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Practice Question

A client requiring prolonged mechanical ventilation has the following arterial blood gas (ABG) results: pH: 7.49; PaO2: 85 mm Hg; PaCO2: 30 mm Hg; HCO3: 25 mEq/L. The nurse interprets these results as

Answer Choices:

Correct Answer:

respiratory alkalosis.

Rationale:

🧪The pH of 7.49 is above the normal range (7.35–7.45), indicating an alkalotic state.

🫁The PaCO₂ is low at 30 mm Hg (normal 35–45 mm Hg), reflecting hyperventilation and excessive CO₂ elimination.

⚖️The HCO₃⁻ is within normal limits (22–26 mEq/L), showing no primary metabolic disturbance.

🔍These values point to a primary respiratory origin for the alkalosis rather than a metabolic cause.

📌Core Message

Low PaCO₂, elevated pH, normal HCO₃⁻respiratory alkalosis.

Want to practice more questions like this?

This question is from NCLEX-RN Practice Exam 1 which contains 123 questions.

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From Exam
NCLEX-RN Practice Exam 1

123 Questions

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Question Details
  • Category: NCLEX RN
  • Subcategory: NCLEX-RN-Practice Exams
  • Domain: NCLEX RN (Practice Exams)
  • Answer Choices: 4
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