Question 1

A nurse is assessing a patient who is in shock.What should the nurse be aware that one common sign will be, regardless of the cause of the shock?

Accepted Answer

A)  The skin is cool and dry with cyanotic nail beds. 
B)  The skin is cool and moist with cyanotic nail beds. 
C)  The nail beds are reddened, and the skin is moist and warm. 
D)  The nail beds are reddened, and the skin is dry and warm. 
A)  The skin is cool and dry with cyanotic nail beds. 
B)  The skin is cool and moist with cyanotic nail beds. 
C)  The nail beds are reddened, and the skin is moist and warm. 
D)  The nail beds are reddened, and the skin is dry and warm. B

Question 2

What should a nurse assessing a patient in the organ-dysfunction stage of shock expect to find?

Accepted Answer

A)  Bounding pulse, decreased respirations, and decreased blood pressure 
B)  Bounding pulse, shallow respirations, and significantly increased blood pressure 
C)  Thready pulse and deep respirations with decreased blood pressure 
D)  Thready pulse and irregular respirations with increased blood pressure 
A)  Bounding pulse, decreased respirations, and decreased blood pressure 
B)  Bounding pulse, shallow respirations, and significantly increased blood pressure 
C)  Thready pulse and deep respirations with decreased blood pressure 
D)  Thready pulse and irregular respirations with increased blood pressure C

Question 3

In treating a person outside of a medical facility, a nurse knows that immediate circulatory support for the vital organs must begin as quickly as possible because, without oxygen, the brain cells will begin to die in how many minutes?

Accepted Answer

A)  4 
B)  6 
C)  14 
D)  24 
A)  4 
B)  6 
C)  14 
D)  24 A

Question 4

The stages of shock proceed in a definite sequence.What is the correct order?

Accepted Answer

A)  Hypovolemic, obstructive, cardiogenic 
B)  Cardiogenic, hypovolemic, obstructive 
C)  Pre-shock, shock, end-organ dysfunction 
D)  Pre-shock, end-organ dysfunction, shock 
A)  Hypovolemic, obstructive, cardiogenic 
B)  Cardiogenic, hypovolemic, obstructive 
C)  Pre-shock, shock, end-organ dysfunction 
D)  Pre-shock, end-organ dysfunction, shock

Question 5

What are the four types of shock?

Accepted Answer

A)  Multiple organ, cardiogenic, renal, and anaphylactic 
B)  Cardiogenic, renal, hypovolemic, and septic 
C)  Renal, hypervolemic, obstructive shock, and neurogenic 
D)  Hypovolemic, cardiogenic, obstructive shock, and vasogenic 
A)  Multiple organ, cardiogenic, renal, and anaphylactic 
B)  Cardiogenic, renal, hypovolemic, and septic 
C)  Renal, hypervolemic, obstructive shock, and neurogenic 
D)  Hypovolemic, cardiogenic, obstructive shock, and vasogenic

Question 6

How does the intraaortic balloon pump (IABP)assist a patient who is in cardiogenic shock to increase cardiac output?

Accepted Answer

A)  Provides generalized vasoconstriction. 
B)  Inflates during the diastole phase. 
C)  Constricts the vena cava. 
D)  Adds hypertonic fluid to the circulating volume. 
A)  Provides generalized vasoconstriction. 
B)  Inflates during the diastole phase. 
C)  Constricts the vena cava. 
D)  Adds hypertonic fluid to the circulating volume.

Question 7

A nurse is aware that immobility and insertion of urinary catheters, although therapeutic, also places the patient at risk for ______.

Accepted Answer

The answer of A nurse is aware that immobility and...

Question 8

Which position enhances cerebral blood flow to counteract the symptoms of neurogenic shock?

Accepted Answer

A)  Fowler 
B)  Trendelenburg 
C)  Gravity neutral 
D)  Side lying 
A)  Fowler 
B)  Trendelenburg 
C)  Gravity neutral 
D)  Side lying

Question 9

A patient's family voices concern regarding the purpose of some of the interventions for systemic inflammatory response syndrome (SIRS).What explanation by the nurse is most appropriate when explaining the rationale of treatment?

