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July 21 -NCLEX Daily Practice Questions

July 21, 2024

Sunday

1 / 1

Yesterday, the client was weaned from the mechanical ventilator and an intravenous infusion of lorazepam. The client has been alert and oriented for 24 hours but is now experiencing confusion. The nurse now evaluates new-onset confusion by assessing the client's sense of place and time, difficulty focusing, short-term memory loss, and increasing lethargy. The nurse suspects which condition in this client?

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

2 / 50

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

3 / 50

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

4 / 50

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

5 / 50

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

6 / 50

Which of the following ABG results would indicate metabolic acidosis?

7 / 50

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

8 / 50

A patient with chronic respiratory acidosis may develop:

9 / 50

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

10 / 50

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

11 / 50

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

12 / 50

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

13 / 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?

14 / 50

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

15 / 50

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

16 / 50

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

17 / 50

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

18 / 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?

19 / 50

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

20 / 50

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

21 / 50

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

22 / 50

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

23 / 50

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

24 / 50

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

25 / 50

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

26 / 50

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

27 / 50

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

28 / 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?

29 / 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?

30 / 50

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

31 / 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?

32 / 50

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

33 / 50

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

34 / 50

Which of the following can lead to metabolic alkalosis?

35 / 50

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

36 / 50

What is the normal range for arterial blood pH?

37 / 50

What is a common cause of metabolic acidosis?

38 / 50

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

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

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

41 / 50

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

42 / 50

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

43 / 50

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

44 / 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?

45 / 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?

46 / 50

Which of the following ABG values would indicate respiratory alkalosis?

47 / 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?

48 / 50

Which patient condition would most likely cause metabolic alkalosis?

49 / 50

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

50 / 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?

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