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WorksheetsAssessment for ABG Course
Total questions: 15
Worksheet time: 5mins
Name
Class
Date
1.
Overexcitement of Central nervous system is a major effect in Acidosis
a)
True
b)
False
c)
May be
d)
Both Acidosis and Alkalosis result in overexcitement of the central nervous system
2.
The human body functions optimally in a state of homeostasis.
a)
True
b)
False
c)
May be
d)
Homeostasis has nothing to do with metabolic balance.
3.
Acids have no hydrogen ions and are able to bind in a solution
a)
True
b)
False
c)
Acid is a substance that is not capable of donating hydrogen ions
d)
Acids and bases have nothing to do with hydrogen ions
4.
In ABG analysis, PCO2 and bicarbonate levels are disturbed. Identify the disturbance with the parameter given: Decreased plasma bicarbonate (HCO3-)
a)
Respiratory acidosis
b)
Respiratory alkalosis
c)
Metabolic acidosis
d)
Metabolic alkalosis
5.
A 52 year old client presents with the complaints of breathing difficulty, exertion on walking since 1 day. ABG done. The ABG results. a. pH: 7.20 b. CO2: 70 c. HCO3-: 22 What is the correct interpretation?
a)
Fully Compensated Respiratory acidosis
b)
Uncompensated Respiratory acidosis
c)
Fully Compensated Metabolic acidosis
d)
Uncompensated Metabolic Alkalosis
6.
The Nurse is performing Modified allen test prior to obtaining a blood specimen for ABG analysis. The Nurse should understand that the Modified allens test is performed to determine
a)
If capillary fill is adequate
b)
If radial pulse is palpable
c)
The patency of Ulnar artery
d)
The presence of Neurological deficit
7.
The Nurse is caring for a client with metabolic acidosis who received IV sodium bicarbonate. Which of the following findings would indicate that the sodium bicarbonate is effective?
a)
Decreased pH
b)
Increased Hco3
c)
Increased respiratory rate
d)
Increased serum potassium level
8.
The Nurse in the Emergency department is caring for assigned clients. The Nurse should recognize that which of the following clients is at risk for developing metabolic acidosis? Select all that apply
a)
25 yr old client with GAD and having panic attack
b)
36 yr old client with gastroenteritis, having severe diarrhea for 3 days
c)
40 yr old client on chemotherapy, has vomiting for past 2 days
d)
75 yr old client with pyelonephritis & Hypotension
9.
The Nurse in the Emergency department is caring for a client who was involved in a motor vehicle collision. Which of the following test determines the clients oxygenation and ventilation
a)
Peak expiratory flow rate reading
b)
Arterial blood gas analysis
c)
Pulse oximeter reading
d)
CT scan of the chest
10.
The nurse is taking the health history of an 87-year-old client and asks what medications he takes. He lists lisinopril, digoxin, Tums, and Alka-Seltzer. Which of the following acid-base imbalances is this client at the highest risk of?
a)
Metabolic alkalosis
b)
Metabolic acidosis
c)
Respiratory acidosis
d)
Respiratory alkalosis
11.
The Nurse is caring for a client with who has been treated with gastric suctioning for 4 days. pH- 7.50, Paco2 - 45mmHg, Hco3- 32meq/l. What is the interpretation
a)
Metabolic Acidosis
b)
Respiratory acidosis
c)
Metabolic alkalosis
d)
Respiratory alkalosis
12.
A client presents with the following ABG results. a. pH: 7.62 b. CO2: 14 c. HCO3- : 18 What is the correct interpretation?
a)
Partially Compensated Respiratory alkalosis
b)
Partially compensated Respiratory acidosis
c)
Fully Compensated Metabolic acidosis
d)
Partially compensated Metabolic Alkalosis
13.
The nurse is caring for a client recovering from a clonazepam overdose. Which of the following ABG results would be expected?
a)
pH 7.4, CO2 40, HCO3 28
b)
pH 7.42, CO2 52, HCO3 42
c)
pH 7.56, CO2 22, HCO3 22
d)
pH 7.25, CO2 74, HCO3 26
14.
A client presents with the following ABG results. a. pH: 7.32 b. CO2: 30 c. HCO3-: 20 What is the correct interpretation?
a)
Partially Compensated Respiratory acidosis
b)
Uncompensated Respiratory acidosis
c)
Partially Compensated Metabolic acidosis
d)
Partially compensated Metabolic Alkalosis
15.
Match the acid-base status of the following blood samples to the disorders in the given choices. (PaCO2 values are in mm Hg and bicarbonate values in mmol/l). pH 7.55, PaCO2 25, HCO3- 22
a)
Respiratory Acidosis, Partially Compensated
b)
Respiratory Alkalosis, Uncompensated
c)
Metabolic Alkalosis, Partially Compensated
d)
Metabolic Acidosis, Uncompensated
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