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Electrolyte and Acid-Base Imbalances Quiz

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

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?

a)

Seizures

b)

Cardiac dysrhythmias

c)

Laryngospasm

d)

Pulmonary edema

2.

Which ABG and electrolyte findings are consistent with metabolic acidosis due to diarrhea?

a)

pH 7.28

b)

HCO₃⁻ 18 mEq/L

c)

PaCO₂ 30 mmHg

d)

Potassium 5.6 mEq/L

e)

Urine specific gravity 1.035

3.

A patient has peaked T waves and metabolic acidosis. Which mechanism explains this finding?

a)

Potassium shifts into cells

b)

Potassium shifts out of cells

c)

Sodium shifts into cells

d)

Calcium binds to potassium

4.

Which electrolyte imbalances can cause neuromuscular excitability?

a)

Hypocalcemia

b)

Hypomagnesemia

c)

Hypermagnesemia

d)

Hypokalemia

e)

Hypernatremia

5.

A patient’s ABGs show: pH 7.32, PaCO₂ 55 mmHg, HCO₃⁻ 30 mEq/L. How should the nurse interpret this?

a)

Uncompensated respiratory acidosis

b)

Partially compensated respiratory acidosis

c)

Fully compensated respiratory acidosis

d)

Metabolic alkalosis

6.

Which findings indicate fluid volume excess with respiratory compromise?

a)

Bounding pulses

b)

Crackles

c)

PaO₂ 72 mmHg

d)

Urine specific gravity 1.004

e)

Orthostatic hypotension

7.

A patient with hypocalcemia suddenly develops hoarseness and stridor. Which acid–base imbalance may worsen this condition?

a)

Metabolic acidosis

b)

Metabolic alkalosis

c)

Respiratory alkalosis

d)

Respiratory acidosis

8.

Which lab patterns indicate renal failure–related electrolyte and acid–base changes?

a)

Hyperkalemia

b)

Metabolic acidosis

c)

Elevated creatinine

d)

Hypocalcemia

e)

Respiratory alkalosis

9.

Which IV fluid is most appropriate for a patient with metabolic acidosis and hypovolemia?

a)

0.45% NS

b)

3% NS

c)

Lactated Ringer’s

d)

D5W

10.

Which electrolyte abnormalities increase risk for respiratory depression?

a)

Hypermagnesemia

b)

Hypomagnesemia

c)

Hyperkalemia

d)

Hypocalcemia

e)

Hypernatremia

11.

A patient with prolonged hyperventilation is most likely to develop which electrolyte imbalance?

a)

Hyperkalemia

b)

Hypokalemia

c)

Hypocalcemia

d)

Hypermagnesemia

12.

Which findings support hypokalemia with metabolic alkalosis?

a)

Flat T waves

b)

U waves

c)

Vomiting

d)

PaCO₂ 30 mmHg

e)

HCO₃⁻ 34 mEq/L

13.

A patient has BUN 38 mg/dL, creatinine 1.9 mg/dL, urine specific gravity 1.032. What acid–base imbalance is most likely?

a)

Respiratory alkalosis

b)

Metabolic alkalosis

c)

Metabolic acidosis

d)

Respiratory acidosis

14.

Which electrolyte imbalances are life-threatening due to cardiac effects?

a)

Hypokalemia

b)

Hyperkalemia

c)

Hypocalcemia

d)

Hypermagnesemia

e)

Hypophosphatemia

15.

A patient with COPD has chronic respiratory acidosis. Which electrolyte abnormality is expected?

a)

Hypokalemia

b)

Hyperkalemia

c)

Hypocalcemia

d)

Hypernatremia

16.

Which interventions are priorities for hyperkalemia with metabolic acidosis?

a)

Calcium gluconate

b)

Insulin with glucose

c)

Sodium bicarbonate

d)

Potassium supplements

e)

Cardiac monitoring

17.

Which finding best differentiates fluid volume excess from fluid volume deficit?

a)

Blood pressure

b)

Heart rate

c)

Daily weight

d)

Urine color

18.

Which electrolyte abnormalities can worsen acid–base imbalances?

a)

Hypokalemia

b)

Hyperkalemia

c)

Hypocalcemia

d)

Hypermagnesemia

e)

Hypernatremia

19.

A patient with severe diarrhea develops hypotension and confusion. ABGs show pH 7.29. What is the nurse’s first action?

a)

Administer sodium bicarbonate

b)

Initiate isotonic IV fluids

c)

Prepare for intubation

d)

Restrict oral intake

20.

Which findings suggest combined electrolyte and acid–base instability?

a)

Dysrhythmias

b)

Altered mental status

c)

Muscle twitching

d)

Laryngospasm

e)

Bounding pulses