MARK KLIMEK LECTURE OUTLINE
NCLEX 2026 STUDY GUIDE |
REVIEW NOTES, HIGH-YIELD
CONCEPTS & PRACTICE
QUESTIONS
| GRADED A+ | GUARANTEED
SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,If it is not lung or prolonged vomiting or suctioning I Metabolic Acidosis
choose?
High pressure alarms are triggered when? They cannot push air in
High pressure alarms are caused by what three types of Kinking, Water in dependant loops and mucus in the airway.
obstructions?
If kinking in the tube is present you? Unkink
If water is present in the dependant loops you? Open system and empty water.
If mucus is present you? Turn them, cough and have them deeo breath first. If ineffective you then suction.
Low pressure alarms are triggered when? It is to easy to push air in.
Low pressure alarms are normally caused by? Disconnection
If the tubing is disconnected you? Reconnect
If O2 sensor line is disconnected you? Reconnect
In a vented client respiratory alkalosis means the vent High
setting may be too?
In a vented client respiratory acidosis means the vent may Low
be too?
What do you do if the patients disconnected tube is on Bag them, (call for help) get new tube and then reconnect.
the floor?
What do you do if the patients disconnected tube is on Reconnect ... if its above the waist its ok.
the chest?
What is the biggest problem in abuse? Denial
To treat denial you need to? Confront
How do you confront? Point out the difference between what they say and what they do.
What is the one circumstance that you as a nurse would Loss and Grief
support denial?
What is dependency? When the abuser gets a significant other so make decisions for them or do thing
for them.
What is codependency? When the significant other gets positive self esteem from doing things or making
decisions for an abuser.
,To treat dependency/codependency you ? Set limits and enforce them. You also need to work or the self estreem of the
codependent.
What is manipulation? When the abuser gets the significant other fo do things for them that is not in the
best interest of the significant other. This can be dangerous and harmful to the
significant other.
How do you treat manipulation? Set limits and enforce.
Why is manipulation easier to treat then Because no one likes being manipulated.
dependency/codependency?
What is Wernickes (Korsakoffs) Syndrome? Psychosis induced by vitamin B1 (Thiamine) deficiency.
Vitamin B1 helps breakdown? Alcohol
Primary symptom of Wernickes? Amnesia with confabulation (making up stories).
Is Wernickes preventable? Yes
Is Wernickes arrestable? Yes
Is Wernickes reversible? No
What is aversion therapy? When you try and make the patient hate something.
Antabuse onset and duration is? 2 weeks
Teach a patient taking Antabuse to avoid what? Alochol
On top of alcohol a patient taking Antabuse should also Elixirs, Vanilla Extract, Aftershave/Perfumes, Alcohol based hand sanitizer, Insect
avoid what other 7 things? repellant, Mouthwash and Vinagerette.
What are the five uppers? Caffeine, Cocaine, Methamphetamines, PCP/LSD and ADHD Meds
Downers are? Everything other then the five uppers.
S/S of upper use? Everything goes up...Tachycardia, increased BP etc.
S/S of downer use? Everything goes down...Bradycardia, decreased BP etc.
Overdose of a downer causes everything to go? Down
Overdose of an upper causes everything to go? Up
Withdrawal of an upper causes everything to go? Down
Withdrawal of a downer causes everything to go? Up
, At birth if the mother was addicted to a substance always Intoxication
assume the newborn is in?
If 24 hours after birth assume the baby is in? Withdrawal
Every alcoholic goes through what withing 24 hours after Withdrawal syndrome
cessation?
After 72 hours of alochol withdrawal a small minority may Delirium Tremens
get?
Can Delirium Tremens kill you? Yes
Can Alcohol Withdrawal Syndrome kill you? No
Are patients with Alcohol Withdrawal Syndrome a danger No
to themselves or others?
Are patients with Delirium Tremens a danger to Yes
themselves or others?
N/I for Delirium Tremens? Private room near nurses station, NPO/Clear liquids, Restricted bed rest,
restraints, tranquilizer, multivitamin (B1 vit.) and antihypertensive.
N/I for Alcohol Withdrawal Syndrome? Semi-private room anywhere, regular diet, up and ad-lib, no restraint, tranquilizer,
multivitamin (B1) and antihypertensive.
A two point restraint is? One arm and the opposite leg.
N/I for restraints? Check Q15min. and rotate sites Q2H
All aminoglycosides end in? "mycin" Vancomycin
If it has "thro" in it you? Throw it out...Zithromycin
Toxic effects of aminoglycosides? Ototoxicity, nephrotoxicity and cranial nerve 8 (vestibulocochlear nerve) which
senses sound.
In aminoglycoside use monitor? Hearing, balance, tinnitus & creatinine (best indicator of renal function)
Frequency of administration for aminoglycosides? Q8H
Aminoglycoside route of administration? Im or IV
Aminoglycosides are given PO for what two reasons? Hepatic Encephalopathy and Pre-op bowel surgery.
Neomycin and Kanmycin are used for what? Bowel sterilzation?
