NUR2392 Multidimensional Care II Exam
2 2025/2026 Exam Questions Marking
Scheme New Update | A+ Rated
Uncompensated - 🧠 ANSWER ✔✔pH and one other value is abnormal
Partial compensation - 🧠 ANSWER ✔✔pH, CO2, and HCO3 are all off
Full compensation - 🧠 ANSWER ✔✔pH is normal
Acidosis - 🧠 ANSWER ✔✔reduces the excitability of cardiovascular muscle,
neurons, skeletal muscle, and smooth muscle.
Alkalosis - 🧠 ANSWER ✔✔increases the sensitivity of excitable tissues
allowing them to OVERRESPOND without stimulation
ABG considerations - 🧠 ANSWER ✔✔- Assess cardiovascular w/ acidosis
(cardiac arrest from hyperkalemia)
- Assess neuro status
- Fall precautions
Bicarb HC03 - 🧠 ANSWER ✔✔kidney compensation (slow and powerful)
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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PRIVACY STATEMENT. ALL RIGHTS RESERVED
, Respiratory PaC02 - 🧠 ANSWER ✔✔Respiratory compensation (fast but
limited)
Metabolic acidosis causes - 🧠 ANSWER ✔✔DKA, Starvation, diarrhea,
kidney failure, dehydration, liver failure, pancreatitis, heavy exercise,
seizure activity, fever, hypoxia, ischemia, ethanol/methanol intoxication
Metabolic acidosis signs and symptoms - 🧠 ANSWER ✔✔bradycardia,
hypotension, thready pulse, CNS depression, hyporeflexia, kussmal resp
(with resp compensation), warm, flushed, dry skin.
Metabolic acidosis treatment - 🧠 ANSWER ✔✔hydration and medication to
treat underlying problems (DKA - give insulin).
Metabolic alkalosis causes - 🧠 ANSWER ✔✔antacids, blood transfusion,
sodium bicarbonate, total parenteral nutrition (TPN), prolonged vomiting,
nasogastric suctioning, hypercortisolism, hyperaldosteronism,
Loop/Thiazide diuretics.
Metabolic Alkalosis s/s - 🧠 ANSWER ✔✔anxiety, irritability, tetany,
seizures, POSITIVE CHVOSTEK, POSITIVE TROUSSEAU, parathesis,
hyperreflexia, muscle cramping/twitching, skeletal muscle weakness,
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
2
PRIVACY STATEMENT. ALL RIGHTS RESERVED
2 2025/2026 Exam Questions Marking
Scheme New Update | A+ Rated
Uncompensated - 🧠 ANSWER ✔✔pH and one other value is abnormal
Partial compensation - 🧠 ANSWER ✔✔pH, CO2, and HCO3 are all off
Full compensation - 🧠 ANSWER ✔✔pH is normal
Acidosis - 🧠 ANSWER ✔✔reduces the excitability of cardiovascular muscle,
neurons, skeletal muscle, and smooth muscle.
Alkalosis - 🧠 ANSWER ✔✔increases the sensitivity of excitable tissues
allowing them to OVERRESPOND without stimulation
ABG considerations - 🧠 ANSWER ✔✔- Assess cardiovascular w/ acidosis
(cardiac arrest from hyperkalemia)
- Assess neuro status
- Fall precautions
Bicarb HC03 - 🧠 ANSWER ✔✔kidney compensation (slow and powerful)
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
1
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, Respiratory PaC02 - 🧠 ANSWER ✔✔Respiratory compensation (fast but
limited)
Metabolic acidosis causes - 🧠 ANSWER ✔✔DKA, Starvation, diarrhea,
kidney failure, dehydration, liver failure, pancreatitis, heavy exercise,
seizure activity, fever, hypoxia, ischemia, ethanol/methanol intoxication
Metabolic acidosis signs and symptoms - 🧠 ANSWER ✔✔bradycardia,
hypotension, thready pulse, CNS depression, hyporeflexia, kussmal resp
(with resp compensation), warm, flushed, dry skin.
Metabolic acidosis treatment - 🧠 ANSWER ✔✔hydration and medication to
treat underlying problems (DKA - give insulin).
Metabolic alkalosis causes - 🧠 ANSWER ✔✔antacids, blood transfusion,
sodium bicarbonate, total parenteral nutrition (TPN), prolonged vomiting,
nasogastric suctioning, hypercortisolism, hyperaldosteronism,
Loop/Thiazide diuretics.
Metabolic Alkalosis s/s - 🧠 ANSWER ✔✔anxiety, irritability, tetany,
seizures, POSITIVE CHVOSTEK, POSITIVE TROUSSEAU, parathesis,
hyperreflexia, muscle cramping/twitching, skeletal muscle weakness,
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
2
PRIVACY STATEMENT. ALL RIGHTS RESERVED
