ABG ANALYSIS NCLEX EXAM 1
still in pain and now experiencing muscle cramps,
1. George Kent is a 54 year old widower with a history
tingling, and paraesthesia. Measurement of arterial
of chronic obstructive pulmonary disease and was
blood gas reveals pH 7.6, PaO2 120 mm Hg, PaCO2 31
rushed to the emergency department with increasing
mm Hg, and HCO3 25 mmol/L. What does this mean?
shortness of breath, pyrexia, and a productive cough
A. Respiratory Alkalosis, Uncompensated
with yellow-green sputum. He has difficulty in
B. Respiratory Acidosis, Partially Compensated
communicating because of his inability to complete a
C. Metabolic Alkalosis, Uncompensated
sentence. One of his sons, Jacob, says he has been
D. Metabolic Alkalosis, Partially Compensated
unwell for three days. Upon examination, crackles
4. Ricky’s grandmother is suffering from persistent
and wheezes can be heard in the lower lobes; he has
vomiting for two days now. She appears to be lethargic
a tachycardia and a bounding pulse. Measurement of
and weak and has myalgia. She is noted to have dry
arterial blood gas shows pH 7.3, PaCO2 68 mm Hg,
mucus membranes and her capillary refill takes >4
HCO3 28 mmol/L, and PaO2 60 mm Hg. How would
seconds. She is diagnosed as having gastroenteritis
you interpret this?
and dehydration. Measurement of arterial blood gas
A. Respiratory Acidosis, Uncompensated
shows pH 7.5, PaO2 85 mm Hg, PaCO2 40 mm Hg,
B. Respiratory Acidosis, Partially Compensated
and HCO3 34 mmol/L. What acid-base disorder is
C. Metabolic Alkalosis, Uncompensated
shown?
D. Metabolic Acidosis, Partially Compensated
A. Respiratory Alkalosis, Uncompensated
2. Carl, an elementary student, was rushed to the
B. Respiratory Acidosis, Partially Compensated
hospital due to vomiting and a decreased level of
C. Metabolic Alkalosis, Uncompensated
consciousness. The patient displays slow and deep
D. Metabolic Alkalosis, Partially Compensated
(Kussmaul breathing), and he is lethargic and irritable
5. Mrs. Johansson, who had undergone surgery in the
in response to stimulation. He appears to be
post-anesthesia care unit (PACU), is difficult to arouse
dehydrated—his eyes are sunken and mucous
two hours following surgery. Nurse Florence in the
membranes are dry—and he has a two week history of
PACU has been administering Morphine Sulfate
polydipsia, polyuria, and weight loss. Measurement of
intravenously to the client for complaints of post-
arterial blood gas shows pH 7.0, PaO2 90 mm Hg,
surgical pain. The client’s respiratory rate is 7 per
PaCO2 23 mm Hg, and HCO3 12 mmol/L; other results
minute and demonstrates shallow breathing. The
are Na+ 126 mmol/L, K+ 5 mmol/L, and Cl- 95
patient does not respond to any stimuli! The nurse
mmol/L. What is your assessment?
assesses the ABCs (remember Airway, Breathing,
A. Respiratory Acidosis, Uncompensated
Circulation!) and obtains ABGs STAT! Measurement of
B. Respiratory Acidosis, Partially Compensated
arterial blood gas shows pH 7.10, PaCO2 70 mm Hg
C. Metabolic Alkalosis, Uncompensated
and HCO3 24 mEq/L. What does this mean?
D. Metabolic Acidosis, Partially, Compensated
A. Respiratory Alkalosis, Partially Compensated
3. A cigarette vendor was brought to the emergency
B. Respiratory Acidosis, Uncompensated
department of a hospital after she fell into the ground
C. Metabolic Alkalosis, Partially Compensated
and hurt her left leg. She is noted to be tachycardic
D. Metabolic Acidosis, Uncompensated
and tachypneic. Painkillers were carried out to lessen
6. Baby Angela was rushed to the Emergency Room
her pain. Suddenly, she started complaining that she is
following her mother’s complaint that the infant has
been irritable, difficult to breastfeed and has had
https://www.coursehero.com/file/50921521/ABG-EXAMdocx/
, d i a r r h e a fo r t he p a st 3 days. The
This study source was downloaded by 100000817936687 from CourseHero.com on 10-30-2 0 2 1 1 3 :5 4 :22 G M T -05 :0 0
infant’s respiratory
https://www.coursehero.com/file/50921521/ABG-EXAMdocx/
still in pain and now experiencing muscle cramps,
1. George Kent is a 54 year old widower with a history
tingling, and paraesthesia. Measurement of arterial
of chronic obstructive pulmonary disease and was
blood gas reveals pH 7.6, PaO2 120 mm Hg, PaCO2 31
rushed to the emergency department with increasing
mm Hg, and HCO3 25 mmol/L. What does this mean?
