STATEMENT OF THE PROBLEM

A study to assess the knowledge of undergraduate nursing students regarding ABG analysis in
selected colleges of Udupi district.

OBJECTIVE: To assess the knowledge of ABG analysis among undergraduate nursing students.

STRUCTURED KNOWLEDGE QUESTIONNAIRE:

INSTRUCTIONS:

1. Please read the statements carefully and follow the instructions given.
2. Your answers will be kept confidential.
3. Encircle the correct answer.
4. Each correct answer carries one mark.
5. Please return the completed questionnaire.

SECTION 1: ITEMS ON NORMAL VALUES OF ABG:

1. ABG stands for:

a) Arterial Breathing Gas

b) Arterial Blood Gas
c) Arterial Base Gas
d) Attenuated Blood Gas

2. ABG indicates:

a) Neurological status
b) Oxygenation status
c) Acid base status
d) Both b and c

3. An exponential measurement scale for expressing the concentration of acid in solution is:

a) pH
b) PaO2
c) PaCO2
d) HCO3
4. Normal pH of blood is:

a) 7.15-7.25
b) 7.25-7.35
c) 7.35-7.45
d) 7.45-7.55

5. The normal range of SaO2 is:

a) 75-80%
b) 80-85%
c) 85-90%
d) 90-100%

6. Normal PaO2 is:

a) 35-45mm of Hg
b) 60-70 mm of Hg
c) 70-80 mm of Hg
d) 80-100 mm of Hg

7. Normal PacO2 is:

a) 15-25 mm Hg
b) 25-35 mm Hg
c) 35-45 mm Hg
d) 45-55 mm Hg

8. Normal HCO3 is:

a) 20-25 mEq/L
b) 22-26 mEq/L
c) 26-30 mEq/L
d) 30-35 mEq/L

9. Respiratory function indicator in ABG is:

a) PaCo2
b) PaO2
c) SaO2
d) HCO3
10. Metabolic function indicator in ABG is:

a) pH+
b) PaO2
c) HCO3
d) PCO2

11. The following three systems help to maintain normal serum pH EXCEPT:

a) Buffer systems
b) Kidneys
c) Lungs
d) Heart

12. A nurse plans care for a client with COPD, knowing that the client is most likely to experience what
type of acid base imbalance:

a) Respiratory acidosis
b) Respiratory alkalosis
c) Metabolic acidosis
d) Metabolic alkalosis

13_____________ results from the over stimulation of the respiratory system:

a) Respiratory acidosis
b) Respiratory alkalosis
c) Metabolic acidosis
d) Metabolic alkalosis

SECTION 2: ITEMS ON TECHNIQUE OF ABG SAMPLING:

14. Color of the Arterial blood is:

a) bright red
b) dark red
c) coffee ground
d) pale red
15. The most COMMON site to obtain ABG sample is the:

a) carotid artery
b) femoral artery
c) radial artery
d) ulnar artery

16. A client is scheduled for blood to be drawn from the radial artery for ABG analysis. Before the blood
is drawn, an Allen test is performed to determine the adequacy of the:

a) carotid circulation
b) femoral circulation
c) popliteal circulation
d) ulnar circulation

17. The amount of blood required for routine ABG analysis is:

a) less than 0.5 ml

b) 0.5-1 ml
c) 1-2 ml
d) 2-3 ml

18. The catheter used to obtain multiple ABG samples is/are:

a) IV cannula
b) Arterial catheter
c) CVP catheter
d) All of the above

19. Anticoagulant recommended for ABG sample collection is:

a) Citrate
b) EDTA
c) Heparin
d) Oxalate
20. ABG samples must be transported in:

a) plain box
b) ice box
c) injection tray
d) warming device

21. In a post punctured ABG site, the nurse should:

a) apply firm pressure over the site

b) lower the punctured site
c) apply disinfectant
d) apply splint to the punctured site

22. Common complication of post ABG puncture includes all EXCEPT:

a) infection at the site

b) thrombus formation in the artery
c) hematoma
d) anemia

23. Which of the following is not a contraindication for arterial puncture?

a) presence of a AV fistula
b) bleeding disorders
c) COPD
d) severe peripheral vascular disease

SECTION 3: ITEMS ON INTERPRETATION OF ABG RESULTS:

24. Given the following ABG values: pH-7.20, PCO 2-55 mm Hg, HCO3 24 mEq/L. It indicates:

a) Respiratory acidosis
b) Respiratory alkalosis
c) Metabolic acidosis
d) Metabolic alkalosis
25. Given the following ABG values: pH-7.56, PCO 2-37 mm Hg, HCO3 36 mEq/L. It indicates:

a) Respiratory acidosis
b) Respiratory alkalosis
c) Metabolic acidosis
d) Metabolic alkalosis

26. Given the following ABG values: pH-7.49, PCO 2-24 mm Hg, HCO3 25 mEq/L. It indicates:

a) Respiratory acidosis
b) Respiratory alkalosis
c) Metabolic acidosis
d) Metabolic alkalosis

27. Given the following ABG values: pH-7.20, PCO 2-43 mm Hg, HCO3 10 mEq/L. It indicates:

a) Respiratory acidosis
b) Respiratory alkalosis
c) Metabolic acidosis
d) Metabolic alkalosis