NCLEX FOR SHOCK - CRITICAL CARE QUESTIONS
AND ANSWERS LATEST VERSION 2024 VERIFIED
GRADED A+
A patient being treated for cardiogenic shock is being hemodynamically monitored. Which findings are
consistent with the patient's diagnosis?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Elevated pulmonary arterial wedge pressure
2. Elevated central venous pressure
3. Elevated systemic vascular resistance index
4. Elevated mean arterial pressure
5. Elevated stroke volume - ansCorrect Answer: 1,2,3
Rationale 1: This finding is consistent with pulmonary vascular congestion.
Rationale 2: This finding is consistent with fluid volume overload.
Rationale 3: This finding is consistent with pulmonary vascular congestion.
Rationale 4: This finding is not consistent with cardiogenic shock.
Rationale 5: This finding is not consistent with cardiogenic shock.
A patient is being treated for pericarditis. The nurse will plan interventions to prevent the onset of which
type of shock?
1. Obstructive
2. Hypovolemic
3. Distributive
4. Cardiogenic - ansCorrect Answer: 1
Rationale 1: Acute pericarditis and the development of fluid accumulation in the pericardial space can
lead to the development of obstructive shock.
Rationale 2: Pericarditis is not a risk factor for the development of hypovolemic shock.
Rationale 3: Pericarditis is not a risk factor for the development of distributive shock.
Rationale 4: Pericarditis is not a risk factor for the development of cardiogenic shock.
,NCLEX FOR SHOCK - CRITICAL CARE QUESTIONS
AND ANSWERS LATEST VERSION 2024 VERIFIED
GRADED A+
A patient is brought to the emergency department with hypotension, tachycardia, reduced capillary
refill, and oliguria. During the assessment, the nurse determines the patient is experiencing cardiogenic
shock because of which additional finding?
1. Jugular vein distention
2. Dry mucous membranes
3. Poor skin turgor
4. Thirst - ansCorrect Answer: 1
Rationale 1: Jugular vein distention is a manifestation of cardiogenic shock.
Rationale 2: The mucous membranes are not dry in cardiogenic shock.
Rationale 3: The skin turgor is not poor in cardiogenic shock.
Rationale 4: Thirst is not a manifestation of cardiogenic shock.
A patient is brought to the emergency department with manifestations of anaphylactic shock. What will
the nurse assess as possible causes for this disorder?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Recent bee sting
2. Ingestion of drugs
3. History of latex allergy
4. Recent diagnostic imaging tests
5. Recent myocardial infarction - ansCorrect Answer: 1,2,3,4
Rationale 1: Venoms such as bee stings can trigger anaphylactic shock.
Rationale 2: Drugs can trigger anaphylactic shock.
Rationale 3: Latex can trigger anaphylactic shock.
Rationale 4: Contrast media for diagnostic tests can trigger anaphylactic shock.
Rationale 5: Myocardial infarction is not a trigger for anaphylactic shock.
, NCLEX FOR SHOCK - CRITICAL CARE QUESTIONS
AND ANSWERS LATEST VERSION 2024 VERIFIED
GRADED A+
A patient is demonstrating pulmonary edema, hypotension, and delayed capillary refill. The nurse
suspects the patient is experiencing which type of shock?
1. Hypovolemic
2. Cardiogenic
3. Anaphylactic
4. Obstructive - ansCorrect Answer: 2
Rationale 1: Pulmonary edema would not be present in hypovolemic shock.
Rationale 2: In cardiogenic shock, there is a low cardiac output, hypotension, and pulmonary edema.
Rationale 3: Pulmonary edema would not be present in anaphylactic shock.
Rationale 4: Pulmonary edema would not be present in obstructive shock
A patient is demonstrating signs of obstructive shock but the cause has yet to be determined. Which
finding indicates the patient is experiencing a pulmonary embolism as the cause for obstructive shock?
1. Chest pain
2. Hypotension
3. Tachycardia
4. Oliguria - ansCorrect Answer: 1
Rationale 1: Chest pain is a symptom associated with a massive pulmonary embolus.
Rationale 2: Hypotension is seen in other causes of obstructive shock and is not a symptom that
differentiates the cause as being from a pulmonary embolus.
Rationale 3: Tachycardia is seen in other causes of obstructive shock and is not a symptom that
differentiates the cause as being from a pulmonary embolus.
Rationale 4: Oliguria is seen in other causes of obstructive shock and is not a symptom that differentiates
the cause as being from a pulmonary embolus.
A patient is diagnosed with cardiac tamponade. When planning care, the nurse will include interventions
to address which type of shock?
