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WorksheetsInfection: Sepsis KA
Total questions: 15
Worksheet time: 8mins
A nurse is caring for a client with pneumonia. Which finding suggests the infection is worsening toward sepsis?
Productive cough with green sputum
Temperature of 100.8°F (38.2°C)
Respiratory rate of 28/min
Fatigue and malaise
Which laboratory finding is most concerning for a client with suspected sepsis?
WBC 11,000/mm³
Lactic acid 5 mmol/L
Platelets 200,000/mm³
Sodium 138 mEq/L
The nurse recognizes which finding as the hallmark of septic shock?
Hypertension
Persistent hypotension despite fluids
Bradycardia
Decreased respiratory rate
Which vital sign change is most concerning in early sepsis?
Blood pressure 130/78
Heart rate 112 bpm
Temperature 100.2°F
Oxygen saturation 96%
Which microorganism is most often associated with sepsis?
Candida albicans
Staphylococcus aureus
Escherichia coli
Mycobacterium tuberculosis
A client with septic shock has a MAP of 55 mmHg after fluids. Which order should the nurse anticipate?
Administer furosemide
Start norepinephrine infusion
Restrict IV fluids
Administer acetaminophen
The nurse knows the “gold standard” for identifying the causative organism in sepsis is:
Blood culture
Urinalysis
Chest X-ray
White blood cell count
Which intervention is most critical within the first hour of suspected sepsis?
Administer antipyretics
Begin broad-spectrum antibiotics
Obtain a chest x-ray
Place client on NPO status
Which finding indicates progression from sepsis to severe sepsis?
Elevated temperature
Mild tachycardia
Evidence of organ dysfunction
Elevated WBC count
Which IV fluid is most appropriate for initial resuscitation in septic shock?
5% dextrose in water (D5W)
Lactated ringers
Albumin
0.45% normal saline
A client with sepsis becomes confused and restless. What is the priority nursing action?
Reorient the client frequently
Notify the provider immediately
Administer acetaminophen
Apply soft wrist restraints
Which assessment finding supports a systemic inflammatory response (SIRS)?
Blood pressure 118/74
Heart rate 120 bpm
Temperature 98.6°F
Oxygen saturation 97%
Which nursing intervention helps prevent sepsis in hospitalized patients?
Encouraging fluid restriction
Performing hand hygiene
Providing early ambulation only
Withholding immunizations
A nurse is teaching about sepsis preventions to older adults. Which statement shows understanding?
I should avoid vaccines if I’m older.
I should seek care quickly if I develop a fever or confusion.
UTIs are not serious in older adults.
I don’t need to complete antibiotics if I feel better.
The nurse knows septic shock is primarily a problem of:
Myocardial infarction
Hypovolemia
Massive vasodilation and capillary leak
Pulmonary embolism
