NURS 480 EXAM 1 COMPREHENSIVE EXAM SCRIPT 2026 FULL SOLUTION

NURS 480 EXAM 1 COMPREHENSIVE EXAM
SCRIPT 2026 FULL SOLUTION

◉ metabolic alkalosis treatments. Answer: identify and treat cause
correct dehydration
correct hypokalemia


◉ metabolic alkalosis potential causes. Answer: severe vomiting
gastric suction


◉ metabolic alkalosis ABGs. Answer: pH > 7.45
HCO3 > 26


◉ metabolic acidosis symptoms. Answer: headache
confusion
drowsiness
Kussmaul respirations
nausea/vomiting
decreased BP


◉ metabolic acidosis treatments. Answer: improve oxygenation

,treat the cause of imbalance
- DKA
- GI loss


◉ metabolic acidosis potential causes. Answer: DKA
starvation
excessive intake of acids
kidney failure
excessive diarrhea


◉ metabolic acidosis ABGs. Answer: pH < 7.35
HCO3 < 22


◉ respiratory alkalosis symptoms. Answer: hyperventilation
lightheaded
inability to concentrate
numbness/tingling
tinnitus
loss of consciousness
tachycardia


◉ respiratory alkalosis treatments. Answer: paper bag breathing

, CO2 rebreather mask


*treat underlying cause


◉ respiratory alkalosis potential causes. Answer: hyperventilation
- anxiety


hypoxemia
- high altitudes, shock


◉ respiratory alkalosis ABGs. Answer: pH > 7.45
PaCO2 < 35


◉ respiratory acidosis symptoms. Answer: hypoventilation
tachycardia
tachypnea
increased BP
confusion
disorientation
hyperkalemia


◉ respiratory acidosis treatments. Answer: oxygen therapy