True or false: An adult ABG pH of guarantees that no acid–base disorder is present.
2 ABG Interpretation Online Quiz Questions
Use this free practice quiz with 20 questions to review 2 ABG Interpretation, test your knowledge, and prepare for your next test or exam.
Complete each adult starting reference range listed in the material: pH ; PaCO₂ in mm Hg, ; HCO₃⁻ in mEq/L, .
Which approach best assesses oxygenation in a patient whose acid–base status is being evaluated?
- A
Use pH, PaCO₂, and HCO₃⁻ alone to determine whether oxygenation is adequate.
- B
Assess PaO₂ and oxygen saturation separately.
- C
Infer adequate oxygenation whenever the pH is within its reference range.
True or false: A patient with pH 7.40 may still have a mixed acid–base disorder.
- A
True
- B
False
A patient with diabetes has nausea, dehydration, and deep, rapid breathing. ABG: pH 7.25, PaCO₂ 25 mm Hg, HCO₃⁻ 11 mEq/L. Which interpretation best fits these findings?
- A
Metabolic acidosis with appropriate respiratory compensation.
- B
Respiratory acidosis with metabolic compensation.
- C
Metabolic alkalosis with respiratory compensation.
- D
A primary respiratory alkalosis.
When identifying a primary change, a PaCO₂ moving the pH suggests a respiratory process, while an HCO₃⁻ moving in the direction as pH suggests a metabolic process.
In metabolic alkalosis, which direction should PaCO₂ move as respiratory compensation moves pH toward normal?
For metabolic acidosis with HCO₃⁻ 14 mEq/L, use Winter’s formula, expected PaCO₂ =(1.5×HCO₃⁻)+8, to calculate the central expected PaCO₂ value before applying the formula’s ±2 mm Hg range. Enter the value in mm Hg.
A patient with chronic obstructive pulmonary disease is more drowsy than usual. ABG: pH 7.34, PaCO₂ 60 mm Hg, HCO₃⁻ 32 mEq/L. Which interpretation and response best fit the material?
- A
Acute respiratory alkalosis with metabolic compensation.
- B
Metabolic acidosis with respiratory compensation.
- C
Chronic respiratory acidosis with metabolic compensation; the new drowsiness warrants prompt assessment.
- D
Metabolic alkalosis with respiratory compensation.
A patient with suspected infection has pH 7.40, PaCO₂ 20 mm Hg, and HCO₃⁻ 12 mEq/L. Select all conclusions supported by these ABG values.
- A
The low HCO₃⁻ supports a metabolic acidosis.
- B
The PaCO₂ of 20 mm Hg is within the expected compensatory range.
- C
The PaCO₂ is lower than expected compensation, supporting an additional respiratory alkalosis.
- D
The pH of 7.40 does not rule out a mixed disorder.
Select all statements that reflect a sound approach when applying ABG compensation rules in clinical practice.
- A
Assess the patient first if they are unstable.
- B
Interpret the ABG alongside the clinical condition and other laboratory results.
- C
Treat a compensation estimate as a substitute for clinical judgment.
- D
Use compensation estimates as guides while considering whether the measured response differs substantially from expected.
A patient reports repeated vomiting and weakness. ABG: pH 7.50, PaCO₂ 48 mm Hg, HCO₃⁻ 36 mEq/L. Explain the primary acid–base disorder, how PaCO₂ relates to compensation, and two clinical factors that should be assessed in light of the vomiting.
A patient is anxious and breathing rapidly. ABG: pH 7.51, PaCO₂ 28 mm Hg, HCO₃⁻ 22 mEq/L. Which interpretation and clinical response are most appropriate?
- A
Metabolic alkalosis; anxiety is sufficient to explain the rapid breathing.
- B
Acute respiratory alkalosis; assess the patient and oxygenation rather than assuming anxiety is the cause.
- C
Respiratory acidosis; the low PaCO₂ is a compensatory response.
- D
A normal acid–base state; HCO₃⁻ is near the usual range.
When pH is outside its reference range, which rule best helps distinguish whether PaCO₂ or HCO₃⁻ explains its direction?
- A
A PaCO₂ moving in the same direction as pH points to a respiratory process; HCO₃⁻ moving opposite to pH points to a metabolic process.
- B
Both PaCO₂ and HCO₃⁻ moving opposite to pH indicate a primary metabolic process.
- C
A PaCO₂ moving opposite to pH suggests a respiratory process; HCO₃⁻ moving in the same direction as pH suggests a metabolic process.
- D
Only pH can be used to identify whether the primary process is respiratory or metabolic.
True or false: An adult pH within the reference range of 7.35–7.45 rules out an acid–base disorder.
- A
True
- B
False
Which measurements should be assessed separately to evaluate oxygenation in a patient whose ABG also includes pH, PaCO₂, and HCO₃⁻?
- A
pH and HCO₃⁻
- B
PaO₂ and oxygen saturation
- C
PaCO₂ and HCO₃⁻
- D
pH and PaCO₂
A patient is breathing rapidly during distress. The ABG shows pH 7.51, PaCO₂ 28 mm Hg, and HCO₃⁻ 22 mEq/L. Which primary acid–base disorder best fits this pattern?
- A
Metabolic alkalosis
- B
Respiratory acidosis
- C
Acute respiratory alkalosis
- D
Metabolic acidosis
A patient with repeated vomiting has pH 7.50, PaCO₂ 48 mm Hg, and HCO₃⁻ 36 mEq/L. Which interpretation best accounts for both the primary process and the direction of compensation?
- A
Metabolic alkalosis with respiratory compensation
- B
Respiratory acidosis with metabolic compensation
- C
Metabolic acidosis with respiratory compensation
- D
Respiratory alkalosis with metabolic compensation
A patient with diabetes has nausea, dehydration, and deep, rapid breathing. The ABG shows pH 7.25, PaCO₂ 25 mm Hg, and HCO₃⁻ 11 mEq/L. Identify the primary acid–base disorder and whether respiratory compensation is appropriate.
A patient with diabetes presents with nausea, dehydration, and deep, rapid breathing. What condition is a concern in this clinical context?
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