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NR 462 Exam 2 – Acid-Base, Pain, IV | 2026 | Complete Exam Questions and Answers | Already Graded A+ – Nursing exam questions with answers

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This document contains exam questions and answers for NR 462 Exam 2, covering acid-base balance, pain assessment and management, and intravenous (IV) therapy. It includes key nursing concepts such as arterial blood gas values, buffer systems, opioid administration, PCA pumps, IV insertion, IV medication administration, and clinical nursing scenarios. The material is presented in a question-and-answer format, making it useful for exam preparation and review. It also includes NCLEX-style clinical application questions related to the covered topics. Keywords Acid-base balance Arterial blood gases ABG interpretation Buffer systems Respiratory system Renal system Pain assessment Pain management Opioids Naloxone PCA pump Breakthrough pain Chronic pain Acute pain IV therapy Peripheral IV IVPB Infusion pump Fluid administration Nursing exam preparation

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NR 462 Exam 2 Acid-base,
Pain, IV 2026 Exam Questions
and Answers | Already Graded
A+



What is true when considering Acid-Base Balance? - ANSWER ✔✔-

The body normally maintains a steady balance.

- Acidity or alkalinity of a solution depends on its hydrogen in (H+)

concentration.

- The ratio between acid:base is 1:20

What three systems work together to maintain this acid-base balance? -

ANSWER ✔✔Buffer system

, Respiratory system

Renal system


Buffering system - ANSWER ✔✔Act by chemically changing strong

acids into weaker ones or bind to neutralize them.


carbonic acid-bicarbonate system - ANSWER ✔✔A system that

regulate pH by using H2CO3 and HCO3 to donate or accept a H+ ion, in

order to maintain a normal blood pH


Phosphate buffer system - ANSWER ✔✔Consists of dihydrogen

phosphate ions as the hydrogen ion donor (acid) and hydrogen

phosphate ion as the ion acceptor (base). The movement of H+ions

helps maintain blood pH.


Protein buffer system - ANSWER ✔✔Intracellular and extracellular

process of using amino acids to accept or release H+ ions to maintain

blood pH


Hemoglobin buffer system - ANSWER ✔✔Use of

carbaminohemoglobin in the venous circulation to buffer blood pH


Normal Arterial Blood Gas Values: - ANSWER ✔✔7.35-7.45pH


Normal PaCO2 Values: - ANSWER ✔✔35-45 mmHg

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