Mark Klimek NCLEX
Lectures latest Update
2025 | Comprehensive
Doc | Grade A | 100%
Correct -The Ultimate
Guide for Yr.
(2026/2027)
, Table of Contents
Lecture 1 – Acid-Base Balance, Ventilators
Lecture 2 – Alcohol, Wernicke, Overdose and Withdrawal S/Sx, Aminoglycosides,
Peak and Trough
Lecture 3 – Cardiac Medication, Calcium Channel Blockers, Cardiac Arrhythmias,
Chest Tube, Congenital Heart Defects, Infectious Disease, PPE
Lecture 4 – Crutches, Canes, Walkers, Delusions, Hallucinations, Psychosis,
Psychotic and Non-Psychotic Hallucination, Illusion, Delusion
Lecture 5 – Diabetes Mellitus, Diabetes Insipidus SIADH, Insulin, DKA, HHNK
Lecture 6 – Drug Toxicities (Lithium, Lanoxin, Dilantin, Bilirubin, Aminophylline),
Kernicterus, Dumping / HH Electrolytes: K+, CA, MG, and NA, Treatment for
Hyperkalemia.
Lecture 7 – Thyroid (Hyper-, Hypo-), Adrenal Cortex (Addison Disease, Cushing),
Toys, Laminectomy
Lecture 8 – Lab Values, Five Deadly Ds, Neutropenic Precaution.
Lecture 9 – Psych Drugs, Tri, Benzo, MAOI, Lithium, Prozac, Haldol, Clozaril,
Zoloft.
Lecture 10 – Maternity and Neonatology
Lecture 11 – Fetal Complications, Stages of Labor, Assessments, Variations
for NB, Maternity Medications, Medication Hints, Psych Tips, Operational
Stages.
Lecture 12 – Prioritization, Delegation, Staff Management, Guessing Strategies
Lecture 1
Acid-Base Balance, Ventilators
Etsy: NursingExamSuccess Page 1 of 108
,Acid/Base Balance
The first value to look at in an acid-base disorder is
- If pH is <7.35, the acid-base imbalance isaci d o tic
- If pH is >7.45, the acid-base imbalance isal kal o ti c
Now, to determine if the imbalance is metabolic or respiratory, determine whether
HCO3 goes in the same or opposite direction with pH
Ru l e o f th e Bs : If pH and Bi c a r b move bo th in the same direction, then the acid-
base imbalance is me ta b o l i c … Otherwise, it is respiratory.
To solve acid-base disorders, it is important to
know the normal values for pH, CO2 and HCO3
(bicarbonate). the pH
Etsy: NursingExamSuccess Page 2 of 108
, Example #1
- pH 7.3 Acidosis
- HCO3 20 Metabolic
- This is an example of metabolic acidosis
Example #2
- pH 7.58 Alkalotic
- HCO3 32 Metabolic
- This is an example of metabolic alkalosis
Example #3
- pH 7.22 Acidosis
- HCO3 35 Respiratory
- This is an example of respiratory acidosis
As the pH goes, so goes my patient, except for Potassium … That means
- If pH is low, everything is low, except potassium
- If pH is high, everything is high, except potassium
If pH goes over 7.45, this is alkalosis
Therefore, everything is UP: tachycardia, tachypnea, HTN, seizures,
irritability, spastic, diarrhea, borborygmi (increase bowel sounds), hyperreflexia
(3+, 4+)
However, potassium is low (opposite). Therefore,
Hypokalemia - What is the nursing intervention?
- Pt need suctioning because of seizures
If pH goes below 7.35, this is acidosis
Etsy: NursingExamSuccess Page 3 of 108
Lectures latest Update
2025 | Comprehensive
Doc | Grade A | 100%
Correct -The Ultimate
Guide for Yr.
(2026/2027)
, Table of Contents
Lecture 1 – Acid-Base Balance, Ventilators
Lecture 2 – Alcohol, Wernicke, Overdose and Withdrawal S/Sx, Aminoglycosides,
Peak and Trough
Lecture 3 – Cardiac Medication, Calcium Channel Blockers, Cardiac Arrhythmias,
Chest Tube, Congenital Heart Defects, Infectious Disease, PPE
Lecture 4 – Crutches, Canes, Walkers, Delusions, Hallucinations, Psychosis,
Psychotic and Non-Psychotic Hallucination, Illusion, Delusion
Lecture 5 – Diabetes Mellitus, Diabetes Insipidus SIADH, Insulin, DKA, HHNK
Lecture 6 – Drug Toxicities (Lithium, Lanoxin, Dilantin, Bilirubin, Aminophylline),
Kernicterus, Dumping / HH Electrolytes: K+, CA, MG, and NA, Treatment for
Hyperkalemia.
Lecture 7 – Thyroid (Hyper-, Hypo-), Adrenal Cortex (Addison Disease, Cushing),
Toys, Laminectomy
Lecture 8 – Lab Values, Five Deadly Ds, Neutropenic Precaution.
Lecture 9 – Psych Drugs, Tri, Benzo, MAOI, Lithium, Prozac, Haldol, Clozaril,
Zoloft.
Lecture 10 – Maternity and Neonatology
Lecture 11 – Fetal Complications, Stages of Labor, Assessments, Variations
for NB, Maternity Medications, Medication Hints, Psych Tips, Operational
Stages.
Lecture 12 – Prioritization, Delegation, Staff Management, Guessing Strategies
Lecture 1
Acid-Base Balance, Ventilators
Etsy: NursingExamSuccess Page 1 of 108
,Acid/Base Balance
The first value to look at in an acid-base disorder is
- If pH is <7.35, the acid-base imbalance isaci d o tic
- If pH is >7.45, the acid-base imbalance isal kal o ti c
Now, to determine if the imbalance is metabolic or respiratory, determine whether
HCO3 goes in the same or opposite direction with pH
Ru l e o f th e Bs : If pH and Bi c a r b move bo th in the same direction, then the acid-
base imbalance is me ta b o l i c … Otherwise, it is respiratory.
To solve acid-base disorders, it is important to
know the normal values for pH, CO2 and HCO3
(bicarbonate). the pH
Etsy: NursingExamSuccess Page 2 of 108
, Example #1
- pH 7.3 Acidosis
- HCO3 20 Metabolic
- This is an example of metabolic acidosis
Example #2
- pH 7.58 Alkalotic
- HCO3 32 Metabolic
- This is an example of metabolic alkalosis
Example #3
- pH 7.22 Acidosis
- HCO3 35 Respiratory
- This is an example of respiratory acidosis
As the pH goes, so goes my patient, except for Potassium … That means
- If pH is low, everything is low, except potassium
- If pH is high, everything is high, except potassium
If pH goes over 7.45, this is alkalosis
Therefore, everything is UP: tachycardia, tachypnea, HTN, seizures,
irritability, spastic, diarrhea, borborygmi (increase bowel sounds), hyperreflexia
(3+, 4+)
However, potassium is low (opposite). Therefore,
Hypokalemia - What is the nursing intervention?
- Pt need suctioning because of seizures
If pH goes below 7.35, this is acidosis
Etsy: NursingExamSuccess Page 3 of 108
