A Septic Test for N7

Nursing Center
Stop severe sepsis in its tracks
1.
Severe sepsis is defined as sepsis
a. complicated with hypertension.
b. involving infection of more than one body part.
c. with severe hypothermia.
d. involving one or more organ malfunction.

2.
Annually, deaths caused by severe sepsis in the U.S. exceed
a. 200,000.
b. 20,000.
c. 2,000.
d. 200.

3.
Mortality rates associated with severe sepsis are in the range of at least
a. 10% to 25%.
b. 28% to 50%.
c. 52% to 64%.
d. 70% to 88%.

4.
Signs of systemic inflammatory response syndrome (SIRS) include alterations in temperature and WBC count, as well as
a. bradycardia and tachypnea.
b. bradycardia and hypertension.
c. tachycardia and tachypne
d. tachycardia and increased urine output.

5.
Which statement is accurate about M.T., whose temperature is 39°C, heart rate is 92, WBC count is 13,000, and has no identifiable source of infection?
a. Sepsis should be considered in this scenario.
b. M.T. doesn't have sepsis because there's no identified source of infection.
c. Sepsis can be considered only after a source of infection is identified.
d. Sepsis should be considered only if she's mottled.

6.
Altered tissue perfusion seen in sepsis often presents as
a. decreased urine output, hypotension, and brisk capillary refill.
b. decreased urine output, hypertension, and brisk capillary refill.
c. increased urine output, hypotension, and sluggish capillary refill.
d. decreased urine output, hypotension, and sluggish capillary refill.

7.
What percentage of patients with sepsis will have no identifiable source of infection?
a. 2% to 3%
b. 5% to 10%
c. 20% to 30%
d. 50% to 60%

8.
Pathophysiology of sepsis involves activation of the inflammatory response to infection, as well as
a. activation of coagulation and impairment of fibrinolysis.
b. inactivation of coagulation.
c. activation of fibrinolysis.
d. activation of both anticoagulation and fibrinolysis.

9.
Which condition in combination with severe sepsis defines septic shock?
a. oliguria
b. hypotension
c. hyperthermia
d. hypoxia

10.
The organ systems that fail most commonly in sepsis are
a. neurological, cardiovascular, and hepatic.
b. pulmonary, cardiovascular, and renal.
c. hepatic, cardiovascular, and neurological.
d. cardiovascular, renal, and endocrine.

11.
A major cause of sepsis-related mortality is the progression of sepsis leading to
a. severe organ infections.
b. fluid overload.
c. multiple organ dysfunction.
d. hypocoagulability.

12.
Each of the following is a sign of acute cardiovascular system failure except
PLEASE NOTE: This question is free due to editorial changes. Please select e. FREE to receive a correct score for this question
a. tachycardia.
b. dysrhythmia.
c. hypotension.
d. elevated central venous and pulmonary artery pressure.
e. FREE

13.
In addition to treating the underlying infection, a treatment plan for sepsis is likely to include all the following except
a. administering blood products.
b. providing mechanical ventilation.
c. administering vasodilators.
d. administering fluids.

14.
According to the author, which treatment is the most important for decreasing sepsis mortality rates?
a. antihypertensive therapy
b. fluid and electrolyte therapy
c. appropriate antibiotic therapy
d. oxygen therapy

15.
Which of the following statements about Xigris therapy is true?
a. It's contraindicated in patients at high risk for bleeding.
b. It has no positive effect on mortality in severe sepsis.
c. It's a new class of potent antibiotic.
d. It's not indicated for patients in septic shock.

16.
The author recommends prophylactic treatment measures for
a. deep vein thrombosis (DVT) and stress ulcers.
b. hyperglycemia and urinary tract infections (UTI).
c. stress ulcers and UTI.
d. DVT and adrenal insufficiency.

17.
Which of the following statements is true regarding treatment strategies for patients with severe sepsis?
a. Prolonged sedation is recommended to provide comfort.
b. Steroids are suitable for treatment of adrenal insufficiency and sepsis.
c. Administer fluids to reach a central venous pressure of 15 to 20 mm Hg.
d. Do not debride necrotic tissue, as this could exacerbate the infection.