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(KV) NCLEX 2026 STUDY GUIDE |
HIGH-YIELD NOTES, REVIEW
CONCEPTS & PRACTICE
QUESTIONS
| GRADED A+ | GUARANTEED
SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,If my patient is overventilating I Respiratory Alkalosis
should choose?
If my patient is underventilating I Respiratory Acidosis
should choose?
If my patient has prolonged gastric Metabolic Alkalosis
vomiting or suction I choose?
If it is not lung or prolonged Metabolic Acidosis
vomiting or suctioning I choose?
Kussmal Respirations Metabolic Acidosis ( Remember MacKussmal
Before measuing ABGs you should Allen's test. Should be positive. Pt makes a fist and
check what? pressure is applied to the ulnar and the radial
arteries Ulnar pressure is released and color
should return in 7 seconds (means it's positive and
OK to take ABG's).
Definition of Compensation PH is normal! It is never compensated if it is
abnormal.
If PH normal look in the direction it is going. Closer to Acidic?
(7.35) acidosis.
Then look at Bicarb & figure out which is abnormal.
If Bicarb is out of range, it's metabolic acidosis.
If C02 is abnormal, it's Respiratory Acidosis :)
,If your pt is acidotic and you need to Pick the symptom where everything is DOWN. (
pick a symptom And vice Versa)
Ex: 2 degree Morbitz Type 2 BLOCK. <---- Down
direction
If you don't know what causes an Metabolic Acidosis
acid base balance, pick
If in doubt in ABGs, always pick Headache, nausea, weakness & numbness+ tingling.
It can be either up or down.
High pressure alarms are triggered They cannot push air in
when?
High pressure alarms are caused by Kinking, Water in dependant loops and mucus in
what three types of obstructions? the airway.
If kinking in the tube is present you? Unkink
If water is present in the dependant Open system and empty water.
loops you?
If mucus is present you? Turn them, cough and have them deeo breath first.
If ineffective you then suction.
Don't suction unless Coughing & deep breathing is deemed
inappropriate.
In order to suction, you must be able Mucus in the lung
to hear
, Low pressure alarms are triggered It is to easy to push air in.
when?
Low pressure alarms are normally Disconnection
caused by?
If the tubing is disconnected you? Reconnect
If O2 sensor line is disconnected Reconnect
you?
In a vented client respiratory High
alkalosis means the vent setting may
be too?
In a vented client respiratory acidosis Low
means the vent may be too?
What do you do if the patients Bag them, (call for help) get new tube and then
disconnected tube is on the floor? reconnect.
First question to ask if the low Where is the tubing?!
pressure alarm sounds
HOLD H- High Pressure
O- Obstruction
L- Low
D- Disconnections
Never put anything in YOUR scope On anyone else
of practice
(KV) NCLEX 2026 STUDY GUIDE |
HIGH-YIELD NOTES, REVIEW
CONCEPTS & PRACTICE
QUESTIONS
| GRADED A+ | GUARANTEED
SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,If my patient is overventilating I Respiratory Alkalosis
should choose?
If my patient is underventilating I Respiratory Acidosis
should choose?
If my patient has prolonged gastric Metabolic Alkalosis
vomiting or suction I choose?
If it is not lung or prolonged Metabolic Acidosis
vomiting or suctioning I choose?
Kussmal Respirations Metabolic Acidosis ( Remember MacKussmal
Before measuing ABGs you should Allen's test. Should be positive. Pt makes a fist and
check what? pressure is applied to the ulnar and the radial
arteries Ulnar pressure is released and color
should return in 7 seconds (means it's positive and
OK to take ABG's).
Definition of Compensation PH is normal! It is never compensated if it is
abnormal.
If PH normal look in the direction it is going. Closer to Acidic?
(7.35) acidosis.
Then look at Bicarb & figure out which is abnormal.
If Bicarb is out of range, it's metabolic acidosis.
If C02 is abnormal, it's Respiratory Acidosis :)
,If your pt is acidotic and you need to Pick the symptom where everything is DOWN. (
pick a symptom And vice Versa)
Ex: 2 degree Morbitz Type 2 BLOCK. <---- Down
direction
If you don't know what causes an Metabolic Acidosis
acid base balance, pick
If in doubt in ABGs, always pick Headache, nausea, weakness & numbness+ tingling.
It can be either up or down.
High pressure alarms are triggered They cannot push air in
when?
High pressure alarms are caused by Kinking, Water in dependant loops and mucus in
what three types of obstructions? the airway.
If kinking in the tube is present you? Unkink
If water is present in the dependant Open system and empty water.
loops you?
If mucus is present you? Turn them, cough and have them deeo breath first.
If ineffective you then suction.
Don't suction unless Coughing & deep breathing is deemed
inappropriate.
In order to suction, you must be able Mucus in the lung
to hear
, Low pressure alarms are triggered It is to easy to push air in.
when?
Low pressure alarms are normally Disconnection
caused by?
If the tubing is disconnected you? Reconnect
If O2 sensor line is disconnected Reconnect
you?
In a vented client respiratory High
alkalosis means the vent setting may
be too?
In a vented client respiratory acidosis Low
means the vent may be too?
What do you do if the patients Bag them, (call for help) get new tube and then
disconnected tube is on the floor? reconnect.
First question to ask if the low Where is the tubing?!
pressure alarm sounds
HOLD H- High Pressure
O- Obstruction
L- Low
D- Disconnections
Never put anything in YOUR scope On anyone else
of practice
