SEPSIS TEST BANKS QUESTIONS WITH DETAILED
VERIFIED AND 100% ACCURATE ANSWERS
A patient is admitted to the emergency department with severe
abdominal pain and rebound tenderness. Vital signs include temperature
102° F (38.3° C), pulse 120 beats/min, respirations 32 breaths/min, and
blood pressure (BP) 82/54 mm Hg. Which prescribed intervention
should the nurse implement first?
a. Administer IV ketorolac 15 mg for pain relief.
b. Send a blood sample for a complete blood count (CBC).
c. Infuse a liter of lactated Ringer's solution over 30 minutes.
d. Send the patient for a (CT) scan. Correct Answers c. Infuse a liter of
lactated Ringer's solution over 30 minutes.
The priority for this patient is to treat the patient's hypovolemic shock
with fluid infusion. The other actions should be implemented after
starting the fluid infusion.
Which patient should the nurse assess first after receiving change-of-
shift report?
a. A 30-yr-old patient who has a distended abdomen and tachycardia
b. A 60-yr-old patient whose ileostomy has drained 800 mL over 8 hours
c. A 40-yr-old patient with ulcerative colitis who had six liquid stools in
4 hours
d. A 50-yr-old patient with familial adenomatous polyposis who has
occult blood in
the stool Correct Answers a. A 30-yr-old patient who has a distended
abdomen and tachycardia
,The patient's abdominal distention and tachycardia suggest hypovolemic
shock caused by problems such as peritonitis or intestinal obstruction,
which will require rapid intervention. The other patients should be
assessed as quickly as possible, but the data do not indicate any life-
threatening complications associated with their diagnoses.
Which finding for a patient who has just been admitted with acute
pyelonephritis is most important for the nurse to report to the health care
provider?
a. Flank tenderness to palpation
b. Blood pressure 90/48 mm Hg
c. Cloudy and foul-smelling urine
d. Temperature 100.1° F (57.8° C) Correct Answers b. Blood pressure
90/48 mm Hg
The low blood pressure indicates that urosepsis and septic shock may be
occurring and should be immediately reported. The other findings are
typical of pyelonephritis.
A 78-kg patient in septic shock has a pulse rate of 120 beats/min with
low central venous pressure and pulmonary artery wedge pressure. After
initial fluid volume resuscitation, the patient's urine output has been 30
mL/hr for the past 3 hours. Which order by the health care provider
should the nurse question?
a. Administer furosemide (Lasix) 40 mg IV.
b. Increase normal saline infusion to 250 mL/hr.
, c. Give hydrocortisone (Solu-Cortef) 100 mg IV.
d. Use norepinephrine to keep systolic BP above 90 mm Hg. Correct
Answers a. Administer furosemide (Lasix) 40 mg IV.
Furosemide will lower the filling pressures and renal perfusion further
for the patient with septic shock. Patients in septic shock need large
amounts of fluid replacement. If the patient is still hypotensive after
initial volume resuscitation with minimally 30 mL/kg, vasopressors such
as norepinephrine may be added. IV corticosteroids may be considered
for patients in septic shock who cannot maintain an adequate BP with
vasopressor therapy despite fluid resuscitation.
After a patient who has septic shock receives 2 L of normal saline
intravenously, the central venous pressure is 10 mm Hg and the blood
pressure is 82/40 mm Hg. What medication should the nurse anticipate?
a. Furosemide
b. Nitroglycerin
c. Norepinephrine
d. Sodium nitroprusside Correct Answers c. Norepinephrine
When fluid resuscitation is unsuccessful, vasopressor drugs are given to
increase the systemic vascular resistance (SVR) and blood pressure and
improve tissue perfusion. Furosemide would cause diuresis and further
decrease the BP. Nitroglycerin would decrease the preload and further
drop cardiac output and BP. Nitroprusside is an arterial vasodilator and
would further decrease SVR.
VERIFIED AND 100% ACCURATE ANSWERS
A patient is admitted to the emergency department with severe
abdominal pain and rebound tenderness. Vital signs include temperature
102° F (38.3° C), pulse 120 beats/min, respirations 32 breaths/min, and
blood pressure (BP) 82/54 mm Hg. Which prescribed intervention
should the nurse implement first?
a. Administer IV ketorolac 15 mg for pain relief.
b. Send a blood sample for a complete blood count (CBC).
c. Infuse a liter of lactated Ringer's solution over 30 minutes.
d. Send the patient for a (CT) scan. Correct Answers c. Infuse a liter of
lactated Ringer's solution over 30 minutes.
The priority for this patient is to treat the patient's hypovolemic shock
with fluid infusion. The other actions should be implemented after
starting the fluid infusion.
Which patient should the nurse assess first after receiving change-of-
shift report?
a. A 30-yr-old patient who has a distended abdomen and tachycardia
b. A 60-yr-old patient whose ileostomy has drained 800 mL over 8 hours
c. A 40-yr-old patient with ulcerative colitis who had six liquid stools in
4 hours
d. A 50-yr-old patient with familial adenomatous polyposis who has
occult blood in
the stool Correct Answers a. A 30-yr-old patient who has a distended
abdomen and tachycardia
,The patient's abdominal distention and tachycardia suggest hypovolemic
shock caused by problems such as peritonitis or intestinal obstruction,
which will require rapid intervention. The other patients should be
assessed as quickly as possible, but the data do not indicate any life-
threatening complications associated with their diagnoses.
Which finding for a patient who has just been admitted with acute
pyelonephritis is most important for the nurse to report to the health care
provider?
a. Flank tenderness to palpation
b. Blood pressure 90/48 mm Hg
c. Cloudy and foul-smelling urine
d. Temperature 100.1° F (57.8° C) Correct Answers b. Blood pressure
90/48 mm Hg
The low blood pressure indicates that urosepsis and septic shock may be
occurring and should be immediately reported. The other findings are
typical of pyelonephritis.
A 78-kg patient in septic shock has a pulse rate of 120 beats/min with
low central venous pressure and pulmonary artery wedge pressure. After
initial fluid volume resuscitation, the patient's urine output has been 30
mL/hr for the past 3 hours. Which order by the health care provider
should the nurse question?
a. Administer furosemide (Lasix) 40 mg IV.
b. Increase normal saline infusion to 250 mL/hr.
, c. Give hydrocortisone (Solu-Cortef) 100 mg IV.
d. Use norepinephrine to keep systolic BP above 90 mm Hg. Correct
Answers a. Administer furosemide (Lasix) 40 mg IV.
Furosemide will lower the filling pressures and renal perfusion further
for the patient with septic shock. Patients in septic shock need large
amounts of fluid replacement. If the patient is still hypotensive after
initial volume resuscitation with minimally 30 mL/kg, vasopressors such
as norepinephrine may be added. IV corticosteroids may be considered
for patients in septic shock who cannot maintain an adequate BP with
vasopressor therapy despite fluid resuscitation.
After a patient who has septic shock receives 2 L of normal saline
intravenously, the central venous pressure is 10 mm Hg and the blood
pressure is 82/40 mm Hg. What medication should the nurse anticipate?
a. Furosemide
b. Nitroglycerin
c. Norepinephrine
d. Sodium nitroprusside Correct Answers c. Norepinephrine
When fluid resuscitation is unsuccessful, vasopressor drugs are given to
increase the systemic vascular resistance (SVR) and blood pressure and
improve tissue perfusion. Furosemide would cause diuresis and further
decrease the BP. Nitroglycerin would decrease the preload and further
drop cardiac output and BP. Nitroprusside is an arterial vasodilator and
would further decrease SVR.
