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Exam 4 Nurs 640 old material Latest Update 2026 / 2027) Exam | Questions and Verified Answers | 100% Correct | Grade A +

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Exam 4 Nurs 640 old material Latest Update 2026 / 2027) Exam | Questions and Verified Answers | 100% Correct | Grade A +

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Exam 4 Nurs 640 old material Latest Update ) Exam | Questions
and Verified Answers | 100% Correct | Grade A +




Sp02 95-100% - ANSWER Normal


Sp02 91-94% - ANSWER Mild hypoxia


Sp02 86-90% - ANSWER Moderate hypoxia


SpO2 <40% - ANSWER Severe hypoxia


ABG normals - ANSWER Ph 7.35-7.45
Co2 35-45
PaO2 80-100
HCO3 22-26


PaO2 80-100 - ANSWER Normal


PaO2 60-79 - ANSWER mild hypoxemia

,2|Page


PaO2 40-59 - ANSWER moderate hypoxemia


PaO2 <40 - ANSWER severe hypoxemia


Contraindications to ABGs - ANSWER Infection at the puncture
site, thrombus at the puncture site, burns at the puncture site,
abnormal modified Allen's test, active Raynaud's Syndrome,
Severe PVD in the artery of the puncture site, or
supratherapeutic coagulopathy.


Negative modified Allen test - ANSWER If the hand does not
flush within 5-15 seconds, it indicates that ulnar circulation is
inadequate or nonexistent; in this situation, the radial artery
supplying arterial blood to that hand should not be punctured.


Causes of respiratory acidosis - ANSWER hypoventilation: CNS
depression, Sedation, Chest wall injury, Respiratory obstruction


Causes of respiratory alkalosis - ANSWER hyperventilation:
Anxiety, Pain, Fever, Sepsis, Pregnancy, Severe anemia

, 3|Page


Causes of metabolic acidosis - ANSWER lactic acidosis, DKA,
Renal failure, Base deficit, Severe diarrhea


Causes of metabolic alkalosis - ANSWER • Acid deficit: NG
suction, Prolonged vomiting, Diuretics
• Base excess: Massive transfusion, Excess diuretics, Excess
antacids


Pulse ox limitations - ANSWER SpO2 < 80%
Movement
Bright light interference
Intravascular interference (ex: dye)
Extravascular interference (ex: polish)
Non-functional hemoglobin
Reduced blood flow


PaO2/FiO2 - ANSWER PaO2/FIO2, norm 350-450mmHg, <300
indicates acute lung injury, <200 indicates ARDS, >200

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