MARK KLIMEK NCLEX –RN PREP EXAM LATEST
2026-2027 UPDATE WITH 1900+ HIGHLY
PREDICTED QUESTIONS WHICH ARE CORRECTLY
ANSWERED AND ALREADY GRADED A+ |99.9%
SUCCESS GUARANTEE
#1 problem in substance abuse
denial: refusal to accept the reality of their problem
treatment: confront it by pointing out to the person the difference between
what they say and what they do.
however, in grief and loss support denial
dependency/codependency
dependency: when abuser gets SO to do things for them or make decisions for
them codependency: when the SO derives positive self-esteem from doing
things for or making decisions for the abuser
treating dependency/codenpendency
set limits and enforce them. agree in advance what requests are allowed then
enforce the agreement
work on the self-esteem of the codependent person
,manipulation
when abuser gets the SO to do things for him/her that are no in the best
interest of the SO. nature of the act is dangerous or harmful to SO
treatment of manipulation
set limits and enforce them
easier to treat than dependency/codependency because no body
likes being manipulated
wenicke's korsakoff syndrome
psychosis caused by a lack of B1 (thiamine)
deficiency primary symptom: amnesia with
confabulation
-preventable
-arrestable
-irreversible
antabuse/revia (disulfiram)
aversion therapy
onset/duration of effectiveness: 2 weeks
pt teaching: avoid all forms of alcohol to avoid nausea, vomiting, death
uppers
cocaine, caffeine, PCP/LSD, methamphedimines, ADHD meds (amphetimines),
bath salts S&S: increase everything, pupils dilate (mydriasis), seizures
,downers
codeine, heroin, alcohol, marijuana
S&S: decrease everything, pupils constrict (miosis), respiratory arrest
overdose vs withdrawal
upper overdose: everything is
high upper withdrawal:
everything is low
downer overdose: everything is
low downer withdrawal:
everything is high
alcohol withdrawal syndrome vs delirium tremens
every alcoholic go through AWS (24 hrs) only a minority get DT (usually
72 hrs) AWS is not life-threatening. DT can kill you
PT with AWS are not dangerous to themselves or others. PTs with DT's are
dangerous to self and others
pg 8
aminoglycosides (a mean old mycin)
antibiotics to treat serious, life-threatening, resistant
all end in -mycin/micin, but not all drugs that end in -mycin/micin are "a mean
old mycin" (all have thro in them and are opposites of aminoglycosides)
, toxic effects of "a mean old mycin"
think of mice (ears)
ototoxicity
must monitor balance, tinitus, hearing (most important)
ear is shaped like a kidney
nephrotoxicity
monitor creatinine (best indicator of kidney fx)
#8 drawn inside the ear reminds
you cranial nerve 8
frequency of administration: q8h
category A bioterrorism
can hurt people worst S: small pox
T: tularemia A: anthrax P: plague
H: hemorrhagic fever B: botulism
2026-2027 UPDATE WITH 1900+ HIGHLY
PREDICTED QUESTIONS WHICH ARE CORRECTLY
ANSWERED AND ALREADY GRADED A+ |99.9%
SUCCESS GUARANTEE
#1 problem in substance abuse
denial: refusal to accept the reality of their problem
treatment: confront it by pointing out to the person the difference between
what they say and what they do.
however, in grief and loss support denial
dependency/codependency
dependency: when abuser gets SO to do things for them or make decisions for
them codependency: when the SO derives positive self-esteem from doing
things for or making decisions for the abuser
treating dependency/codenpendency
set limits and enforce them. agree in advance what requests are allowed then
enforce the agreement
work on the self-esteem of the codependent person
,manipulation
when abuser gets the SO to do things for him/her that are no in the best
interest of the SO. nature of the act is dangerous or harmful to SO
treatment of manipulation
set limits and enforce them
easier to treat than dependency/codependency because no body
likes being manipulated
wenicke's korsakoff syndrome
psychosis caused by a lack of B1 (thiamine)
deficiency primary symptom: amnesia with
confabulation
-preventable
-arrestable
-irreversible
antabuse/revia (disulfiram)
aversion therapy
onset/duration of effectiveness: 2 weeks
pt teaching: avoid all forms of alcohol to avoid nausea, vomiting, death
uppers
cocaine, caffeine, PCP/LSD, methamphedimines, ADHD meds (amphetimines),
bath salts S&S: increase everything, pupils dilate (mydriasis), seizures
,downers
codeine, heroin, alcohol, marijuana
S&S: decrease everything, pupils constrict (miosis), respiratory arrest
overdose vs withdrawal
upper overdose: everything is
high upper withdrawal:
everything is low
downer overdose: everything is
low downer withdrawal:
everything is high
alcohol withdrawal syndrome vs delirium tremens
every alcoholic go through AWS (24 hrs) only a minority get DT (usually
72 hrs) AWS is not life-threatening. DT can kill you
PT with AWS are not dangerous to themselves or others. PTs with DT's are
dangerous to self and others
pg 8
aminoglycosides (a mean old mycin)
antibiotics to treat serious, life-threatening, resistant
all end in -mycin/micin, but not all drugs that end in -mycin/micin are "a mean
old mycin" (all have thro in them and are opposites of aminoglycosides)
, toxic effects of "a mean old mycin"
think of mice (ears)
ototoxicity
must monitor balance, tinitus, hearing (most important)
ear is shaped like a kidney
nephrotoxicity
monitor creatinine (best indicator of kidney fx)
#8 drawn inside the ear reminds
you cranial nerve 8
frequency of administration: q8h
category A bioterrorism
can hurt people worst S: small pox
T: tularemia A: anthrax P: plague
H: hemorrhagic fever B: botulism
