ALL THE MARK KLIMEK NCLEX LECTURE
MATERIALS FINAL EXAM 2026 QUESTIONS
WITH COMPLETE SOLUTIONS GRADED A+
◉ What are the five uppers? Answer: Caffeine, Cocaine,
Methamphetamines, PCP/LSD and ADHD Meds
◉ Downers are? Answer: Everything other then the five uppers.
◉ S/S of upper use? Answer: Everything goes up...Tachycardia,
increased BP etc.
◉ S/S of downer use? Answer: Everything goes down...Bradycardia,
decreased BP etc.
◉ Overdose of a downer causes everything to go? Answer: Down
◉ Overdose of an upper causes everything to go? Answer: Up
◉ Withdrawal of an upper causes everything to go? Answer: Down
◉ Withdrawal of a downer causes everything to go? Answer: Up
,◉ At birth if the mother was addicted to a substance always assume
the newborn is in? Answer: Intoxication
◉ If 24 hours after birth assume the baby is in? Answer: Withdrawal
◉ Every alcoholic goes through what withing 24 hours after
cessation? Answer: Withdrawal syndrome
◉ After 72 hours of alochol withdrawal a small minority may get?
Answer: Delirium Tremens
◉ Can Delirium Tremens kill you? Answer: Yes
◉ Can Alcohol Withdrawal Syndrome kill you? Answer: No
◉ Are patients with Alcohol Withdrawal Syndrome a danger to
themselves or others? Answer: No
◉ Are patients with Delirium Tremens a danger to themselves or
others? Answer: Yes
,◉ N/I for Delirium Tremens? Answer: Private room near nurses
station, NPO/Clear liquids, Restricted bed rest, restraints,
tranquilizer, multivitamin (B1 vit.) and antihypertensive.
◉ N/I for Alcohol Withdrawal Syndrome? Answer: Semi-private
room anywhere, regular diet, up and ad-lib, no restraint,
tranquilizer, multivitamin (B1) and antihypertensive.
◉ A two point restraint is? Answer: One arm and the opposite leg.
◉ N/I for restraints? Answer: Check Q15min. and rotate sites Q2H
◉ All aminoglycosides end in? Answer: "mycin" Vancomycin
◉ If it has "thro" in it you? Answer: Throw it out...Zithromycin
◉ Toxic effects of aminoglycosides? Answer: Ototoxicity,
nephrotoxicity and cranial nerve 8 (vestibulocochlear nerve) which
senses sound.
◉ In aminoglycoside use monitor? Answer: Hearing, balance,
tinnitus & creatinine (best indicator of renal function)
◉ Frequency of administration for aminoglycosides? Answer: Q8H
, ◉ Aminoglycoside route of administration? Answer: Im or IV
◉ Aminoglycosides are given PO for what two reasons? Answer:
Hepatic Encephalopathy and Pre-op bowel surgery.
◉ Neomycin and Kanmycin are used for what? Answer: Bowel
sterilzation?
◉ Who can sterilize my bowel? Answer: "Neo" "Kan"
◉ Hepatic Encephalopathy is caused by? Answer: High ammonia
levels
◉ What raises ammonia levels the most? Answer: Ecoli in the gut
◉ When do you draw a trough level? Answer: 30 minutes before the
next scheduled dose.
◉ When do you draw a sublingual peak level? Answer: 5-10 minutes
after it is dissolved.
MATERIALS FINAL EXAM 2026 QUESTIONS
WITH COMPLETE SOLUTIONS GRADED A+
◉ What are the five uppers? Answer: Caffeine, Cocaine,
Methamphetamines, PCP/LSD and ADHD Meds
◉ Downers are? Answer: Everything other then the five uppers.
◉ S/S of upper use? Answer: Everything goes up...Tachycardia,
increased BP etc.
◉ S/S of downer use? Answer: Everything goes down...Bradycardia,
decreased BP etc.
◉ Overdose of a downer causes everything to go? Answer: Down
◉ Overdose of an upper causes everything to go? Answer: Up
◉ Withdrawal of an upper causes everything to go? Answer: Down
◉ Withdrawal of a downer causes everything to go? Answer: Up
,◉ At birth if the mother was addicted to a substance always assume
the newborn is in? Answer: Intoxication
◉ If 24 hours after birth assume the baby is in? Answer: Withdrawal
◉ Every alcoholic goes through what withing 24 hours after
cessation? Answer: Withdrawal syndrome
◉ After 72 hours of alochol withdrawal a small minority may get?
Answer: Delirium Tremens
◉ Can Delirium Tremens kill you? Answer: Yes
◉ Can Alcohol Withdrawal Syndrome kill you? Answer: No
◉ Are patients with Alcohol Withdrawal Syndrome a danger to
themselves or others? Answer: No
◉ Are patients with Delirium Tremens a danger to themselves or
others? Answer: Yes
,◉ N/I for Delirium Tremens? Answer: Private room near nurses
station, NPO/Clear liquids, Restricted bed rest, restraints,
tranquilizer, multivitamin (B1 vit.) and antihypertensive.
◉ N/I for Alcohol Withdrawal Syndrome? Answer: Semi-private
room anywhere, regular diet, up and ad-lib, no restraint,
tranquilizer, multivitamin (B1) and antihypertensive.
◉ A two point restraint is? Answer: One arm and the opposite leg.
◉ N/I for restraints? Answer: Check Q15min. and rotate sites Q2H
◉ All aminoglycosides end in? Answer: "mycin" Vancomycin
◉ If it has "thro" in it you? Answer: Throw it out...Zithromycin
◉ Toxic effects of aminoglycosides? Answer: Ototoxicity,
nephrotoxicity and cranial nerve 8 (vestibulocochlear nerve) which
senses sound.
◉ In aminoglycoside use monitor? Answer: Hearing, balance,
tinnitus & creatinine (best indicator of renal function)
◉ Frequency of administration for aminoglycosides? Answer: Q8H
, ◉ Aminoglycoside route of administration? Answer: Im or IV
◉ Aminoglycosides are given PO for what two reasons? Answer:
Hepatic Encephalopathy and Pre-op bowel surgery.
◉ Neomycin and Kanmycin are used for what? Answer: Bowel
sterilzation?
◉ Who can sterilize my bowel? Answer: "Neo" "Kan"
◉ Hepatic Encephalopathy is caused by? Answer: High ammonia
levels
◉ What raises ammonia levels the most? Answer: Ecoli in the gut
◉ When do you draw a trough level? Answer: 30 minutes before the
next scheduled dose.
◉ When do you draw a sublingual peak level? Answer: 5-10 minutes
after it is dissolved.
