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Nursing 354 Hemorrhage Nursing
Practice Exam Questions And Correct
Answers (Verified Answers) Plus
Rationales 2026 Q&A Instant Download
Pdf
___________________________________________________________________
1. A nurse is assessing a patient with acute hemorrhage. Which finding is most
concerning for early hypovolemic shock?
A. Warm, flushed skin
B. Bradycardia
C. Restlessness and anxiety
D. Bounding peripheral pulses
Answer: Restlessness and anxiety
Rationale: Restlessness, anxiety, and altered mental status can be early
manifestations of decreased cerebral perfusion during hemorrhage.
2. Which vital-sign change is most likely to occur as significant blood loss
progresses?
A. Increased heart rate
B. Decreased respiratory rate
,C. Increased pulse pressure
D. Decreased temperature immediately
Answer: Increased heart rate
Rationale: Tachycardia is an early compensatory response to reduced circulating
blood volume.
3. A patient has severe external bleeding from an extremity. What should the
nurse do first?
A. Obtain a complete blood count
B. Apply direct pressure to the wound
C. Elevate the affected extremity
D. Start oral fluids
Answer: Apply direct pressure to the wound
Rationale: Immediate direct pressure is a priority intervention for controlling
external hemorrhage.
4. Which finding suggests worsening hemorrhagic shock?
A. Urine output of 10 mL/hr
B. Heart rate of 78/min
C. Capillary refill of 1 second
D. Alert and oriented mental status
Answer: Urine output of 10 mL/hr
Rationale: Oliguria indicates reduced renal perfusion and is a concerning sign of
worsening shock.
5. Which laboratory result is most useful for evaluating the oxygen-carrying
capacity of blood after hemorrhage?
A. Serum sodium
B. Hemoglobin
C. Serum calcium
D. Blood glucose
,Answer: Hemoglobin
Rationale: Hemoglobin reflects the blood's oxygen-carrying capacity and is
monitored during significant blood loss.
6. A patient with suspected internal hemorrhage becomes pale, cool, and
diaphoretic. How should the nurse interpret these findings?
A. Improved tissue perfusion
B. Increased circulating volume
C. Peripheral vasoconstriction
D. Excessive fluid volume
Answer: Peripheral vasoconstriction
Rationale: The sympathetic response to blood loss causes peripheral
vasoconstriction, producing cool, pale, clammy skin.
7. Which assessment finding is most consistent with compensated
hemorrhagic shock?
A. Severe hypotension with unconsciousness
B. Mild tachycardia with preserved blood pressure
C. Pulselessness
D. Profound respiratory depression
Answer: Mild tachycardia with preserved blood pressure
Rationale: Early compensated shock may maintain blood pressure through
vasoconstriction and increased heart rate despite reduced circulating volume.
8. Which nursing action is appropriate when a patient has uncontrolled
external bleeding?
A. Apply a cold compress only
B. Encourage ambulation
C. Apply firm direct pressure
D. Delay treatment until laboratory results return
Answer: Apply firm direct pressure
, Rationale: Direct pressure is an immediate, effective measure to reduce external
blood loss.
9. Which finding is a late manifestation of severe hemorrhagic shock?
A. Anxiety
B. Tachycardia
C. Altered level of consciousness
D. Slightly increased respiratory rate
Answer: Altered level of consciousness
Rationale: Significant cerebral hypoperfusion can eventually cause confusion,
lethargy, and decreased consciousness.
10.Which medication may increase a patient's risk for bleeding?
A. Acetaminophen
B. Anticoagulants
C. Calcium supplements
D. Antacids
Answer: Anticoagulants
Rationale: Anticoagulants interfere with clot formation and can increase the risk
and severity of hemorrhage.
11.Which patient is at greatest risk for serious hemorrhage?
A. Patient taking anticoagulant therapy
B. Patient taking a multivitamin
C. Patient with seasonal allergies
D. Patient with mild constipation
Answer: Patient taking anticoagulant therapy
Rationale: Anticoagulant therapy increases the likelihood of significant bleeding
and complicates hemostasis.
