October 3, 2024

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July 16 -NCLEX Daily Practice Questions

Tuesday

The nurse is reviewing discharge teaching for a client who had surgical repair of a retinal detachment. Which of the following instructions are appropriate for the nurse to include in the teaching? Select all that apply.

1. Avoid rubbing or scratching the affected eye
2. Avoid straining when having a bowel movement
3. Expect occasional flashes of light during recovery
4. Report any sudden pain to the health care provider
5. Rest the eyes by refraining from reading and writing
 
Retinal detachment is separation of the sensory retina from the underlying pigment epithelium. Clients experiencing retinal detachment may report a gradual, curtain-like loss of the visual field. Traumatic retinal detachment may also result in abrupt vision loss. Retinal detachment requires emergency surgery to attempt to restore vision. Surgical repair involves rebinding the choroid and retina. After repair, interventions focus on promoting retinal reattachment. Postoperative teaching should include: Avoiding activities that increase intraocular pressure (eg, rubbing the eye, straining) (Options 1 and 2) Reporting sudden pain, flashes of light, vision loss, or bleeding, which may indicate detachment or infection, to the health care provider (Option 4) Avoiding focused activities (eg, reading, writing, sewing), which can cause rapid eye movements and increase the risk for detachment (Option 5). Wearing an eye patch or shield as directed to prevent rubbing/scratching of the eye and minimize eye movement Ensuring appropriate positioning as instructed by the surgeon because clients may receive intravitreal oil or gas, which holds the retina in a specific position to allow healing (Option 3) Signs of retinal detachment include floaters, sudden flashes of light, and loss of vision. If signs of detachment occur, the surgeon should be notified immediately. Educational objective: After retinal detachment repair, clients should avoid activities that increase intraocular pressure (eg, rubbing the eye, straining); report pain, flashes of light, or floaters; wear an eye patch; avoid focused activities that may cause eye strain; and minimize eye movement.

NCLEX Daily Practice Questions
July 15 -NCLEX Daily Practice Questions
July 15 -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

What is a common cause of metabolic acidosis?

2 / 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?

3 / 50

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

4 / 50

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

5 / 50

Which patient condition would most likely cause metabolic alkalosis?

6 / 50

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

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

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

9 / 50

Which of the following can lead to metabolic alkalosis?

10 / 50

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

11 / 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?

12 / 50

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

13 / 50

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

14 / 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?

15 / 50

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

16 / 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?

17 / 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?

18 / 50

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

19 / 50

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

20 / 50

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

21 / 50

Which of the following ABG results would indicate metabolic acidosis?

22 / 50

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

23 / 50

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

24 / 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?

25 / 50

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

26 / 50

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

27 / 50

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

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

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

30 / 50

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

31 / 50

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

32 / 50

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

33 / 50

What is the normal range for arterial blood pH?

34 / 50

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

35 / 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?

36 / 50

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

37 / 50

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

38 / 50

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

39 / 50

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

40 / 50

A patient with chronic respiratory acidosis may develop:

41 / 50

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

42 / 50

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

43 / 50

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

44 / 50

Which of the following ABG values would indicate respiratory alkalosis?

45 / 50

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

46 / 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?

47 / 50

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

48 / 50

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

49 / 50

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

50 / 50

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

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