NUR2755 / NUR 2755 Multidimensional Care IV Module 7
& 8 Shock, Sepsis, MODS Practice Quizzes | Already Rated
A Guide | Rasmussen College
1. In the treatment of shock, which of the following vasoactive drugs result in reduced
preload and afterload, reducing oxygen demand of the heart?
A. Nitroprusside
B. Dopamine
C. Methoxamine
D. Epinephrine
2. The nurse is caring for a client with shock. The nurse is concerned about hypoxemia and
metabolic acidosis with the client. What finding should the nurse analyze for evidence of
hypoxemia and metabolic acidosis in a client with shock?
A. Red blood cells (RBCs) and hemoglobin count findings
B. White blood cell count findings
C. Arterial blood gas (ABG) findings
D. Serum thyroid level findings
3. What can the nurse include in the plan of care to ensure early intervention along the
continuum of shock to improve the client's prognosis? Select all that apply.
A. Monitor for changes in vital signs.
B. Administer vasoconstrictive medications to clients at risk for shock.
C. Administer intravenous fluids.
D. Assess the client who is at risk for shock.
, E. Administer prophylactic packed red blood cells to clients at risk for shock.
4. The nurse is reviewing diagnostic lab work of a client developing shock. Which
laboratory result does the nurse note as a key in determining the type of shock?
A. Potassium: 4.8 mEq/L
B. WBC: 42,000/mm3
C. ESR: 19 mm/hour
D. Hemoglobin: 14.2 g/dL
5. A patient is in the progressive stage of shock with lung decompensation. What treatment
does the nurse anticipate assisting with?
A. Administration of oxygen via venture mask
B. Pericardiocentesis
C. Intubation and mechanical ventilation
D. Thoracotomy with chest tube insertion
6. A client who has been brought to the ED is unresponsive, and has an elevated
temperature and flushed skin. Physical assessment reveals a rapid, bounding pulse. The
high school where the client is employed has had a significant increase in cases of
staphylococcal and streptococcal infections among student athletes. The client's labs
show an elevated white blood cell count, cultures are forthcoming. What does the nurse
suspect may be the cause of the client's present condition?
A. cardiogenic shock
B. septic shock
C. anaphylactic shock
, D. neurogenic shock
7. A confused client exhibits a blood pressure of 112/84, pulse rate of 116 beats per minute,
and respirations of 30 breaths per minute. The client's skin is cold and clammy. The nurse
next
A. Contacts the admitting physician
B. Calls the Rapid Response Team
C. Re-assesses the vital signs
D. Administers oxygen by nasal cannula at 2 liters per minute
8. The nurse is caring for a client in the compensation stage of shock. One of the body's
mechanisms of compensation in this stage of shock is the action of the renin-angiotensin-
aldosterone system. What does this system do?
A. Restores blood pressure
B. Decreases peripheral blood flow
C. Increases catecholamine secretion
D. Increases the production of antidiuretic hormone
9. What is the major clinical use of dobutamine?
A. treat hypotension.
B. prevent sinus bradycardia.
C. increase cardiac output.
D. treat hypertension.
& 8 Shock, Sepsis, MODS Practice Quizzes | Already Rated
A Guide | Rasmussen College
1. In the treatment of shock, which of the following vasoactive drugs result in reduced
preload and afterload, reducing oxygen demand of the heart?
A. Nitroprusside
B. Dopamine
C. Methoxamine
D. Epinephrine
2. The nurse is caring for a client with shock. The nurse is concerned about hypoxemia and
metabolic acidosis with the client. What finding should the nurse analyze for evidence of
hypoxemia and metabolic acidosis in a client with shock?
A. Red blood cells (RBCs) and hemoglobin count findings
B. White blood cell count findings
C. Arterial blood gas (ABG) findings
D. Serum thyroid level findings
3. What can the nurse include in the plan of care to ensure early intervention along the
continuum of shock to improve the client's prognosis? Select all that apply.
A. Monitor for changes in vital signs.
B. Administer vasoconstrictive medications to clients at risk for shock.
C. Administer intravenous fluids.
D. Assess the client who is at risk for shock.
, E. Administer prophylactic packed red blood cells to clients at risk for shock.
4. The nurse is reviewing diagnostic lab work of a client developing shock. Which
laboratory result does the nurse note as a key in determining the type of shock?
A. Potassium: 4.8 mEq/L
B. WBC: 42,000/mm3
C. ESR: 19 mm/hour
D. Hemoglobin: 14.2 g/dL
5. A patient is in the progressive stage of shock with lung decompensation. What treatment
does the nurse anticipate assisting with?
A. Administration of oxygen via venture mask
B. Pericardiocentesis
C. Intubation and mechanical ventilation
D. Thoracotomy with chest tube insertion
6. A client who has been brought to the ED is unresponsive, and has an elevated
temperature and flushed skin. Physical assessment reveals a rapid, bounding pulse. The
high school where the client is employed has had a significant increase in cases of
staphylococcal and streptococcal infections among student athletes. The client's labs
show an elevated white blood cell count, cultures are forthcoming. What does the nurse
suspect may be the cause of the client's present condition?
A. cardiogenic shock
B. septic shock
C. anaphylactic shock
, D. neurogenic shock
7. A confused client exhibits a blood pressure of 112/84, pulse rate of 116 beats per minute,
and respirations of 30 breaths per minute. The client's skin is cold and clammy. The nurse
next
A. Contacts the admitting physician
B. Calls the Rapid Response Team
C. Re-assesses the vital signs
D. Administers oxygen by nasal cannula at 2 liters per minute
8. The nurse is caring for a client in the compensation stage of shock. One of the body's
mechanisms of compensation in this stage of shock is the action of the renin-angiotensin-
aldosterone system. What does this system do?
A. Restores blood pressure
B. Decreases peripheral blood flow
C. Increases catecholamine secretion
D. Increases the production of antidiuretic hormone
9. What is the major clinical use of dobutamine?
A. treat hypotension.
B. prevent sinus bradycardia.
C. increase cardiac output.
D. treat hypertension.
