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MARK KLIMEK NCLEX REVIEW 2 EXAM QUESTIONS AND ANSWERS
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MARK KLIMEK NCLEX REVIEW 2 EXAM QUESTIONS AND ANSWERS
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MARK KLIMEK NCLEX REVIEW 2 EXAMQUESTIONS AND ANSWERS
Acidosis: Ph goes down: everything goes down except ____ goes up. Hyporeflexia,
lethargy, _____, etc. "As Ph goes down so goes my pt" Respiratory ____ can occur -
Answer-potassium, bradycardia, arrest
Alkalosis: ph goes up: everything goes _____ except potassium goes down. Can cease
and ______. - Answer-up, aspirate
Kusmals: "Mac Kusmal" (someone’s name) MAC= metabolic ______ - Answer-acidosis
ABG's: first thing you ask- Is it lung? Over ventilating: ______. Under ventilating:
acidosis. Ventilation= gas exchange not respiratory ____. Ventilation= ______ -
Answer-alkalosis, rate, SAO2
ABG's: if not lung its ______. Prolonged vomiting, or gastric ____= metabolic alkalosis.
"Alk, alk" noise when vomiting. If ph and bicarb are in same direction its _____ -
Answer-metabolic, suctioning, metabolic
Ph: 7.35-7.45. Bicarb (HCO3): ____-28. PACO2: 35-____ - Answer-22, 45
Ventilators: high pressure alarm: when needs to pump ____. Could have a kink or ____.
Low pressure alarm: could have _____. Respiratory alkalosis: ventilator setting too
_____ - Answer-more, blockage, disconnection, high
Denial treatment- _____ (for abuse) Don't say "you" say "I" Ex: I'm having trouble
interpreting this. Loss and grief: DABDA- denial, ____, bargaining, depression,
acceptance. Treatment- ______ - Answer-confrontation, anger, support
Dependency: abuser gets significant other to do things for them or make _____ for
them. Co-dependency: when significant other derives _____ self esteem for doing
things for abuser - Answer-decisions, positive
Dependency treatment: teach co-dependent person to say ____ and that they're a good
person. Manipulation: the nature of the act is _____ or harmful. Treatment- set _____
and enforce them - Answer-no, dangerous, limits
Wernicke's encephalopathy and Korsakoff's (psychosis) usually together, induced by vit
_____ or thyamin deficiency. Extreme psychotic symptoms. Go _____, amnesia,
confabulation. Usually permanent. Can't learn _____ - Answer-B1, insane, reality
Wernickes, Korsakoff: Need B1 to metabolize alcohol so if not metabolized then goes to
_____. Treatment: redirection. Is preventable and ______ - Answer-brain, irreversible
,Antibuse and Revia (disulfiram): when drink ____ makes pt really sick. Onset ____
weeks. No mouthwash, aftershave, extracts, Nyquill etc. - Answer-alcohol, 2
Uppers: caffeine, coaine, pcp/lsd, meth, _____. Everything goes up- uphoria,
restlessness, hyperreflexia +3, +4, ____, etc. Could arrest and cease. Need _____. -
Answer-adderall, diarrhea, suction
Downers: everything goes down. Every drug not an upper is downer. Drowsiness,
_____, etc. Can go into respiratory ____. - Answer-lethargy, arrest
Withdrawal from upper: not enough upper makes everything go ____. Not enough
downer makes everything go ___. Boroborigmy: increased bowel sounds - Answer-
down, up
Ex: pt withdrawing from cocaine: Respirations < 12, difficult to ____, etc. Need ____ -
Answer-arouse, narcan
Drug addiction in newborn: always assume intoxication not _____ at birth. After ____
hrs it can be withdrawal - Answer-withdrawal, 24
When alcohol pts ____ drinking alcohol within 24 hrs= withdrawal symptoms. Within
____ hrs= delirium tremors. Alcohol withdrawal syndrome- not life threatening. Not
dangerous. Regular diet, up ad lib, no _____ - Answer-stop, 72, restaints
