NSG 4100 (AHIII) Exam 4 Latest 2026 Updated Questions and Verified
100% Solutions (2026/2027) |A+ Graded |Guaranteed Pass
The nurse caring for a pt whose progressing infection places her at high risk for shock. What
assessment finding would the nurse consider a potential sign of shock?
a. elevated systolic BP
b. elevated mean arterial pressure (MAP)
c. shallow, rapid respirations
d. bradycardia - Answer -C
You are precepting a new graduate nurse in the ICU. You are collaborating in the care of a pt
who is receiving large volumes of crystalloid fluid to treat hypovolemic shock. In light of this
intervention, for what sign would you teach the new nurse to monitor the pt?
a. hypothermia
b. Bradycardia
c. coffee ground emesis
d. pain - Answer -A
The nurse is caring for a pt in the ICU whose condition is deteriorating. The nurse receives
orders to initiate an infusion of dopamine. What would be the priority assessment and
interventions specific to the administration of vasoactive medications?
a. frequent monitoring of vital signs, monitoring the central line site, and providing accurate
drug titration
b. reviewing medications, performing a focused cardiovascular assessment, and proving patient
education
c. reviewing the lab findings, monitoring urine output, and assessing for peripheral edema
1|Page
,d. routing monitoring of vital signs, monitoring the peripheral IV site, and providing early
discharge instructions - Answer -A
The nurse in the ICU is admitting a 57 y/o man w a diagnosis of possible septic shock. The
nurses assessment reveals that the to has a nml BP, increased HR, decreased bowel sounds, and
cold, clammy skin. The nurses analysis of these data should lead to what preliminary
conclusion?
a. the pt is in the compensatory stage of shock
b. the pt is in the progressive stage of shock
c. the pt will stabilize and be released by tomorrow
d. the pt is in the irreversible stage of shock - Answer -A
The nurse, a member of the healthcare team in the ED, is caring for a pt who is determines to
be in the irreversible stage of shock. What would be the most appropriate nursing intervention?
a. provide opportunities for the family to spend with the pt, and help them to understand the
irreversible stage of shock
b, inform the pt's family immediately that the pt will likely not survive to allow the family time
to make plans and move forward
c. closely monitor fluid replacement therapy, and form the family and the pt will probably
survive and return to nml life
d. protect the patients airway, optimize intravascular volume, and intimate the early
rehabilitation process - Answer -A
The nurse in a rural nursing output has just been notified that she will be receiving a pt in
hypovolemic shock due to a massive postpartum hemorrhage after her home birth. You know
that the best choice for fluid replacement for this pt is what?
2|Page
,a. 5% albumin bc it is inexpensive and is always really available
b. Dextran bc it increases intravascular volume and counteracts coagulopathy
c. Whatever fluid is most readily available in the clinic, due to the nature of the emergency
d. lactated ringers solution bc it increases volume, buffers acidosis, and is the best choice for
pt's w liver failure - Answer -C
The nurse in the ICU is caring for a 47-year-old, obese male patient who is in shock following a
motor vehicle accident. The nurse is aware that patients in shock possess excess energy
requirements. What would be the main challenge in meeting this patients elevated energy
requirements during prolonged rehabilitation?
a. loss of adipose tissue
b. loss of skeletal muscle
c. inability to covert adipose tissue to energy
d. inability to maintain nml body mass - Answer -B
The nurse in the ED is caring for a pt recently admitted w a likely MI. The nurse understands that
the pt's heart is pumping an inadequate supply of oxygen to the tissues. For what health
problem should the nurse assess?
a. dysrhythmias
b. increase in BP
c. increase in HR
d. decrease in oxygen demands - Answer -A
3|Page
, The nurse is caring for a pt admitted w cariogenic shock. The pt is experiencing CP & there is an
order for the administration of morphine. In addition to pain control, what is the main rationale
for administering morphine to this pt?
a. it promotes coping & slows catecholamine release
b. it stimulates the pt so he/she is more alert
c. it decreases gastric secretions
d. it dilates blood vessels - Answer -D
The nurse is providing care for a pt who is in shock after massive blood loss from a workplace
injury, The nurse recognizes that many of the findings from the most recent assessment are due
to compensatory mechanisms. What is a compensatory mechanism to increase cardiac output
during hypovolemic states?
a. third spacing of fluid
b. dysrhythmias
c. tachycardia
d. gastric hypermotility - Answer -C
The intensive care nurse is responsible for the care of a patient with shock. What cardiac signs
or symptoms would suggest to the nurse that the patient may be experiencing acute organ
dysfunction? Select all that apply.