shortness of breath, pyrexia, and a productive cough
A. Respiratory Alkalosis, Uncompensated
with yellow-green sputum. He has difficulty in
B. Respiratory Acidosis, Partially Compensated
communicating because of his inability to complete a
C. Metabolic Alkalosis, Uncompensated
sentence. One of his sons, Jacob, says he has been
D. Metabolic Alkalosis, Partially Compensated
unwell for three days. Upon examination, crackles
4. Ricky’s grandmother is suffering from persistent
and wheezes can be heard in the lower lobes; he has
vomiting for two days now. She appears to be lethargic
a tachycardia and a bounding pulse. Measurement of
and weak and has myalgia. She is noted to have dry
arterial blood gas shows pH 7.3, PaCO2 68 mm Hg,
mucus membranes and her capillary refill takes >4
HCO3 28 mmol/L, and PaO2 60 mm Hg. How would
seconds. She is diagnosed as having gastroenteritis
you interpret this?
and dehydration. Measurement of arterial blood gas
A. Respiratory Acidosis, Uncompensated
shows pH 7.5, PaO2 85 mm Hg, PaCO2 40 mm Hg,
B. Respiratory Acidosis, Partially Compensated
and HCO3 34 mmol/L. What acid-base disorder is
C. Metabolic Alkalosis, Uncompensated
shown?
D. Metabolic Acidosis, Partially Compensated
A. Respiratory Alkalosis, Uncompensated
2. Carl, an elementary student, was rushed to the
B. Respiratory Acidosis, Partially Compensated
hospital due to vomiting and a decreased level of
C. Metabolic Alkalosis, Uncompensated
consciousness. The patient displays slow and deep
D. Metabolic Alkalosis, Partially Compensated
(Kussmaul breathing), and he is lethargic and irritable
5. Mrs. Johansson, who had undergone surgery in the
in response to stimulation. He appears to be
post-anesthesia care unit (PACU), is difficult to arouse
dehydrated—his eyes are sunken and mucous
two hours following surgery. Nurse Florence in the
membranes are dry—and he has a two week history of
PACU has been administering Morphine Sulfate
polydipsia, polyuria, and weight loss. Measurement of
intravenously to the client for complaints of post-
arterial blood gas shows pH 7.0, PaO2 90 mm Hg,
surgical pain. The client’s respiratory rate is 7 per
PaCO2 23 mm Hg, and HCO3 12 mmol/L; other results
minute and demonstrates shallow breathing. The
are Na+ 126 mmol/L, K+ 5 mmol/L, and Cl- 95
patient does not respond to any stimuli! The nurse
mmol/L. What is your assessment?
assesses the ABCs (remember Airway, Breathing,
A. Respiratory Acidosis, Uncompensated
Circulation!) and obtains ABGs STAT! Measurement of
B. Respiratory Acidosis, Partially Compensated
arterial blood gas shows pH 7.10, PaCO2 70 mm Hg
C. Metabolic Alkalosis, Uncompensated
and HCO3 24 mEq/L. What does this mean?
D. Metabolic Acidosis, Partially, Compensated
A. Respiratory Alkalosis, Partially Compensated
3. A cigarette vendor was brought to the emergency
B. Respiratory Acidosis, Uncompensated
department of a hospital after she fell into the ground
C. Metabolic Alkalosis, Partially Compensated
and hurt her left leg. She is noted to be tachycardic
D. Metabolic Acidosis, Uncompensated
and tachypneic. Painkillers were carried out to lessen
6. Baby Angela was rushed to the Emergency Room
her pain. Suddenly, she started complaining that she is
following her mother’s complaint that the infant has
been irritable, difficult to breastfeed and has had
https://www.coursehero.com/file/50921521/ABG-EXAMdocx/
, d i a r r h e a fo r t he p a st 3 days. The
This study source was downloaded by 100000817936687 from CourseHero.com on 10-30-2 0 2 1 1 3 :5 4 :22 G M T -05 :0 0
infant’s respiratory
https://www.coursehero.com/file/50921521/ABG-EXAMdocx/
