True or false: Typical arterial blood gas reference intervals may vary between laboratories.
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.
An adult has pH 7.40, PaCO₂ 40 mm Hg, and HCO₃⁻ 24 mEq/L. Which interpretation is best supported?
- A
No acid–base disturbance is apparent from these values.
- B
A primary respiratory acidosis is present.
- C
A primary metabolic alkalosis is present.
- D
A mixed disorder is present.
True or false: A near-normal pH always means that PaCO₂ and HCO₃⁻ are also normal.
- A
True
- B
False
An adult has pH 7.28, PaCO₂ 55 mm Hg, and HCO₃⁻ 25 mEq/L. What is the primary acid–base disorder?
- A
Acute respiratory acidosis
- B
Metabolic acidosis
- C
Respiratory alkalosis
- D
Metabolic alkalosis
An adult has pH 7.50, PaCO₂ 48 mm Hg, and HCO₃⁻ 36 mEq/L. What is the primary acid–base disorder?
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?
- A
Respiratory acidosis without a bicarbonate response consistent with chronic compensation
- B
Respiratory acidosis with bicarbonate supporting a chronic pattern
- C
Metabolic acidosis with respiratory compensation
- D
Metabolic alkalosis with respiratory compensation
Select all statements that correctly describe the approximate bicarbonate response to respiratory disorders.
- A
In acute respiratory acidosis, HCO₃⁻ rises by about 1 mEq/L per 10 mm Hg PaCO₂ increase.
- B
In chronic respiratory acidosis, HCO₃⁻ rises by about 3.5–4 mEq/L per 10 mm Hg PaCO₂ increase.
- C
In acute respiratory alkalosis, HCO₃⁻ falls by about 2 mEq/L per 10 mm Hg PaCO₂ decrease.
- D
In chronic respiratory alkalosis, HCO₃⁻ falls by about 4–5 mEq/L per 10 mm Hg PaCO₂ decrease.
For metabolic acidosis with HCO₃⁻ 12 mEq/L, use Winter’s formula, 1.5×HCO3−+8, to find the expected central estimate for PaCO₂ before applying the ±2 mm Hg range. Enter the value in mm Hg.
An adult has pH 7.25, PaCO₂ 27 mm Hg, and HCO₃⁻ 12 mEq/L. Using Winter’s formula, 1.5×HCO3−+8±2 mm Hg, how should the respiratory compensation be interpreted?
- A
The respiratory compensation is appropriate because 27 mm Hg is within the expected range.
- B
The PaCO₂ is below the expected range, suggesting an additional respiratory alkalosis.
- C
The PaCO₂ is above the expected range, suggesting an additional respiratory acidosis.
- D
The bicarbonate value rules out metabolic acidosis.
Select all findings that are reasons to consider a mixed acid–base disorder.
- A
PaCO₂ and HCO₃⁻ both push pH in the same abnormal direction.
- B
The observed compensatory response is outside the expected range.
- C
The pH is close to normal, regardless of the PaCO₂ and HCO₃⁻ values.
- D
One value is outside its reference range, which by itself establishes a mixed disorder.
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.
True or false: A pH within the typical adult reference range guarantees that the acid–base status is normal.
- A
True
- B
False
An adult has pH 7.40, PaCO₂ 40 mm Hg, and HCO₃⁻ 24 mEq/L. Which conclusion is best supported by these values?
- A
No acid–base disturbance is apparent from these values.
- B
Metabolic acidosis
- C
Respiratory acidosis
- D
Metabolic alkalosis
An adult has pH 7.28, PaCO₂ 55 mm Hg, and HCO₃⁻ 25 mEq/L. What is the primary acid–base disorder?
- A
Metabolic acidosis
- B
Acute respiratory acidosis
- C
Respiratory alkalosis
- D
Metabolic alkalosis
An adult has pH 7.52, PaCO₂ 28 mm Hg, and HCO₃⁻ 22 mEq/L. Which interpretation best fits the primary disorder and bicarbonate pattern?
