October 3, 2024

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June 28 -NCLEX Daily Practice Questions

The nurse on a pediatric unit is caring for a preschooler who exhibits separation anxiety when the parents go to work. Which interventions should the nurse implement? Select all that apply.

1. Encourage the parents to leave the child’s favorite stuffed animal
2. Establish a daily schedule similar to the child’s home routine
3. Give the child time to calm down alone when visibly upset
4. Provide frequent opportunities for play and activity
5. Remove visual reminders of the parents from the room
 
Some of the first stressors faced by children from infancy through the preschool years are related to illness and hospitalization. Separation anxiety, also known as anaclitic depression, particularly affects children age 6-30 months. There are 3 stages of separation anxiety: protest, when the child refuses attention from others, screams for the parent to return, and cries inconsolably; despair, when the child is withdrawn, quiet, uninterested in activities or meals, and displays younger behavior (eg, use of pacifier, wetting the bed); and detachment, when the child suddenly appears happy and interested in building relationships. Nursing care of hospitalized clients experiencing separation anxiety focuses on maintaining a calm environment and a supportive demeanor to build trust between the nurse and the child, and encouraging connection with family and familiar environments, even when they are absent. Key interventions include: Encouraging the parents to leave favorite toys, books, and pictures from home Establishing a daily schedule that is similar to the child’s home routine Maintaining a close, calming presence when the child is visibly upset Facilitating phone or video calls when parents are available Providing opportunities for the child to play and participate in activities (Option 3) When the child is visibly upset, it is important to provide a calming presence and implement strategies to reduce the child’s anxiety. Leaving the child alone at such times can further increase stress. (Option 5) Providing pictures of the child’s family is actually beneficial, as it reminds the child of something familiar and safe.

June 28 -NCLEX Daily Practice Questions
June 28 -NCLEX Daily Practice Questions
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 chronic kidney disease shows signs of acidosis. What ABG change would be expected?

3 / 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?

4 / 50

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

5 / 50

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

6 / 50

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

7 / 50

A patient with chronic respiratory acidosis may develop:

8 / 50

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

9 / 50

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

10 / 50

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

11 / 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?

12 / 50

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

13 / 50

Which of the following ABG values would indicate respiratory alkalosis?

14 / 50

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

15 / 50

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

16 / 50

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

17 / 50

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

18 / 50

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

19 / 50

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

20 / 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?

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

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

23 / 50

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

24 / 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?

25 / 50

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

26 / 50

What is a common cause of metabolic acidosis?

27 / 50

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

28 / 50

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

29 / 50

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

30 / 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?

31 / 50

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

32 / 50

Which of the following can lead to metabolic alkalosis?

33 / 50

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

34 / 50

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

35 / 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?

36 / 50

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

37 / 50

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

38 / 50

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

39 / 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?

40 / 50

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

41 / 50

What is the normal range for arterial blood pH?

42 / 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?

43 / 50

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

44 / 50

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

45 / 50

Which of the following ABG results would indicate metabolic acidosis?

46 / 50

Which patient condition would most likely cause metabolic alkalosis?

47 / 50

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

48 / 50

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

49 / 50

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

50 / 50

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

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