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Aug. 02 -NCLEX Daily Practice Questions

jaswantkaurm@gmail.com02 mins
2 Aug. - NCLEX Practice Questions

 

 

 

Aug. 02 NCLEX Daily Practice Questions

The charge nurse is planning assignments for the day. Which clients will require the nursing staff to institute contact precautions? Select all that apply.






 

Explanation: Infections caused by methicillin-resistant Staphylococcus aureus(MRSA), C difficile, vancomycin-resistant Enterococcus (VRE), and scabies require contact precautions to be used.

Contact precautions include

Placing client in private room (preferred) or cohorting clients with the same infection

Using dedicated equipment (must be disinfected when removing from room)

Wearing gloves when entering room

Perform proper hand hygiene before exiting room (use soap and water or alcohol- based hand rubs for MRSA and VRE, but only soap and water for C difficile and scabies)

Wearing gown with client contact and removing before leaving room

Place door notice for visitors

Having client leave room only for essential clinical reasons (ie, tests, procedures).

If an x-ray is needed, try to arrange for a portable one.

  • (Option 3) Clients with pertussis infection (whooping cough) need droplet precautions.
  • (Option 5) Influenza requires droplet precautions.

 

Educational objective:

Clients with multidrug-resistant organisms (MRSA, VRE),

C difficile diarrhea, and

scabies require nursing staff to implement contact precautions.

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ABG Analysis

ABG Analysis

Mastering ABG analysis is essential for nursing practice and success on the NCLEX. Each question in this set emphasizes key concepts, including the identification of acid-base imbalances, physiological responses, and their implications for patient care. A strong grasp of these principles will enhance your ability to assess and respond effectively to patients' needs in various clinical situations.

The number of attempts remaining is 5

1 / 50

A nurse is assessing a patient with potential metabolic acidosis. Which sign would be most indicative?

2 / 50

A patient presents with tachycardia and muscle cramps. ABG analysis shows: pH 7.50, PaCO2 38 mmHg, HCO3- 30 mEq/L. What should the nurse assess for?

3 / 50

A patient in renal failure presents with pH 7.30 and HCO3- 15 mEq/L. What is the expected respiratory response?

4 / 50

A patient with renal failure shows ABG results of pH 7.25, PaCO2 40 mmHg, HCO3- 16 mEq/L. This indicates:

5 / 50

ABG results show: pH 7.47, PaCO2 38 mmHg, HCO3- 29 mEq/L. The nurse should assess for which of the following?

6 / 50

A patient has a pH of 7.30, PaCO2 30 mmHg, HCO3- 18 mEq/L. What is the most likely diagnosis?

7 / 50

In a patient with a suspected pulmonary embolism, what ABG changes might you expect?

8 / 50

A patient with a history of COPD is experiencing respiratory acidosis. Which intervention is most appropriate?

9 / 50

A patient’s ABG shows: pH 7.45, PaCO2 48 mmHg, HCO3- 36 mEq/L. What condition does this most likely indicate?

10 / 50

A patient is hypoventilating after a drug overdose. What would their ABG likely show?

11 / 50

ABG results show: pH 7.48, PaCO2 42 mmHg, HCO3- 30 mEq/L. What does this indicate?

12 / 50

A nurse is reviewing ABG results: pH 7.35, PaCO2 50 mmHg, HCO3- 25 mEq/L. Which condition is most likely?

13 / 50

A patient is hyperventilating due to anxiety. What would you expect their ABG results to show?

14 / 50

What is a common cause of metabolic acidosis?

15 / 50

ABG results show: pH 7.45, PaCO2 35 mmHg, HCO3- 21 mEq/L. What is the interpretation?

16 / 50

A patient presents with confusion and lethargy. ABG analysis reveals pH 7.34, PaCO2 55 mmHg, HCO3- 26 mEq/L. Which of the following interventions is the priority?

17 / 50

What is the normal range for arterial blood pH?

18 / 50

If a patient’s ABG shows a pH of 7.28, what should the nurse suspect?

