ABG Quiz: Acidosis Or Alkalosis?

1. A patient with pneumonia and sepsis has pH 7.32, PaCO2 50 mmHg, HCO3- 20 mEq/L. What is the primary problem?

Pure respiratory acidosis

Pure metabolic acidosis

Combined respiratory and metabolic acidosis

Respiratory alkalosis with metabolic compensation

2. A patient with asthma exacerbation has pH 7.38, PaCO2 52 mmHg, HCO3- 30 mEq/L. What does this indicate?

Acute respiratory acidosis with early metabolic compensation

Chronic respiratory acidosis with metabolic compensation

Respiratory alkalosis with metabolic compensation

Normal acid-base status

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4. A patient on diuretics for heart failure shows pH 7.46, PaCO2 48 mmHg, HCO3- 32 mEq/L. What is occurring?

Metabolic alkalosis with respiratory compensation

Respiratory alkalosis with metabolic compensation

Metabolic alkalosis without respiratory compensation

Combined respiratory and metabolic alkalosis

Submit

6. A patient with chronic kidney disease has pH 7.32, PaCO2 32 mmHg, HCO3- 16 mEq/L. What is the primary disorder with compensation?

Metabolic acidosis with respiratory compensation

Respiratory acidosis with renal compensation

Metabolic alkalosis with respiratory compensation

Respiratory alkalosis with renal compensation

7. A patient with acute kidney injury shows pH 7.28, PaCO2 38 mmHg, HCO3- 18 mEq/L. What compensatory mechanism is inadequate?

Respiratory compensation

Renal compensation

Metabolic compensation

Hemoglobin buffering

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9. A patient on a ventilator has pH 7.42, PaCO2 35 mmHg, HCO3- 23 mEq/L. What is the acid-base status?

Acidosis

Alkalosis

Normal

Mixed disorder

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11. A patient's ABG shows pH 7.30, PaCO2 50 mmHg, HCO3- 24 mEq/L. What is the primary acid-base disturbance?

Respiratory acidosis

Respiratory alkalosis

Metabolic acidosis

Metabolic alkalosis

Submit

13. A patient vomiting frequently presents with pH 7.48, PaCO2 45 mmHg, HCO3- 34 mEq/L. What acid-base disturbance is present?

Respiratory acidosis

Metabolic acidosis

Respiratory alkalosis

Metabolic alkalosis

Submit

15. A patient with diabetic ketoacidosis shows pH 7.25, PaCO2 32 mmHg, HCO3- 15 mEq/L. What is the primary disorder?

Respiratory acidosis

Metabolic acidosis with respiratory compensation

Respiratory alkalosis

Metabolic alkalosis

Submit

17. A patient hyperventilating due to anxiety has pH 7.50, PaCO2 28 mmHg, HCO3- 22 mEq/L. What is occurring?

Respiratory acidosis

Respiratory alkalosis

Metabolic acidosis

Metabolic alkalosis

Submit

19. A patient with COPD presents with pH 7.32, PaCO2 65 mmHg, HCO3- 32 mEq/L. What does this indicate?

Acute respiratory acidosis with metabolic compensation

Chronic respiratory acidosis with metabolic compensation

Respiratory alkalosis with metabolic compensation

Mixed metabolic and respiratory alkalosis

20. Which ABG result indicates metabolic alkalosis with appropriate respiratory compensation?

PH 7.50, PaCO2 30 mmHg, HCO3- 28 mEq/L

PH 7.35, PaCO2 45 mmHg, HCO3- 20 mEq/L

PH 7.45, PaCO2 50 mmHg, HCO3- 28 mEq/L

PH 7.32, PaCO2 35 mmHg, HCO3- 18 mEq/L

ABG Quiz: Acidosis or Alkalosis?

1. A patient with pneumonia and sepsis has pH 7.32, PaCO2 50 mmHg, HCO3- 20 mEq/L. What is the primary problem?

2.

What first name or nickname would you like us to use?

2. A patient with asthma exacerbation has pH 7.38, PaCO2 52 mmHg, HCO3- 30 mEq/L. What does this indicate?

3. In metabolic alkalosis, the body compensates by ____.

4. A patient on diuretics for heart failure shows pH 7.46, PaCO2 48 mmHg, HCO3- 32 mEq/L. What is occurring?

5. When pH is greater than 7.45, the patient has ____.

6. A patient with chronic kidney disease has pH 7.32, PaCO2 32 mmHg, HCO3- 16 mEq/L. What is the primary disorder with compensation?

7. A patient with acute kidney injury shows pH 7.28, PaCO2 38 mmHg, HCO3- 18 mEq/L. What compensatory mechanism is inadequate?

8. When pH is less than 7.35, the patient has ____.

9. A patient on a ventilator has pH 7.42, PaCO2 35 mmHg, HCO3- 23 mEq/L. What is the acid-base status?

10. In respiratory alkalosis, PaCO2 is ____ than normal.

11. A patient's ABG shows pH 7.30, PaCO2 50 mmHg, HCO3- 24 mEq/L. What is the primary acid-base disturbance?

12. Normal HCO3- range is ____ mEq/L.

13. A patient vomiting frequently presents with pH 7.48, PaCO2 45 mmHg, HCO3- 34 mEq/L. What acid-base disturbance is present?

14. Normal PaCO2 range is ____ mmHg.

15. A patient with diabetic ketoacidosis shows pH 7.25, PaCO2 32 mmHg, HCO3- 15 mEq/L. What is the primary disorder?

16. In metabolic acidosis, the body compensates by ____.

17. A patient hyperventilating due to anxiety has pH 7.50, PaCO2 28 mmHg, HCO3- 22 mEq/L. What is occurring?

18. Normal arterial pH range is ____.

19. A patient with COPD presents with pH 7.32, PaCO2 65 mmHg, HCO3- 32 mEq/L. What does this indicate?

20. Which ABG result indicates metabolic alkalosis with appropriate respiratory compensation?