NEW MARK KLIMEK YELLOW BOOK STUDY SET WITH ALL QUESTIONS
AND CORRECT ANSWERS 100% VERIFIED 2026-2027!!
If the pH and the BiCarb are both in the same direction then it is? - ANSWER
Metabolc
If the pH is up it is? - ANSWER Alkalosis
As the pH goes so goes my patient except for? - ANSWER Potassium
If the pH is down it is? - ANSWER Acidosis
If the pH is up my patient with show signs and symptoms of? - ANSWER
Increase... like tachycardia,diarrhea and borborygmi
If the pH is down my patient will show signs and symtoms of? - ANSWER
Decrease... like decreased output, bradycardia and constipation
If my pH is up my potassium (K+) is ? - ANSWER Down
If my pH is down my potassium (K+) is? - ANSWER Up
If my patient is overventilating I should choose? - ANSWER Respiratory Alkalosis
If my patient is underventilating I should choose? - ANSWER Respiratory
Acidosis
If my patient has prolonged gastric vomiting or suction I choose? - ANSWER
Metabolic Alkalosis
If it is not lung or prolonged vomiting or suctioning I choose? - ANSWER
Metabolic Acidosis
Kussmal Respirations - ANSWER Metabolic Acidosis ( Remember MacKussmal
Before measuing ABGs you should check what? - ANSWER 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 - ANSWER PH is normal! It is never compensated if it
is abnormal.
If PH normal - ANSWER 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 - ANSWER 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 - ANSWER Metabolic
Acidosis
If in doubt in ABGs, always pick - ANSWER Headache, nausea, weakness &
numbness+ tingling. It can be either up or down.
High pressure alarms are triggered when? - ANSWER They cannot push air in
High pressure alarms are caused by what three types of obstructions? - ANSWER
Kinking, Water in dependant loops and mucus in the airway.
If kinking in the tube is present you? - ANSWER Unkink
If water is present in the dependant loops you? - ANSWER Open system and
empty water.
If mucus is present you? - ANSWER Turn them, cough and have them deeo
breath first. If ineffective you then suction.
Don't suction unless - ANSWER Coughing & deep breathing is deemed
inappropriate.
In order to suction, you must be able to hear - ANSWER Mucus in the lung
Low pressure alarms are triggered when? - ANSWER It is to easy to push air in.
Low pressure alarms are normally caused by? - ANSWER Disconnection
If the tubing is disconnected you? - ANSWER Reconnect
If O2 sensor line is disconnected you? - ANSWER Reconnect
In a vented client respiratory alkalosis means the vent setting may be too? -
ANSWER High
,In a vented client respiratory acidosis means the vent may be too? - ANSWER
Low
What do you do if the patients disconnected tube is on the floor? - ANSWER Bag
them, (call for help) get new tube and then reconnect.
First question to ask if the low pressure alarm sounds - ANSWER Where is the
tubing?!
HOLD - ANSWER H- High Pressure
O- Obstruction
L- Low
D- Disconnections
Never put anything in YOUR scope of practice - ANSWER On anyone else
Make sure your answer is - ANSWER PATIENT FOCUSED.
TAKE CARE OF YOUR PATIENT!
Don't answer based on staff, building, machine, etc.
PATIENT FIRST.
What does wean mean? - ANSWER Decrease Gradually
What do you do if the patients disconnected tube is on the chest? - ANSWER
Reconnect ... if its above the waist its ok.
Remember is PSYCH if you are asked to Prioritize, Don't forget - ANSWER
MASLOW!
1. Physiological
2. Safety
3. Comfort - Includes pain
4. Psychological
5. Social
6. Spiritual
When prioritizing, always use Maslow + ABCs - ANSWER For one patient. Don't if
you have more than one patient.
What is the biggest problem in abuse? - ANSWER Denial
To treat denial you need to? - ANSWER Confront them.
Definition of Denial - ANSWER Refusal to accept reality of their problem
How do you confront? - ANSWER Point out the difference between what they say
and what they do.
, What is the one circumstance that you as a nurse would support denial? -
ANSWER Loss and Grief
Always go - ANSWER Med surg first. Then Psych
What is dependency? - ANSWER When the abuser gets a significant other so
make decisions for them or do thing for them.
What is codependency? - ANSWER When the significant other gets positive self
esteem from doing things or making decisions for an abuser.
To treat dependency/codependency you ? - ANSWER 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? - ANSWER 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? - ANSWER Set limits and enforce.
Why is manipulation easier to treat then dependency/codependency? - ANSWER
Because no one likes being manipulated.
DABDA - ANSWER D- Denial
A- Anger
B- Bargaining
D- Depression
A- Acceptance
Psych Needs, In order - ANSWER Denial
Depend
Manipulation
To address a patient's psychological needs, they must be: - ANSWER STABLE,
safe, comfortable.
Pain - ANSWER Never killed anyone. Definitely NOT the top priority, especially if
there are physiological needs in the question that make the patient unstable.