19 / 50

A patient has the following ABG results: pH 7.30, PaCO2 50 mmHg, HCO3- 24 mEq/L. What is the primary acid-base disturbance?

20 / 50

In which condition would you expect to see a decreased HCO3- level?

21 / 50

Which of the following ABG values would indicate respiratory alkalosis?

22 / 50

A patient with renal failure presents with ABG results: pH 7.32, PaCO2 42 mmHg, HCO3- 16 mEq/L. What does this indicate?

23 / 50

If a patient is experiencing metabolic alkalosis, which ABG result might be expected?

24 / 50

Which of the following ABG results would indicate metabolic acidosis?

25 / 50

A patient has a pH of 7.39, PaCO2 of 52 mmHg, and HCO3- of 28 mEq/L. This patient is likely experiencing:

26 / 50

Which patient condition would most likely cause metabolic alkalosis?

27 / 50

If a patient is experiencing metabolic acidosis, what would you expect the respiratory compensation to be?

28 / 50

A patient with diabetes presents with a fruity odor on their breath. ABG results show: pH 7.25, PaCO2 40 mmHg, HCO3- 15 mEq/L. What condition is this indicative of?

29 / 50

Which of the following can lead to metabolic alkalosis?

30 / 50

In a patient with respiratory acidosis, what is the expected change in the kidneys?

31 / 50

Which of the following scenarios would likely lead to respiratory alkalosis?

32 / 50

A patient is experiencing respiratory distress and has an ABG result of pH 7.32, PaCO2 52 mmHg, HCO3- 24 mEq/L. What does this indicate?

33 / 50

The nurse is caring for a patient with COPD. Which ABG result would indicate respiratory acidosis?

34 / 50

The nurse is interpreting ABG results: pH 7.50, PaCO2 30 mmHg, HCO3- 24 mEq/L. What condition is indicated?

35 / 50

A patient with a history of excessive alcohol consumption presents with ABG results: pH 7.30, PaCO2 40 mmHg, HCO3- 15 mEq/L. What is the likely diagnosis?

36 / 50

ABG results show: pH 7.40, PaCO2 32 mmHg, HCO3- 19 mEq/L. Which acid-base balance does this indicate?

37 / 50

A patient with diabetic ketoacidosis has the following ABG results: pH 7.25, PaCO2 30 mmHg, HCO3- 15 mEq/L. What is the primary acid-base imbalance?

38 / 50

A patient has a pH of 7.39, PaCO2 of 52 mmHg, and HCO3- of 28 mEq/L. This patient is likely experiencing:

39 / 50

A patient presents with a high HCO3- level and a pH of 7.50. What could this indicate?

40 / 50

A nurse notices a patient has rapid, shallow breathing. The patient’s ABG shows: pH 7.45, PaCO2 30 mmHg, HCO3- 22 mEq/L. What is the likely diagnosis?

41 / 50

A patient with chronic respiratory acidosis may develop:

42 / 50

A patient with chronic kidney disease has a pH of 7.35 and HCO3- of 18 mEq/L. What is the likely diagnosis?

43 / 50

ABG results show: pH 7.38, PaCO2 48 mmHg, HCO3- 26 mEq/L. This indicates which type of compensation?

44 / 50

A nurse reviews an ABG report: pH 7.35, PaCO2 55 mmHg, HCO3- 22 mEq/L. Which nursing diagnosis is appropriate?

45 / 50

A patient with an acute asthma attack is likely to have which of the following ABG results?

46 / 50

A patient presents with tachypnea and lightheadedness. Which ABG finding would be expected?

47 / 50

A patient’s ABG indicates a pH of 7.50, what should the nurse suspect?

48 / 50

A patient with chronic kidney disease shows signs of acidosis. What ABG change would be expected?

49 / 50

A patient with severe dehydration would likely exhibit which of the following ABG results?

50 / 50

A patient presents with confusion and fatigue. Their ABG results show: pH 7.28, PaCO2 58 mmHg, HCO3- 22 mEq/L. What condition do these findings suggest?

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