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Pre-Quiz
This quiz will assess your baseline knowledge on the topic.
1.
A patient admitted with pneumonia has the following vital signs: T 39.2°C, HR 118, RR 26, BP 98/56, SpO₂ 92% on room air. Which finding is most concerning for progression to sepsis?
Fever
Tachycardia
Hypotension
Mild hypoxia
2.
A septic patient’s urine output has dropped from 40 mL/hr to 15 mL/hr over the last 2 hours. This change most directly indicates:
Dehydration
Acute kidney hypoperfusion
Normal variation
Medication side effect
3.
Which lab value, when newly elevated, most strongly suggests worsening sepsis or septic shock?
Hemoglobin
White blood cell count
Serum lactate
Platelet count
4.
A patient being treated for sepsis becomes increasingly confused and restless. What is the priority nursing action?
Reorient the patient and reassess in 1 hour
Document the change at end of shift
Notify the provider of an acute mental status change
Apply restraints for safety
5.
Which combination of findings best indicates septic shock?
Fever, tachycardia, elevated WBC
Hypotension requiring vasopressors and elevated lactate
Hypoxia and crackles on lung exam
Hyperglycemia and polyuria
6.
When preparing to call the physician about a deteriorating septic patient, which information is most critical to have readily available?
Patient’s past medical history from 10 years ago
Most recent vital signs, labs, and trends
Names of consulting services
Family contact information
7.
Which statement best demonstrates effective SBAR communication?
“The patient doesn’t look good and I’m worried.”
“Mr. Jones is septic and his blood pressure is low.”
“I’m calling about Mr. Jones: BP is 82/48 despite fluids, lactate increased from 2.1 to 4.0, and I think he may need vasopressors.”
“Can you come see this patient when you have time?”
8.
A physician asks, “What has changed since the last assessment?” Which nursing response is most appropriate?
“He’s just worse overall.”
“He was fine earlier.”
“His BP dropped 20 mmHg, urine output halved, and mental status declined.”
“I think it’s the infection.”
9.
If a physician does not initially respond to concerns about a septic patient who continues to decline, what is the nurse’s best next action?
Wait and reassess in several hours
Continue current orders without escalation
Escalate per chain of command or rapid response
Ask another nurse for advice
10.
Which outcome best indicates that nurse–physician communication was effective in a septic emergency?
The nurse completed thorough documentation
The physician acknowledged the call
Timely interventions were initiated based on the nurse’s report
The family was notified promptly
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