October 3, 2024

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June 23 -NCLEX Daily Practice Questions

The nurse is assessing an infant with intussusception. Which of the following clinical findings should the nurse expect? Select all that apply. Select all that apply.

1. Palpable olive-shaped mass in epigastrium
2. Palpable sausage-shaped abdominal mass
3. Projectile vomiting without visualized blood
4. Screaming and drawing of the knees up to the chest
5. Stool mixed with blood and mucus
 
Intussusception is an obstructive gastrointestinal disorder caused when a segment of the bowel slides, or telescopes, into another section. This typically occurs in infants and children age <6. Once the bowel telescopes in, pressure increases within the bowel, causing ischemia and leakage of blood and mucus into the lumen of the bowel. Classic clinical manifestations of intussusception include episodes of sudden, crampy abdominal pain; a palpable sausage-shaped abdominal mass; and red, “currant jelly” stools (Options 2 and 5). Other manifestations include inconsolable crying with the knees drawn up to the chest and vomiting (Option 4). The child may appear normal and calm between painful episodes. (Options 1 and 3) A palpable, epigastric, olive-shaped mass and non bloody projectile vomiting (ie, up to 3-4 feet [~1 meter]) are clinical manifestations often seen with pyloric stenosis. Projectile vomiting may also be a symptom of elevated intracranial pressure. However, intussusception typically causes bilious, nonprojectile vomiting and involves a sausage-shaped mass.
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’s ABG indicates a pH of 7.50, what should the nurse suspect?

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

What is a common cause of metabolic acidosis?

4 / 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?

5 / 50

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

6 / 50

Which of the following ABG results would indicate metabolic acidosis?

7 / 50

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

8 / 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?

9 / 50

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

10 / 50

What is the normal range for arterial blood pH?

11 / 50

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

12 / 50

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

13 / 50

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

14 / 50

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

15 / 50

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

16 / 50

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

17 / 50

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

18 / 50

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

19 / 50

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

20 / 50

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

21 / 50

Which patient condition would most likely cause metabolic alkalosis?

22 / 50

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

23 / 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?

24 / 50

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

25 / 50

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

26 / 50

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

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

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

29 / 50

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

30 / 50

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

31 / 50

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

32 / 50

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

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

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?

35 / 50

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

36 / 50

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

37 / 50

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

38 / 50

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

39 / 50

Which of the following can lead to metabolic alkalosis?

40 / 50

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

41 / 50

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

42 / 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?

43 / 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?

44 / 50

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

45 / 50

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

46 / 50

Which of the following ABG values would indicate respiratory alkalosis?

47 / 50

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

48 / 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?

49 / 50

A patient with chronic respiratory acidosis may develop:

50 / 50

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

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