Page |1
NURS 610 EXAM 1 STUDY SET 2025| BRAND
NEW ACTUAL EXAM WITH 100% VERIFIED
QUESTIONS AND CORRECT SOLUTIONS|
GUARANTEED VALUE PACK| ACE YOUR
GRADES.
1. A massive gastrointestinal bleed has resulted in hypovolemic shock in
an older patient. What is a priority nursing diagnosis?
A. Acute pain
B. Impaired tissue integrity
C. Decreased cardiac output
D. Ineffective tissue perfusion - correct answer - D. Ineffective tissue
perfusion
2. What laboratory finding fits with a medical diagnosis of cardiogenic
shock?
A. Decreased liver enzymes
B. Increased white blood cells
C. Decreased red blood cells, hemoglobin, and hematocrit
D. Increased blood urea nitrogen (BUN) and serum creatinine levels -
correct answer - D. Increased blood urea nitrogen (BUN) and serum
creatinine levels
3. When caring for a patient in acute septic shock, what should the nurse
anticipate?
A. Infusing large amounts of IV fluids
B. Administering osmotic and/or loop diuretics
C. Administering IV diphenhydramine (Benadryl)
, Page |2
D. Assisting with insertion of a ventricular assist device (VAD) - correct
answer - A. Infusing large amounts of IV fluids
4. A patient who had abdominal surgery yesterday is cold, clammy, and
confused. Which additional assessment findings would support concern
that this patient is in shock? (Select all that apply.)
A. Pulse rapid and weak
B. Arterial pH 7.49
C. Serum lactate level 5.8 mmol/L
D. Base excess 1 mmol/L
E. BP 88/50 mm Hg - correct answer - A. Pulse rapid and
C. Serum lactate level 5.8 mmol/L
5. A patient is received in the emergency department from emergency
medical services after sustaining a brain injury in a fall. She is on a
spineboard and has a cervical collar in place. She is not moving her
lower extremities. What would alert the nurse to the possible
development of neurogenic shock?
A. The patient reports that she feels a tingling sensation in her lower
extremities.
B. The patient's heart rate drops from 82 bpm to 68 bpm.
C. The patient's blood glucose is 134 mg/dL.
D. The patient's friend reports that the patient was unconscious for a
"few seconds" after the fall. - correct answer - B. The patient's heart
rate drops from 82 bpm to 68 bpm.
6. A patient's burned arm is erythematous and blistered. Capillary refill is
brisk and the patient complains of severe pain. How should the nurse
document this burn?
A. Full-thickness
, Page |3
B. Superficial partial-thickness
C. Deep partial-thickness
D. First-degree - correct answer - B. Superficial partial-thickness
Superficial partial-thickness burns are characterized by areas that are
erythematous, blistered, and painful. Capillary refill is brisk
7. An emergency department uses the American Burn Association's criteria
for transfer to a burn center. The nurse would anticipate that which
patient would require transfer?
A. A patient with superficial partial-thickness burns on 10% of TBSA
B. A patient with superficial burns on 50% of TBSA
C. A patient with deep partial-thickness burns over the entire face
D. A patient with deep partial-thickness burns on less than 5% of TBSA
- correct answer - C. A patient with deep partial-thickness burns over
the entire face
8. A patient is receiving an intravenous (IV) push medication. If the drug
infiltrates into the outer tissues, the nurse:
A. Continues to let the IV run
B. Applies a warm compress to the infiltrated area
C. Stops the administration of the medication and follows agency policy
D. Should not worry about this because vesicant filtration is not a
problem - correct answer - C. Stops the administration of the
medication and follows agency policy
9. If a patient who is receiving IV fluids develops tenderness, warmth,
erythema, and pain and the site, the nurse suspects?
A. Sepsis
B. Phlebitis
NURS 610 EXAM 1 STUDY SET 2025| BRAND
NEW ACTUAL EXAM WITH 100% VERIFIED
QUESTIONS AND CORRECT SOLUTIONS|
GUARANTEED VALUE PACK| ACE YOUR
GRADES.
1. A massive gastrointestinal bleed has resulted in hypovolemic shock in
an older patient. What is a priority nursing diagnosis?
A. Acute pain
B. Impaired tissue integrity
C. Decreased cardiac output
D. Ineffective tissue perfusion - correct answer - D. Ineffective tissue
perfusion
2. What laboratory finding fits with a medical diagnosis of cardiogenic
shock?
A. Decreased liver enzymes
B. Increased white blood cells
C. Decreased red blood cells, hemoglobin, and hematocrit
D. Increased blood urea nitrogen (BUN) and serum creatinine levels -
correct answer - D. Increased blood urea nitrogen (BUN) and serum
creatinine levels
3. When caring for a patient in acute septic shock, what should the nurse
anticipate?
A. Infusing large amounts of IV fluids
B. Administering osmotic and/or loop diuretics
C. Administering IV diphenhydramine (Benadryl)
, Page |2
D. Assisting with insertion of a ventricular assist device (VAD) - correct
answer - A. Infusing large amounts of IV fluids
4. A patient who had abdominal surgery yesterday is cold, clammy, and
confused. Which additional assessment findings would support concern
that this patient is in shock? (Select all that apply.)
A. Pulse rapid and weak
B. Arterial pH 7.49
C. Serum lactate level 5.8 mmol/L
D. Base excess 1 mmol/L
E. BP 88/50 mm Hg - correct answer - A. Pulse rapid and
C. Serum lactate level 5.8 mmol/L
5. A patient is received in the emergency department from emergency
medical services after sustaining a brain injury in a fall. She is on a
spineboard and has a cervical collar in place. She is not moving her
lower extremities. What would alert the nurse to the possible
development of neurogenic shock?
A. The patient reports that she feels a tingling sensation in her lower
extremities.
B. The patient's heart rate drops from 82 bpm to 68 bpm.
C. The patient's blood glucose is 134 mg/dL.
D. The patient's friend reports that the patient was unconscious for a
"few seconds" after the fall. - correct answer - B. The patient's heart
rate drops from 82 bpm to 68 bpm.
6. A patient's burned arm is erythematous and blistered. Capillary refill is
brisk and the patient complains of severe pain. How should the nurse
document this burn?
A. Full-thickness
, Page |3
B. Superficial partial-thickness
C. Deep partial-thickness
D. First-degree - correct answer - B. Superficial partial-thickness
Superficial partial-thickness burns are characterized by areas that are
erythematous, blistered, and painful. Capillary refill is brisk
7. An emergency department uses the American Burn Association's criteria
for transfer to a burn center. The nurse would anticipate that which
patient would require transfer?
A. A patient with superficial partial-thickness burns on 10% of TBSA
B. A patient with superficial burns on 50% of TBSA
C. A patient with deep partial-thickness burns over the entire face
D. A patient with deep partial-thickness burns on less than 5% of TBSA
- correct answer - C. A patient with deep partial-thickness burns over
the entire face
8. A patient is receiving an intravenous (IV) push medication. If the drug
infiltrates into the outer tissues, the nurse:
A. Continues to let the IV run
B. Applies a warm compress to the infiltrated area
C. Stops the administration of the medication and follows agency policy
D. Should not worry about this because vesicant filtration is not a
problem - correct answer - C. Stops the administration of the
medication and follows agency policy
9. If a patient who is receiving IV fluids develops tenderness, warmth,
erythema, and pain and the site, the nurse suspects?
A. Sepsis
B. Phlebitis
