MARK KLIMEK EXAM QUESTIONS AND
ANSWERS
Rule of B's - Answer-If the pH and the bicarbonate are both in the same direction, then it
is metabolic
Normal bicarbonate - Answer-22-26
As the pH goes....? - Answer-So goes my patient except for potassium
Mackussmaul - Answer-Metabolic acidosis
Borborygmi - Answer-Hyperactive bowel sounds
Compensated acid-base imbalances - Answer-PH normal and bicarbonate abnormal
Kussmaul respirations - Answer-Fast deep respiration's to blow off CO2
overventilating also means - Answer-Alkalosis
underventilating also means - Answer-Acidosis
Prolonged vomiting or suction - Answer-Metabolic alkalosis
When in doubt choose? - Answer-Metabolic acidosis
Respiratory alkalosis means ventilator settings may be too...? - Answer-High
Respiratory acidosis means the ventilator settings may be too...? - Answer-Low
Maslow Hierarchy - Answer-1. Physiological
2. Safety
3. Comfort
4. Psychological
5. Social
6. Spiritual
Every psych patient starts as...? - Answer-A medsurg patient
Wernicke's (korsikoffs) syndrome - Answer-Psychosis induced by vitamin B1 (thiamine)
deficiency that causes amnesia with confabulation. Irreversible but can be prevented
Disulfiram (Antabuse) - Answer-This drug will make you vomit when alcohol is
consumed
, Naltrexone - Answer-Blocks the effect of alcohol
Onset and duration of effectiveness for disulfiram and naltrexone - Answer-2 weeks to
be effective and 2 weeks to exit your system
Name of the upper drugs - Answer-Caffeine
Cocaine
LSD/PCP
methamphetamines
ADHD drugs
Bath salts
Overdose/ intoxication
Too much uppers = ?
Too much downer = ? - Answer-Everything goes up
Everything goes down
Withdrawal
Too little upper = ?
Too much downer = ? - Answer-Everything goes down
Everything goes up
Mydriasis - Answer-Dilate pupil
Miosis - Answer-Construct pupil
Drug abuse in a newborn - Answer-Always assume intoxication not Withdrawal at birth
and in the first 24 hours
The 3 mycin that are not aminoglycosides - Answer-Erythromycin
Zithromycin
Clarithromycin
They all have -thro-
Toxic effects of aminoglycosides? - Answer-Ototoxicity (monitor hearing acuity,
dizziness and tinnitus) , nephrotoxicity (monitor creatinine) and cranial nerve 8
(vestibulocochlear nerve) which senses sound.
Only give aminoglycoside by mouth for what? - Answer-To sterilize the bowel; for bowel
surgery or hepatic encephalopathy to get rid of ammonia
Who can sterilize my bowel? - Answer-Neo- kan-
ANSWERS
Rule of B's - Answer-If the pH and the bicarbonate are both in the same direction, then it
is metabolic
Normal bicarbonate - Answer-22-26
As the pH goes....? - Answer-So goes my patient except for potassium
Mackussmaul - Answer-Metabolic acidosis
Borborygmi - Answer-Hyperactive bowel sounds
Compensated acid-base imbalances - Answer-PH normal and bicarbonate abnormal
Kussmaul respirations - Answer-Fast deep respiration's to blow off CO2
overventilating also means - Answer-Alkalosis
underventilating also means - Answer-Acidosis
Prolonged vomiting or suction - Answer-Metabolic alkalosis
When in doubt choose? - Answer-Metabolic acidosis
Respiratory alkalosis means ventilator settings may be too...? - Answer-High
Respiratory acidosis means the ventilator settings may be too...? - Answer-Low
Maslow Hierarchy - Answer-1. Physiological
2. Safety
3. Comfort
4. Psychological
5. Social
6. Spiritual
Every psych patient starts as...? - Answer-A medsurg patient
Wernicke's (korsikoffs) syndrome - Answer-Psychosis induced by vitamin B1 (thiamine)
deficiency that causes amnesia with confabulation. Irreversible but can be prevented
Disulfiram (Antabuse) - Answer-This drug will make you vomit when alcohol is
consumed
, Naltrexone - Answer-Blocks the effect of alcohol
Onset and duration of effectiveness for disulfiram and naltrexone - Answer-2 weeks to
be effective and 2 weeks to exit your system
Name of the upper drugs - Answer-Caffeine
Cocaine
LSD/PCP
methamphetamines
ADHD drugs
Bath salts
Overdose/ intoxication
Too much uppers = ?
Too much downer = ? - Answer-Everything goes up
Everything goes down
Withdrawal
Too little upper = ?
Too much downer = ? - Answer-Everything goes down
Everything goes up
Mydriasis - Answer-Dilate pupil
Miosis - Answer-Construct pupil
Drug abuse in a newborn - Answer-Always assume intoxication not Withdrawal at birth
and in the first 24 hours
The 3 mycin that are not aminoglycosides - Answer-Erythromycin
Zithromycin
Clarithromycin
They all have -thro-
Toxic effects of aminoglycosides? - Answer-Ototoxicity (monitor hearing acuity,
dizziness and tinnitus) , nephrotoxicity (monitor creatinine) and cranial nerve 8
(vestibulocochlear nerve) which senses sound.
Only give aminoglycoside by mouth for what? - Answer-To sterilize the bowel; for bowel
surgery or hepatic encephalopathy to get rid of ammonia
Who can sterilize my bowel? - Answer-Neo- kan-
