October 3, 2024

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July 18 -NCLEX Daily Practice Questions

Thursday

The nurse teaches safety precautions of home oxygen use to a client with emphysema being discharged with a nasal cannula and portable oxygen tank. Which client statement indicates the need for further teaching? Select all that apply.

1. “I can apply Vaseline to my nose when my nostrils feel dry from the oxygen.”
2. “I can cook on my gas stove as long as I have a fire extinguisher in the kitchen.”
3. “I can increase the liter flow from 2 to 6 liters a minute whenever I feel short of breath.”
4. “I should not polish my nails when using my oxygen.”
5. “I should not use a wool blanket on my bed.”
 
Oxygen is a colorless, odorless gas that supports combustion and makes up about 21% of the atmosphere. Oxygen is not combustible itself, but it can feed a fire if one occurs. When using home oxygen, safety precautions are imperative. 1. Vaseline is an oil-based, flammable product and should be avoided. A water-soluble lubricant may be used instead. 2. Oxygen canisters should be kept at least 5-10 feet away from gas stoves, lighted fireplaces, wood stoves, candles, or other sources of open flames. Clients should use precautions as cooking oils and grease are highly flammable. 3. The prescribed concentration of oxygen, usually 24%-28% for clients with COPD, should be maintained. Oxygen is prescribed to raise the PaO2 to 60-70 mm Hg and the saturations from 90%-93%. A flow rate of 2 L/min provides approximately 28% oxygen concentration, and 6 L/min provides approximately 44%. Higher rates usually do not help and can even be dangerous in clients with COPD as they can decrease the drive to breathe. The client should notify the care provider about excessive shortness of breath as additional treatment may be indicated. (Option 4) The client understands that nail polish remover and nail polish contain acetone, which is highly combustible. (Option 5) Clients should avoid synthetic and wool fabrics because they can cause static electricity, which may ignite a fire in the presence of oxygen. Clients should use cotton blankets and wear cotton fabrics. Educational objective: Safety precautions for home oxygen use include the following: no smoking; electrical devices in good condition and plugs grounded; avoiding volatile, flammable products and materials that generate static electricity; staying at least 5-10 feet away from open sources of flame; keeping fire extinguishers readily available; and regularly testing smoke detectors.

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

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

2 / 50

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

3 / 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?

4 / 50

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

5 / 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?

6 / 50

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

7 / 50

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

8 / 50

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

9 / 50

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

10 / 50

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

11 / 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?

12 / 50

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

13 / 50

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

14 / 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?

15 / 50

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

16 / 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?

17 / 50

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

18 / 50

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

19 / 50

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

20 / 50

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

21 / 50

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

22 / 50

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

23 / 50

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

24 / 50

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

25 / 50

What is a common cause of metabolic acidosis?

26 / 50

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

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

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?

29 / 50

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

30 / 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?

31 / 50

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

32 / 50

A patient with chronic respiratory acidosis may develop:

33 / 50

Which patient condition would most likely cause metabolic alkalosis?

34 / 50

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

35 / 50

What is the normal range for arterial blood pH?

36 / 50

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

37 / 50

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

38 / 50

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

39 / 50

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

40 / 50

Which of the following ABG results would indicate metabolic acidosis?

41 / 50

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

42 / 50

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

43 / 50

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

44 / 50

Which of the following ABG values would indicate respiratory alkalosis?

45 / 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?

46 / 50

Which of the following can lead to metabolic alkalosis?

47 / 50

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

48 / 50

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

49 / 50

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

50 / 50

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

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