Arterial Blood Gas (ABG) Analysis NCLEX Exam #4 (10 Questions)

10 Questions | By Santepro | Updated: Nov 27, 2022 | Attempts: 9416

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Arterial Blood Gas (ABG) Analysis NCLEX Exam #4 (10 Questions) - Quiz

We have come up with this Arterial Blood Gas (ABG) Analysis NCLEX Exam #4 (10 Questions) for you to test as well enhance your knowledge on the same. All questions are shown, but the results will only be given after you've finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz. So, can you manage to score well on this quiz? Let's see. Good luck, dear!

Questions and Answers

1.

Stephen, a 6-year-old boy, was brought to the hospital with her mother’s complaint that her son is vomiting, nauseated, and showed overall weakness. After some tests, the nurse finds the laboratory results: potassium: 2.9 mEq. the boy is at risk for which primary acid-base imbalance if medical intervention is not carried out?
- A.
  
  Respiratory Acidosis
- B.
  
  Respiratory Alkalosis
- C.
  
  Metabolic Acidosis
- D.
  
  Metabolic Alkalosis
2.

An old beggar gets admitted to the emergency department for shortness of breath, fever, and a productive cough. After examination, crackles and wheezes are found in the lower lobes; he appears to be tachycardic and shows a bounding pulse. Measurement of arterial blood gas shows pH 7.2, PaCO2 66 mm Hg, HCO3 27 mmol/L, and PaO2 65 mm Hg. As a knowledgeable nurse, you know what the normal value is for pH:
- A.
  
  7.20
- B.
  
  7.30
- C.
  
  7.40
- D.
  
  7.50
3.

Liza’s mother is seen in the emergency department at a community hospital. She admits that her mother has been taking many tablets of aspirin (salicylates) over the last 24-hour period because of a severe headache. Also, the mother complains of an inability to urinate. The nurse on duty took her vital signs and noted the following: Temp = 97.8 °F; apical pulse = 95; respiration = 32 and deep. Which primary acid-base imbalance is the gentleman at risk for if medical attention is not provided?
- A.
  
  Respiratory Acidosis
- B.
  
  Respiratory Alkalosis
- C.
  
  Metabolic Acidosis
- D.
  
  Metabolic Alkalosis
4.

A patient who is hospitalized due to vomiting and a decreased level of consciousness displays slow and deep (Kussmaul breathing), and he is lethargic and irritable in response to stimulation. The doctor diagnosed him of having dehydration. Measurement of arterial blood gas shows pH 7.0, PaO2 90 mm Hg, PaCO2 22 mm Hg, and HCO3 14 mmol/L; other results are Na+ 120 mmol/L, K+ 2.5 mmol/L, and Cl- 95 mmol/L. As a knowledgeable nurse, you know that the normal value for PaCO2 is:
- A.
  
  22 mm Hg
- B.
  
  36 mm Hg
- C.
  
  48 mm Hg
- D.
  
  50 mm Hg
5.

A company driver is found at the scene of an automobile accident in a state of emotional distress. He tells the paramedics that he feels dizzy, tingling in his fingertips, and does not remember what happened to his car. Respiratory rate is rapid at 34/minute. Which primary acid-base disturbance is the young man at risk for if medical attention is not provided?
- A.
  
  Respiratory Acidosis
- B.
  
  Respiratory Alkalosis
- C.
  
  Metabolic Acidosis
- D.
  
  Metabolic Alkalosis
6.

An elderly client gets admitted to the hospital, and he is in a coma. Analysis of the arterial blood provided the following values: PCO2 16 mm Hg, HCO3- 5 mmol/L, and pH 7.1. As a good nurse, you know what the normal value is for HCO3 is:
- A.
  
  20 mmol/L
- B.
  
  24 mmol/L
- C.
  
  29 mmol/L
- D.
  
  31 mmol/L
7.

In a patient undergoing surgery, it was vital to aspirate the contents of the upper gastrointestinal tract. After the operation, the following values were acquired from an arterial blood sample: pH 7.55, PCO2 52 mm Hg, and HCO3- 40 mmol/l. What is the underlying disorder?
- A.
  
  Respiratory Acidosis
- B.
  
  Respiratory Alkalosis
- C.
  
  Metabolic Acidosis
- D.
  
  Metabolic Alkalosis
8.

A mountaineer attempts an assault on a high mountain in the Andes and reaches an altitude of 5000 meters (16,400 ft) above sea level. What will happen to his arterial PCO2 and pH?
- A.
  
  Both will be lower than normal.
- B.
  
  The pH will rise, and PCO2 will fall.
- C.
  
  Both will be higher than normal due to physical exertion.
- D.
  
  The pH will fall, and PCO2 will rise
9.

A young woman is found comatose, having taken an unknown number of sleeping pills an unknown time before. An arterial blood sample yields the following values: pH 6.90, HCO3- 13 meq/liter, and PaCO2 68 mmHg. This patient’s acid-base status is most accurately described as:
- A.
  
  Metabolic Acidosis
- B.
  
  Respiratory Acidosis
- C.
  
  Simultaneous Respiratory and Metabolic Acidosis
- D.
  
  Respiratory Acidosis with Complete Renal Compensation
10.

A mother is admitted in the emergency department following complaints of fever and chills. The nurse on duty took her vital signs and noted the following: Temp = 100 °F; apical pulse = 95; respiration = 20, and deep. Measurement of arterial blood gas shows pH 7.37, PaO2 90 mm Hg, PaCO2 40 mm Hg and HCO3 24 mmol/L. What is your assessment?
- A.
  
  Hyperthermia
- B.
  
  Hyperthermia and Respiratory Alkalosis
- C.
  
  Hypothermia
- D.
  
  Hypothermia and Respiratory Alkalosis