Accepted Answer

A)  "Applying a MAST garment is mandatory to promote and conserve body heat." 
B)  "Inserting an IABP is required to decrease fluid leaking into the extravascular space." 
C)  "Maintaining strict isolation is vital to prevent an overlying bacterial infection." 
D)  "Aggressive treatment is necessary to support the multiple failing organs." 
A)  "Applying a MAST garment is mandatory to promote and conserve body heat." 
B)  "Inserting an IABP is required to decrease fluid leaking into the extravascular space." 
C)  "Maintaining strict isolation is vital to prevent an overlying bacterial infection." 
D)  "Aggressive treatment is necessary to support the multiple failing organs."

Question 10

A nurse explains that pericardial tamponade and tension pneumothorax can place the patient at risk for ______ shock.

Accepted Answer

The answer of A nurse explains that pericardial tamponade and...

Question 11

Although several life-supporting systems of the body are involved in the pathophysiologic characteristics of shock, shock itself results from failure of which system?

Accepted Answer

A)  Circulatory 
B)  Endocrine 
C)  Neurologic 
D)  Respiratory 
A)  Circulatory 
B)  Endocrine 
C)  Neurologic 
D)  Respiratory

Question 12

A nurse is explaining to a family member the pathophysiologic characteristic of distributive shock.What information should the nurse include?

Accepted Answer

A)  The intravascular compartment fills beyond capacity, allowing fluid to leak out, compressing vital organs. 
B)  The circulating volume causes excessive constriction of the vessels, causing blood pooling. 
C)  Widely fluctuating blood pressures stimulate vascular collapse, causing severe alterations in peripheral perfusion. 
D)  Although the circulating volume is intact, excessive vascular dilation causes drastic drops in the blood pressure. 
A)  The intravascular compartment fills beyond capacity, allowing fluid to leak out, compressing vital organs. 
B)  The circulating volume causes excessive constriction of the vessels, causing blood pooling. 
C)  Widely fluctuating blood pressures stimulate vascular collapse, causing severe alterations in peripheral perfusion. 
D)  Although the circulating volume is intact, excessive vascular dilation causes drastic drops in the blood pressure.

Question 13

A patient is receiving norepinephrine as a first line treatment for shock in order to increase vascular resistance.Which type of shock is the patient being treated for?

Accepted Answer

A)  Septic 
B)  Cardiogenic 
C)  Anaphylactic 
D)  Neurogenic 
A)  Septic 
B)  Cardiogenic 
C)  Anaphylactic 
D)  Neurogenic

Question 14

A nurse explains that when shock forces the body into anaerobic metabolism, organ damage is caused by a product of that metabolism, which is ______.

Accepted Answer

The answer of A nurse explains that when shock forces...

Question 15

One of the most important assessments that a nurse makes is to check urine output.Which value objectively validates minimal acceptable renal perfusion for the average-size person?

Accepted Answer

A)  0.5 mL/kg/hr 
B)  0.5 mL/lb/hr 
C)  1 mL/lb/hr 
D)  0.2 mL/kg/hr 
A)  0.5 mL/kg/hr 
B)  0.5 mL/lb/hr 
C)  1 mL/lb/hr 
D)  0.2 mL/kg/hr

Question 16

A nurse is administering heparin, subcutaneous twice daily, to a patient in cardiogenic shock.What is the expected action of this drug?

Accepted Answer

A)  Inotropic to improve cardiac contractibility 
B)  Anticoagulant to prevent blood clots 
C)  Antidysrhythmic to restore normal cardiac contractibility 
D)  Vasopressor to increase blood pressure 
A)  Inotropic to improve cardiac contractibility 
B)  Anticoagulant to prevent blood clots 
C)  Antidysrhythmic to restore normal cardiac contractibility 
D)  Vasopressor to increase blood pressure

Question 17

While shopping in the mall, a nurse sees a lady suddenly fall to the floor.On immediate assessment, the nurse realizes she is not in cardiac arrest and has no need for cardiopulmonary resuscitation (CPR).What should be the immediate actions by the nurse?

Accepted Answer

A)  Check the pulse and respirations and call for a blood pressure cuff. 
B)  Check the pulse, respirations, skin color, and temperature. 
C)  Call for help and check the pulse, respiration, and mental status. 
D)  Ask someone to help place large blankets or coats under her legs and trunk. 
A)  Check the pulse and respirations and call for a blood pressure cuff. 
B)  Check the pulse, respirations, skin color, and temperature. 
C)  Call for help and check the pulse, respiration, and mental status. 
D)  Ask someone to help place large blankets or coats under her legs and trunk.