1. Obstructive
2. Hypovolemic
AND ANSWERS LATEST VERSION 2024 VERIFIED
GRADED A+
A patient being treated for cardiogenic shock is being hemodynamically monitored. Which findings are
consistent with the patient's diagnosis?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Elevated pulmonary arterial wedge pressure
2. Elevated central venous pressure
3. Elevated systemic vascular resistance index
4. Elevated mean arterial pressure
5. Elevated stroke volume - ansCorrect Answer: 1,2,3
Rationale 1: This finding is consistent with pulmonary vascular congestion.
Rationale 2: This finding is consistent with fluid volume overload.
Rationale 3: This finding is consistent with pulmonary vascular congestion.
Rationale 4: This finding is not consistent with cardiogenic shock.
Rationale 5: This finding is not consistent with cardiogenic shock.
A patient is being treated for pericarditis. The nurse will plan interventions to prevent the onset of which
type of shock?
1. Obstructive
2. Hypovolemic
3. Distributive
4. Cardiogenic - ansCorrect Answer: 1
Rationale 1: Acute pericarditis and the development of fluid accumulation in the pericardial space can
lead to the development of obstructive shock.
Rationale 2: Pericarditis is not a risk factor for the development of hypovolemic shock.
Rationale 3: Pericarditis is not a risk factor for the development of distributive shock.
Rationale 4: Pericarditis is not a risk factor for the development of cardiogenic shock.
,NCLEX FOR SHOCK - CRITICAL CARE QUESTIONS
AND ANSWERS LATEST VERSION 2024 VERIFIED
GRADED A+
A patient is brought to the emergency department with hypotension, tachycardia, reduced capillary
refill, and oliguria. During the assessment, the nurse determines the patient is experiencing cardiogenic
shock because of which additional finding?
1. Jugular vein distention
2. Dry mucous membranes
3. Poor skin turgor
4. Thirst - ansCorrect Answer: 1
Rationale 1: Jugular vein distention is a manifestation of cardiogenic shock.
Rationale 2: The mucous membranes are not dry in cardiogenic shock.
Rationale 3: The skin turgor is not poor in cardiogenic shock.
Rationale 4: Thirst is not a manifestation of cardiogenic shock.
A patient is brought to the emergency department with manifestations of anaphylactic shock. What will
the nurse assess as possible causes for this disorder?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Recent bee sting
2. Ingestion of drugs
3. History of latex allergy
4. Recent diagnostic imaging tests
5. Recent myocardial infarction - ansCorrect Answer: 1,2,3,4
Rationale 1: Venoms such as bee stings can trigger anaphylactic shock.
Rationale 2: Drugs can trigger anaphylactic shock.
Rationale 3: Latex can trigger anaphylactic shock.
Rationale 4: Contrast media for diagnostic tests can trigger anaphylactic shock.
Rationale 5: Myocardial infarction is not a trigger for anaphylactic shock.
, NCLEX FOR SHOCK - CRITICAL CARE QUESTIONS
AND ANSWERS LATEST VERSION 2024 VERIFIED
GRADED A+
A patient is demonstrating pulmonary edema, hypotension, and delayed capillary refill. The nurse
suspects the patient is experiencing which type of shock?
1. Hypovolemic
2. Cardiogenic
3. Anaphylactic
4. Obstructive - ansCorrect Answer: 2
Rationale 1: Pulmonary edema would not be present in hypovolemic shock.
Rationale 2: In cardiogenic shock, there is a low cardiac output, hypotension, and pulmonary edema.
Rationale 3: Pulmonary edema would not be present in anaphylactic shock.
Rationale 4: Pulmonary edema would not be present in obstructive shock
A patient is demonstrating signs of obstructive shock but the cause has yet to be determined. Which
finding indicates the patient is experiencing a pulmonary embolism as the cause for obstructive shock?
1. Chest pain
2. Hypotension
3. Tachycardia
4. Oliguria - ansCorrect Answer: 1
Rationale 1: Chest pain is a symptom associated with a massive pulmonary embolus.
Rationale 2: Hypotension is seen in other causes of obstructive shock and is not a symptom that
differentiates the cause as being from a pulmonary embolus.
Rationale 3: Tachycardia is seen in other causes of obstructive shock and is not a symptom that
differentiates the cause as being from a pulmonary embolus.
Rationale 4: Oliguria is seen in other causes of obstructive shock and is not a symptom that differentiates
the cause as being from a pulmonary embolus.
A patient is diagnosed with cardiac tamponade. When planning care, the nurse will include interventions
to address which type of shock?
1. Obstructive
2. Hypovolemic
