Page 1 of 79
“MARK KLIMEK YELLOW BOOK (KV)
QUESTIONS & ANSWERS EXAM 2026 ”LATEST
EXAM 2026 – 2027 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED 100% GUARANTEE
PASS
Mark Klimek Yellow Book (KV)
If the pH and the BiCarb are both in the same direction then it is?
Metabolc
If the pH is up it is?
Alkalosis
As the pH goes so goes my patient except for?
Potassium
If the pH is down it is?
Acidosis
If the pH is up my patient with show signs and symptoms of?
Increase... like tachycardia,diarrhea and borborygmi
If the pH is down my patient will show signs and symtoms of?
Decrease... like decreased output, bradycardia and constipation
If my pH is up my potassium (K+) is ?
Down
If my pH is down my potassium (K+) is?
, Page 2 of 79
Up
If my patient is overventilating I should choose?
Respiratory Alkalosis
If my patient is underventilating I should choose?
Respiratory Acidosis
If my patient has prolonged gastric vomiting or suction I choose?
Metabolic Alkalosis
If it is not lung or prolonged vomiting or suctioning I choose?
Metabolic Acidosis
Kussmal Respirations
Metabolic Acidosis ( Remember MacKussmal
Before measuing ABGs you should check what?
Allen's test. Should be positive. Pt makes a fist and pressure is applied to the ulnar
and the radial arteries Ulnar pressure is released and color should return in 7
seconds (means it's positive and OK to take ABG's).
Definition of Compensation
PH is normal! It is never compensated if it is abnormal.
If PH normal
look in the direction it is going. Closer to Acidic? (7.35) acidosis.
Then look at Bicarb & figure out which is abnormal. If Bicarb is out of range, it's
metabolic acidosis.
If C02 is abnormal, it's Respiratory Acidosis :)
If your pt is acidotic and you need to pick a symptom
Pick the symptom where everything is DOWN. ( And vice Versa)
Ex: 2 degree Morbitz Type 2 BLOCK. <---- Down direction
If you don't know what causes an acid base balance, pick
Metabolic Acidosis
If in doubt in ABGs, always pick
Headache, nausea, weakness & numbness+ tingling. It can be either up or down.
High pressure alarms are triggered when?
They cannot push air in
High pressure alarms are caused by what three types of obstructions?
, Page 3 of 79
Kinking, Water in dependant loops and mucus in the airway.
If kinking in the tube is present you?
Unkink
If water is present in the dependant loops you?
Open system and empty water.
If mucus is present you?
Turn them, cough and have them deeo breath first. If ineffective you then suction.
Don't suction unless
Coughing & deep breathing is deemed inappropriate.
In order to suction, you must be able to hear
Mucus in the lung
Low pressure alarms are triggered when?
It is to easy to push air in.
Low pressure alarms are normally caused by?
Disconnection
If the tubing is disconnected you?
Reconnect
If O2 sensor line is disconnected you?
Reconnect
In a vented client respiratory alkalosis means the vent setting may be too?
High
In a vented client respiratory acidosis means the vent may be too?
Low
What do you do if the patients disconnected tube is on the floor?
Bag them, (call for help) get new tube and then reconnect.
First question to ask if the low pressure alarm sounds
Where is the tubing?!
HOLD
H- High Pressure
O- Obstruction
L- Low
D- Disconnections
Never put anything in YOUR scope of practice
On anyone else
, Page 4 of 79
Make sure your answer is
PATIENT FOCUSED.
TAKE CARE OF YOUR PATIENT!
Don't answer based on staff, building, machine, etc.
PATIENT FIRST.
What does wean mean?
Decrease Gradually
What do you do if the patients disconnected tube is on the chest?
Reconnect ... if its above the waist its ok.
Remember is PSYCH if you are asked to Prioritize, Don't forget
MASLOW!
1. Physiological
2. Safety
3. Comfort - Includes pain
4. Psychological
5. Social
6. Spiritual
When prioritizing, always use Maslow + ABCs
For one patient. Don't if you have more than one patient.
What is the biggest problem in abuse?
Denial
To treat denial you need to?
Confront them.
Definition of Denial
Refusal to accept reality of their problem
How do you confront?
Point out the difference between what they say and what they do.
What is the one circumstance that you as a nurse would support denial?
Loss and Grief
Always go
Med surg first. Then Psych
What is dependency?
When the abuser gets a significant other so make decisions for them or do thing for
them.
