October 3, 2024

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July 10 -NCLEX Daily Practice Questions

The nurse is caring for a client who performs frequent urinary self-catheterizations. Which of the following client assessments would indicate a potential for a latex allergy? Select all that apply.

1. History of angioedema with lisinopril
2. History of epilepsy
3. Known allergy to avocados and bananas
4. Known allergy to shellfish
5. Lip swelling when blowing up balloons
 
Latex allergy is an exaggerated immune-mediated reaction when one is exposed to products or dusts containing latex, a natural rubber used in many medical devices (eg, gloves, catheters, tape). Many people, particularly health care workers and individuals requiring chronic invasive procedures (eg, self-catheterization), develop latex allergy from repeated exposures. When assessing for potential latex allergies, the nurse should inquire about the client’s reactions to common latex-containing objects and potentially cross-allergenic products. Balloons commonly contain latex, and reports of lip swelling, itching, or hives after contact indicate a high risk for anaphylactic reactions with continued exposure (Option 5). Many food allergies (eg, avocado, banana, tomato) also increase the risk for latex allergy because the food proteins are similar to those found in latex (Option 3). (Option 1) There is no documented cross-sensitivity reaction between ACE inhibitors (eg, lisinopril) and latex. (Option 2) Epilepsy is not associated with an increased risk for latex allergy. However, clients who have spina bifida or who have undergone multiple surgeries are at increased risk. (Option 4) Shellfish allergy was previously believed to be associated with allergy to iodine (CT contrast material), which has now been disproved. Shellfish allergy has no relationship to latex allergy.

NCLEX Daily Practice Questions

 

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

2 / 50

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

3 / 50

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

4 / 50

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

5 / 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?

6 / 50

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

7 / 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?

8 / 50

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

9 / 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?

10 / 50

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

11 / 50

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

12 / 50

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

13 / 50

What is a common cause of metabolic acidosis?

14 / 50

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

15 / 50

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

16 / 50

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

17 / 50

What is the normal range for arterial blood pH?

18 / 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?

19 / 50

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

20 / 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?

21 / 50

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

22 / 50

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

23 / 50

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

24 / 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?

25 / 50

A patient with chronic respiratory acidosis may develop:

26 / 50

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

27 / 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?

28 / 50

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

29 / 50

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

30 / 50

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

31 / 50

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

32 / 50

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

33 / 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?

34 / 50

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

35 / 50

Which of the following can lead to metabolic alkalosis?

36 / 50

Which patient condition would most likely cause metabolic alkalosis?

37 / 50

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

38 / 50

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

39 / 50

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

40 / 50

Which of the following ABG results would indicate metabolic acidosis?

41 / 50

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

42 / 50

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

43 / 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?

44 / 50

Which of the following ABG values would indicate respiratory alkalosis?

45 / 50

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

46 / 50

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

47 / 50

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

48 / 50

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

49 / 50

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

50 / 50

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

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