ACUTE CARE FINAL STUDY
QUESTIONS WITH CORRECT ANSWERS
[GRADED A+]
1 The goal of treatment for cardiogenic shock is to
A. Maintain tissue oxygenation and perfusion
B. Prevent bradycardia
C. Increase afterload
D. Increase preload - ✔✔A
2 The nurse notes premature ventricular contractions (PVCs) while
suctioning a patient's endotracheal tube. Which action by the nurse is a
priority?
A. Decrease the suction pressure to 80 mm Hg.
B. Document the dysrhythmia in the patient's chart.
C. Stop and ventilate the patient with 100% oxygen.
©morren2026/2027.Year published 2026.
,D. Give antidysrhythmic medications per protocol. - ✔✔C
Response Feedback: Dysrhythmias during suctioning may indicate
hypoxemia or sympathetic nervous system stimulation. The nurse should
stop suctioning and ventilate the patient with 100% oxygen. Lowering the
suction pressure will decrease the effectiveness of suctioning without
improving the hypoxemia. Because the PVCs occurred during suctioning,
there is no need for antidysrhythmic medications (which may have adverse
effects) unless they recur when the suctioning is stopped and patient is well
oxygenated.
3 When caring for the patient with a pulmonary artery (PA) pressure
catheter, the nurse observes that the PA waveform indicates that the
catheter is in the wedged position. Which action should the nurse take
next?
A. Zero balance the transducer.
B. Activate the fast flush system.
C. Notify the health care provider.
D. Deflate and reinflate the PA balloon. - ✔✔D
©morren2026/2027.Year published 2026.
,4 When assisting with the placement of a pulmonary artery (PA) catheter,
the nurse notes that the catheter is correctly placed when the monitor
shows a
A. typical PA pressure waveform.
B. tracing of the systemic arterial pressure.
C. tracing of the systemic vascular resistance.
D. typical PA wedge pressure (PAWP) tracing. - ✔✔D
5 The nurse notes that a patient's endotracheal tube (ET), which was at the
22-cm mark, is now at the 25-cm mark and the patient is anxious and
restless. Which action should the nurse take next?
A. Offer reassurance to the patient.
B. Bag the patient at an FIO2 of 100%.
C. Listen to the patient's breath sounds.
D. Notify the patient's health care provider. - ✔✔C
6 The patient with neurogenic shock is receiving a phenylephrine (Neo-
Synephrine) infusion through a right forearm IV. Which assessment finding
obtained by the nurse indicates a need for immediate action?
A. The patient's heart rate is 58 beats/minute.
©morren2026/2027.Year published 2026.
, B. The patient's extremities are warm and dry.
C. The patient's IV infusion site is cool and pale.
D. The patient's urine output is 28 mL over the last hour. - ✔✔C
7 You are caring for an 18 year old male in room 421 who was jumping off
cliffs into an unknown body of water. The patient suddenly develops a
severe HA, bradycardiam flushing above the level of his injury (T7, T8) but
exhibits paleness to the extremities below the level of injury. He also has
profuse sweating and piloerection. What do you suspect?
A. Cardiogenic shock
B. Meningtitis
C. Septic Shock
D. autonomic Dysreflexia - ✔✔D
8 Pulmonary artery wedge pressure is increased in what condition?
A. Hypovolimic shock
B. Right ventricular failure
C. Left ventricular failure
D. Right aortic dysfunction - ✔✔C
©morren2026/2027.Year published 2026.
QUESTIONS WITH CORRECT ANSWERS
[GRADED A+]
1 The goal of treatment for cardiogenic shock is to
A. Maintain tissue oxygenation and perfusion
B. Prevent bradycardia
C. Increase afterload
D. Increase preload - ✔✔A
2 The nurse notes premature ventricular contractions (PVCs) while
suctioning a patient's endotracheal tube. Which action by the nurse is a
priority?
A. Decrease the suction pressure to 80 mm Hg.
B. Document the dysrhythmia in the patient's chart.
C. Stop and ventilate the patient with 100% oxygen.
©morren2026/2027.Year published 2026.
,D. Give antidysrhythmic medications per protocol. - ✔✔C
Response Feedback: Dysrhythmias during suctioning may indicate
hypoxemia or sympathetic nervous system stimulation. The nurse should
stop suctioning and ventilate the patient with 100% oxygen. Lowering the
suction pressure will decrease the effectiveness of suctioning without
improving the hypoxemia. Because the PVCs occurred during suctioning,
there is no need for antidysrhythmic medications (which may have adverse
effects) unless they recur when the suctioning is stopped and patient is well
oxygenated.
3 When caring for the patient with a pulmonary artery (PA) pressure
catheter, the nurse observes that the PA waveform indicates that the
catheter is in the wedged position. Which action should the nurse take
next?
A. Zero balance the transducer.
B. Activate the fast flush system.
C. Notify the health care provider.
D. Deflate and reinflate the PA balloon. - ✔✔D
©morren2026/2027.Year published 2026.
,4 When assisting with the placement of a pulmonary artery (PA) catheter,
the nurse notes that the catheter is correctly placed when the monitor
shows a
A. typical PA pressure waveform.
B. tracing of the systemic arterial pressure.
C. tracing of the systemic vascular resistance.
D. typical PA wedge pressure (PAWP) tracing. - ✔✔D
5 The nurse notes that a patient's endotracheal tube (ET), which was at the
22-cm mark, is now at the 25-cm mark and the patient is anxious and
restless. Which action should the nurse take next?
A. Offer reassurance to the patient.
B. Bag the patient at an FIO2 of 100%.
C. Listen to the patient's breath sounds.
D. Notify the patient's health care provider. - ✔✔C
6 The patient with neurogenic shock is receiving a phenylephrine (Neo-
Synephrine) infusion through a right forearm IV. Which assessment finding
obtained by the nurse indicates a need for immediate action?
A. The patient's heart rate is 58 beats/minute.
©morren2026/2027.Year published 2026.
, B. The patient's extremities are warm and dry.
C. The patient's IV infusion site is cool and pale.
D. The patient's urine output is 28 mL over the last hour. - ✔✔C
7 You are caring for an 18 year old male in room 421 who was jumping off
cliffs into an unknown body of water. The patient suddenly develops a
severe HA, bradycardiam flushing above the level of his injury (T7, T8) but
exhibits paleness to the extremities below the level of injury. He also has
profuse sweating and piloerection. What do you suspect?
A. Cardiogenic shock
B. Meningtitis
C. Septic Shock
D. autonomic Dysreflexia - ✔✔D
8 Pulmonary artery wedge pressure is increased in what condition?
A. Hypovolimic shock
B. Right ventricular failure
C. Left ventricular failure
D. Right aortic dysfunction - ✔✔C
©morren2026/2027.Year published 2026.
