Mark Klimek Review-Lecture Yellow Book Notes PDF Free

The NCLEX exam, also known as the National Council Licensure Examination, is a standardized exam that each state board of nursing uses to determine whether or not a candidate is prepared for entry-level nursing practice. But your first step is to successfully complete an accredited nursing degree.

The harder the questions you‘re getting, the higher the logit score. According to a recent release from the NCSBN, the passing logit score for the NCLEX-RN (through 2019) is 0.00. Basically, this means that you need to be answering the medium difficulty questions correctly at least 50% of the time to pass.

The NCLEX exam costs $200 which is paid to Pearson Vue at the time you register. However, when you budget your money for this next step, you need to be aware of the additional costs you may face.

Sample Questions

1. Rule of the B’s: If the ____ and the _____ are ______ in the same direction then it is meta_____

Answer: pH, Bicarb, Both, Bolic

2. pH 7.30_______ HCO3 20_______

Answer: ↓= acidosis; ↓= metabolic

3. pH 7.58_______ HCO3 32_______

Answer: ↑= alkalosis; ↑= metabolic

4. pH 7.22_______ HCO3 30_______

Answer: ↓= acidosis; ↑= respiratory

5. You are providing care to a client with the following blood gas results: pH 7.32, CO2 49, HCO3 29, PO2 80, and SaO2 90%. Based on these results, the client is experiencing:

Answer: ↓= acidosis; ↑= respiratory

6. MacKussmaul

Answer: The only acid base to cause Kussmaul respirations is Metabolic Acidosis

7. As the _______ goes, so goes _______ except for _______

Answer: pH, my patient, Potassium

8. Causes of acid-base imbalances: First ask yourself, “Is it _______?” If yes, then it’s _______. Then ask yourself: “Are they _______ or _______. If _______, pick _______. If _______, pick _______

Answer: lung, respiratory, overventilating, underventilating, overventilating, alkalosis, underventilating, acidosis

9. Causes of acid-base imbalances: If it’s not lung, then it’s _______. If the patient has _______ _______ vomiting or suction, pick _______. For everything else that isn’t lung, pick _______ _______. When you don’t know what to pick, choose _______ _______

Answer: metabolic, prolonged gastric, alkalosis, metabolic acidosis, metabolic acidosis

10. High pressure alarms are triggered by _______ resistance to air flow.

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