NUR 301 CONNECTION CHECK QUESTIONS & CHAPTER REVIEW EXAM 3
2026/2027 – STUDY GUIDE & PRACTICE QUESTIONS
The nurse understands that __________________
increases as the delivery of oxygen to the tissues falls below the tissues' requirements.
(Select all that apply.)
A. VO2
B. Oxygen debt
C. SvO2
D. PaO2
E. Preload - ANS ✔✔a, b
The nurse understands that which patient is at risk of developing hypovolemic shock?
A. A patient with severe valvular disease
B. A patient undergoing surgery with spinal anesthesia
C. A patient with severe GI distress
D. A patient with a large pneumothorax status post a
motor vehicle crash - ANS ✔✔c
The nurse monitors for which clinical manifestations in the patient in compensatory shock?
A. Blood pressure within normal limits, oliguria
B. Cold extremities, hyperglycemia
C. Weak pulses, hypoventilation
D. Hypotension, tachycardia - ANS ✔✔a
The nurse understands that the following are the best parameters for evaluating the severity of the
shock
state: (Select all that apply.)
A. SvO2
B. Lactate level
C. Base excess
D. Glucose level
E. PaO2 - ANS ✔✔a, b, c
The nurse understands which hemodynamic
parameters are consistent with hypovolemic shock?
A. Decreased cardiac output, decreased systemic
vascular resistance, decreased right atrial
pressure
B. Decreased cardiac output, increased systemic
vascular resistance, decreased right atrial
pressure
C. Decreased cardiac output, increased systemic
vascular resistance, increased right atrial pressure
D. Decreased cardiac output, decreased systemic
vascular resistance, increased right atrial pressure - ANS ✔✔b
, The nurse correlates which of the following
hemodynamic parameters to the patient with cardiogenic shock?
A. Decreased afterload
B. Increased contractility
C. Increased cardiac output
D. Increased right atrial pressure - ANS ✔✔d
The nurse understands the following are clinical manifestations of neurogenic shock. (Select all that
apply.)
A. Tachycardia
B. Vasoconstriction
C. Tachypnea
D. Decreased right atrial pressure
E. Bradycardia - ANS ✔✔d, e
The nurse has just received report on assigned patients. Which of the following patients should be
assessed
first?
A. The postoperative patient complaining of pain
B. The postoperative patient who is noted to have a
decreased urine output
C. The preoperative patient being readied for the
operating room
D. The preoperative patient requiring antibiotics prior
to the procedure - ANS ✔✔b
The nurse understands that the following indicates the initial phase of DIC:
A. Bleeding from all puncture sites
B. Cold, mottled extremities
C. Increased antithrombin III levels
D. Increased fibrin degradation products - ANS ✔✔b
In a patient without a central line, which clinical finding does the nurse look for to indicate effective
response to treatment in the initial stage of shock?
A. Increased urine output
B. Increased HR
C. Decreased bowel sounds
D. Decreased blood pressure - ANS ✔✔a
After receiving the change of shift report, which of the following patients should the nurse assess first?
A. 75-year-old client admitted after a myocardial
infarction who is noted to be confused
B. 70-year-old type 2 diabetic client with a history of mitral valve prolapse who is scheduled to receive IV
antibiotics
C. 60-year-old woman with a pacemaker who has a HR of 64 bpm and is requesting assistance to the
bathroom
2026/2027 – STUDY GUIDE & PRACTICE QUESTIONS
The nurse understands that __________________
increases as the delivery of oxygen to the tissues falls below the tissues' requirements.
(Select all that apply.)
A. VO2
B. Oxygen debt
C. SvO2
D. PaO2
E. Preload - ANS ✔✔a, b
The nurse understands that which patient is at risk of developing hypovolemic shock?
A. A patient with severe valvular disease
B. A patient undergoing surgery with spinal anesthesia
C. A patient with severe GI distress
D. A patient with a large pneumothorax status post a
motor vehicle crash - ANS ✔✔c
The nurse monitors for which clinical manifestations in the patient in compensatory shock?
A. Blood pressure within normal limits, oliguria
B. Cold extremities, hyperglycemia
C. Weak pulses, hypoventilation
D. Hypotension, tachycardia - ANS ✔✔a
The nurse understands that the following are the best parameters for evaluating the severity of the
shock
state: (Select all that apply.)
A. SvO2
B. Lactate level
C. Base excess
D. Glucose level
E. PaO2 - ANS ✔✔a, b, c
The nurse understands which hemodynamic
parameters are consistent with hypovolemic shock?
A. Decreased cardiac output, decreased systemic
vascular resistance, decreased right atrial
pressure
B. Decreased cardiac output, increased systemic
vascular resistance, decreased right atrial
pressure
C. Decreased cardiac output, increased systemic
vascular resistance, increased right atrial pressure
D. Decreased cardiac output, decreased systemic
vascular resistance, increased right atrial pressure - ANS ✔✔b
, The nurse correlates which of the following
hemodynamic parameters to the patient with cardiogenic shock?
A. Decreased afterload
B. Increased contractility
C. Increased cardiac output
D. Increased right atrial pressure - ANS ✔✔d
The nurse understands the following are clinical manifestations of neurogenic shock. (Select all that
apply.)
A. Tachycardia
B. Vasoconstriction
C. Tachypnea
D. Decreased right atrial pressure
E. Bradycardia - ANS ✔✔d, e
The nurse has just received report on assigned patients. Which of the following patients should be
assessed
first?
A. The postoperative patient complaining of pain
B. The postoperative patient who is noted to have a
decreased urine output
C. The preoperative patient being readied for the
operating room
D. The preoperative patient requiring antibiotics prior
to the procedure - ANS ✔✔b
The nurse understands that the following indicates the initial phase of DIC:
A. Bleeding from all puncture sites
B. Cold, mottled extremities
C. Increased antithrombin III levels
D. Increased fibrin degradation products - ANS ✔✔b
In a patient without a central line, which clinical finding does the nurse look for to indicate effective
response to treatment in the initial stage of shock?
A. Increased urine output
B. Increased HR
C. Decreased bowel sounds
D. Decreased blood pressure - ANS ✔✔a
After receiving the change of shift report, which of the following patients should the nurse assess first?
A. 75-year-old client admitted after a myocardial
infarction who is noted to be confused
B. 70-year-old type 2 diabetic client with a history of mitral valve prolapse who is scheduled to receive IV
antibiotics
C. 60-year-old woman with a pacemaker who has a HR of 64 bpm and is requesting assistance to the
bathroom
