EPISODE · Feb 23, 2026 · 4 MIN
Nursing Exam Prep [NCLEX-RN] 42, Acid Base Imbalances
from Nursing & Healthcare Exam Prep
This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: • Master the ROME mnemonic: Respiratory Opposite (pH and PaCO2 are inverse), Metabolic Equal (pH and HCO3 move together). • Always analyze the pH first to determine if the primary condition is acidosis (below 7.35) or alkalosis (above 7.45). • Respiratory acidosis is caused by hypoventilation (retaining CO2); the priority nursing action is always to improve ventilation. • Metabolic acidosis is often due to DKA or diarrhea; watch for Kussmaul respirations as the body's attempt to compensate. • Metabolic alkalosis is commonly caused by vomiting or NG suction; the priority is monitoring for hypokalemia and cardiac dysrhythmias. For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or Youtube Channel: https://www.youtube.com/@Open-exam-prep
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Nursing Exam Prep [NCLEX-RN] 42, Acid Base Imbalances
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