CCRN Sepsis and MODS 2

Question 1

According to Surviving Sepsis Campaign guidelines, broad-spectrum antibiotics should be administered within what timeframe for patients with septic shock?

Accepted Answer

Within 1 hour of recognition

Answer

Within 3 hours of recognition

Answer

Within 6 hours of recognition

Answer

After blood culture results return

Question 2

A patient in septic shock remains hypotensive after adequate fluid resuscitation. Which vasopressor is the recommended first-line agent?

Accepted Answer

Norepinephrine

Answer

Dopamine

Answer

Phenylephrine

Answer

Vasopressin

Question 3

Which lactate value best indicates tissue hypoperfusion and increased mortality risk in sepsis?

Accepted Answer

Greater than 2 mmol/L

Answer

Less than 1 mmol/L

Answer

Exactly 1.5 mmol/L

Answer

Greater than 0.5 mmol/L

Question 4

The initial recommended crystalloid fluid bolus for sepsis-induced hypoperfusion is at least:

Accepted Answer

30 mL/kg

Answer

10 mL/kg

Answer

50 mL/kg

Answer

5 mL/kg

Question 5

Which crystalloid is generally preferred for large-volume resuscitation in sepsis to avoid hyperchloremic acidosis?

Accepted Answer

Balanced solutions like lactated Ringer's

Answer

0.9% normal saline

Answer

Dextrose 5% in water

Answer

0.45% half-normal saline

Question 6

A septic patient develops new confusion, increased respiratory rate, and a SBP of 88 mmHg. Using qSOFA, how many criteria are met?

Accepted Answer

3

Answer

1

Answer

2

Answer

0

Question 7

Which adjunctive therapy is recommended for septic shock patients who remain hemodynamically unstable despite fluids and vasopressors?

Accepted Answer

IV hydrocortisone

Answer

High-dose insulin

Answer

Activated protein C

Answer

Routine fresh frozen plasma