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Exam (elaborations)

NR 324 Exam 1 – 200 Questions & Answers | Fluid & Electrolytes, ABGs, Respiratory Disorders 2026

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This document is a comprehensive NR 324 Exam 1 study guide containing approximately 200 exam-style questions with verified answers, focused on fluid and electrolyte balance, acid-base disorders, and respiratory conditions. It covers key concepts such as arterial blood gases (ABGs), including normal values (pH, PaCO₂, HCO₃) and interpretation of imbalances like respiratory and metabolic acidosis/alkalosis, as introduced on page 1. Early sections (pages 2–5) provide detailed breakdowns of causes, signs and symptoms, and nursing management for each acid-base disorder, ensuring strong clinical understanding. The material is structured in a clear question-and-answer format, making it ideal for active recall and exam preparation. Middle sections (pages 5–14) focus on fluid volume imbalances and electrolyte disorders, including sodium, potassium, calcium, magnesium, and phosphorus, along with their clinical manifestations and nursing interventions. Later sections (pages 15–28) expand into respiratory care topics such as gas exchange, oxygenation, lung sounds, asthma, COPD, pneumonia, tuberculosis, pneumothorax, and pulmonary embolism, as well as critical nursing interventions like oxygen therapy, chest tube management, and emergency response strategies. This study guide aligns closely with nursing curricula and is particularly relevant for students using Medical-Surgical Nursing: Assessment and Management of Clinical Problems by Sharon L. Lewis, Linda Bucher, and Margaret M. Heitkemper. It is suitable for courses such as NR 324, Medical-Surgical Nursing, Adult Health Nursing, and BSN programs. This resource is especially beneficial for nursing students preparing for exams, NCLEX-style questions, and clinical practice, offering a high-yield and clinically focused review of essential nursing concepts. Keywords: fluid and electrolytes, abg interpretation, acid base balance, respiratory acidosis, respiratory alkalosis, metabolic acidosis, metabolic alkalosis, sodium imbalance, potassium imbalance, hyperkalemia, hypokalemia, calcium imbalance, magnesium imbalance, fluid volume deficit, fluid volume excess, respiratory disorders, gas exchange, asthma, copd, pneumonia, pulmonary embolism, pneumothorax, oxygen therapy

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NR 324 Exam 1 Fluid and
Electrolytes and Respiratory
2026 Exam All Answers and
Illustrations Given



paO2 - 🧠 ANSWER ✔✔80-100 mm Hg


pH - 🧠 ANSWER ✔✔7.35-7.45


low pH - 🧠 ANSWER ✔✔acidic


high pH - 🧠 ANSWER ✔✔alkalosis

,pa CO2 - 🧠 ANSWER ✔✔35-45 mm Hg


HCO3 - 🧠 ANSWER ✔✔22-26 mEq/L


respiratory acidosis - 🧠 ANSWER ✔✔low pH, high co2, normal bicarbonate


causes of respiratory acidosis - 🧠 ANSWER ✔✔respiratory depression from

anesthesia, overdose, increased intracranial pressure, airway obstruction

from decreased alveolar capillary diffusion like pneumonia, COPD, ARDS,

AND PE


signs/symptoms of respiratory acidosis - 🧠 ANSWER ✔✔hypoventilation

(hypoxia), rapid, shallow respirations, decrease in BP, skin/mucous pale to

cyanotic, headache, hyperkalemia, dysrhythmias, drowsiness, dizziness,

disorientation, muscle weakness, hyperreflexia


Nursing management of respiratory acidosis - 🧠 ANSWER ✔✔ventilator,

arterial blood gas, low-dose oxygen in chronic conditions, high-dose

oxygen in acute hypoxia with acidosis, I/O, promote the release of CO2,

turn/cough/deep breathe, assume semi-high fowlers position, clear

respiratory secretions, colors of skin, mucous membranes

, respiratory alkalosis - 🧠 ANSWER ✔✔high pH, low co2 and normal

bicarbonate


causes of respiratory alkalosis - 🧠 ANSWER ✔✔high pH, low co2 and

hyperventilation, initial stages of pulmonary emboli, hypoxia, fever,

pregnancy, high altitudes, and anxiety


signs/symptoms of respiratory alkalosis - 🧠 ANSWER ✔✔seizures,

deep/rapid breathing, hyperventilation, tachycardia, decrease BP,

hypokalemia, numbness/tingling in extremities, lethargy/confusion, light

headedness, N/V


nursing management of respiratory alkalosis - 🧠 ANSWER ✔✔kidneys

retain H+ ions, use a rebreather mask or paper bag, sedatives, monitor

respiratory rate/depth, tachycardia, low BP, serum K+ levels/ECG levels,

hydration status I/O, check for toxicities


metabolic acidosis - 🧠 ANSWER ✔✔low ph, normal co2 and low

bicarbonate


metabolic acidosis signs/symptoms - 🧠 ANSWER ✔✔compensatory

hyperventilation (kussmaul respirations), headache, decreased BP,




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