Who can sterilize my bowel? "Neo" "Kan"
NCLEX 2026 STUDY GUIDE |
REVIEW NOTES, HIGH-YIELD
CONCEPTS & PRACTICE
QUESTIONS
| GRADED A+ | GUARANTEED
SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,If it is not lung or prolonged vomiting or suctioning I Metabolic Acidosis
choose?
High pressure alarms are triggered when? They cannot push air in
High pressure alarms are caused by what three types of Kinking, Water in dependant loops and mucus in the airway.
obstructions?
If kinking in the tube is present you? Unkink
If water is present in the dependant loops you? Open system and empty water.
If mucus is present you? Turn them, cough and have them deeo breath first. If ineffective you then suction.
Low pressure alarms are triggered when? It is to easy to push air in.
Low pressure alarms are normally caused by? Disconnection
If the tubing is disconnected you? Reconnect
If O2 sensor line is disconnected you? Reconnect
In a vented client respiratory alkalosis means the vent High
setting may be too?
In a vented client respiratory acidosis means the vent may Low
be too?
What do you do if the patients disconnected tube is on Bag them, (call for help) get new tube and then reconnect.
the floor?
What do you do if the patients disconnected tube is on Reconnect ... if its above the waist its ok.
the chest?
What is the biggest problem in abuse? Denial
To treat denial you need to? Confront
How do you confront? Point out the difference between what they say and what they do.
What is the one circumstance that you as a nurse would Loss and Grief
support denial?
What is dependency? When the abuser gets a significant other so make decisions for them or do thing
for them.
What is codependency? When the significant other gets positive self esteem from doing things or making
decisions for an abuser.
,To treat dependency/codependency you ? Set limits and enforce them. You also need to work or the self estreem of the
codependent.
What is manipulation? When the abuser gets the significant other fo do things for them that is not in the
best interest of the significant other. This can be dangerous and harmful to the
significant other.
How do you treat manipulation? Set limits and enforce.
Why is manipulation easier to treat then Because no one likes being manipulated.
dependency/codependency?
What is Wernickes (Korsakoffs) Syndrome? Psychosis induced by vitamin B1 (Thiamine) deficiency.
Vitamin B1 helps breakdown? Alcohol
Primary symptom of Wernickes? Amnesia with confabulation (making up stories).
Is Wernickes preventable? Yes
Is Wernickes arrestable? Yes
Is Wernickes reversible? No
What is aversion therapy? When you try and make the patient hate something.
Antabuse onset and duration is? 2 weeks
Teach a patient taking Antabuse to avoid what? Alochol
On top of alcohol a patient taking Antabuse should also Elixirs, Vanilla Extract, Aftershave/Perfumes, Alcohol based hand sanitizer, Insect
avoid what other 7 things? repellant, Mouthwash and Vinagerette.
What are the five uppers? Caffeine, Cocaine, Methamphetamines, PCP/LSD and ADHD Meds
Downers are? Everything other then the five uppers.
S/S of upper use? Everything goes up...Tachycardia, increased BP etc.
S/S of downer use? Everything goes down...Bradycardia, decreased BP etc.
Overdose of a downer causes everything to go? Down
Overdose of an upper causes everything to go? Up
Withdrawal of an upper causes everything to go? Down
Withdrawal of a downer causes everything to go? Up
, At birth if the mother was addicted to a substance always Intoxication
assume the newborn is in?
If 24 hours after birth assume the baby is in? Withdrawal
Every alcoholic goes through what withing 24 hours after Withdrawal syndrome
cessation?
After 72 hours of alochol withdrawal a small minority may Delirium Tremens
get?
Can Delirium Tremens kill you? Yes
Can Alcohol Withdrawal Syndrome kill you? No
Are patients with Alcohol Withdrawal Syndrome a danger No
to themselves or others?
Are patients with Delirium Tremens a danger to Yes
themselves or others?
N/I for Delirium Tremens? Private room near nurses station, NPO/Clear liquids, Restricted bed rest,
restraints, tranquilizer, multivitamin (B1 vit.) and antihypertensive.
N/I for Alcohol Withdrawal Syndrome? Semi-private room anywhere, regular diet, up and ad-lib, no restraint, tranquilizer,
multivitamin (B1) and antihypertensive.
A two point restraint is? One arm and the opposite leg.
N/I for restraints? Check Q15min. and rotate sites Q2H
All aminoglycosides end in? "mycin" Vancomycin
If it has "thro" in it you? Throw it out...Zithromycin
Toxic effects of aminoglycosides? Ototoxicity, nephrotoxicity and cranial nerve 8 (vestibulocochlear nerve) which
senses sound.
In aminoglycoside use monitor? Hearing, balance, tinnitus & creatinine (best indicator of renal function)
Frequency of administration for aminoglycosides? Q8H
Aminoglycoside route of administration? Im or IV
Aminoglycosides are given PO for what two reasons? Hepatic Encephalopathy and Pre-op bowel surgery.
Neomycin and Kanmycin are used for what? Bowel sterilzation?
Who can sterilize my bowel? "Neo" "Kan"