“MARK KLIMEK YELLOW BOOK (KV)
QUESTIONS & ANSWERS EXAM 2026 ”LATEST
EXAM 2026 – 2027 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED 100% GUARANTEE
PASS
Mark Klimek Yellow Book (KV)
If the pH and the BiCarb are both in the same direction then it is?
Metabolc
If the pH is up it is?
Alkalosis
As the pH goes so goes my patient except for?
Potassium
If the pH is down it is?
Acidosis
If the pH is up my patient with show signs and symptoms of?
Increase... like tachycardia,diarrhea and borborygmi
If the pH is down my patient will show signs and symtoms of?
Decrease... like decreased output, bradycardia and constipation
If my pH is up my potassium (K+) is ?
Down
If my pH is down my potassium (K+) is?
, Page 2 of 79
Up
If my patient is overventilating I should choose?
Respiratory Alkalosis
If my patient is underventilating I should choose?
Respiratory Acidosis
If my patient has prolonged gastric vomiting or suction I choose?
Metabolic Alkalosis
If it is not lung or prolonged vomiting or suctioning I choose?
Metabolic Acidosis
Kussmal Respirations
Metabolic Acidosis ( Remember MacKussmal
Before measuing ABGs you should check what?
Allen's test. Should be positive. Pt makes a fist and pressure is applied to the ulnar
and the radial arteries Ulnar pressure is released and color should return in 7
seconds (means it's positive and OK to take ABG's).
Definition of Compensation
PH is normal! It is never compensated if it is abnormal.
If PH normal
look in the direction it is going. Closer to Acidic? (7.35) acidosis.
Then look at Bicarb & figure out which is abnormal. If Bicarb is out of range, it's
metabolic acidosis.
If C02 is abnormal, it's Respiratory Acidosis :)
If your pt is acidotic and you need to pick a symptom
Pick the symptom where everything is DOWN. ( And vice Versa)
Ex: 2 degree Morbitz Type 2 BLOCK. <---- Down direction
If you don't know what causes an acid base balance, pick
Metabolic Acidosis
If in doubt in ABGs, always pick
Headache, nausea, weakness & numbness+ tingling. It can be either up or down.
High pressure alarms are triggered when?
They cannot push air in
High pressure alarms are caused by what three types of obstructions?
, Page 3 of 79
Kinking, Water in dependant loops and mucus in the airway.
If kinking in the tube is present you?
Unkink
If water is present in the dependant loops you?
Open system and empty water.
If mucus is present you?
Turn them, cough and have them deeo breath first. If ineffective you then suction.
Don't suction unless
Coughing & deep breathing is deemed inappropriate.
In order to suction, you must be able to hear
Mucus in the lung
Low pressure alarms are triggered when?
It is to easy to push air in.
Low pressure alarms are normally caused by?
Disconnection
If the tubing is disconnected you?
Reconnect
If O2 sensor line is disconnected you?
Reconnect
In a vented client respiratory alkalosis means the vent setting may be too?
High
In a vented client respiratory acidosis means the vent may be too?
Low
What do you do if the patients disconnected tube is on the floor?
Bag them, (call for help) get new tube and then reconnect.
First question to ask if the low pressure alarm sounds
Where is the tubing?!
HOLD
H- High Pressure
O- Obstruction
L- Low
D- Disconnections
Never put anything in YOUR scope of practice
On anyone else
, Page 4 of 79
Make sure your answer is
PATIENT FOCUSED.
TAKE CARE OF YOUR PATIENT!
Don't answer based on staff, building, machine, etc.
PATIENT FIRST.
What does wean mean?
Decrease Gradually
What do you do if the patients disconnected tube is on the chest?
Reconnect ... if its above the waist its ok.
Remember is PSYCH if you are asked to Prioritize, Don't forget
MASLOW!
1. Physiological
2. Safety
3. Comfort - Includes pain
4. Psychological
5. Social
6. Spiritual
When prioritizing, always use Maslow + ABCs
For one patient. Don't if you have more than one patient.
What is the biggest problem in abuse?
Denial
To treat denial you need to?
Confront them.
Definition of Denial
Refusal to accept reality of their problem
How do you confront?
Point out the difference between what they say and what they do.
What is the one circumstance that you as a nurse would support denial?
Loss and Grief
Always go
Med surg first. Then Psych
What is dependency?
When the abuser gets a significant other so make decisions for them or do thing for
them.
