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Aug.11 NCLEX Daily Practice Questions

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11 Aug. - NCLEX Practice Questions

Aug.11 NCLEX Daily Practice Questions

Sunday

Tick Mark Example Multiple Choice Question with Multiple Correct Answers

Aug. 11 NCLEX Daily Practice Questions

An adult client with bacterial pneumonia becomes increasingly disoriented and somnolent. Which assessment findings indicate that the client may be in septic shock? Select all that apply. apply.






Explanation: Sepsis is an overwhelming response to infection that causes impaired organ function. Septic shock occurs when sepsis causes cardiovascular collapse and/or impairs the body’s ability to maintain normal metabolic and cellular processes.

Manifestations of septic shock include:

  • Fever or hypothermia (>100.4 F [38 C]; <96.8 F [36 C]) - Either fever or low body temperature is found in sepsis and septic shock.
  • Fever occurs in response to infection, whereas low body temperature can occur as shock worsens due to metabolic alterations and inadequate tissue perfusion (Option 3).
  • Hypotension – Systolic blood pressure <90 mm Hg or mean arterial pressure <65 mm Hg in a client with infection may indicate septic shock. Altered perfusion from hypotension may cause lactic acid accumulation and metabolic acidosis (Option 1)
  • Prolonged capillary refill – A refill time > 3 – 4 seconds in adults indicates inadequate tissue perfusion as a result of altered peripheral circulation and hypotension (Option 2)
  • Tachycardia – A resting heart rate > 90 / m * in is common in septic shock to compensate for decreased systemic vascular tone and hypotension.
  • WBC count > 12000 / m * m ^ 3 (12 * 10 ^ y / L) or immature neutrophils (bands) of >10%- An increased WBC count, especially with bands, indicates severe infection (Option 5).
  • (Option 4) Clients with septic shock typically develop decreased urine output (ie, <0.5 mL / k * g / h * r ) due to inadequate organ perfusion.

    • Educational objective:

    Septic shock is a life-threatening systemic response to infection that causes

    Impaired organ function,

    Cardiovascular collapse, and/or

    Impairment of normal metabolic and cellular processes.

    Signs of septic shock include

    Fever or hypothermia,

    Hypotension,

    Tachycardia, and

    Leukocytosis.

     

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

    2 / 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?

    3 / 50

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

    4 / 50

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

    5 / 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?

    6 / 50

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

    7 / 50

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

    8 / 50

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

    9 / 50

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

    10 / 50

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

    11 / 50

    What is the normal range for arterial blood pH?

    12 / 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?

    13 / 50

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

    14 / 50

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

    15 / 50

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

    16 / 50

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

    17 / 50

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

    18 / 50

    Which patient condition would most likely cause metabolic alkalosis?

    19 / 50

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

    20 / 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?

    21 / 50

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

    22 / 50

    Which of the following ABG values would indicate respiratory alkalosis?

    23 / 50

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

    24 / 50

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

    25 / 50

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

    26 / 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?

    27 / 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?

    28 / 50

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

    29 / 50

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

    30 / 50

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

    31 / 50

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

    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

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

    34 / 50

    A patient with chronic respiratory acidosis may develop:

    35 / 50

    Which of the following ABG results would indicate metabolic acidosis?

    36 / 50

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

    37 / 50

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

    38 / 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?

    39 / 50

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

    40 / 50

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

    41 / 50

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

    42 / 50

    What is a common cause of metabolic acidosis?

    43 / 50

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

    44 / 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?

    45 / 50

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

    46 / 50

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

    47 / 50

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

    48 / 50

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

    49 / 50

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

    50 / 50

    Which of the following can lead to metabolic alkalosis?

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