- A
Acute respiratory alkalosis; the bicarbonate fits an acute pattern.
- B
Chronic respiratory alkalosis; the bicarbonate fits a chronic pattern.
- C
Metabolic alkalosis; the bicarbonate is the primary change.
- D
Mixed respiratory and metabolic alkalosis
An adult has pH 7.50, PaCO₂ 48 mm Hg, and HCO₃⁻ 36 mEq/L. Which interpretation best describes the primary disorder and the direction of the PaCO₂ change?
- A
Metabolic alkalosis, with PaCO₂ moving in the direction that worsens the alkalemia.
- B
Respiratory acidosis, with PaCO₂ providing the primary change.
- C
Metabolic alkalosis, with PaCO₂ moving in the compensatory direction.
- D
Mixed metabolic alkalosis and respiratory alkalosis
During respiratory compensation for a primary metabolic acidosis, which direction should PaCO₂ move?
In chronic respiratory alkalosis, PaCO₂ is 20 mm Hg below 40 mm Hg. About how much should HCO₃⁻ decrease from its usual value, according to the compensation estimate?
Carbon dioxide affects pH in the opposite direction, whereas bicarbonate affects pH in the direction.
A blood pH below 7.35 indicates ; a blood pH above 7.45 indicates .
Related study packs and tools
- Flashcards
02 Assessment and Safety in Mental Health Care
Review the purpose and components of mental health assessment, mental status and safety evaluation, and clear clinical documentation.
NCLEX Psychosocial IntegrityUpdated - Quiz
05 Trauma, Crisis, and Suicide Prevention
A medium-difficulty quiz on applying trauma-informed, crisis, suicide-prevention, and violence-response principles in care.
NCLEX Psychosocial IntegrityUpdated - Quiz
06 Anxiety and Related Disorders
A medium-difficulty quiz on recognizing anxiety-related conditions and applying respectful, safety-focused nursing care.
NCLEX Psychosocial IntegrityUpdated - Quiz
07 Mood Disorders
A medium-difficulty quiz on recognizing mood-disorder patterns and applying safe, person-centered nursing care.
NCLEX Psychosocial IntegrityUpdated - Flashcards
09 Personality and Eating Disorders
Review personality disorder assessment and supportive care, eating disorder features and assessment, and collaborative behavioral approaches to individualized care.
NCLEX Psychosocial IntegrityUpdated - Quiz
09 Personality and Eating Disorders
A medium-difficulty quiz on personality disorders, eating disorders, therapeutic communication, assessment, and individualized care.
NCLEX Psychosocial IntegrityUpdated - Quiz
10 Substance Use and Addictive Disorders
A medium-difficulty quiz on recognizing substance use disorder risks, assessment, withdrawal, overdose response, harm reduction, and treatment.
NCLEX Psychosocial IntegrityUpdated - Study guide
10 Substance Use and Addictive Disorders
Learn how substance use disorders are assessed and treated, how to recognize urgent risks, and how respectful, person-centered care can support safety and recovery.
NCLEX Psychosocial IntegrityUpdated - Quiz
11 Psychiatric Medications and Treatment
A quiz on choosing, monitoring, and using psychiatric medications safely, including recognizing important risks and applying medication-safety principles.
NCLEX Psychosocial IntegrityUpdated - Study guide
11 Psychiatric Medications and Treatment
Learn how major psychiatric medication groups are used, what adverse effects and urgent warning signs to recognize, and how monitoring and shared decision-making support safer treatment.
NCLEX Psychosocial IntegrityUpdated - Quiz
12 Planning and Coordinating Mental Health Care
A medium-difficulty quiz on person-centered mental health planning, collaboration, ethical responsibilities, and continuity of care.
NCLEX Psychosocial IntegrityUpdated - Study guide
12 Planning and Coordinating Mental Health Care
Learn how to build person-centered mental health plans, coordinate teams, protect rights and privacy, and support safe transitions between care settings.
NCLEX Psychosocial IntegrityUpdated