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July 19 -NCLEX Daily Practice Questions

Friday

A nurse is evaluating the fetal monitoring strip of a laboring primigravida at 38 weeks gestation who is receiving an oxytocin infusion and has external fetal monitors and an intrauterine pressure catheter in place. Which of the following interventions should the nurse implement? Click on the exhibit button for additional information. Select all that apply.

 

19 July -NCLEX Daily Practice Questions
19 July -NCLEX Daily Practice Questions
1. Administer supplemental oxygen by mask
2. Initiate an IV bolus of 0.9% saline
3. “Prepare for amnioinfusion
4. Reposition the client to supine
5. Stop the oxytocin infusion
 
Late decelerations occur after the onset of a uterine contraction and continue beyond its end. The lowest point (nadir) occurs near the end of the contraction before the fetal heart rate gradually returns to baseline. Late decelerations occur when fetal oxygenation is compromised (eg, uteroplacental insufficiency, uterine tachysystole, hypotension). Immediate steps to correct late decelerations include: Stopping oxytocin if it is being administered (Option 5) Repositioning the client to the left/right side Administering oxygen by face mask (Option 1) Administering an IV bolus of isotonic fluid (eg, lactated Ringer solution, 0.9% saline) as needed (Option 2) If late decelerations persist or variability is absent or minimal, the nurse should prepare for emergency delivery. (Option 3) Amnioinfusion is administered through an intrauterine pressure catheter to relieve variable decelerations, not late decelerations; variable decelerations are usually caused by cord compression secondary to loss of amniotic fluid (eg, after rupture of membranes, because of oligohydramnios). (Option 4) Supine positioning can obstruct blood flow to the placenta. The client should be placed in a side-lying position to promote placental perfusion. This action relieves compression of the aorta and inferior vena cava, which can affect cardiac output, cause hypotension, and decrease placental perfusion. Educational objective: Late decelerations occur when oxygenation to the fetus is compromised and require immediate intervention. The nurse caring for a client with late decelerations should stop oxytocin, place the client in a side-lying position, apply oxygen by face mask, and administer an IV fluid bolus as needed.

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

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?

2 / 50

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

3 / 50

Which of the following can lead to metabolic alkalosis?

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

6 / 50

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

7 / 50

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

8 / 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?

9 / 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?

10 / 50

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

11 / 50

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

12 / 50

Which of the following ABG values would indicate respiratory alkalosis?

13 / 50

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

14 / 50

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

15 / 50

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

16 / 50

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

17 / 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?

18 / 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?

19 / 50

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

20 / 50

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

21 / 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?

22 / 50

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

23 / 50

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

24 / 50

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

25 / 50

Which of the following ABG results would indicate metabolic acidosis?

26 / 50

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

27 / 50

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

28 / 50

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

29 / 50

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

30 / 50

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

31 / 50

Which patient condition would most likely cause metabolic alkalosis?

32 / 50

A patient with chronic respiratory acidosis may develop:

33 / 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?

34 / 50

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

35 / 50

What is a common cause of metabolic acidosis?

36 / 50

What is the normal range for arterial blood pH?

37 / 50

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

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

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

40 / 50

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

41 / 50

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

42 / 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?

43 / 50

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

44 / 50

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

45 / 50

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

46 / 50

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

47 / 50

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

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

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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