MARK KLIMEK NCLEX STUDY REVIEW
EXAM QUESTIONS AND ANSWERS 2024
Ph goes up - answer-so does the patient
Ph goes down - answer-so does the patient
If ph and bicarb are both in the same direction - answer-its metabolic
Bicarb - answer-22-26
Co2 - answer-35-45
Overventilating - answer-alkalosis
Underventilating - answer-acidosis
Prolonged gastric vomiting or suction - answer-metabolic alkalosis
#1 psychological problem in abuse - answer-denial
Dependency - answer-when the abuser gets the significant other to do things for them
or make decisions for them
Codependency - answer-when the significant other derives positive self esteem from
doing other things for or making decision for the abuser
Wernicke-korsakoff syndrome - answer-psychosis induced by vitamin b1 (thiamine)
deficiency.
Wernicke-korsakoff syndrome symptom - answer-amnesia with confabulation
Confabulation - answer-making up stories to fill in memory loss
Antabuse (disulfiram) - answer-a drug used in the detoxification of individuals with
alcohol dependency. Aversion therapy
Aversion therapy - answer-
While taking antabuse avoid - answer-all alcohol
Stimulants - answer-drugs (such as caffeine, nicotine, and the more powerful
amphetamines, cocaine, and ecstasy) that excite neural activity and speed up body
functions.
, Depressants - answer-drugs (such as alcohol, barbiturates, and opiates) that reduce
neural activity and slow body functions
Overdose of stimlant - answer-body is stimulated
Overdose of depressants - answer-body is depressed
Withdrawal with stimulant - answer-body is depressed
Withdrawal with depressant - answer-body is stimulated
Uppers aka stimulants - answer-caffeine, cocaine, pcp/lsd, meth, adderall
Respiratory arrest would be a concern - answer-downer overdose or upper withdrawal
Seizure would be the biggest risk - answer-upper overdose or downer withdrawal
Drug addiction in the newborn - answer-always assume intoxication at birth first 24
hours then withdrawal
Alcohol withdrawal - answer-24 hrs
Delirium termens - answer-72 hrs
Aws - answer-regular diet, semi private room, up ad lib, no restraints
Dts (delirium tremens) - answer-npo or clear liquid, private room near nurses, bedrest,
restraints,
Aminoglycosides - answer-used to treat severe, life threatening, resistant infections
Toxic effect of aminoglycosides - answer-ototoxicity and nephrotoxicity
Creatine - answer-best indicator of kidney function
Oral bowel sterilizers - answer-neomycin and canomycin
Ccb - answer-end in dipine, always measure bp bc risk for hypotension,
Ccb se - answer-hypotension, headache
Ccb treat - answer-antihypertensives, antianginal, anti atrial arrhythmias
Catergory a (most serious) - answer-small pox, tularemia, anthrax, plague, hemorrhagic
fever (ebola), botolism
EXAM QUESTIONS AND ANSWERS 2024
Ph goes up - answer-so does the patient
Ph goes down - answer-so does the patient
If ph and bicarb are both in the same direction - answer-its metabolic
Bicarb - answer-22-26
Co2 - answer-35-45
Overventilating - answer-alkalosis
Underventilating - answer-acidosis
Prolonged gastric vomiting or suction - answer-metabolic alkalosis
#1 psychological problem in abuse - answer-denial
Dependency - answer-when the abuser gets the significant other to do things for them
or make decisions for them
Codependency - answer-when the significant other derives positive self esteem from
doing other things for or making decision for the abuser
Wernicke-korsakoff syndrome - answer-psychosis induced by vitamin b1 (thiamine)
deficiency.
Wernicke-korsakoff syndrome symptom - answer-amnesia with confabulation
Confabulation - answer-making up stories to fill in memory loss
Antabuse (disulfiram) - answer-a drug used in the detoxification of individuals with
alcohol dependency. Aversion therapy
Aversion therapy - answer-
While taking antabuse avoid - answer-all alcohol
Stimulants - answer-drugs (such as caffeine, nicotine, and the more powerful
amphetamines, cocaine, and ecstasy) that excite neural activity and speed up body
functions.
, Depressants - answer-drugs (such as alcohol, barbiturates, and opiates) that reduce
neural activity and slow body functions
Overdose of stimlant - answer-body is stimulated
Overdose of depressants - answer-body is depressed
Withdrawal with stimulant - answer-body is depressed
Withdrawal with depressant - answer-body is stimulated
Uppers aka stimulants - answer-caffeine, cocaine, pcp/lsd, meth, adderall
Respiratory arrest would be a concern - answer-downer overdose or upper withdrawal
Seizure would be the biggest risk - answer-upper overdose or downer withdrawal
Drug addiction in the newborn - answer-always assume intoxication at birth first 24
hours then withdrawal
Alcohol withdrawal - answer-24 hrs
Delirium termens - answer-72 hrs
Aws - answer-regular diet, semi private room, up ad lib, no restraints
Dts (delirium tremens) - answer-npo or clear liquid, private room near nurses, bedrest,
restraints,
Aminoglycosides - answer-used to treat severe, life threatening, resistant infections
Toxic effect of aminoglycosides - answer-ototoxicity and nephrotoxicity
Creatine - answer-best indicator of kidney function
Oral bowel sterilizers - answer-neomycin and canomycin
Ccb - answer-end in dipine, always measure bp bc risk for hypotension,
Ccb se - answer-hypotension, headache
Ccb treat - answer-antihypertensives, antianginal, anti atrial arrhythmias
Catergory a (most serious) - answer-small pox, tularemia, anthrax, plague, hemorrhagic
fever (ebola), botolism
