Acid Base Exam Questions Answers

Acid Base Exam Questions & Answers (Saunders Evolve) Nclex Exam questions from the 5th edition Saunders book.The nurse reviews the arterial blood gas results of a client and notes the following: pH 7.45, Pco2 of 30 mm Hg, and HCO3 of 20 mEq/L. The nurse analyzes these results as indicating which condition?

• Respiratory alkalosis, compensated

The nurse is caring for a client with a nasogastric tube that is attached to low suction.The nurse monitors the client, knowing that the client is at risk for which acid-base disorder?

• Metabolic alkalosis

A client with a 3-day history of nausea and vomiting presents to the emergency department. The client is hypoventilating and has a respiratory rate of 10 breaths/minute. The electrocardiogram (ECG) monitor displays tachycardia, with a heart rate of 120 beats/minute. Arterial blood gases are drawn and the nurse reviews the results, expecting to note which finding?

• An increased pH with an increased HCO3

The nurse caring for a client with an ileostomy understands that the client is most at risk for developing which acid-base disorder?

• Metabolic acidosis

The nurse is caring for a client with diabetic ketoacidosis and documents that the client is experiencing Kussmaul's respirations. On the basis of this documentation, which pattern did the nurse observe?

• Respirations that are abnormally deep, regular, and increased in rate

A client who is found unresponsive has arterial blood gases drawn and the results

indicate the following: pH is 7.12, Pco2 is 90 mm Hg, and HCO3 is 22 mEq/L. The

nurse interprets the results as indicating which condition?

• Respiratory acidosis without compensation 1 / 2

The nurse notes that a client's arterial blood gas results reveal a pH of 7.50 and a Pco2 of 30 mm Hg. The nurse monitors the client for which clinical manifestations associated with these arterial blood gas results? Select all that apply.

• nausea

confusion tachycardia lightheadedness

The nurse reviews the blood gas results of a client with atelectasis. The nurse analyzes the results and determines that the client is experiencing respiratory acidosis. Which result validates the nurse's findings?

• pH 7.25, Pco2 50 mm Hg
• pH 7.35, Pco2 40 mm Hg

3.pH 7.50, Pco2 52 mm Hg 4.pH 7.52, Pco2 28 mm Hg - 1. pH 7.25, Pco2 50 mm Hg

The nurse is caring for a client who is on a mechanical ventilator. Blood gas results indicate a pH of 7.50 and a Pco2 of 30 mm Hg. The nurse has determined that the client is experiencing respiratory alkalosis. Which laboratory value would most likely be noted in this condition?

• Sodium level of 145 mEq/L
• Potassium level of 3.0 mEq/L
• Magnesium level of 2.0 mg/dL
• Phosphorus level of 4.0 mg/dL - 2.Potassium level of 3.0 mEq/L

The nurse plans care for a client with chronic obstructive pulmonary disease (COPD), understanding that the client is most likely to experience what type of acid-base imbalance?

• Respiratory acidosis

The nurse reviews the arterial blood gas results of an assigned client and notes that the laboratory report indicates a pH of 7.30, Pco2 of 58 mm Hg, Po2 of 80 mm Hg, and Hco3 of 27 mEq/L. The nurse interprets that the client has which acid-base disturbance?

• Respiratory acidosis
• / 2