July 31 -NCLEX Daily Practice Questions

Wednesday 

The nurse prepares a client for scheduled surgery. Which actions are the nurse’s legal responsibility with regard to informed consent? Select all that apply.

1. Acting as a witness that the client signed the consent form voluntarily
2. Documenting in the medical record the date and time the signature was obtained
3. Educating the client if there is a misunderstanding about the procedure
4. Explaining to the client the right to refuse surgery
5. Verifying that the client is competent to provide informed consent
Written consent is required for invasive procedures and surgery. Clients must be informed of and competent to understand information about the procedure, alternate treatments, and risks. They must also be informed that they have the right to refuse the procedure or surgery. The nurse’s role in informed consent is to witness that the client signed the consent voluntarily and was competent at the time of signing (Options 1 and 5). The nurse should ensure that the client received necessary information and has no remaining questions about the procedure. After obtaining the signature, the nurse should document in the client’s medical record that the informed consent was given and the date/time of the signature (Option 2). (Options 3 and 4) The health care provider is responsible for explaining all aspects of the procedure, ensuring that the client has a correct understanding of the procedure and its potential risks, providing the names/qualifications of those who will be involved, describing available alternate treatments, and reinforcing that the client has the right to refuse the procedure. The health care provider should be contacted if the client does not have a correct understanding of the procedure. The nurse should not try to explain procedures as he/she could be held liable for giving incorrect/incomplete information. Educational objective: The nurse’s role in informed consent is to witness a client’s signature and ascertain that the client signed voluntarily, was competent to provide consent at the time of signature, received the necessary information, and has no further 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 presents with tachypnea and lightheadedness. Which ABG finding would be expected?

2 / 50

Which of the following ABG results would indicate metabolic acidosis?

3 / 50

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

4 / 50

Which of the following ABG values would indicate respiratory alkalosis?

5 / 50

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

6 / 50

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

7 / 50

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

8 / 50

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

9 / 50

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

10 / 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?

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 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?

13 / 50

What is a common cause of metabolic acidosis?

14 / 50

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

15 / 50

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

16 / 50

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

17 / 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?

18 / 50

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

19 / 50

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

20 / 50

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

21 / 50

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

22 / 50

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

23 / 50

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

24 / 50

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

25 / 50

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

26 / 50

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

27 / 50

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

28 / 50

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

29 / 50

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

30 / 50

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

31 / 50

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

32 / 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?

33 / 50

A patient with chronic respiratory acidosis may develop:

34 / 50

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

35 / 50

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

36 / 50

What is the normal range for arterial blood pH?

37 / 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?

38 / 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?

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

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

41 / 50

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

42 / 50

Which patient condition would most likely cause metabolic alkalosis?

43 / 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?

44 / 50

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

45 / 50

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

46 / 50

Which of the following can lead to metabolic alkalosis?

47 / 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?

48 / 50

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

49 / 50

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

50 / 50

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

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