True or false: Meeting SIRS criteria by itself establishes that a patient has sepsis.
Sepsis Recognition and Nursing Priorities Online Quiz Questions
Use this free practice quiz with 20 questions to review Sepsis Recognition and Nursing Priorities, test your knowledge, and prepare for your next test or exam.
One SIRS WBC criterion is more than immature bands.
An adult patient has a temperature of 39.1°C, a heart rate of 108/min, a respiratory rate of 24/min, and a WBC count of 8,000/mm³. Which statement is most accurate?
- A
The patient meets SIRS criteria because at least two criteria are present.
- B
The patient does not meet SIRS criteria because the WBC count is normal.
- C
The patient has sepsis because SIRS criteria are present.
- D
The patient has septic shock because the heart rate is elevated.
Which findings are qSOFA bedside risk indicators? Select all that apply.
- A
Respiratory rate of at least 22/min
- B
Altered mentation
- C
Systolic blood pressure of 100 mm Hg or less
- D
Temperature above 38°C
- E
WBC count above 12,000/mm³
True or false: A negative qSOFA score rules out sepsis.
- A
True
- B
False
An adult with suspected infection has an elevated lactate, creatinine increased from baseline, low platelets, and bilirubin above the reference range. Which interpretation is best?
- A
These findings may indicate impaired perfusion and organ dysfunction and require prompt clinical evaluation.
- B
Lactate confirms a specific bacterial cause.
- C
The results rule out sepsis unless blood cultures are positive.
- D
Only the WBC count is relevant to sepsis.
A patient has probable sepsis with shock, and blood cultures can be collected immediately. What is the best nursing action?
- A
Collect ordered cultures promptly before antimicrobials if doing so will not delay treatment, and expedite prescribed antimicrobial therapy.
- B
Delay antimicrobials until culture results are available.
- C
Collect cultures only after the patient's blood pressure improves.
- D
Wait for a fever before starting the sepsis response.
A patient being treated for a urinary infection becomes newly confused. The blood pressure is 88/50 mm Hg, respiratory rate is 26/min, and urine output has fallen. What is the nurse’s priority?
- A
Wait for the urine culture result before escalating care.
- B
Recognize possible infection-associated organ dysfunction and promptly escalate care according to the sepsis protocol.
- C
Recheck the temperature in one hour.
- D
Document the findings and continue routine observations.
For an adult with septic shock receiving vasopressors, the initial MAP target is about mm Hg.
Which vasopressor is recommended as the first-line agent for adults with septic shock?
After an initial fluid bolus for sepsis-induced hypoperfusion, which findings should the nurse reassess to evaluate perfusion and response? Select all that apply.
- A
Blood pressure and MAP
- B
Mental status and capillary refill
- C
Urine output
- D
Lung sounds, oxygenation, and work of breathing
- E
Only the temperature
For an adult weighing 64 kg with sepsis-induced hypoperfusion, the guideline suggests at least 30mL/kg of IV crystalloid within the first three hours. What is the suggested minimum volume in mL?
Explain how a nurse should apply the adult guideline's initial crystalloid recommendation to a patient with sepsis, including which patients it applies to and why reassessment matters.
An adult patient has a temperature of 38.5°C, a heart rate of 96/min, and a WBC count within the reference range. Which statement is most accurate?
- A
The patient meets SIRS criteria because at least two criteria are present.
- B
The patient does not meet SIRS criteria because the WBC count is normal.
- C
The patient has sepsis because SIRS criteria are present.
- D
The patient has septic shock because the heart rate is elevated.
An adult being treated for a urinary infection becomes newly confused. The blood pressure is 88/50 mm Hg, the respiratory rate is 26/min, and urine output has fallen. What is the nurse’s priority?
- A
Wait for the urine culture result before escalating care.
- B
Recognize possible infection-associated organ dysfunction and promptly escalate care according to the sepsis protocol.
- C
Recheck the temperature in one hour.
- D
Document the findings and continue routine observations.
An adult with suspected infection has an elevated lactate, a creatinine level increased from baseline, a low platelet count, and bilirubin above the reference range. Which interpretation is best?
- A
The findings may indicate impaired perfusion and organ dysfunction and require prompt clinical evaluation.
- B
Lactate confirms a specific bacterial cause.
- C
The results rule out sepsis unless blood cultures are positive.
- D
Only the WBC count is relevant to sepsis.
When a patient has probable sepsis with shock, what should be collected as soon as possible, ideally before antimicrobials, if collection will not significantly delay treatment?
After an initial fluid bolus for sepsis-induced hypoperfusion, which assessment best evaluates the patient’s response while also checking for possible fluid overload?
- A
Recheck temperature only.
- B
Assess blood pressure and temperature, then continue fluids until lactate normalizes.
- C
Reassess blood pressure and MAP, mental status, capillary refill, urine output, lung sounds, oxygenation, and work of breathing.
- D
Assess urine output only if the patient reports discomfort.
For an adult weighing 70 kg with sepsis-induced hypoperfusion, the guideline suggests at least 30 mL/kg of IV crystalloid within the first three hours. What volume does this equal, in mL?
True or false: For an adult with septic shock, vasopressors may be started through a peripheral IV rather than delaying treatment solely to obtain central venous access, subject to facility policy and close monitoring.
- A
True
- B
False
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