N4581 Escape Room Exam 1 Questions and Answers
Latest Updated 2026/2027 (Graded A+)- University of
Texas, Arlington
Exam 1 Escape Room for N4581
Total points 49/70
You must answer all questions to advance through each of the rooms and ESCAPE! This
activity is designed to increase your knowledge of and ability to apply information from the
content for Exam 1.
Some of these questions may actually be on Exam 1 and/or the Comprehensive Final (just
worded a little differently) but all of the content will be assessed.
9 of 18 points
Entering the room of Acid Base Imbalances
, Exam 1 Escape Room for N4581
Which of the following are part of the renal system regulation? SATA * 1/1
secretion of free hydrogen ions
combining H+ with ammonia (NH3)
conserving bicarbonate
metabolizing carbonic acid
Feedback
The kidneys reabsorb bicarbonate and hydrogen ions from the urine back into the
bloodstream or can excrete them in the urine in response to the blood levels of hydrogen.
Kidneys can also produce more bicarbonate as needed.
Which of the following ABG would you expect to see on a healthy *1/1
individual?
pH: 7.45 CO2: 35 HCO3: 26 PaO2: 50
pH: 7.48 CO2: 35 HCO3: 28 PaO2: 88
pH: 7.32 CO2: 55 HCO3: 26 PaO2: 58
pH: 7.38 CO2: 40 HCO3: 26 PaO2: 80
Feedback
You need to know normal values - be sure to look them up; maybe put them on your note
sheet for the exams.
2/35
, Exam 1 Escape Room for N4581
Which of the following are compensatory responses to a pH of 7.50? *1/1
SATA
decreased respiratory rate and depth
movement of H into cells and pulling K out
increased excretion of HCO3
muscle spasms
Feedback
In alkalotic states the kidneys try to get ride of bicarb and the lungs try to hold on to CO2 by
decreasing rate and depth, but the brain will not let us stop breathing so compensation will be
limited.
Which of the following are interventions/treatment for a a pH of 7.50? *1/1
SATA
decrease rate/volume
give acetazolamide
give benzos
fix underlying issue
Feedback
We also start with trying to fix the cause of any imbalance. If metabolic alkalosis we could try
acetazolamide to encourage the kidneys to excrete bicarb. It is is a respiratory alkalosis, we
could decrease rate/volume if on mechanical ventilation or give a benzo if it is due to
anxiety.
3/35
, Exam 1 Escape Room for N4581
Which of the following are compensatory responses to a pH of 7.30? *1/1
SATA
Increased rate and depth of respirations
Increase H excretion
Moving K into and H out of the cells
HCO3 retention
Feedback
In an acidosis, the lungs will respond with increasing rate and depth of respiration -
Kussmaul respirations. The kidneys will hold on to bicarb and excrete hydrogen ions.
Hydrogen will also move into the cells resulting in K moving into the blood stream
resulting in hyperkalemia.
What is the mnemonic to assist with identifying the cause of an *1/1
acid/base imbalance?
Respiratory Equal Metabolic Opposite
Respiratory Opposite Metabolic Equal
Feedback
In Respiratory conditions, the pH and the PaCO2 go in Opposite directions. In Metabolic
conditions, the pH and the HCO3− go in the same direction (equal or Equivalent). The
PaCO2 may also go in the same direction if compensation is occurring.
4/35
Latest Updated 2026/2027 (Graded A+)- University of
Texas, Arlington
Exam 1 Escape Room for N4581
Total points 49/70
You must answer all questions to advance through each of the rooms and ESCAPE! This
activity is designed to increase your knowledge of and ability to apply information from the
content for Exam 1.
Some of these questions may actually be on Exam 1 and/or the Comprehensive Final (just
worded a little differently) but all of the content will be assessed.
9 of 18 points
Entering the room of Acid Base Imbalances
, Exam 1 Escape Room for N4581
Which of the following are part of the renal system regulation? SATA * 1/1
secretion of free hydrogen ions
combining H+ with ammonia (NH3)
conserving bicarbonate
metabolizing carbonic acid
Feedback
The kidneys reabsorb bicarbonate and hydrogen ions from the urine back into the
bloodstream or can excrete them in the urine in response to the blood levels of hydrogen.
Kidneys can also produce more bicarbonate as needed.
Which of the following ABG would you expect to see on a healthy *1/1
individual?
pH: 7.45 CO2: 35 HCO3: 26 PaO2: 50
pH: 7.48 CO2: 35 HCO3: 28 PaO2: 88
pH: 7.32 CO2: 55 HCO3: 26 PaO2: 58
pH: 7.38 CO2: 40 HCO3: 26 PaO2: 80
Feedback
You need to know normal values - be sure to look them up; maybe put them on your note
sheet for the exams.
2/35
, Exam 1 Escape Room for N4581
Which of the following are compensatory responses to a pH of 7.50? *1/1
SATA
decreased respiratory rate and depth
movement of H into cells and pulling K out
increased excretion of HCO3
muscle spasms
Feedback
In alkalotic states the kidneys try to get ride of bicarb and the lungs try to hold on to CO2 by
decreasing rate and depth, but the brain will not let us stop breathing so compensation will be
limited.
Which of the following are interventions/treatment for a a pH of 7.50? *1/1
SATA
decrease rate/volume
give acetazolamide
give benzos
fix underlying issue
Feedback
We also start with trying to fix the cause of any imbalance. If metabolic alkalosis we could try
acetazolamide to encourage the kidneys to excrete bicarb. It is is a respiratory alkalosis, we
could decrease rate/volume if on mechanical ventilation or give a benzo if it is due to
anxiety.
3/35
, Exam 1 Escape Room for N4581
Which of the following are compensatory responses to a pH of 7.30? *1/1
SATA
Increased rate and depth of respirations
Increase H excretion
Moving K into and H out of the cells
HCO3 retention
Feedback
In an acidosis, the lungs will respond with increasing rate and depth of respiration -
Kussmaul respirations. The kidneys will hold on to bicarb and excrete hydrogen ions.
Hydrogen will also move into the cells resulting in K moving into the blood stream
resulting in hyperkalemia.
What is the mnemonic to assist with identifying the cause of an *1/1
acid/base imbalance?
Respiratory Equal Metabolic Opposite
Respiratory Opposite Metabolic Equal
Feedback
In Respiratory conditions, the pH and the PaCO2 go in Opposite directions. In Metabolic
conditions, the pH and the HCO3− go in the same direction (equal or Equivalent). The
PaCO2 may also go in the same direction if compensation is occurring.
4/35
