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RN Nursing School · Critical Care · 29 questions

Organ System Failure practice questions

Every question below is free to read with its full rationale. For timed sets, the rest of the bank and progress tracking on Organ System Failure, practise in the app.

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  1. 1A nurse is caring for a patient who has developed anaphylactic shock after exposure to a known allergen. The patient's blood pressure is dropping rapidly, respiratory distress is worsening, and swelling around the airway is increasing. Which pathophysiological mechanism best explains the critical priority for administering epinephrine in this scenario?Answer →
  2. 2A nurse is teaching a client who has septic shock about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?Answer →
  3. 3A patient with Acute Respiratory Distress Syndrome (ARDS) is receiving mechanical ventilation. The patient's oxygen saturation has decreased to 85%. Which intervention should the nurse prioritize to improve oxygenation?Answer →
  4. 4A nurse is evaluating laboratory results for a patient diagnosed with disseminated intravascular coagulation (DIC). Which of the following laboratory values would the nurse expect to be elevated, indicating ongoing fibrinolysis and coagulation abnormalities? (Select all that apply)Answer →
  5. 5A client with prolonged vomiting reports weakness, dizziness, and muscle cramps. ABG: PH 7.45, PaCO2 43 mmHg, HCO3 35. Which acid-base disorder is present?Answer →
  6. 6An intensive care nurse is aware of the need to identify clients who may be at risk of developing disseminated intravascular coagulation (DIC). Which ICU client most likely faces the highest risk of DIC?Answer →
  7. 7A nurse is caring for a patient with multiple organ dysfunction syndrome (MODS) and is preparing to communicate with the patient's family about the patient's critical condition and potential organ donation. Which nursing action best demonstrates effective therapeutic communication to support the family during this process?Answer →
  8. 8A nurse is reviewing the laboratory values of a client who has respiratory acidosis. Which of the following findings should the nurse expect?Answer →
  9. 9A nurse in the emergency department is assessing a client who has internal injuries from a car crash. The client is disoriented to time and place, diaphoretic and his lips are cyanotic. The nurse should anticipate which of the findings as an indication of hypovolemic shock?Answer →
  10. 10A nurse is caring for a client that developed an acute pulmonary embolism. The healthcare provider has ordered that the client receive a Heparin drip starting at 1500 units/hour. Available Heparin is 25,000 units in 500 ml D5W. What should the nurse set the IV pump at in ml/hr.Answer →
  11. 11A nurse is caring for a client who is in the compensatory stage of shock. Which of the following findings should the nurse expect?Answer →
  12. 12In the early stage of septic shock the client may exhibit which of the following clinical manifestations? (Select all that apply)Answer →
  13. 13A nurse is caring for a client who has the following arterial blood gas results: HCO3 18 mEq, PaCO2 35 mm Hg and pH 7.30. The nurse recognizes the client is experiencing which of the following acid base imbalances?Answer →
  14. 14A nurse is caring for a client who has a pulmonary embolism. The client has been prescribed enoxaparin 0.5 mg/kg/dose subcutaneous every 12 hours. The client weigh 198 lbs. How many mg should the nurse administer per doseAnswer →
  15. 15A postoperative patient reports lightheadedness, numbness around the mouth and is breathing rapidly due to pain and anxiety. ABG: PH 7.50. PaCO2 30 mmHg. HCO3 25 mEq/L Which imbalance is present?Answer →
  16. 16Complete the following sentence from the list of options. Your assigned client has lost a significant amount of blood and is diagnosed with hypovolemic shock. Hypovolemic shock occurs when there is a ___ in intravascular volume that represents an approximate loss of ___ blood in a 70 kg person.Answer →
  17. 17A nurse is caring for a patient in the emergency department who is displaying early signs of anaphylactic shock, including facial swelling, wheezing, and hypotension. The provider has ordered intravenous fluids, IM epinephrine, antihistamines, and corticosteroids. In prioritizing the nursing care, what action should the nurse implement first to prevent progression to respiratory failure?Answer →
  18. 18Your assigned client has been diagnosed with septic shock. Fluid replacement therapy have been initiated and have been ineffective. If fluids alone does not effectively improve tissue perfusion in clients with septic shock, what is the next step in treatment for this client?Answer →
  19. 19A nurse is providing care for a client who has multiple organ dysfunction syndrome (MODS). Which of the following actions is the priority when planning care for this client?Answer →
  20. 20A nurse assessing a client determines that he is in the compensatory stage of shock. Which of the following findings support this conclusion?Answer →
  21. 21A nurse is caring for a critically ill patient who is suspected to be progressing from systemic inflammatory response syndrome (SIRS) to multiple organ dysfunction syndrome (MODS). The patient's mean arterial pressure (MAP) has dropped more than 20 mmHg from baseline, and moderate metabolic acidosis and hyperglycemia are noted. Which nursing action is the priority at this stage?Answer →
  22. 22Your assigned patient has presented to the Emergency Room after a severe motor vehicle accident with suspect of having a pneumothorax. Chest x-ray reveal large pneumothorax with collapse right lung. Which of the following signs and symptoms would you expect this client to exhibit? (Select All that Apply.)Answer →
  23. 23Your assigned patient has been diagnosed with Sepsis and the family asks you what is Sepsis? The nurse knows that according to the Third international Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) Task Force, sepsis is defined as which of the following?Answer →
  24. 24A nurse and a newly licensed nurse are providing care for a client who has distributive shock. How should the nurse explain the pathophysiology of distributive shock to the newly licensed nurse?Answer →
  25. 25A nurse is providing care to a client who has spent several weeks in the intensive care unit because of complications related to shock. What adverse psychological outcomes should the nurse educate the client about prior to transfer to the medical unit?Answer →
  26. 26The client with which of these conditions is at greatest risk of developing Disseminated Intravascular Coagulation (DIC)?Answer →
  27. 27Complete the following sentence by using the options. Disseminated Intravascular Coagulation (DIC) manifestations include ___ and ___.Answer →
  28. 28A nurse is providing postoperative care to a client who lost 800 mL of blood during surgery. The client's blood pressure has been steadily decreasing over the past 2 hr. Which of the following categories of shock should the nurse recognize is occurring?Answer →
  29. 29A nurse is providing care to a client who is experiencing wheezing after receiving an antibiotic 20 min ago. Which of the following findings is the priority for the nurse to monitor for?Answer →