October 3, 2024

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July 27 -NCLEX Daily Practice Questions

Saturday

Which are correct understandings of applying nursing ethical principles? Select all that apply.

1. Autonomy is requiring the client to have an advance directive
2. Beneficence is withholding prognosis from a client due to family wishes
3. Fidelity is administering medication as prescribed to the client
4. Justice is telling the client the truth that the biopsy is positive
5. Nonmaleficence is refusing to give report to a nurse who is impaired
Ethical principles guide the nurse in making appropriate decisions and acting accordingly. They speak to the essence but not to the specifics of the law. Fidelity is exhibiting loyalty and fulfilling commitments made to oneself and others. It includes meeting the expected responsibilities of professional nursing practice and provides the basis of accountability (taking responsibility for one’s actions) (Option 3). Nonmaleficence means to do no harm and relates to protecting clients from danger when they are unable to do so themselves due to a mental/physical condition (eg, children, client with Alzheimer disease) and from a nurse who is impaired (Option 5). (Option 1) Autonomy is the right to make decisions for oneself (eg, informed consent). Although having an advance directive is an example of autonomy, requiring one violates this principle. The client has a right to refuse even if the nurse believes it is in the client’s best interest. (Option 2) When a diagnosis is withheld, even if due to the nurse’s or family’s good intentions, it violates the principle of autonomy. Beneficence means to do good (eg, implementing interventions to promote the client’s well-being). (Option 4) The principle of justice refers to treating all clients fairly (ie, without bias). Veracity is telling the truth as a fundamental part of building a trusting relationship.

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

2 / 50

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

3 / 50

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

4 / 50

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

5 / 50

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

6 / 50

What is the normal range for arterial blood pH?

7 / 50

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

8 / 50

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

9 / 50

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

10 / 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?

11 / 50

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

12 / 50

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

13 / 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?

14 / 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?

15 / 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?

16 / 50

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

17 / 50

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

18 / 50

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

19 / 50

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

20 / 50

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

21 / 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?

22 / 50

Which of the following ABG results would indicate metabolic acidosis?

23 / 50

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

24 / 50

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

25 / 50

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

26 / 50

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

27 / 50

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

28 / 50

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

29 / 50

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

30 / 50

Which of the following can lead to metabolic alkalosis?

31 / 50

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

32 / 50

Which of the following ABG values would indicate respiratory alkalosis?

33 / 50

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

34 / 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?

35 / 50

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

36 / 50

What is a common cause of metabolic acidosis?

37 / 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?

38 / 50

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

39 / 50

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

40 / 50

Which patient condition would most likely cause metabolic alkalosis?

41 / 50

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

42 / 50

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

43 / 50

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

44 / 50

A patient with chronic respiratory acidosis may develop:

45 / 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?

46 / 50

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

47 / 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?

48 / 50

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

49 / 50

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

50 / 50

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

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