2024/2025
NRSG 312 Med/Surg Test #1
Questions And Answers Latest
Update
What is the expected range for arterial pH? ANS✔✔ 7.35-7.45
What is the expected range for CO2? ANS✔✔ 35-45
What is the expected range for CO3 (Bicarbonate)? ANS✔✔ 21-28
A patient with arterial pH of 7.32 and CO2 of 47 would be experiencing: ANS✔✔ Respiratory
Acidosis
A patient with arterial pH of 7.47 and CO3 of 29 would be experiencing: ANS✔✔ Metabolic
Alkalosis
A patient with arterial pH of 7.31 and CO3 of 20 would be experiencing: ANS✔✔ Metabolic
Acidosis
Can acid-base imbalance cause arrythmias? ANS✔✔ Yes
A patient with arterial pH of 7.48 and CO2 of 32 would be experiencing: ANS✔✔ Respiratory
Alkalosis
What is the mnemonic to help memorize Acid-Base? ANS✔✔ ROME
Hypoventilation, hypoxia, rapid, shallow respirations, hypotension, pallor/cyanosis, headache,
Dysrhythmias, drowsiness, hyporeflexia, and muscle weakness are signs and symptoms of:
ANS✔✔ Respiratory Acidosis
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ROME stands for: ANS✔✔ Respiratory Opposite, Metabolic Equal
Confusion, Dysrhythmias, tachycardia, hypoventilation, dizziness, irritability, nausea, vomiting,
diarrhea, anxiety, seizures, tremors, muscle cramps, and tingling in fingers/toes are signs and
symptoms of: ANS✔✔ Metabolic Alkalosis
Warm and flushed dry skin, Kussmaul respirations, cognitive changes, and cardiac changes are signs
and symptoms of: ANS✔✔ Metabolic Acidosis
Breathlessness, dizziness, numbness and/or tingling of fingertips, toes, lips, lightheadedness,
confusion, chest discomfort, tremors, syncope, and fatigue are signs and symptoms of: ANS✔✔
Respiratory Alkalosis
Diarrhea, kidney failure, liver failure, dehydration, starvation, fever, heavy exercise, and intoxication
are all possible causes of: ANS✔✔ Metabolic Acidosis
Anesthesia, opioids, electrolyte imbalance, COPD, and asthma are all possible causes of: ANS✔✔
Respiratory Acidosis
Mechanical ventilation, high altitudes and early-stage acute pulmonary problems, and
hyperventilation from anxiety or fear are all possible causes of: ANS✔✔ Respiratory Alkalosis
Nasogastric suctioning, Hypercortisolism, antacids, prolonged vomiting, high doses of loop and
thiazide diuretics are all possible causes of: ANS✔✔ Metabolic Alkalosis
High blood sugar levels may lead to: ANS✔✔ Diabetic Ketoacidosis
Is Diabetic Ketoacidosis (DKA) metabolic acidosis or respiratory? ANS✔✔ Metabolic
What can occur with patients with COPD during oxygen therapy? ANS✔✔ O2 overload
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Rehydration, anti-diarrheal, and insulin (for DKA) are methods to treat: ANS✔✔ Metabolic
Acidosis
What organ regulates the amount of hydrogen and bicarbonate ions that are retained or excreted by
the body? ANS✔✔ Kidneys
Oxygen and drug therapy, pulmonary hygiene (positioning and breathing techniques), and
ventilation support are methods to treat: ANS✔✔ Respiratory Acidosis
Breathing in and out of a bag while experiencing Respiratory Alkalosis will help the body to retain:
ANS✔✔ CO2
For treating Metabolic Alkalosis, is it important to find the cause in order to treat? ANS✔✔ Yes
If there is an acid-base imbalance, and Arterial Blood Gas (ABG) needs to drawn every: ANS✔✔ 4
hours
A low level of what electrolyte is indicative of acidosis? ANS✔✔ Potassium
What type of precaution is important for patients with acid-base imbalances and dehydration?
ANS✔✔ Fall Risk
What is the expected range for sodium? ANS✔✔ 136-145
What is the expected range for potassium? ANS✔✔ 3.5-5.0
What is the expected range for calcium? ANS✔✔ 9.0-10.5
What is the expected range for chloride? ANS✔✔ 98-106