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WorksheetsElectrolyte and Acid-Base Imbalances Quiz
Total questions: 20
Worksheet time: 10mins
A patient presents with vomiting for 3 days. Labs show: pH 7.50, HCO₃⁻ 32 mEq/L, PaCO₂ 48 mmHg, potassium 2.9 mEq/L. Which complication is the nurse most concerned about?
Seizures
Cardiac dysrhythmias
Laryngospasm
Pulmonary edema
Which ABG and electrolyte findings are consistent with metabolic acidosis due to diarrhea?
pH 7.28
HCO₃⁻ 18 mEq/L
PaCO₂ 30 mmHg
Potassium 5.6 mEq/L
Urine specific gravity 1.035
A patient has peaked T waves and metabolic acidosis. Which mechanism explains this finding?
Potassium shifts into cells
Potassium shifts out of cells
Sodium shifts into cells
Calcium binds to potassium
Which electrolyte imbalances can cause neuromuscular excitability?
Hypocalcemia
Hypomagnesemia
Hypermagnesemia
Hypokalemia
Hypernatremia
A patient’s ABGs show: pH 7.32, PaCO₂ 55 mmHg, HCO₃⁻ 30 mEq/L. How should the nurse interpret this?
Uncompensated respiratory acidosis
Partially compensated respiratory acidosis
Fully compensated respiratory acidosis
Metabolic alkalosis
Which findings indicate fluid volume excess with respiratory compromise?
Bounding pulses
Crackles
PaO₂ 72 mmHg
Urine specific gravity 1.004
Orthostatic hypotension
A patient with hypocalcemia suddenly develops hoarseness and stridor. Which acid–base imbalance may worsen this condition?
Metabolic acidosis
Metabolic alkalosis
Respiratory alkalosis
Respiratory acidosis
Which lab patterns indicate renal failure–related electrolyte and acid–base changes?
Hyperkalemia
Metabolic acidosis
Elevated creatinine
Hypocalcemia
Respiratory alkalosis
Which IV fluid is most appropriate for a patient with metabolic acidosis and hypovolemia?
0.45% NS
3% NS
Lactated Ringer’s
D5W
Which electrolyte abnormalities increase risk for respiratory depression?
Hypermagnesemia
Hypomagnesemia
Hyperkalemia
Hypocalcemia
Hypernatremia
A patient with prolonged hyperventilation is most likely to develop which electrolyte imbalance?
Hyperkalemia
Hypokalemia
Hypocalcemia
Hypermagnesemia
Which findings support hypokalemia with metabolic alkalosis?
Flat T waves
U waves
Vomiting
PaCO₂ 30 mmHg
HCO₃⁻ 34 mEq/L
A patient has BUN 38 mg/dL, creatinine 1.9 mg/dL, urine specific gravity 1.032. What acid–base imbalance is most likely?
Respiratory alkalosis
Metabolic alkalosis
Metabolic acidosis
Respiratory acidosis
Which electrolyte imbalances are life-threatening due to cardiac effects?
Hypokalemia
Hyperkalemia
Hypocalcemia
Hypermagnesemia
Hypophosphatemia
A patient with COPD has chronic respiratory acidosis. Which electrolyte abnormality is expected?
Hypokalemia
Hyperkalemia
Hypocalcemia
Hypernatremia
Which interventions are priorities for hyperkalemia with metabolic acidosis?
Calcium gluconate
Insulin with glucose
Sodium bicarbonate
Potassium supplements
Cardiac monitoring
Which finding best differentiates fluid volume excess from fluid volume deficit?
Blood pressure
Heart rate
Daily weight
Urine color
Which electrolyte abnormalities can worsen acid–base imbalances?
Hypokalemia
Hyperkalemia
Hypocalcemia
Hypermagnesemia
Hypernatremia
A patient with severe diarrhea develops hypotension and confusion. ABGs show pH 7.29. What is the nurse’s first action?
Administer sodium bicarbonate
Initiate isotonic IV fluids
Prepare for intubation
Restrict oral intake
Which findings suggest combined electrolyte and acid–base instability?
Dysrhythmias
Altered mental status
Muscle twitching
Laryngospasm
Bounding pulses
