NCLEX: Mark Klimek - Lecture 1
(Acid/Base Balance) Exam 2026
Questions and Answers
What are the normal pH values? - Correct answer-7.35-7.45
What are the normal CO2 values? - Correct answer-35-45
What are the normal HCO3 values? - Correct answer-22-26
If pH is <7.35, the acid-base imbalance is... - Correct answer-Acidic
If pH is >7.35, the acid-base imbalance is... - Correct answer-Alkalotic
If the pH and Bicarb move in the SAME direction, then the acid-base imbalance
is... - Correct answer-Metabolic
If the pH and Bicarb move in the OPPOSITE direction, then the acid-base
imbalance is... - Correct answer-Respiratory
(Example #1) Metabolic or respiratory? pH=7.3, HCO3=20 - Correct answer-
Metabolic acidosis
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, (Example #2) Metabolic or respiratory? pH=7.58, HCO3=32 - Correct answer-
Metabolic alkalosis
(Example #3) Metabolic or respiratory? pH=7.22, HCO3=35 - Correct answer-
Respiratory acidosis
"As the pH goes... - Correct answer-... so goes my patient, except for potassium."
If pH goes over 7.45, s/s include... - Correct answer-pH is up, so my patient goes
up... except for potassium.
Tachycardia, tachypnea, HTN, seizures, irritability, spastic, diarrhea, borborygmic
(increased bowel sounds), hyperreflexia (3+, 4+)..... HYPOkalemia!
What is the nursing intervention for s/s of ALKALOSIS? - Correct answer-Patient
needs suctioning because of seizures.
If pH goes below 7.35, s/s include... - Correct answer-pH is down, so my patient
goes down... except for potassium.
Bradycardia, bradypnea, low BP, coma, flaccid, obtunded/lethargic, constipation,
absent bowel sounds, hyporeflexia (0, 1+)... HYPERkalemia!
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(Acid/Base Balance) Exam 2026
Questions and Answers
What are the normal pH values? - Correct answer-7.35-7.45
What are the normal CO2 values? - Correct answer-35-45
What are the normal HCO3 values? - Correct answer-22-26
If pH is <7.35, the acid-base imbalance is... - Correct answer-Acidic
If pH is >7.35, the acid-base imbalance is... - Correct answer-Alkalotic
If the pH and Bicarb move in the SAME direction, then the acid-base imbalance
is... - Correct answer-Metabolic
If the pH and Bicarb move in the OPPOSITE direction, then the acid-base
imbalance is... - Correct answer-Respiratory
(Example #1) Metabolic or respiratory? pH=7.3, HCO3=20 - Correct answer-
Metabolic acidosis
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, (Example #2) Metabolic or respiratory? pH=7.58, HCO3=32 - Correct answer-
Metabolic alkalosis
(Example #3) Metabolic or respiratory? pH=7.22, HCO3=35 - Correct answer-
Respiratory acidosis
"As the pH goes... - Correct answer-... so goes my patient, except for potassium."
If pH goes over 7.45, s/s include... - Correct answer-pH is up, so my patient goes
up... except for potassium.
Tachycardia, tachypnea, HTN, seizures, irritability, spastic, diarrhea, borborygmic
(increased bowel sounds), hyperreflexia (3+, 4+)..... HYPOkalemia!
What is the nursing intervention for s/s of ALKALOSIS? - Correct answer-Patient
needs suctioning because of seizures.
If pH goes below 7.35, s/s include... - Correct answer-pH is down, so my patient
goes down... except for potassium.
Bradycardia, bradypnea, low BP, coma, flaccid, obtunded/lethargic, constipation,
absent bowel sounds, hyporeflexia (0, 1+)... HYPERkalemia!
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
