MARK KLIMEK NCLEX-RN PREP
2026 STUDY GUIDE | HIGH-YIELD
REVIEW NOTES, LECTURE
CONCEPTS & PRACTICE
QUESTIONS
| GRADED A+ | GUARANTEED
SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,low pressured ventilator alarams triggered by decreased resistance to air flow and can be caused by
disconnections:
tubing: reconnect if not contaminate
if contaminated (below bed level): call first, then bag, reconnect
respiratory alkalosis vs acidosis alkalosis: ventilator setting may be too high (overvent)
acidosis: ventilator setting may too low (undervent)
HOLD high pressured alarms
obstruction
low pressured alarms
disconnection
Maslow 1. physiological
2. safety
3. comfort
4. psychological
5. social
6. spiritual
#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
route of administration for "a mean old mycin" give IV or IM
do not give PO (not absorbed) except in tow cases: sterilize the bowel ->
neonmycin/canmycin
hepatic encephalopathy
also called liver coma, ammonia-induced encephalopathy, due to a high ammonia
level
pre-op bowel surgery
remember this military sound-off
Q: who can sterile my bowel?
A: Neo-can
through and peak levels for amonoglycin reasons for drawing TAP levels: narrow therapuetic range
pg 10
, category A bioterrorism can hurt people worst
S: small pox
T: tularemia
A: anthrax
P: plague
H: hemorrhagic fever
B: botulism
category C bioterrorism nipen virus
harita virus
small pox person to person
inhaled transmission/on airborne precautions
dies from septicemia. no treatment
rash starts around mouth first-> early finding then quarentine
tularemia inhaled, not passed person to person
chest symptoms
dies from respiratory failure
treat with streptomycin
anthrax spread by inhalation, not person to person
looks like respiratory flu=chest symptoms
dies from respiratory failure
treat with cipro, pcn and streptomycin
plague spread by inhalation, not person to person
has the 3 H's
-hemoplysis: coughing blood
-hematemesis: puking blood
-hematochezia: bloody diarrhea
dies from respiratory failure and DIC (treat with heparin)
treat with doxycycline and mycins
no longer communicable after 48 hours of treatment
hemorrhagic illnesses inhalation
primary symptoms are petechiae (red spots) and ecchymoses
high % fatal
botulism ingested
3 major symptoms:
-descending paralysis
-fever
-but is alert
dies from respiratory failure
kids: trach, intabate, coma
2026 STUDY GUIDE | HIGH-YIELD
REVIEW NOTES, LECTURE
CONCEPTS & PRACTICE
QUESTIONS
| GRADED A+ | GUARANTEED
SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,low pressured ventilator alarams triggered by decreased resistance to air flow and can be caused by
disconnections:
tubing: reconnect if not contaminate
if contaminated (below bed level): call first, then bag, reconnect
respiratory alkalosis vs acidosis alkalosis: ventilator setting may be too high (overvent)
acidosis: ventilator setting may too low (undervent)
HOLD high pressured alarms
obstruction
low pressured alarms
disconnection
Maslow 1. physiological
2. safety
3. comfort
4. psychological
5. social
6. spiritual
#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
route of administration for "a mean old mycin" give IV or IM
do not give PO (not absorbed) except in tow cases: sterilize the bowel ->
neonmycin/canmycin
hepatic encephalopathy
also called liver coma, ammonia-induced encephalopathy, due to a high ammonia
level
pre-op bowel surgery
remember this military sound-off
Q: who can sterile my bowel?
A: Neo-can
through and peak levels for amonoglycin reasons for drawing TAP levels: narrow therapuetic range
pg 10
, category A bioterrorism can hurt people worst
S: small pox
T: tularemia
A: anthrax
P: plague
H: hemorrhagic fever
B: botulism
category C bioterrorism nipen virus
harita virus
small pox person to person
inhaled transmission/on airborne precautions
dies from septicemia. no treatment
rash starts around mouth first-> early finding then quarentine
tularemia inhaled, not passed person to person
chest symptoms
dies from respiratory failure
treat with streptomycin
anthrax spread by inhalation, not person to person
looks like respiratory flu=chest symptoms
dies from respiratory failure
treat with cipro, pcn and streptomycin
plague spread by inhalation, not person to person
has the 3 H's
-hemoplysis: coughing blood
-hematemesis: puking blood
-hematochezia: bloody diarrhea
dies from respiratory failure and DIC (treat with heparin)
treat with doxycycline and mycins
no longer communicable after 48 hours of treatment
hemorrhagic illnesses inhalation
primary symptoms are petechiae (red spots) and ecchymoses
high % fatal
botulism ingested
3 major symptoms:
-descending paralysis
-fever
-but is alert
dies from respiratory failure
kids: trach, intabate, coma
