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3 Arterial Blood Gas Interpretation Online Quiz Questions

Use this free practice quiz with 20 questions to review 3 Arterial Blood Gas Interpretation, test your knowledge, and prepare for your next test or exam.

20 questions
01
True or false
1 point

True or false: Typical arterial blood gas reference intervals may vary between laboratories.

  1. A

    True

  2. B

    False

02
Choose one
1 point

An adult has pH 7.40, PaCO₂ 40 mm Hg, and HCO₃⁻ 24 mEq/L. Which interpretation is best supported?

  1. A

    No acid–base disturbance is apparent from these values.

  2. B

    A primary respiratory acidosis is present.

  3. C

    A primary metabolic alkalosis is present.

  4. D

    A mixed disorder is present.

03
True or false
1 point

True or false: A near-normal pH always means that PaCO₂ and HCO₃⁻ are also normal.

  1. A

    True

  2. B

    False

04
Choose one
1 point

An adult has pH 7.28, PaCO₂ 55 mm Hg, and HCO₃⁻ 25 mEq/L. What is the primary acid–base disorder?

  1. A

    Acute respiratory acidosis

  2. B

    Metabolic acidosis

  3. C

    Respiratory alkalosis

  4. D

    Metabolic alkalosis

05
Written response
1 point

An adult has pH 7.50, PaCO₂ 48 mm Hg, and HCO₃⁻ 36 mEq/L. What is the primary acid–base disorder?

06
Choose one
1 point

An adult has pH 7.34, PaCO₂ 60 mm Hg, and HCO₃⁻ 31 mEq/L. Which interpretation best describes the primary disorder and bicarbonate response?

  1. A

    Respiratory acidosis without a bicarbonate response consistent with chronic compensation

  2. B

    Respiratory acidosis with bicarbonate supporting a chronic pattern

  3. C

    Metabolic acidosis with respiratory compensation

  4. D

    Metabolic alkalosis with respiratory compensation

07
Choose all
1 point

Select all statements that correctly describe the approximate bicarbonate response to respiratory disorders.

  1. A

    In acute respiratory acidosis, HCO₃⁻ rises by about 1 mEq/L per 10 mm Hg PaCO₂ increase.

  2. B

    In chronic respiratory acidosis, HCO₃⁻ rises by about 3.5–4 mEq/L per 10 mm Hg PaCO₂ increase.

  3. C

    In acute respiratory alkalosis, HCO₃⁻ falls by about 2 mEq/L per 10 mm Hg PaCO₂ decrease.

  4. D

    In chronic respiratory alkalosis, HCO₃⁻ falls by about 4–5 mEq/L per 10 mm Hg PaCO₂ decrease.

08
Written response
1 point

For metabolic acidosis with HCO₃⁻ 12 mEq/L, use Winter’s formula, 1.5×HCO3−+81.5 \times \mathrm{HCO_3^-} + 8, to find the expected central estimate for PaCO₂ before applying the ±2\pm 2 mm Hg range. Enter the value in mm Hg.

09
Choose one
1 point

An adult has pH 7.25, PaCO₂ 27 mm Hg, and HCO₃⁻ 12 mEq/L. Using Winter’s formula, 1.5×HCO3−+8±21.5 \times \mathrm{HCO_3^-} + 8 \pm 2 mm Hg, how should the respiratory compensation be interpreted?

  1. A

    The respiratory compensation is appropriate because 27 mm Hg is within the expected range.

  2. B

    The PaCO₂ is below the expected range, suggesting an additional respiratory alkalosis.

  3. C

    The PaCO₂ is above the expected range, suggesting an additional respiratory acidosis.

  4. D

    The bicarbonate value rules out metabolic acidosis.

10
Choose all
1 point

Select all findings that are reasons to consider a mixed acid–base disorder.

  1. A

    PaCO₂ and HCO₃⁻ both push pH in the same abnormal direction.

  2. B

    The observed compensatory response is outside the expected range.

  3. C

    The pH is close to normal, regardless of the PaCO₂ and HCO₃⁻ values.

  4. D

    One value is outside its reference range, which by itself establishes a mixed disorder.

11
Open ended
1 point

An adult has pH 7.34, PaCO₂ 60 mm Hg, and HCO₃⁻ 31 mEq/L. Identify the primary disorder and explain how the bicarbonate value supports or fails to support a chronic compensation pattern.

12
True or false
1 point

True or false: A pH within the typical adult reference range guarantees that the acid–base status is normal.

  1. A

    True

  2. B

    False

13
Choose one
1 point

An adult has pH 7.407.40, PaCO₂ 4040 mm Hg, and HCO₃⁻ 2424 mEq/L. Which conclusion is best supported by these values?

  1. A

    No acid–base disturbance is apparent from these values.

  2. B

    Metabolic acidosis

  3. C

    Respiratory acidosis

  4. D

    Metabolic alkalosis

14
Choose one
1 point

An adult has pH 7.287.28, PaCO₂ 5555 mm Hg, and HCO₃⁻ 2525 mEq/L. What is the primary acid–base disorder?

  1. A

    Metabolic acidosis

  2. B

    Acute respiratory acidosis

  3. C

    Respiratory alkalosis

  4. D

    Metabolic alkalosis

15
Choose one
1 point

An adult has pH 7.527.52, PaCO₂ 2828 mm Hg, and HCO₃⁻ 2222 mEq/L. Which interpretation best fits the primary disorder and bicarbonate pattern?

  1. A

    Acute respiratory alkalosis; the bicarbonate fits an acute pattern.

  2. B

    Chronic respiratory alkalosis; the bicarbonate fits a chronic pattern.

  3. C

    Metabolic alkalosis; the bicarbonate is the primary change.

  4. D

    Mixed respiratory and metabolic alkalosis

16
Choose one
1 point

An adult has pH 7.507.50, PaCO₂ 4848 mm Hg, and HCO₃⁻ 3636 mEq/L. Which interpretation best describes the primary disorder and the direction of the PaCO₂ change?

  1. A

    Metabolic alkalosis, with PaCO₂ moving in the direction that worsens the alkalemia.

  2. B

    Respiratory acidosis, with PaCO₂ providing the primary change.

  3. C

    Metabolic alkalosis, with PaCO₂ moving in the compensatory direction.

  4. D

    Mixed metabolic alkalosis and respiratory alkalosis

17
Written response
1 point

During respiratory compensation for a primary metabolic acidosis, which direction should PaCO₂ move?

18
Written response
1 point

In chronic respiratory alkalosis, PaCO₂ is 2020 mm Hg below 4040 mm Hg. About how much should HCO₃⁻ decrease from its usual value, according to the compensation estimate?

19
Fill in the blank
1 point

Carbon dioxide affects pH in the opposite direction, whereas bicarbonate affects pH in the direction.

20
Fill in the blank
1 point

A blood pH below 7.357.35 indicates ; a blood pH above 7.457.45 indicates .