NSG 4100 AHIII EXAM 4 TESTBANK 2026
PRACTICE QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES
ADULT HEALTH III NURSING EXAM
REVIEW A+ PREPARATION
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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER-A, D,
E
An adult patient has survived an episode of shock and will be discharged
home to finish the recovery phase of his disease process. The home health
nurse plays an integral part in monitoring this patient. What aspect of his
care should be prioritized by the home health nurse?
a. providing supervision to home health aides in providing necessary pt
care
b. assisting the pt and family to identify & mobilize community resources
c. providing ongoing medical care during the family rehab phase
d. reinforcing the importance of continuous assessment w the family -
CORRECT ANSWER-B
A critical care nurse is aware of similarities and differences between the
treatments for different types of shock. Which of the following
interventions is used in all types of shock?
a. agressive hypoglycemic control
b. administration of hypertonic IV fluids
c. early provision of nutritional support
,d. agressive antibiotic therapy - CORRECT ANSWER-C
In all types of shock, nutritional demands increase rapidly as the body
depletes its stores of glycogen. Enteral nutrition is the preferred method of
meeting these increasing energy demands. What is the basis for enteral
nutrition being the preferred method of meeting the body's needs?
a. it slows the proliferation of bacteria & viruses during shock
b. it decreases the energy expended through the functioning of the GI
system
c. it assists in expanding the intravascular volume of the body
d. it promotes GI function through direct exposure to nutrients -
CORRECT ANSWER-D
The ICU nurse is caring for a patient with multiple organ dysfunction
syndrome (MODS) due to shock. What nursing action should be prioritized
at this point during care?
a. providing info and support to family members
b. preparing the family for a long recovery process
c. educating the pt regarding the use of supportive fluids
d. facilitating the rehab phase of treatment - CORRECT ANSWER-A
A critical care nurse is planning assessments in the knowledge that patients
in shock are vulnerable to developing fluid replacement complications. For
what signs and symptoms should the nurse monitor the patient? Select all
that apply.
a. hypovolemia
b. difficulty breathing
, c. cardiovascular overload
d. pulmonary edema
e. hypoglycemia - CORRECT ANSWER-B, C, D
When circulatory shock occurs, there is massive vasodilation causing
pooling of the blood in the periphery of the body. An ICU nurse caring for a
patient in circulatory shock should know that the pooling of blood in the
periphery leads to what pathophysiological effect?
a. increased stroke volume
b. increased CO
c. increased HR
d. decreased venous return - CORRECT ANSWER-D
A team of nurses are reviewing the similarities and differences between the
different classifications of shock. Which subclassifications of circulatory
shock should the nurses identify? Select all that apply.
a. anaphylactic
b. hypovolemic
c. cardiogenic
d. septic
e. neurogenic - CORRECT ANSWER-A, D, E
A triage nurse in the ED is on shift when a grandfather carries his 4-year-
old grandson into the ED. The child is not breathing, and the grandfather
states the boy was stung by a bee in a nearby park while they were waiting
PRACTICE QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES
ADULT HEALTH III NURSING EXAM
REVIEW A+ PREPARATION
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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER-A, D,
E
An adult patient has survived an episode of shock and will be discharged
home to finish the recovery phase of his disease process. The home health
nurse plays an integral part in monitoring this patient. What aspect of his
care should be prioritized by the home health nurse?
a. providing supervision to home health aides in providing necessary pt
care
b. assisting the pt and family to identify & mobilize community resources
c. providing ongoing medical care during the family rehab phase
d. reinforcing the importance of continuous assessment w the family -
CORRECT ANSWER-B
A critical care nurse is aware of similarities and differences between the
treatments for different types of shock. Which of the following
interventions is used in all types of shock?
a. agressive hypoglycemic control
b. administration of hypertonic IV fluids
c. early provision of nutritional support
,d. agressive antibiotic therapy - CORRECT ANSWER-C
In all types of shock, nutritional demands increase rapidly as the body
depletes its stores of glycogen. Enteral nutrition is the preferred method of
meeting these increasing energy demands. What is the basis for enteral
nutrition being the preferred method of meeting the body's needs?
a. it slows the proliferation of bacteria & viruses during shock
b. it decreases the energy expended through the functioning of the GI
system
c. it assists in expanding the intravascular volume of the body
d. it promotes GI function through direct exposure to nutrients -
CORRECT ANSWER-D
The ICU nurse is caring for a patient with multiple organ dysfunction
syndrome (MODS) due to shock. What nursing action should be prioritized
at this point during care?
a. providing info and support to family members
b. preparing the family for a long recovery process
c. educating the pt regarding the use of supportive fluids
d. facilitating the rehab phase of treatment - CORRECT ANSWER-A
A critical care nurse is planning assessments in the knowledge that patients
in shock are vulnerable to developing fluid replacement complications. For
what signs and symptoms should the nurse monitor the patient? Select all
that apply.
a. hypovolemia
b. difficulty breathing
, c. cardiovascular overload
d. pulmonary edema
e. hypoglycemia - CORRECT ANSWER-B, C, D
When circulatory shock occurs, there is massive vasodilation causing
pooling of the blood in the periphery of the body. An ICU nurse caring for a
patient in circulatory shock should know that the pooling of blood in the
periphery leads to what pathophysiological effect?
a. increased stroke volume
b. increased CO
c. increased HR
d. decreased venous return - CORRECT ANSWER-D
A team of nurses are reviewing the similarities and differences between the
different classifications of shock. Which subclassifications of circulatory
shock should the nurses identify? Select all that apply.
a. anaphylactic
b. hypovolemic
c. cardiogenic
d. septic
e. neurogenic - CORRECT ANSWER-A, D, E
A triage nurse in the ED is on shift when a grandfather carries his 4-year-
old grandson into the ED. The child is not breathing, and the grandfather
states the boy was stung by a bee in a nearby park while they were waiting
