MARK KLIMEK YELLOW BOOK 2026
NCLEX STUDY GUIDE | HIGH-
YIELD REVIEW NOTES, 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?
Kussmal Respirations Metabolic Acidosis ( Remember MacKussmal
Before measuing ABGs you should check what? Allen's test. Should be positive. Pt makes a fist and 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 a symptom Pick the symptom where everything is DOWN. ( And vice Versa)
Ex: 2 degree Morbitz Type 2 BLOCK. <---- Down direction
If you don't know what causes an acid base balance, pick Metabolic Acidosis
If in doubt in ABGs, always pick Headache, nausea, weakness & numbness+ tingling. It can be either up or down.
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.
Don't suction unless Coughing & deep breathing is deemed inappropriate.
In order to suction, you must be able to hear Mucus in the lung
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?
First question to ask if the low pressure alarm sounds Where is the tubing?!
HOLD H- High Pressure
O- Obstruction
L- Low
D- Disconnections
Never put anything in YOUR scope of practice On anyone else
Make sure your answer is PATIENT FOCUSED.
TAKE CARE OF YOUR PATIENT!
Don't answer based on staff, building, machine, etc.
PATIENT FIRST.
What does wean mean? Decrease Gradually
What do you do if the patients disconnected tube is on Reconnect ... if its above the waist its ok.
the chest?
Remember is PSYCH if you are asked to Prioritize, Don't MASLOW!
forget 1. Physiological
2. Safety
3. Comfort - Includes pain
4. Psychological
5. Social
6. Spiritual
When prioritizing, always use Maslow + ABCs For one patient. Don't if you have more than one patient.
What is the biggest problem in abuse? Denial
To treat denial you need to? Confront them.
Definition of Denial Refusal to accept reality of their problem
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?
Always go Med surg first. Then Psych
, 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.
Say NO and follow through.
Agree in advance on what requests are allowed, then enforce the agreement.
You also need to work or the self esteem 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?
DABDA D- Denial
A- Anger
B- Bargaining
D- Depression
A- Acceptance
Psych Needs, In order Denial
Depend
Manipulation
To address a patient's psychological needs, they must be: STABLE, safe, comfortable.
Pain Never killed anyone. Definitely NOT the top priority, especially if there are
physiological needs in the question that make the patient unstable.
What is Wernickes (Korsakoffs) Syndrome? Psychosis induced by vitamin B1 (Thiamine) deficiency.
Symptom of Wernickes Korsakoffs syndrome? Amnesia with confabulation.
= Loss of memory with making up stories to fill in the gaps.
Vitamin B1 helps breakdown? Alcohol
So without B1 what happens? Alcohol isn't metabolized correctly goes to the brain and causes Wernickes
Primary symptom of Wernickes? Amnesia with confabulation (making up stories).
NCLEX STUDY GUIDE | HIGH-
YIELD REVIEW NOTES, 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?
Kussmal Respirations Metabolic Acidosis ( Remember MacKussmal
Before measuing ABGs you should check what? Allen's test. Should be positive. Pt makes a fist and 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 a symptom Pick the symptom where everything is DOWN. ( And vice Versa)
Ex: 2 degree Morbitz Type 2 BLOCK. <---- Down direction
If you don't know what causes an acid base balance, pick Metabolic Acidosis
If in doubt in ABGs, always pick Headache, nausea, weakness & numbness+ tingling. It can be either up or down.
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.
Don't suction unless Coughing & deep breathing is deemed inappropriate.
In order to suction, you must be able to hear Mucus in the lung
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?
First question to ask if the low pressure alarm sounds Where is the tubing?!
HOLD H- High Pressure
O- Obstruction
L- Low
D- Disconnections
Never put anything in YOUR scope of practice On anyone else
Make sure your answer is PATIENT FOCUSED.
TAKE CARE OF YOUR PATIENT!
Don't answer based on staff, building, machine, etc.
PATIENT FIRST.
What does wean mean? Decrease Gradually
What do you do if the patients disconnected tube is on Reconnect ... if its above the waist its ok.
the chest?
Remember is PSYCH if you are asked to Prioritize, Don't MASLOW!
forget 1. Physiological
2. Safety
3. Comfort - Includes pain
4. Psychological
5. Social
6. Spiritual
When prioritizing, always use Maslow + ABCs For one patient. Don't if you have more than one patient.
What is the biggest problem in abuse? Denial
To treat denial you need to? Confront them.
Definition of Denial Refusal to accept reality of their problem
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?
Always go Med surg first. Then Psych
, 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.
Say NO and follow through.
Agree in advance on what requests are allowed, then enforce the agreement.
You also need to work or the self esteem 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?
DABDA D- Denial
A- Anger
B- Bargaining
D- Depression
A- Acceptance
Psych Needs, In order Denial
Depend
Manipulation
To address a patient's psychological needs, they must be: STABLE, safe, comfortable.
Pain Never killed anyone. Definitely NOT the top priority, especially if there are
physiological needs in the question that make the patient unstable.
What is Wernickes (Korsakoffs) Syndrome? Psychosis induced by vitamin B1 (Thiamine) deficiency.
Symptom of Wernickes Korsakoffs syndrome? Amnesia with confabulation.
= Loss of memory with making up stories to fill in the gaps.
Vitamin B1 helps breakdown? Alcohol
So without B1 what happens? Alcohol isn't metabolized correctly goes to the brain and causes Wernickes
Primary symptom of Wernickes? Amnesia with confabulation (making up stories).