Nursing 354 Hemorrhage Nursing
Practice Exam Questions And Correct
Answers (Verified Answers) Plus
Rationales 2026 Q&A Instant Download
___________________________________________________________________
1. A nurse is assessing a patient with acute hemorrhage. Which finding is most
concerning for early hypovolemic shock?
A. Warm, flushed skin
B. Bradycardia
C. Restlessness and anxiety
D. Bounding peripheral pulses
Answer: Restlessness and anxiety
Rationale: Restlessness, anxiety, and altered mental status can be early
manifestations of decreased cerebral perfusion during hemorrhage.
2. Which vital-sign change is most likely to occur as significant blood loss
progresses?
A. Increased heart rate
B. Decreased respiratory rate
,C. Increased pulse pressure
D. Decreased temperature immediately
Answer: Increased heart rate
Rationale: Tachycardia is an early compensatory response to reduced circulating
blood volume.
3. A patient has severe external bleeding from an extremity. What should the
nurse do first?
A. Obtain a complete blood count
B. Apply direct pressure to the wound
C. Elevate the affected extremity
D. Start oral fluids
Answer: Apply direct pressure to the wound
Rationale: Immediate direct pressure is a priority intervention for controlling
external hemorrhage.
4. Which finding suggests worsening hemorrhagic shock?
A. Urine output of 10 mL/hr
B. Heart rate of 78/min
C. Capillary refill of 1 second
D. Alert and oriented mental status
Answer: Urine output of 10 mL/hr
Rationale: Oliguria indicates reduced renal perfusion and is a concerning sign of
worsening shock.
5. Which laboratory result is most useful for evaluating the oxygen-carrying
capacity of blood after hemorrhage?
A. Serum sodium
B. Hemoglobin
C. Serum calcium
D. Blood glucose
,Answer: Hemoglobin
Rationale: Hemoglobin reflects the blood's oxygen-carrying capacity and is
monitored during significant blood loss.
6. A patient with suspected internal hemorrhage becomes pale, cool, and
diaphoretic. How should the nurse interpret these findings?
A. Improved tissue perfusion
B. Increased circulating volume
C. Peripheral vasoconstriction
D. Excessive fluid volume
Answer: Peripheral vasoconstriction
Rationale: The sympathetic response to blood loss causes peripheral
vasoconstriction, producing cool, pale, clammy skin.
7. Which assessment finding is most consistent with compensated
hemorrhagic shock?
A. Severe hypotension with unconsciousness
B. Mild tachycardia with preserved blood pressure
C. Pulselessness
D. Profound respiratory depression
Answer: Mild tachycardia with preserved blood pressure
Rationale: Early compensated shock may maintain blood pressure through
vasoconstriction and increased heart rate despite reduced circulating volume.
8. Which nursing action is appropriate when a patient has uncontrolled
external bleeding?
A. Apply a cold compress only
B. Encourage ambulation
C. Apply firm direct pressure
D. Delay treatment until laboratory results return
Answer: Apply firm direct pressure
, Rationale: Direct pressure is an immediate, effective measure to reduce external
blood loss.
9. Which finding is a late manifestation of severe hemorrhagic shock?
A. Anxiety
B. Tachycardia
C. Altered level of consciousness
D. Slightly increased respiratory rate
Answer: Altered level of consciousness
Rationale: Significant cerebral hypoperfusion can eventually cause confusion,
lethargy, and decreased consciousness.
10.Which medication may increase a patient's risk for bleeding?
A. Acetaminophen
B. Anticoagulants
C. Calcium supplements
D. Antacids
Answer: Anticoagulants
Rationale: Anticoagulants interfere with clot formation and can increase the risk
and severity of hemorrhage.
11.Which patient is at greatest risk for serious hemorrhage?
A. Patient taking anticoagulant therapy
B. Patient taking a multivitamin
C. Patient with seasonal allergies
D. Patient with mild constipation
Answer: Patient taking anticoagulant therapy
Rationale: Anticoagulant therapy increases the likelihood of significant bleeding
and complicates hemostasis.
