Question 1

The nurse assessing a patient who is in shock is aware that one common sign that the nurse will find,regardless of the cause of the shock,is:

Accepted Answer

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

Question 2

The licensed practical/vocational nurse (LPN/LVN),assisting in developing a nursing care plan for a patient in shock,would include the nursing diagnosis of:

Accepted Answer

A)  Increased cardiac output, related to hypertension 
B)  Increased cardiac output, related to hypotension 
C)  Decreased cardiac output, related to hypovolemia 
D)  Decreased cardiac output, related to hypertension 
A)  Increased cardiac output, related to hypertension 
B)  Increased cardiac output, related to hypotension 
C)  Decreased cardiac output, related to hypovolemia 
D)  Decreased cardiac output, related to hypertension

Question 3

In the treatment of the progressive stage of shock,the nurse would anticipate the use of drugs to bring about a(n):

Accepted Answer

A)  Increase in cardiac output 
B)  Decrease in blood pressure 
C)  Decrease in urine output 
D)  Lower temperature 
A)  Increase in cardiac output 
B)  Decrease in blood pressure 
C)  Decrease in urine output 
D)  Lower temperature

Question 4

The nurse explains that the intraaortic balloon pump (IABP)assists the patient who is in cardiogenic shock to increase cardiac output by:

Accepted Answer

A)  Providing generalized vasoconstriction. 
B)  Inflating during the diastole phase. 
C)  Constricting the vena cava. 
D)  Adding hypertonic fluid to the circulating volume. 
A)  Providing generalized vasoconstriction. 
B)  Inflating during the diastole phase. 
C)  Constricting the vena cava. 
D)  Adding hypertonic fluid to the circulating volume.

Question 5

Nursing interventions to help the patient cope with decreased cardiac output include which one of the following?

Accepted Answer

A)  Dovetailing nursing care tasks allows rest periods for the patient. 
B)  Maintaining enough cover prevents the patient from shivering. 
C)  Turning, coughing, deep-breathing, and ambulating the patient every 2 hours reduce the risk of embolism. 
D)  Administering analgesics cautiously. 
A)  Dovetailing nursing care tasks allows rest periods for the patient. 
B)  Maintaining enough cover prevents the patient from shivering. 
C)  Turning, coughing, deep-breathing, and ambulating the patient every 2 hours reduce the risk of embolism. 
D)  Administering analgesics cautiously.

Question 6

In treating a person outside of a medical facility,the 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

Question 7

An older Japanese patient in progressive shock lingers on the verge of death.In general,the patient's cultural background dictates that the medical team should:

Accepted Answer

A)  Allow any and all cultural rituals at the bedside. 
B)  Encourage the family to talk to the patient who can be comforted by their familiar voices. 
C)  Restrict the ministrations of the folk healer. 
D)  Suggest that small children not see the patient. 
A)  Allow any and all cultural rituals at the bedside. 
B)  Encourage the family to talk to the patient who can be comforted by their familiar voices. 
C)  Restrict the ministrations of the folk healer. 
D)  Suggest that small children not see the patient.

Question 8

The cool,damp skin of patients in compensatory shock is caused by:

Accepted Answer

A)  Constriction of peripheral blood vessels because of the shunting of blood to the vital organs. 
B)  Action of the antidiuretic hormone released in shock by the adrenal glands. 
C)  Decreasing levels of arterial carbon dioxide, which are pooling in the arms and legs. 
D)  Activation of the baroreceptors in the renal arteries. 
A)  Constriction of peripheral blood vessels because of the shunting of blood to the vital organs. 
B)  Action of the antidiuretic hormone released in shock by the adrenal glands. 
C)  Decreasing levels of arterial carbon dioxide, which are pooling in the arms and legs. 
D)  Activation of the baroreceptors in the renal arteries.

Question 9

A nurse explains to a family member the pathophysiologic characteristic of vasogenic shock,which is:

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.

Exam 19: Shock

The nurse assessing a patient who is in shock is aware that one common sign that the nurse will find,regardless of the cause of the shock,is:

The licensed practical/vocational nurse (LPN/LVN),assisting in developing a nursing care plan for a patient in shock,would include the nursing diagnosis of:

In the treatment of the progressive stage of shock,the nurse would anticipate the use of drugs to bring about a(n):

The nurse explains that the intraaortic balloon pump (IABP)assists the patient who is in cardiogenic shock to increase cardiac output by:

Nursing interventions to help the patient cope with decreased cardiac output include which one of the following?

In treating a person outside of a medical facility,the 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?

An older Japanese patient in progressive shock lingers on the verge of death.In general,the patient's cultural background dictates that the medical team should:

The cool,damp skin of patients in compensatory shock is caused by:

A nurse explains to a family member the pathophysiologic characteristic of vasogenic shock,which is:

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