BSN 366 Acid-Base Imbalances Exam
Questions and Answers with Verified
Solutions | Latest Updated 2026
,Mr. Abdul, a 76-year-old male, has Temperature 36.5 °C (97.7 °F)
been admitted to the hospital with Pulse 118 regular
complaints of having shortness of Respirations 32 and labored
breath, headaches and blurred BP 160/100 mm Hg
vision, fatigue, and increased Pulse oximetry 90% on room air
anxiety ABG on room air: pH 7.2, PaCO2 60 mm
for the past week. He has begun Hg, PaO2
experiencing tremors in his hand. 73 mm Hg, HCO3− 25 mEq/L
The Urine ketones: +2
tremors were so severe he was Other assessment findings to note include:
unable to fix his dinner or take his Reflexes are +1 bilaterally.
medication. He reports that he has Gait is slow and unsteady, frequently
had increasing trouble keeping his reaches out
balance when walking and had to to wall or furniture to steady self.
borrow a friend's cane for balance. Denies pain but is very restless.
He has a history of type I diabetes Anxious demeanor. Slow to respond to
mellitus (DM), treated with a daily questions.
dose of insulin with breakfast. He Unsure about answers to some current
has events'
smoked one pack of cigarettes per questions.
day for 56 years. He was Skin is warm, dry, and slightly pale.
diagnosed Reported sleep quality is good and he
with chronic obstructive pulmonary says he
disease (COPD) three years ago. sleeps about 10 hours at night and takes
He two naps
has no known drug allergies during the daytime.
(NKDA). Impaired Gas Exchange
Acute Confusion
Self-Care Deficit
,The nurse is completing a patient's Acute Confusion
shift assessment and notes that Lethargy, agitation, and restlessness are
the characteristic of this nursing diagnosis.
patient is lethargic, but restless
and
agitated. Which nursing diagnosis
should the nurse include to the
plan
of care based on this data?
Acute Confusion
Decreased Cardiac Output
Impaired Gas Exchange
Fatigue
Question 2 of 4 Impaired Gas Exchange
Mr. Abdul states, "I can't catch my The patient's presentation and the nurse's
breath." The nurse observes that observation are evidence for including this
his nursing
breathing is labored, his diagnosis into Mr. Abdul's plan of care.
respirations
are slow and deep, and his oxygen
saturation level is 90%. Based on
these assessment findings, which
nursing diagnosis does the nurse
include in Mr. Abdul's plan of
care?
Impaired Gas Exchange
Decreased Cardiac Output
Acute Confusion
Imbalanced Nutrition
, Question 3 of 4
Match each nursing diagnosis with
the appropriate cluster of
assessment data about Mr. Abdul.
Dyspnea, labored breathing,
PaCO2
= 60
=Impaired Gas Exchange
Restless, anxiety, unsure about
current events
=Acute Confusion
Unable to fix meals and take
medication
=Self-Care Deficit
Questions and Answers with Verified
Solutions | Latest Updated 2026
,Mr. Abdul, a 76-year-old male, has Temperature 36.5 °C (97.7 °F)
been admitted to the hospital with Pulse 118 regular
complaints of having shortness of Respirations 32 and labored
breath, headaches and blurred BP 160/100 mm Hg
vision, fatigue, and increased Pulse oximetry 90% on room air
anxiety ABG on room air: pH 7.2, PaCO2 60 mm
for the past week. He has begun Hg, PaO2
experiencing tremors in his hand. 73 mm Hg, HCO3− 25 mEq/L
The Urine ketones: +2
tremors were so severe he was Other assessment findings to note include:
unable to fix his dinner or take his Reflexes are +1 bilaterally.
medication. He reports that he has Gait is slow and unsteady, frequently
had increasing trouble keeping his reaches out
balance when walking and had to to wall or furniture to steady self.
borrow a friend's cane for balance. Denies pain but is very restless.
He has a history of type I diabetes Anxious demeanor. Slow to respond to
mellitus (DM), treated with a daily questions.
dose of insulin with breakfast. He Unsure about answers to some current
has events'
smoked one pack of cigarettes per questions.
day for 56 years. He was Skin is warm, dry, and slightly pale.
diagnosed Reported sleep quality is good and he
with chronic obstructive pulmonary says he
disease (COPD) three years ago. sleeps about 10 hours at night and takes
He two naps
has no known drug allergies during the daytime.
(NKDA). Impaired Gas Exchange
Acute Confusion
Self-Care Deficit
,The nurse is completing a patient's Acute Confusion
shift assessment and notes that Lethargy, agitation, and restlessness are
the characteristic of this nursing diagnosis.
patient is lethargic, but restless
and
agitated. Which nursing diagnosis
should the nurse include to the
plan
of care based on this data?
Acute Confusion
Decreased Cardiac Output
Impaired Gas Exchange
Fatigue
Question 2 of 4 Impaired Gas Exchange
Mr. Abdul states, "I can't catch my The patient's presentation and the nurse's
breath." The nurse observes that observation are evidence for including this
his nursing
breathing is labored, his diagnosis into Mr. Abdul's plan of care.
respirations
are slow and deep, and his oxygen
saturation level is 90%. Based on
these assessment findings, which
nursing diagnosis does the nurse
include in Mr. Abdul's plan of
care?
Impaired Gas Exchange
Decreased Cardiac Output
Acute Confusion
Imbalanced Nutrition
, Question 3 of 4
Match each nursing diagnosis with
the appropriate cluster of
assessment data about Mr. Abdul.
Dyspnea, labored breathing,
PaCO2
= 60
=Impaired Gas Exchange
Restless, anxiety, unsure about
current events
=Acute Confusion
Unable to fix meals and take
medication
=Self-Care Deficit