AND CORRECT ANSWERS 100% VERIFIED 2026-2027!!
If the pH and the BiCarb are both in the same direction then it is? - ANSWER
Metabolc
If the pH is up it is? - ANSWER Alkalosis
As the pH goes so goes my patient except for? - ANSWER Potassium
If the pH is down it is? - ANSWER Acidosis
If the pH is up my patient with show signs and symptoms of? - ANSWER
Increase... like tachycardia,diarrhea and borborygmi
If the pH is down my patient will show signs and symtoms of? - ANSWER
Decrease... like decreased output, bradycardia and constipation
If my pH is up my potassium (K+) is ? - ANSWER Down
If my pH is down my potassium (K+) is? - ANSWER Up
If my patient is overventilating I should choose? - ANSWER Respiratory Alkalosis
If my patient is underventilating I should choose? - ANSWER Respiratory
Acidosis
If my patient has prolonged gastric vomiting or suction I choose? - ANSWER
Metabolic Alkalosis
If it is not lung or prolonged vomiting or suctioning I choose? - ANSWER
Metabolic Acidosis
Kussmal Respirations - ANSWER Metabolic Acidosis ( Remember MacKussmal
Before measuing ABGs you should check what? - ANSWER 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 - ANSWER PH is normal! It is never compensated if it
is abnormal.
If PH normal - ANSWER 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 - ANSWER 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 - ANSWER Metabolic
Acidosis
If in doubt in ABGs, always pick - ANSWER Headache, nausea, weakness &
numbness+ tingling. It can be either up or down.
High pressure alarms are triggered when? - ANSWER They cannot push air in
High pressure alarms are caused by what three types of obstructions? - ANSWER
Kinking, Water in dependant loops and mucus in the airway.
If kinking in the tube is present you? - ANSWER Unkink
If water is present in the dependant loops you? - ANSWER Open system and
empty water.
If mucus is present you? - ANSWER Turn them, cough and have them deeo
breath first. If ineffective you then suction.
Don't suction unless - ANSWER Coughing & deep breathing is deemed
inappropriate.
In order to suction, you must be able to hear - ANSWER Mucus in the lung
Low pressure alarms are triggered when? - ANSWER It is to easy to push air in.
Low pressure alarms are normally caused by? - ANSWER Disconnection
If the tubing is disconnected you? - ANSWER Reconnect
If O2 sensor line is disconnected you? - ANSWER Reconnect
In a vented client respiratory alkalosis means the vent setting may be too? -
ANSWER High
,In a vented client respiratory acidosis means the vent may be too? - ANSWER
Low
What do you do if the patients disconnected tube is on the floor? - ANSWER Bag
them, (call for help) get new tube and then reconnect.
First question to ask if the low pressure alarm sounds - ANSWER Where is the
tubing?!
HOLD - ANSWER H- High Pressure
O- Obstruction
L- Low
D- Disconnections
Never put anything in YOUR scope of practice - ANSWER On anyone else
Make sure your answer is - ANSWER PATIENT FOCUSED.
TAKE CARE OF YOUR PATIENT!
Don't answer based on staff, building, machine, etc.
PATIENT FIRST.
What does wean mean? - ANSWER Decrease Gradually
What do you do if the patients disconnected tube is on the chest? - ANSWER
Reconnect ... if its above the waist its ok.
Remember is PSYCH if you are asked to Prioritize, Don't forget - ANSWER
MASLOW!
1. Physiological
2. Safety
3. Comfort - Includes pain
4. Psychological
5. Social
6. Spiritual
When prioritizing, always use Maslow + ABCs - ANSWER For one patient. Don't if
you have more than one patient.
What is the biggest problem in abuse? - ANSWER Denial
To treat denial you need to? - ANSWER Confront them.
Definition of Denial - ANSWER Refusal to accept reality of their problem
How do you confront? - ANSWER Point out the difference between what they say
and what they do.
, What is the one circumstance that you as a nurse would support denial? -
ANSWER Loss and Grief
Always go - ANSWER Med surg first. Then Psych
What is dependency? - ANSWER When the abuser gets a significant other so
make decisions for them or do thing for them.
What is codependency? - ANSWER When the significant other gets positive self
esteem from doing things or making decisions for an abuser.
To treat dependency/codependency you ? - ANSWER 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? - ANSWER 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? - ANSWER Set limits and enforce.
Why is manipulation easier to treat then dependency/codependency? - ANSWER
Because no one likes being manipulated.
DABDA - ANSWER D- Denial
A- Anger
B- Bargaining
D- Depression
A- Acceptance
Psych Needs, In order - ANSWER Denial
Depend
Manipulation
To address a patient's psychological needs, they must be: - ANSWER STABLE,
safe, comfortable.
Pain - ANSWER Never killed anyone. Definitely NOT the top priority, especially if
there are physiological needs in the question that make the patient unstable.
