EXAMINATION 2026 QUESTIONS
WITH ANSWERS GRADED A+
◍ Respiratoy Alkalosis.
Answer: anything that causes HYPERventilation
◍ Respiratory Acidosis.
Answer: anything that causes HYPOventilation
◍ just culture.
Answer: workers are protected from disciplinary action when they report
injuries, errors, or near misses
◍ close-ended question.
Answer: What is your name?
◍ false reassurance.
Answer: Everything will be fine
◍ Why Assess?.
Answer: To identify changes in pt condition, to help foresee areas of
concern
◍ respiratory alkalosis causes.
Answer: anxiety, fear, hyperventilating, pain
◍ respiratory acidosis causes.
Answer: pneumonia, over sedation, COPD, respiratory distress, immobility
◍ RN.
Answer: who does the initial assessment?
◍ respiratory alkalosis lab values.
, Answer: pH > 7.45 / PCO2 < 35
◍ respiratory acidosis lab values.
Answer: pH < 7.35 / PCO2 > 45
◍ Within 24 hours.
Answer: When should an initial assessment be done?
◍ discharge planning.
Answer: What should we pay attention to when a pt is post op knee
replacement and they live on 2nd floor
◍ Steps of an assessment.
Answer: 1. Introduce self2. Explain procedure3. wash hands4. Identify pt5.
Provide privacy6. Inspect, auscultate, palpate
◍ respiratory alkalosis s/s.
Answer: seizures, deep and rapid breathing, hyperventilation, confusion
hypokalemia, dizziness, hypocalcemia, lightheadedness
◍ Correct, then continue.
Answer: If a concern arises during assessment (Ex: pt c/o SOB. Sit up, apply
O2 or check tubing, teach inhale through nose, exhale through mouth)
◍ respiratory acidosis s/s.
Answer: hypoventilation, rapid and shallow respirations, hypertension,
muscle weakness, hypoxia, hyperkalemia, dyspnea, headache
◍ metabolic acidosis causes.
Answer: DKA, diarrhea, malnutrition, renal failure, aspirin toxicity,
hyperkalemia
◍ metabolic acidosis s/s.
Answer: kussmaul respirations, changes in LOC, headache, hypotension,
weak, disorientation, hyperkalemia
◍ metabolic alkalosis causes.
Answer: NG tube suctioning, prolonged vomiting, diuretics, hypokalemia
, ◍ metabolic acidosis lab values.
Answer: pH < 7 .35 / HCO3 < 22
◍ Order of assessmet.
Answer: Subjective then Objective (helps to identify ares of focus)
◍ metabolic alkalosis lab values.
Answer: pH > 7.45 / HCO3 > 26
◍ potassium lab values.
Answer: 3.5-5.0 mEq/L
◍ hyperkalemia s/s.
Answer: arrhythmia, bradycardia, heart tight and contracted, hypotension,
diarrhea, muscle weakness, increased DTR, irritability, abdominal
cramping, hyperactive bowel sounds
◍ hypokalemia s/s.
Answer: arrhythmia, heart low and slow, decreased DTR, muscle cramping,
flaccid paralysis, confusion tiredness, constipation, hypoactive to absent
bowel sounds, paralytic ileum, polyuria
◍ Inspect airway, auscultate lungs.
Answer: If pt c/o sore throat or recent cold
◍ Serous Drainage.
Answer: Clear(Good or indifferent)
◍ hyperkalemia causes.
Answer: renal disease, K+ sparing diuretic use, addison's disease, burns,
acidosis
◍ hypokalemia causes.
Answer: diuretic use, diarrhea, diaphoresis, anorexia, Mg+ deficiency,
alcoholism, fasting/starvation
◍ Sanginous Drainage.
Answer: Blood-red(a little is ok, alot is bad)