NRS 3015 ATI CHAPTER 37 HEMODYNAMIC
SHOCK 2026/2027 | NURSING STUDY GUIDE,
PRACTICE QUESTIONS, ANSWERS & EXAM
REVIEW
1 of 93
Term
What are risk factors for neurogenic shock?
Give this one a go later!
• Used to treat cardiogenic shock
Replace fluid volume before using
• Reduces afterload + preload
vasopressor medications, and only if
• Causes vasodilation
blood pressure remains low after
• Decreases cardiac output +
volume is replaced
afterload
, • Loss of sympathetic tone
• Monitor ECG, SaO2, breath sounds,
causing massive vasodilation
+ color
• Causes include head trauma,
• Sedate as needed
spinal cord injury, + epidural
• Obtain postprocedure chest x-ray
anesthesia
Don't know?
2 of 93
Term
A nurse is planning care for a client who has septic shock. Which of the
following actions is the priority for the nurse to take?
a. Maintain adequate fluid volume with IV infusions
b. Administer antibiotic therapy
c. Monitor hemodynamic status
d. Administer vasopressor medication
Give this one a go later!
c d
Hypovolemic shock: Fluid volume
b
replacement
Don't know?
, 3 of 93
Term
What is a physical assessment finding of cardiogenic shock?
Give this one a go later!
Hgb + Hct: Decreased w/
hemorrhage, increased w/ Skin warm + dry w/ bounding pulses
dehydration
Heart rate decreased w/ increased CVP decreased w/ increased
blood pressure systemic vascular resistance
Don't know?
4 of 93
Term
What is obstructive shock?
Give this one a go later!
Failure of the heart to pump Widespread vasodilation + increased
effectively due to a cardiac factor capillary permeability
, Impairment of the heart to
A decrease in intravascular volume of
pump effectively as a result of a
at least 15% to 30%
noncardiac factor
Don't know?
5 of 93
Term
Why is sodium nitroprusside used for shock?
Give this one a go later!
• Used to treat cardiogenic shock
• Reduces afterload + preload
• Causes vasodilation
• Decreases cardiac output + afterload
• Cardiomegaly
• Cardiac tamponade
• Pulmonary emboli
• Cardiomyopathy
• Aortic dissection or aneurysm
• Pericardial effusion
• Monitor ECG, SaO2, breath sounds, + color
• Sedate as needed
• Obtain postprocedure chest x-ray
SHOCK 2026/2027 | NURSING STUDY GUIDE,
PRACTICE QUESTIONS, ANSWERS & EXAM
REVIEW
1 of 93
Term
What are risk factors for neurogenic shock?
Give this one a go later!
• Used to treat cardiogenic shock
Replace fluid volume before using
• Reduces afterload + preload
vasopressor medications, and only if
• Causes vasodilation
blood pressure remains low after
• Decreases cardiac output +
volume is replaced
afterload
, • Loss of sympathetic tone
• Monitor ECG, SaO2, breath sounds,
causing massive vasodilation
+ color
• Causes include head trauma,
• Sedate as needed
spinal cord injury, + epidural
• Obtain postprocedure chest x-ray
anesthesia
Don't know?
2 of 93
Term
A nurse is planning care for a client who has septic shock. Which of the
following actions is the priority for the nurse to take?
a. Maintain adequate fluid volume with IV infusions
b. Administer antibiotic therapy
c. Monitor hemodynamic status
d. Administer vasopressor medication
Give this one a go later!
c d
Hypovolemic shock: Fluid volume
b
replacement
Don't know?
, 3 of 93
Term
What is a physical assessment finding of cardiogenic shock?
Give this one a go later!
Hgb + Hct: Decreased w/
hemorrhage, increased w/ Skin warm + dry w/ bounding pulses
dehydration
Heart rate decreased w/ increased CVP decreased w/ increased
blood pressure systemic vascular resistance
Don't know?
4 of 93
Term
What is obstructive shock?
Give this one a go later!
Failure of the heart to pump Widespread vasodilation + increased
effectively due to a cardiac factor capillary permeability
, Impairment of the heart to
A decrease in intravascular volume of
pump effectively as a result of a
at least 15% to 30%
noncardiac factor
Don't know?
5 of 93
Term
Why is sodium nitroprusside used for shock?
Give this one a go later!
• Used to treat cardiogenic shock
• Reduces afterload + preload
• Causes vasodilation
• Decreases cardiac output + afterload
• Cardiomegaly
• Cardiac tamponade
• Pulmonary emboli
• Cardiomyopathy
• Aortic dissection or aneurysm
• Pericardial effusion
• Monitor ECG, SaO2, breath sounds, + color
• Sedate as needed
• Obtain postprocedure chest x-ray
