Practice NCLEX questions for sepsis

Practice NCLEX questions for sepsis ScienceMedicineNursing emmajacobsson2 Save Shock and Sepsis NCLEX questions 28 terms T_Adams7Preview Saunders NCLEX questions 72 terms Moraina8Preview Sepsis NCLEX Questions 19 terms romk14Preview NCLEX 100 term akr A nurse is assessing a patient with suspected sepsis. Which of the following findings would indicate the presence of Systemic Inflammatory Response Syndrome (SIRS)?

• Temperature of 98.6°F (37°C), heart rate of 78 bpm
• Respiratory rate of 24 breaths per minute, heart rate of 110 bpm
• Blood pressure of 130/80 mmHg, oxygen saturation of 98%
• Urine output of 40 mL/hr over the past 2 hours

B The nurse is caring for a patient with suspected sepsis. Which intervention should be prioritized?

• Administer broad-spectrum antibiotics
• Obtain blood cultures
• Start vasopressor therapy
• Monitor urine output

B

• A patient diagnosed with septic shock has a serum lactate level of 5.2 mmol/L. What does this indicate?
• Adequate oxygenation and perfusion
• Need for immediate intubation
• Increased risk of organ dysfunction and mortality
• Resolution of sepsis

C

• A nurse is reviewing the care plan for a patient with sepsis. Which order should the nurse question?
• 30 mL/kg IV crystalloid bolus
• IV antibiotics within the first hour
• Oxygen therapy to maintain SpO2 > 92%
• Administer a diuretic to increase urine output

D Which of the following patients is at the highest risk for developing sepsis?

• A 45-year-old patient with controlled hypertension
• A 70-year-old patient receiving chemotherapy for leukemia
• A 30-year-old patient recovering from an ankle sprain
• A 25-year-old patient with seasonal allergies

B A nurse is using the qSOFA score to assess a patient for sepsis risk. Which of the following findings would indicate a high risk for sepsis? (Select all that apply.)

• Respiratory rate of 24 breaths per minute
• Blood pressure of 118/70 mmHg
• Glasgow Coma Scale (GCS) of 13
• Serum lactate of 1.8 mmol/L

A C A patient with sepsis is receiving fluid resuscitation. Which assessment finding indicates that the patient is not responding to fluids and may need vasopressors?

• Mean arterial pressure (MAP) of 68 mmHg
• Urine output of 50 mL in 2 hours
• Lactate level of 1.8 mmol/L
• Blood pressure of 82/54 mmHg after a 30 mL/kg fluid bolus

D The nurse is reviewing the laboratory results of a patient with suspected sepsis. Which finding is most concerning?

• WBC of 12,500/mm³
• Serum lactate of 5.0 mmol/L
• Hemoglobin of 11.2 g/dL
• Platelet count of 220,000/mm³

B

A patient in the emergency department presents with fever, tachycardia, hypotension, and confusion. The nurse suspects sepsis. What is the priority intervention?

• Administer acetaminophen for fever
• Obtain blood cultures and start antibiotics
• Elevate the head of the bed to 90 degrees
• Insert an indwelling urinary catheter

B A nurse is caring for a patient with sepsis who is receiving norepinephrine. What assessment finding indicates a therapeutic response to this medication?

• Heart rate of 120 bpm
• Increased urine output to 30 mL/hr
• Serum lactate increasing from 2.5 to 4.2 mmol/L
• Cold, clammy extremities

B Which of the following interventions is included in the Surviving Sepsis Campaign's Hour-1 Bundle? (Select all that apply.)

• Obtain blood cultures before starting antibiotics
• Start broad-spectrum antibiotics within one hour
• Administer a 500 mL bolus of crystalloids
• Measure serum lactate levels

A B D A nurse is caring for a patient with sepsis. The provider orders a passive leg raise (PLR) test. What is the purpose of this test?

• To assess the patient's risk for deep vein thrombosis (DVT)
• To evaluate if the patient is fluid-responsive
• To check for signs of lower extremity infection
• To determine neurological function in sepsis

B A patient with sepsis has a urine output of 15 mL/hr, a creatinine level of 2.2 mg/dL, and a blood pressure of 85/50 mmHg despite fluid resuscitation. What complication is the patient developing?

• Acute kidney injury
• Disseminated intravascular coagulation (DIC)
• Acute respiratory distress syndrome (ARDS)

A

Which statement by a nurse demonstrates correct understanding of lactate levels in sepsis?

• "A lactate level above 4 mmol/L suggests septic shock."
• "A lactate level of 0.5 mmol/L is a strong indicator of sepsis."
• "Lactate levels should only be checked once in septic patients."
• "Lactate levels are not an important marker for sepsis management."

A A nurse is caring for a septic patient receiving IV fluids. Which finding indicates improvement in the patient's condition?

• Increased blood pressure and urine output
• Increased respiratory rate and confusion
• Worsening lactic acidosis and hypotension
• Cold extremities and prolonged capillary refill

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