💊 NCLEX-RN Exam Prep

A nurse is caring for a patient experiencing an acute exacerbation of chronic obstructive pulmonary disease (COPD). Which arterial blood gas (ABG) finding would be most indicative of this condition?

A pH 7.48, PaCO2 30 mmHg, HCO3 24 mEq/L
B pH 7.30, PaCO2 55 mmHg, HCO3 30 mEq/L
C pH 7.20, PaCO2 35 mmHg, HCO3 18 mEq/L
D pH 7.45, PaCO2 40 mmHg, HCO3 28 mEq/L

✓ Correct Answer: Option B

An acute exacerbation of COPD typically presents as respiratory acidosis (low pH, high PaCO2) with some metabolic compensation (high HCO3) if the condition is chronic. Option B shows partially compensated respiratory acidosis.

💡 Why is B) the correct answer?

The correct answer to the question "A nurse is caring for a patient experiencing an acute exacerbation of chronic obstructive pulmonary disease (COPD). Which arterial blood gas (ABG) finding would be most indicative of this condition?" is Option B: pH 7.30, PaCO2 55 mmHg, HCO3 30 mEq/L.

The other options — A) pH 7.48, PaCO2 30 mmHg, HCO3 24 mEq/L, C) pH 7.20, PaCO2 35 mmHg, HCO3 18 mEq/L, D) pH 7.45, PaCO2 40 mmHg, HCO3 28 mEq/L — are incorrect for this NCLEX-RN Exam Prep question. As explained above: An acute exacerbation of COPD typically presents as respiratory acidosis (low pH, high PaCO2) with some metabolic compensation (high HCO3) if the condition is chronic. Option B shows partially compen…

📚 About This NCLEX-RN Exam Prep Practice Question

This 3-level NCLEX-RN Exam Prep question from the Physiological Integrity topic is part of BrainForge Quiz's free exam preparation library. Each question includes the correct answer and a detailed explanation to help you understand the underlying concept, not just memorize the answer.

How to use this page: Read the question above, consider all four options (A through D), then check the highlighted correct answer and explanation. For active timed practice, start a free NCLEX-RN Exam Prep practice test or use flashcards for spaced repetition review.

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