Delirium tremors: can be _____, unstable. NPO or clear ____, private room near nurses
station. restricted bed ____, must be restrained. Very dangerous. Both Al with syndrom
and delir trem get antihypertensive, tranquilizers and vit ____ - Answer-fatal, liquids,
rest, B1
Aminoglycosides (antibiotics): don's use unless _____ else works. "A mean old mycin"
ALL END IN _____. Treat infections that are: serious, life threatening, resistant, gram
_____. - Answer-nothing, MYCIN, negative
Aminoglycosides: 3 drugs that end in mycin that are not these: arythromycin, ______
and clarithromycin. If it has "thro" in it, than throw it _____. - Answer-zithromycin, out
Aminoglycosides: "mycin"- mice, mice have big ears. Ears- _____. Monitor pts hearing,
ringing, dizziness. When you draw an ear connect it it looks like a ____- nephrotoxic,
monitor ____ (best indicator of renal function), also a #8 fits in the ear drawing- cranial
nerve ____ (hearing) and administer q8h - Answer-ototoxic, kidney, creatinin, 8
Aminoglycosides: Give IM and ____, Not oral. Doesn't absorb! Hepatic encephalopathy-
give oral aminoglycosides since it kills ____ in gut and reduces amonia levels- won't
hurt ____ since it doesn't absorb. - Answer-IV, bacteria, liver
, Pre-op bowel surgery: give aminoglycoside _____ route to sterilize the bowel. PO kills
bacteria in gut and doesn't get _____, or hurt liver. "Who can sterilize my bowels?" "Neo
Can!" ______ and canimycin. - Answer-po, absorbed, Neomycin
Trough level: drug at ____. Peak level: drug at _____. "TAP" levels: T- check trough
level, A- administer drug, P- draw ____. Draw when drug has a _____ therapeutic
window - Answer-lowest, highest, peak, narrow
Draw trough 30 min before next ____. Draw peak: sublingual 5-10 min after drugs is
_____. IV 15-30 min after drug is finished. IM 30-____ min - Answer-Dose, dissolved,
60
Calcium channel blockers: Are like ____ for your heart. Cardiac _____. Treat: AAA &
AS A. Antihypertensives, anti _____, anti atrial arrhythmias. - Answer-Valium,
depressants, anginas
Calcium channel blockers: s/e- headache, _____. End in "dipine" "Dipping into the
calcium ____. Also varapamil and cardizim. Monitor bp- if systolic is under ____ don't
give. - Answer-Hypotension, channel, 100
Normal sinus rhythm: p wave before every QRS. Vfib looks like ____ line. V tach-
jagged, Sharp peaks, a ____. Saw tooth- A ____ - Answer-Squiggly, pattern, flutter
QRST: ventricular _____ - Answer-...
Draw trough 30 min before next ____. Draw peak: sublingual 5-10 min after drugs is
_____. IV 15-30 min after drug is finished. IM 30-____ min - Answer-Dose, dissolved,
60
Calcium channel blockers: Are like ____ for your heart. Cardiac _____. Treat: AAA &
AAA. Antihypertensives, anti _____, anti atrial arrhythmias. - Answer-Valium,
depressants, anginas
Calcium channel blockers: s/e- headache, _____. End in "dipine" "Dipping into the
calcium ____. Also varapamil and cardizim. Monitor bp- if systolic is under ____ don't
give. - Answer-Hypotension, channel, 100
Normal sinus rhythm: p wave before every QRS. Vfib looks like ____ line. V tach-
jagged, Sharp peaks, a ____. Saw tooth- A ____ - Answer-Squiggly, pattern, flutter
QRST: ventricular _____. P wave = atrial. A lack of QRS segment= _____. Bizzar in
question= tachycardia. - Answer-polarization, astystole
PVC: more than ___ pvc's per minute or more than 6 PVC's in a row or if the PVC falls
on the T wave of the ____ beat= change priority from low to _____ priority - Answer-6,
previous, moderate
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