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

Antibiotics should be given within 1 hour of recognizing septic shock to reduce mortality.

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

Norepinephrine is the first-line vasopressor for septic shock per current guidelines.

Question 3

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

Accepted Answer

Greater than 2 mmol/L

Answer

A lactate above 2 mmol/L signals tissue hypoperfusion and warrants resuscitation.

Question 4

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

Accepted Answer

30 mL/kg

Answer

At least 30 mL/kg of IV crystalloid is recommended within the first 3 hours.

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

Balanced crystalloids are favored over normal saline to reduce hyperchloremic metabolic acidosis.

CCRN Review Practice Test

CCRN Review Practice Test

CCRN Sepsis and MODS 2