Exam- New Material PMCQ; Questions with Complete
Solutions
The nurse plans to complete a Sequential Organ Failure Assessment (SOFA) for a patient with
suspected sepsis. What data should the nurse use for this assessment? Select all that apply.
A) PaO2/FiO2
B) Glasgow Coma Scale score
C) MAP
D) Hemoglobin level
E) Urine output Correct Answer-ABCE
The dose of vasopressin has been titrated upward over several hours for a patient being
treated for septic shock. Which finding indicates that the patient is experiencing toxic effects
of this medication? Select all that apply.
A) Heart rate 48
B) Onset of multifocal PVCs
C) Serum sodium 130 mEq/L
D) Blood pressure 180/100 mm Hg
E) Respiratory rate 12 per minute Correct Answer-ABCD
, Exam- New Material PMCQ; Questions with Complete
Solutions
A patient receives a fluid challenge as part of care for sepsis. Which outcome indicates that
the challenge was successful? Select all that apply.
A) Weight gain 1.5 kg
B) CVP 10 mm Hg
C) Peripheral edema
D) Heart rate 90 bpm
E) MAP 72 mm Hg Correct Answer-BDE
While caring for a patient with sepsis, the nurse suspects that disseminated intravascular
coagulation is developing. What did the nurse assess in the patient? Select all that apply.
A) Cyanosis of the fingers
B) Diminished pulses
C) Patient complains of finger pain
D) Urine output 60 mL/hr
E) New onset of confusion Correct Answer-ABCE
, Exam- New Material PMCQ; Questions with Complete
Solutions
A patient with sepsis is experiencing an elevated temperature. Which medication should the
nurse prepare to administer to this patient?
Select all that apply.
A) Ibuprofen
B) Aspirin
C) Warfarin sodium
D) Acetaminophen
E) Heparin Correct Answer-AD
The nurse prepares an infusion of norepinephrine for a patient in severe septic shock. Why is
this medication being used for the patient?
Select all that apply.
A) It increases stroke volume.
B) It reverses hypotension when fluid resuscitation was unsuccessful.
C) Effects are seen in 5 minutes.
D) It increases heart rate.
E) It will increase the patient's MAP. Correct Answer-BE
, Exam- New Material PMCQ; Questions with Complete
Solutions
The goal of antibiotic therapy in a patient with sepsis is to narrow the therapy to one narrow-
spectrum antibiotic. What purpose does this goal serve in the patient's care to aid in the
prevention of antibiotic resistance?
A) The use of one antibiotic reduces mortality in patients with sepsis.
B) The use of one antibiotic has been shown to cause less organ dysfunction.
C) The use of one antibiotic ensures that the prescribed dose will result in serum
concentrations that are clinically effective.
D) The use of one antibiotic limits the cost to the patient. Correct Answer-B
The nurse evaluates a patient for the presence of systemic inflammatory response syndrome
(SIRS). Which assessment data indicates the presence of SIRS?
A) Temperature 37.2°C, respiratory rate 24, pulse rate 102, and PaCO 2 44
B) Temperature 36.4°C, respiratory rate 22, pulse rate 112, and PaCO 2 34
C) Temperature 38.8°C, respiratory rate 25, pulse rate 88, and PaCO 2 48
D) Temperature 38.4°C, respiratory rate 23, pulse rate 92, and PaCO 2 31 Correct Answer-D
Solutions
The nurse plans to complete a Sequential Organ Failure Assessment (SOFA) for a patient with
suspected sepsis. What data should the nurse use for this assessment? Select all that apply.
A) PaO2/FiO2
B) Glasgow Coma Scale score
C) MAP
D) Hemoglobin level
E) Urine output Correct Answer-ABCE
The dose of vasopressin has been titrated upward over several hours for a patient being
treated for septic shock. Which finding indicates that the patient is experiencing toxic effects
of this medication? Select all that apply.
A) Heart rate 48
B) Onset of multifocal PVCs
C) Serum sodium 130 mEq/L
D) Blood pressure 180/100 mm Hg
E) Respiratory rate 12 per minute Correct Answer-ABCD
, Exam- New Material PMCQ; Questions with Complete
Solutions
A patient receives a fluid challenge as part of care for sepsis. Which outcome indicates that
the challenge was successful? Select all that apply.
A) Weight gain 1.5 kg
B) CVP 10 mm Hg
C) Peripheral edema
D) Heart rate 90 bpm
E) MAP 72 mm Hg Correct Answer-BDE
While caring for a patient with sepsis, the nurse suspects that disseminated intravascular
coagulation is developing. What did the nurse assess in the patient? Select all that apply.
A) Cyanosis of the fingers
B) Diminished pulses
C) Patient complains of finger pain
D) Urine output 60 mL/hr
E) New onset of confusion Correct Answer-ABCE
, Exam- New Material PMCQ; Questions with Complete
Solutions
A patient with sepsis is experiencing an elevated temperature. Which medication should the
nurse prepare to administer to this patient?
Select all that apply.
A) Ibuprofen
B) Aspirin
C) Warfarin sodium
D) Acetaminophen
E) Heparin Correct Answer-AD
The nurse prepares an infusion of norepinephrine for a patient in severe septic shock. Why is
this medication being used for the patient?
Select all that apply.
A) It increases stroke volume.
B) It reverses hypotension when fluid resuscitation was unsuccessful.
C) Effects are seen in 5 minutes.
D) It increases heart rate.
E) It will increase the patient's MAP. Correct Answer-BE
, Exam- New Material PMCQ; Questions with Complete
Solutions
The goal of antibiotic therapy in a patient with sepsis is to narrow the therapy to one narrow-
spectrum antibiotic. What purpose does this goal serve in the patient's care to aid in the
prevention of antibiotic resistance?
A) The use of one antibiotic reduces mortality in patients with sepsis.
B) The use of one antibiotic has been shown to cause less organ dysfunction.
C) The use of one antibiotic ensures that the prescribed dose will result in serum
concentrations that are clinically effective.
D) The use of one antibiotic limits the cost to the patient. Correct Answer-B
The nurse evaluates a patient for the presence of systemic inflammatory response syndrome
(SIRS). Which assessment data indicates the presence of SIRS?
A) Temperature 37.2°C, respiratory rate 24, pulse rate 102, and PaCO 2 44
B) Temperature 36.4°C, respiratory rate 22, pulse rate 112, and PaCO 2 34
C) Temperature 38.8°C, respiratory rate 25, pulse rate 88, and PaCO 2 48
D) Temperature 38.4°C, respiratory rate 23, pulse rate 92, and PaCO 2 31 Correct Answer-D
