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ALCOHOL

1.The following artery is not used for drawing blood for analysis of arterial blood gases
Popliteal artery
2.Before performing the procedure to draw blood for analysis of blood gas, the nurse is
unable to feel the strong pulsation because of Hypovolemic status
3.The cause of respiratory acidosis is ventilation problems in the patient
4.Arterial blood sampling can be performed safely on patients who are
taking aspirin
5.The site and depth of the finger prick in children <8 years is
1.5 mm in middle or ring finger
6.The incorrect nursing intervention following radial arterial puncture is
apply direct pressure to the puncture site for 2-3 minutes
7.Mrs.X is admitted to the hospital and is to undergo cancer breast surgery. she is very
anxious and scared of the upcoming surgery. She begins to hyperventilate and becomes very
dizzy and she loses consciousness .The STAT ABG reveal pH 7.61, PaCO2 25 mmHg and
HCO3 26 mEq/L. What is the ABG interpretation based on the findings?
Respiratory Alkalosis, Uncompensated
8.Patient is continuously suffering with abdominal pain and anxiety . The possible Acid base
imbalance is Respiratory alkalosis
9.The time limit for accurate analysis of ABG sample in room temperature is < 10 minute
10.For children weighing more than 10kg the appropriate site for drawing CBG sample is
Fingers
11.Allen’s test is to performed before radial artery puncture to confirmadequacy of
collaterals in the hand from ulnar artery
12.Respiratory alkalosis with metabolic alkalosis is seen in
COPD patients with high FiO2
13.Starvation can lead to ABG changes
reduce pH and reduce HCO3
14.All the following can lead to wrong ABG values EXCEPT
Samples taken analysed in room temperature
15.The two organs maintaining the acid base balance are
Kidneys and Lungs
16.Use of femoral artery is not considered because of the following limitations EXCEPT .It
is hard to identify the artery
17.The site associated with risk of infection is
femoral artery
18.The most preferred site for arterial puncture is
Radial artery
19.The parameter that is expected to deviate in CBG when compared to ABG is PO2
20.The area to be avoided while doing heel prick is
posterior aspect of the heel
21.The arterial blood gas can be taken from any limb with
Positive Allen’s test
22.Mrs. Jeeva, who had undergone surgery in the post-anesthesia care unit (PACU), is
difficult to arouse two hours following surgery. she was given Inj.Morphine for post
operative pain earlier. Measurement of STAT ABG shows pH 7.10, PaCO2 70 mm Hg and
HCO3 24 mEq/L. What does this mean? Respiratory Acidosis, Uncompensated
23.Recommended temperature for hot application for arterialization of the chosen site for
CBG is 42 Degree C
24.The parameter that remain unchanged in venous blood gas is
HCO3
25.The type of respiration present in respiratory alkalosis is
Hyperventilation
26.While drawing sample for ABG the nurse is expected to do all EXCEPT Withdraw the
plunger on seeing the flash back of fresh blood
27.Forty three year-old Dinesh is admitted to the hospital with a diagnosis of COPD with
severe respiratory distress . The ABG results are pH 7.36, PaCO2 70 mmHg and HCO3 36
mEq/L. What acid-base disorder is shown? Respiratory Acidosis, Fully Compensated
28.The primary parameter metabolic component of Acid base balance is
HCO3
29.The primary respiratory buffer is Carbonic acid
30.The normal pH of blood is 7.35-7.45
31.Patient is continuously suffering with abdominal pain and anxiety . The possible Acid
base imbalance is Respiratory alkalosis

32.When taking blood sample from the arterial line the


nurse should
discord the first 5 ml and then collect abg sample
33.Presence of air bubble in the ABG sample limit the
accuracy by
Increasing the pH, PO2, SaO2 and decrease the
PCO2
34.The complications to patient after performing the
procedure to analyze arterial blood gases are following
EXCEPt Needle stick injury
35.During CBG little finger is avoided because
Less pad of fat and more painful

36.The safest site for CBG blood collection in babies <6 month of age
Heel
37.The survival range of blood pH is 6.8-to 8.0
38.Arterial blood sampling can be performed safely on patients who are
taking aspirin
39.The electrolyte loss associated with metabolic acidosis is K+
40.The arterial blood gas analysis is indicated to know the adequacy of all parameters
EXCEPT Fluid volume status
41.In primary metabolic acidosis the changes in ABG are
Reduction in pH with decrease in HCO3 and normal PCO2
42.Mrs.Kanga is a 54 year old widower with a history of COPD and was rushed to the
emergency department with increasing shortness of breath, pyrexia, and cough with yellow-
green sputum. Upon examination, crackles and wheezes can be heard in the lower lobes; she
has a tachycardia and a bounding pulse. ABG shows pH 7.30, PaCO2 68 mm Hg, HCO3 28
mmol/L, and PaO2 60 mm Hg. How would you interpret this?
Respiratory Acidosis, Partially Compensated

43.Following ventilatory setting changes for accurate ABG results sample should be taken
20-30 minutes following ventilator setting change

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