Mark Klimek NCLEX Review-
Lecture/Yellow Book UPDATED Exam
Questions and CORRECT Answers
Rule of the B's: If the ____ and the _____ are ______ in the same direction then it is
meta_____ - CORRECT Answer- pH, Bicarb, Both, Bolic
pH 7.30_______ HCO3 20_______ - CORRECT Answer- ↓= acidosis; ↓= metabolic
pH 7.58_______ HCO3 32_______ - CORRECT Answer- ↑= alkalosis; ↑= metabolic
pH 7.22_______ HCO3 30_______ - CORRECT Answer- ↓= acidosis; ↑= respiratory
You are providing care to a client with the following blood gas results: pH 7.32, CO2 49,
HCO3 29, PO2 80, and SaO2 90%. Based on these results, the client is experiencing: -
CORRECT Answer- ↓= acidosis; ↑= respiratory
MacKussmaul - CORRECT Answer- The only acid base to cause Kussmaul respirations is
Metabolic ACidosis
As the _______ goes, so goes _______ except for _______ - CORRECT Answer- pH, my
patient, Potassium
Up - CORRECT Answer- hyokalemia, alkalosis, HTN, Tachycardia, Tachypnea, Seizures,
Irritability, Spastic, Diarrhea, Borborygme, hyperreflexia, etc
Down - CORRECT Answer- hyperkalemia, acidosis, htn, bradycardia, constipation, absent
bowel sounds, flacid, bradypnea
Causes of acid-base imbalances: First ask yourself, "Is it _______?" If yes, then it's _______.
Then ask yourself: "Are they _______ or _______. If _______, pick _______. If _______,
pick _______ - CORRECT Answer- lung, respiratory, overventilating, underventilating,
overventilating, alkalosis, underventilating, acidosis
, Causes of acid-base imbalances: If it's not lung, then it's _______. If the patient has _______
_______ vomiting or suction, pick _______. For everything else that isn't lung, pick _______
_______. When you don't know what to pick, choose _______ _______ - CORRECT
Answer- metabolic, prolonged gastric, alkalosis, metabolic acidosis, metabolic acidosis
High pressure alarms are triggered by _______ resistance to air flow. - CORRECT Answer-
increased
High pressure alarms are triggered by increased resistance to airflow and can be caused by
obstructions of three types: _______ action, _______ action, _______ action - CORRECT
Answer- (kinked tube) unkink, (water in tube) empty, (mucus in airway) cough and deep
breathe
Low pressure alarms are triggered by _______ resistance to airflow. - CORRECT Answer-
decreased
Low pressure alarms are triggered by decreased resistance to airflow and can be caused by
disconnections of the _______ or _______ - CORRECT Answer- tubing (reconnect it),
oxygen sensor tube (reconnect it UNLESS tube is on the floor- bag them and call RT if this
happens)
Respiratory alkalosis means ventilator settings may be too _______ - CORRECT Answer-
high
Respiratory acidosis means ventilator settings may be too _______ - CORRECT Answer- low
What does "wean" mean? - CORRECT Answer- gradually decrease with the goal of getting
off altogether
What is Maslow's highest priority to lowest priority? - CORRECT Answer- 1. Physiological
2. Safety
3. Comfort
4. Psychological (problems within the person)
5. Social (problems with other people)
