say and what they do.

however, in grief and loss support denial


dependency/codependency - 🧠 ANSWER ✔✔dependency: when abuser

gets SO to do things for them or make decisions for them

codependency: when the SO derives positive self-esteem from doing things

for or making decisions for the abuser


treating dependency/codenpendency - 🧠 ANSWER ✔✔set limits and

enforce them. agree in advance what requests are allowed then enforce

the agreement

work on the self-esteem of the codependent person


manipulation - 🧠 ANSWER ✔✔when abuser gets the SO to do things for

him/her that are no in the best interest of the SO. nature of the act is

dangerous or harmful to SO

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