Question 18

A nurse is explaining the rationale behind the use of hypothermic devices to a patient's family.When relaying information what explanation should the nurse provide when asked why this garment is used?

Accepted Answer

A)  To improve neurologic recovery. 
B)  Decreases internal hemorrhage. 
C)  Warms the patient to create less metabolic demand. 
D)  Applies pressure during the systole phase and relax pressure during the diastole phase. 
A)  To improve neurologic recovery. 
B)  Decreases internal hemorrhage. 
C)  Warms the patient to create less metabolic demand. 
D)  Applies pressure during the systole phase and relax pressure during the diastole phase.

Question 19

A licensed practical/vocational nurse (LPN/LVN)is assisting in developing a nursing care plan for a patient in shock.Which patient problem should be included?

Accepted Answer

A)  Excess cardiac output, related to hypertension 
B)  Excess cardiac output, related to hypotension 
C)  Inadequate cardiac output, related to hypovolemia 
D)  Inadequate cardiac output, related to hypertension 
A)  Excess cardiac output, related to hypertension 
B)  Excess cardiac output, related to hypotension 
C)  Inadequate cardiac output, related to hypovolemia 
D)  Inadequate cardiac output, related to hypertension

Question 20

A nurse is caring for a patient who has a cervical spine injury and assesses progressive hypotension.What does this signify?

Accepted Answer

A)  Anaphylaxis 
B)  Respiratory alkalosis 
C)  Multiple organ dysfunction syndrome (MODS) 
D)  Neurogenic shock 
A)  Anaphylaxis 
B)  Respiratory alkalosis 
C)  Multiple organ dysfunction syndrome (MODS) 
D)  Neurogenic shock

Exam 9: Shock

A nurse is assessing a patient who is in shock.What should the nurse be aware that one common sign will be, regardless of the cause of the shock?

What should a nurse assessing a patient in the organ-dysfunction stage of shock expect to find?

In treating a person outside of a medical facility, a nurse knows that immediate circulatory support for the vital organs must begin as quickly as possible because, without oxygen, the brain cells will begin to die in how many minutes?

The stages of shock proceed in a definite sequence.What is the correct order?

What are the four types of shock?

How does the intraaortic balloon pump (IABP)assist a patient who is in cardiogenic shock to increase cardiac output?

A nurse is aware that immobility and insertion of urinary catheters, although therapeutic, also places the patient at risk for ______.

Which position enhances cerebral blood flow to counteract the symptoms of neurogenic shock?

A patient's family voices concern regarding the purpose of some of the interventions for systemic inflammatory response syndrome (SIRS).What explanation by the nurse is most appropriate when explaining the rationale of treatment?

A nurse explains that pericardial tamponade and tension pneumothorax can place the patient at risk for ______ shock.

Although several life-supporting systems of the body are involved in the pathophysiologic characteristics of shock, shock itself results from failure of which system?

A nurse is explaining to a family member the pathophysiologic characteristic of distributive shock.What information should the nurse include?

A patient is receiving norepinephrine as a first line treatment for shock in order to increase vascular resistance.Which type of shock is the patient being treated for?

A nurse explains that when shock forces the body into anaerobic metabolism, organ damage is caused by a product of that metabolism, which is ______.

One of the most important assessments that a nurse makes is to check urine output.Which value objectively validates minimal acceptable renal perfusion for the average-size person?

A nurse is administering heparin, subcutaneous twice daily, to a patient in cardiogenic shock.What is the expected action of this drug?

While shopping in the mall, a nurse sees a lady suddenly fall to the floor.On immediate assessment, the nurse realizes she is not in cardiac arrest and has no need for cardiopulmonary resuscitation (CPR).What should be the immediate actions by the nurse?

A nurse is explaining the rationale behind the use of hypothermic devices to a patient's family.When relaying information what explanation should the nurse provide when asked why this garment is used?

A licensed practical/vocational nurse (LPN/LVN)is assisting in developing a nursing care plan for a patient in shock.Which patient problem should be included?

A nurse is caring for a patient who has a cervical spine injury and assesses progressive hypotension.What does this signify?

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders

Ear and Hearing Disorders