October 10, 2024

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June 16 – NCLEX Daily Practice Questions

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NCLEX Daily Practice Questions

June 16, 2024

Sunday

1 / 1

The unlicensed assistive personnel (UAP) reports finding a reddened area on a client's sacrum during a bath. What is the nurse's priority action?

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NCLEX exam focus areas

MEPERIDINE

Meperidine pharmacology NCLEX

Meperidine pharmacology NCLEX

Meperidine also called Demerol

Mechanism of Action

Binds to opioid receptors in the brain and spinal cord to reduce pain perception.

Indications

Pain Management:
Moderate to severe pain, often in a perioperative or acute care setting.

Forms

  • Oral tablets
  • Injectable forms (IV,IM,SC)
  • Forms

Side Effects

  • Respiratory Depression
  • Sedation
  • Nausea and Vomiting
  • Constipation
  • Dizziness and Drowsiness
  • Seizures (especially with high doses or prolonged use)
  • Neurotoxicity (accumulation of normeperidine, a toxic metabolite)

Nursing Consideration

  • Monitor for Respiratory Depression: Regularly check respiratory rate and oxygen saturation.
  • Assess Pain Levels: Continuously evaluate the effectiveness of pain relief.
  • Monitor for Sedation: Assess the patient’s level of consciousness and ability to stay awake.
  • Gastrointestinal Effects: Monitor for constipation and provide interventions (e.g., stool softeners, increased fluid intake).
  • Fall Risk: Implement safety measures to prevent falls due to dizziness and drowsiness.
  • Monitor for Seizures: Be aware of the potential for seizures, particularly in patients with renal dysfunction or those on prolonged therapy.
  • Allergic Reactions: Watch for any signs of allergic reactions such as rash, itching, or swelling

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

2 / 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?

3 / 50

Which of the following ABG values would indicate respiratory 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 has the following ABG results: pH 7.30, PaCO2 50 mmHg, HCO3- 24 mEq/L. What is the primary acid-base disturbance?

6 / 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?

7 / 50

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

8 / 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?

9 / 50

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

10 / 50

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

11 / 50

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

12 / 50

Which of the following ABG results would indicate metabolic acidosis?

13 / 50

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

14 / 50

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

15 / 50

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

16 / 50

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

17 / 50

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

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

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

20 / 50

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

21 / 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?

22 / 50

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

23 / 50

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

24 / 50

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

25 / 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?

26 / 50

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

27 / 50

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

28 / 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?

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

A patient with chronic respiratory acidosis may develop:

31 / 50

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

32 / 50

Which patient condition would most likely cause metabolic alkalosis?

33 / 50

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

34 / 50

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

35 / 50

What is a common cause of metabolic acidosis?

36 / 50

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

37 / 50

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

38 / 50

Which of the following can lead to metabolic alkalosis?

39 / 50

What is the normal range for arterial blood pH?

40 / 50

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

41 / 50

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

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

45 / 50

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

46 / 50

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

47 / 50

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

48 / 50

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

49 / 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?

50 / 50

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

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