a. drop in systolic BP of 40 mm Hg from baselines
b. hypotension that responds to bolus of fluid resuscitation
c. exaggerated response to vasoactive meds
d. serum lactate >4mmol/L
e. mean arterial pressure (MAP) of 65 mm Hg - Answer -A, D, E
4|Page
100% Solutions (2026/2027) |A+ Graded |Guaranteed Pass
The nurse caring for a pt whose progressing infection places her at high risk for shock. What
assessment finding would the nurse consider a potential sign of shock?
a. elevated systolic BP
b. elevated mean arterial pressure (MAP)
c. shallow, rapid respirations
d. bradycardia - Answer -C
You are precepting a new graduate nurse in the ICU. You are collaborating in the care of a pt
who is receiving large volumes of crystalloid fluid to treat hypovolemic shock. In light of this
intervention, for what sign would you teach the new nurse to monitor the pt?
a. hypothermia
b. Bradycardia
c. coffee ground emesis
d. pain - Answer -A
The nurse is caring for a pt in the ICU whose condition is deteriorating. The nurse receives
orders to initiate an infusion of dopamine. What would be the priority assessment and
interventions specific to the administration of vasoactive medications?
a. frequent monitoring of vital signs, monitoring the central line site, and providing accurate
drug titration
b. reviewing medications, performing a focused cardiovascular assessment, and proving patient
education
c. reviewing the lab findings, monitoring urine output, and assessing for peripheral edema
1|Page
,d. routing monitoring of vital signs, monitoring the peripheral IV site, and providing early
discharge instructions - Answer -A
The nurse in the ICU is admitting a 57 y/o man w a diagnosis of possible septic shock. The
nurses assessment reveals that the to has a nml BP, increased HR, decreased bowel sounds, and
cold, clammy skin. The nurses analysis of these data should lead to what preliminary
conclusion?
a. the pt is in the compensatory stage of shock
b. the pt is in the progressive stage of shock
c. the pt will stabilize and be released by tomorrow
d. the pt is in the irreversible stage of shock - Answer -A
The nurse, a member of the healthcare team in the ED, is caring for a pt who is determines to
be in the irreversible stage of shock. What would be the most appropriate nursing intervention?
a. provide opportunities for the family to spend with the pt, and help them to understand the
irreversible stage of shock
b, inform the pt's family immediately that the pt will likely not survive to allow the family time
to make plans and move forward
c. closely monitor fluid replacement therapy, and form the family and the pt will probably
survive and return to nml life
d. protect the patients airway, optimize intravascular volume, and intimate the early
rehabilitation process - Answer -A
The nurse in a rural nursing output has just been notified that she will be receiving a pt in
hypovolemic shock due to a massive postpartum hemorrhage after her home birth. You know
that the best choice for fluid replacement for this pt is what?
2|Page
,a. 5% albumin bc it is inexpensive and is always really available
b. Dextran bc it increases intravascular volume and counteracts coagulopathy
c. Whatever fluid is most readily available in the clinic, due to the nature of the emergency
d. lactated ringers solution bc it increases volume, buffers acidosis, and is the best choice for
pt's w liver failure - Answer -C
The nurse in the ICU is caring for a 47-year-old, obese male patient who is in shock following a
motor vehicle accident. The nurse is aware that patients in shock possess excess energy
requirements. What would be the main challenge in meeting this patients elevated energy
requirements during prolonged rehabilitation?
a. loss of adipose tissue
b. loss of skeletal muscle
c. inability to covert adipose tissue to energy
d. inability to maintain nml body mass - Answer -B
The nurse in the ED is caring for a pt recently admitted w a likely MI. The nurse understands that
the pt's heart is pumping an inadequate supply of oxygen to the tissues. For what health
problem should the nurse assess?
a. dysrhythmias
b. increase in BP
c. increase in HR
d. decrease in oxygen demands - Answer -A
3|Page
, The nurse is caring for a pt admitted w cariogenic shock. The pt is experiencing CP & there is an
order for the administration of morphine. In addition to pain control, what is the main rationale
for administering morphine to this pt?
a. it promotes coping & slows catecholamine release
b. it stimulates the pt so he/she is more alert
c. it decreases gastric secretions
d. it dilates blood vessels - Answer -D
The nurse is providing care for a pt who is in shock after massive blood loss from a workplace
injury, The nurse recognizes that many of the findings from the most recent assessment are due
to compensatory mechanisms. What is a compensatory mechanism to increase cardiac output
during hypovolemic states?
a. third spacing of fluid
b. dysrhythmias
c. tachycardia
d. gastric hypermotility - Answer -C
The intensive care nurse is responsible for the care of a patient with shock. What cardiac signs
or symptoms would suggest to the nurse that the patient may be experiencing acute organ
dysfunction? Select all that apply.
a. drop in systolic BP of 40 mm Hg from baselines
b. hypotension that responds to bolus of fluid resuscitation
c. exaggerated response to vasoactive meds
d. serum lactate >4mmol/L
e. mean arterial pressure (MAP) of 65 mm Hg - Answer -A, D, E
4|Page
