2026 ADULT HEALTH 1 EXAM NEWEST
QUESTIONS AND DETAILED CORRECT
ANSWERS | A+ GRADE VERIFIED
ANSWERS
A 68 year-old man with a history of COPD and chronic carbon
dioxide retention presents to the emergency room complaining of
worsening dyspnea and an increase in the frequency and
purulence of his sputum production over the past 2 days. His
oxygen saturation is 78% on room air. Before he is place on
supplemental oxygen, a room air arterial blood gas is drawn and
reveals: pH 7.25, PCO2 68, HCO3 31. What is going on with this
client:
metabolic acidosis
Respiratory acidosis with metabolic compensation
metabolic alkalosis
Respiratory alkalosis with metabolic compensation Correct
Answer Respiratory acidosis with metabolic compensation
A client comes to the emergency department with status
asthmaticus. His respiratory rate is 48 breaths/minute, and he is
wheezing. An arterial blood gas analysis reveals a pH of 7.52, a
partial pressure of arterial carbon dioxide (PaCO2) of 30 mm Hg,
,PaO2 of 70 mm Hg, and bicarbonate (HCO3??') of 26 mEq/L.
What disorder is indicated by these findings?
metabolic acidosis
respiratory alkalosis
metabolic alkalosis
respiratory acidosis Correct Answer respiratory alkalosis
When evaluating arterial blood gases (ABGs), which value is
consistent with metabolic alkalosis?
PaCO 36
HCO 21 mEq/L
O saturation 95%
pH 7.48 Correct Answer pH 7.48
A patient who is admitted with acute anxiety has the following
arterial blood gas (ABG) values: pH, 7.60; partial pressure of
arterial oxygen (PaO2), 90 mm Hg; partial pressure of arterial
carbon dioxide (PaCO2), 28 mm Hg; and bicarbonate (HCO3-),
24 mEq/L. Based on these values, the nurse suspects:
respiratory acidosis
metabolic acidosis
metabolic alkalosis
respiratory alkalosis Correct Answer respiratory alkalosis
,A 70-year-old client is brought into the VA hospital with complaints
of severe nausea and weakness. Over the past week, has been
consuming large quantities of TUMS (calcium carbonate). His
ABG's reveal pH 7.45, PCO2 49, PO2 68, HCO3- 34. What is
going on with this client?
metabolic acidosis with the respiratory system compensating
metabolic alkalosis with the respiratory system compensating.
Correct Answer metabolic alkalosis with the respiratory
system compensating.
A client experiencing a severe anxiety attack and hyperventilating
presents to the emergency department. The nurse would expect
the client's pH value to be:
7.45
7.30
7.50 Correct Answer 7.50
A nurse reviews the arterial blood gas (ABG) values of a client:
pH, 7.52; PaCO2, 29 mm Hg; and HCO3--, 23 mEq/L. What do
these values indicate?
metabolic alkalosis
respiratory alkalosis
metabolic acidosis
respiratory acidosis Correct Answer respiratory alkalosis
, A client was admitted to the hospital unit after 2 days of vomiting
and diarrhea. The client's spouse became alarmed when the
client demonstrated confusion and elevated temperature and
reported "dry mouth." The nurse suspects the client is
experiencing which condition?
hyperkalemia
hypercalcemia
dehydration
hypervolemia Correct Answer dehydration
Clients diagnosed with esophageal varices are at risk for
hemorrhagic shock. Which is a sign of potential hypovolemia?
hypotension
hypertension
warm moist skin
bradycardia Correct Answer hypotension
The nurse is working on a burn unit and an acutely ill client is
exhibiting signs and symptoms of third spacing. Based on this
change in status, the nurse should expect the client to exhibit
signs and symptoms of which imbalance?
Hypercalcemia
Hypovolemia
Hypermagnesemia
QUESTIONS AND DETAILED CORRECT
ANSWERS | A+ GRADE VERIFIED
ANSWERS
A 68 year-old man with a history of COPD and chronic carbon
dioxide retention presents to the emergency room complaining of
worsening dyspnea and an increase in the frequency and
purulence of his sputum production over the past 2 days. His
oxygen saturation is 78% on room air. Before he is place on
supplemental oxygen, a room air arterial blood gas is drawn and
reveals: pH 7.25, PCO2 68, HCO3 31. What is going on with this
client:
metabolic acidosis
Respiratory acidosis with metabolic compensation
metabolic alkalosis
Respiratory alkalosis with metabolic compensation Correct
Answer Respiratory acidosis with metabolic compensation
A client comes to the emergency department with status
asthmaticus. His respiratory rate is 48 breaths/minute, and he is
wheezing. An arterial blood gas analysis reveals a pH of 7.52, a
partial pressure of arterial carbon dioxide (PaCO2) of 30 mm Hg,
,PaO2 of 70 mm Hg, and bicarbonate (HCO3??') of 26 mEq/L.
What disorder is indicated by these findings?
metabolic acidosis
respiratory alkalosis
metabolic alkalosis
respiratory acidosis Correct Answer respiratory alkalosis
When evaluating arterial blood gases (ABGs), which value is
consistent with metabolic alkalosis?
PaCO 36
HCO 21 mEq/L
O saturation 95%
pH 7.48 Correct Answer pH 7.48
A patient who is admitted with acute anxiety has the following
arterial blood gas (ABG) values: pH, 7.60; partial pressure of
arterial oxygen (PaO2), 90 mm Hg; partial pressure of arterial
carbon dioxide (PaCO2), 28 mm Hg; and bicarbonate (HCO3-),
24 mEq/L. Based on these values, the nurse suspects:
respiratory acidosis
metabolic acidosis
metabolic alkalosis
respiratory alkalosis Correct Answer respiratory alkalosis
,A 70-year-old client is brought into the VA hospital with complaints
of severe nausea and weakness. Over the past week, has been
consuming large quantities of TUMS (calcium carbonate). His
ABG's reveal pH 7.45, PCO2 49, PO2 68, HCO3- 34. What is
going on with this client?
metabolic acidosis with the respiratory system compensating
metabolic alkalosis with the respiratory system compensating.
Correct Answer metabolic alkalosis with the respiratory
system compensating.
A client experiencing a severe anxiety attack and hyperventilating
presents to the emergency department. The nurse would expect
the client's pH value to be:
7.45
7.30
7.50 Correct Answer 7.50
A nurse reviews the arterial blood gas (ABG) values of a client:
pH, 7.52; PaCO2, 29 mm Hg; and HCO3--, 23 mEq/L. What do
these values indicate?
metabolic alkalosis
respiratory alkalosis
metabolic acidosis
respiratory acidosis Correct Answer respiratory alkalosis
, A client was admitted to the hospital unit after 2 days of vomiting
and diarrhea. The client's spouse became alarmed when the
client demonstrated confusion and elevated temperature and
reported "dry mouth." The nurse suspects the client is
experiencing which condition?
hyperkalemia
hypercalcemia
dehydration
hypervolemia Correct Answer dehydration
Clients diagnosed with esophageal varices are at risk for
hemorrhagic shock. Which is a sign of potential hypovolemia?
hypotension
hypertension
warm moist skin
bradycardia Correct Answer hypotension
The nurse is working on a burn unit and an acutely ill client is
exhibiting signs and symptoms of third spacing. Based on this
change in status, the nurse should expect the client to exhibit
signs and symptoms of which imbalance?
Hypercalcemia
Hypovolemia
Hypermagnesemia
