MARK KLIMEK: NCLEX 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
,DTs are going to be on what type of precaution? Seizure precautions: NPO/Clear liquids, private room, restricted bedrest, vest/2
point locked restraints
Nursing care for both AWS and DTs: What 2 medications Give HTN meds because alcohol is a downer and with withdrawals.. everything
are we going to give? goes up including BP!
Give vitamin B1: Prevents Wernickes-Korsakoffs
What 2 questions do you ask when answering 1.) Is it an upper or downer?
OD/withdrawal questions? 2.) Is it an overdose or withdrawal?
Uppers caffeine, cocaine, PCP/LSD, methamphetamines, adderall
Effects Effects: EVERYTHING GOES UP (tachy, agitation, borborygmi)
Downers heroin, opioids, ALOT.
Effects EVERYTHING GOES DOWN.. (brady, respiratory depression)
Symptoms for OD/WD Upper: Downer
Upper vs Downer OD: too much UP: everything goes UP
OD: too much DOWN, everything goes down.
WD: too little UP/everything goes down.
WD: too little down/everything goes up.
CCB's are like ____ for your heart Valium (calms your heart)
CCBs end in.. "dipine" also verapamil and diltiazem.
Before giving CCB, what must we check? BP and Pulse
3 S/E of CCBs 1. HA
2. HPTN
3. Brady
Locations of a chest tube 1.) (A) Apical: way up HIGH to remove air since air rises (pneumothorax)
2.) (B) Basilar: way down LOW to remove blood since blood sinks under air.
(hemothorax)
Troubleshooting CT: NOT a BIG DEAL. Place it back upright and have the patient take a few deep
Collection system is accidently knocked over breaths.
Troubleshooting CT: 1. Clamp it (15 seconds MAX)
H20 seal breaks 2. Cut the end of the tubing
3. Submerge in sterile water
, Troubleshooting CT: 1. Cover hole with gloved hand
Chest tube comes out 2. Cover with vaseline gauze dressing
3. Apply sterile dressing and tape on 3 sides.
Bubbling Bubbling Bubbling 1. Where: H20 seal/Suction Control Chamber
Ask yourself: _____ and ______? 2. When: Intermittent/Continuous
H20 Seal/Intermittent: GOOD
Suction Control Chamber/Continuous: GOOD
Aminoglycosides.. think of.. A MEAN OLD MICIN
What do we use for aminoglycosides? Treat MEAN OLD INFECTIONS.
1. TB
2. Sepsis
3. 3rd degree burns.. etc.
All aminoglycosides end in (micin) but not all micins are THROW AWAY
aminoglycosides. 1.) erythromycin
2.) azithromycin
3.) clarithromycin
Adverse effects of aminoglycosides 1. Ototoxicity (ear)
- hearing, tinnitus, balance.
2. Nephrotoxicity (kidney looks like ear)
- Monitor creatinine levels
3. 8 fits into drawing:
- Toxic to cranial nerve 8 (body balance) and given Q8 hours IM/IV
When would we give PO aminoglycosides? Sterilization of bowel!! Prep for bowel surgery
Trough and Peak levels All troughs are 30 mins
Peaks:
Sublingual- 5-10 mins after dissolved
IV- 15-30 mins after finished
IM- 30-60 mins after finished
PO- no peaks
CHD T: All trouble CHD's start with a letter T
TRouBLe tetralogy of Fallot, tricuspid arterioles, truncus arteriosus, transposition of the
great arteries, tricuspid atresia.
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
,DTs are going to be on what type of precaution? Seizure precautions: NPO/Clear liquids, private room, restricted bedrest, vest/2
point locked restraints
Nursing care for both AWS and DTs: What 2 medications Give HTN meds because alcohol is a downer and with withdrawals.. everything
are we going to give? goes up including BP!
Give vitamin B1: Prevents Wernickes-Korsakoffs
What 2 questions do you ask when answering 1.) Is it an upper or downer?
OD/withdrawal questions? 2.) Is it an overdose or withdrawal?
Uppers caffeine, cocaine, PCP/LSD, methamphetamines, adderall
Effects Effects: EVERYTHING GOES UP (tachy, agitation, borborygmi)
Downers heroin, opioids, ALOT.
Effects EVERYTHING GOES DOWN.. (brady, respiratory depression)
Symptoms for OD/WD Upper: Downer
Upper vs Downer OD: too much UP: everything goes UP
OD: too much DOWN, everything goes down.
WD: too little UP/everything goes down.
WD: too little down/everything goes up.
CCB's are like ____ for your heart Valium (calms your heart)
CCBs end in.. "dipine" also verapamil and diltiazem.
Before giving CCB, what must we check? BP and Pulse
3 S/E of CCBs 1. HA
2. HPTN
3. Brady
Locations of a chest tube 1.) (A) Apical: way up HIGH to remove air since air rises (pneumothorax)
2.) (B) Basilar: way down LOW to remove blood since blood sinks under air.
(hemothorax)
Troubleshooting CT: NOT a BIG DEAL. Place it back upright and have the patient take a few deep
Collection system is accidently knocked over breaths.
Troubleshooting CT: 1. Clamp it (15 seconds MAX)
H20 seal breaks 2. Cut the end of the tubing
3. Submerge in sterile water
, Troubleshooting CT: 1. Cover hole with gloved hand
Chest tube comes out 2. Cover with vaseline gauze dressing
3. Apply sterile dressing and tape on 3 sides.
Bubbling Bubbling Bubbling 1. Where: H20 seal/Suction Control Chamber
Ask yourself: _____ and ______? 2. When: Intermittent/Continuous
H20 Seal/Intermittent: GOOD
Suction Control Chamber/Continuous: GOOD
Aminoglycosides.. think of.. A MEAN OLD MICIN
What do we use for aminoglycosides? Treat MEAN OLD INFECTIONS.
1. TB
2. Sepsis
3. 3rd degree burns.. etc.
All aminoglycosides end in (micin) but not all micins are THROW AWAY
aminoglycosides. 1.) erythromycin
2.) azithromycin
3.) clarithromycin
Adverse effects of aminoglycosides 1. Ototoxicity (ear)
- hearing, tinnitus, balance.
2. Nephrotoxicity (kidney looks like ear)
- Monitor creatinine levels
3. 8 fits into drawing:
- Toxic to cranial nerve 8 (body balance) and given Q8 hours IM/IV
When would we give PO aminoglycosides? Sterilization of bowel!! Prep for bowel surgery
Trough and Peak levels All troughs are 30 mins
Peaks:
Sublingual- 5-10 mins after dissolved
IV- 15-30 mins after finished
IM- 30-60 mins after finished
PO- no peaks
CHD T: All trouble CHD's start with a letter T
TRouBLe tetralogy of Fallot, tricuspid arterioles, truncus arteriosus, transposition of the
great arteries, tricuspid atresia.
