HCAL III Exam 03 Practice Questions and Answers Already Passed
a nurse si caring for a client who has DIC. which labs indicate the client's clotting factors are
depleted SATA
PLT 100
fibrinogen levels 120
fibrin degradation products 4.3
d-dimer 0.03
sedimentation rate 38mm/hr - Answers PLT 100
fibrinogen levels 120
a nurse is assessing a client and suspects the client is experiencing DIC. which of the following
physical findings should the nurse anticipate
bradycardia
hypertension
epistaxis
xerostomia - Answers epistaxis
a nurse is caring for a client who has DIC. which meds should the nurse anticipate giving
heparin
vitamin k
mefoxin
simvastatin - Answers heparin
a nurse is teaching a newly licensed nurse about HIT. which of the following frisk factors for this
disorder should the nurse include in the teaching
warfarin therapy for a fib
,placental abruption
SLE
heparin therapy for DVT - Answers heparin therapy for DVT
a nurse is caring for a client who has a prescription for an afterload reducing medication. the
nurse should identify that this medication is administered for which of the following types of
shock
cardiogenic
hypovolemic
obstructive
distributive - Answers cardiogenic
a nurse is planning care for a client who has septic shock. which of the following actions is the
priority for the nurse to take
maintain adequate fluid volume with IV infusions
administer ABX
Monitor hemodynamic status
administer vasopressor medication - Answers administer ABX
urse is caring for a client who is experiencing wheezing and swelling of the tongue. which of the
following medications should the nurse anticipate administering first
methylprednisolone
diphenhydramine
epinephrine
,dobutamine - Answers epinephrine
a nurse in the ED is assessing a client who is in shock. what are the expected findings SATA
HR 60bpm
seizure activity
respiratory rate 42/min
increased urinary output
weak and thready pulse - Answers seizure activity
respiratory rate 42/min
weak and thready pulse
a nurse is caring for a group of clients. whos at risk for obstructive shock
a client with occasional PVCs on the ECG monitor
a client who has been experiencing vomiting and diarrhea for several days
a clieent who has a gram negative bacterial infection
a client who has pulmonary arterial stenosis - Answers a client who has pulmonary arterial
stenosis
A patient is in hypovolemic shock. Select all the stages that a patient can enter when in shock:
A. Proliferative
B. Compensatory
C. Exudative
D. Initial
E. Progressive
F. Fibrotic
G. Refractory - Answers B. Compensatory
D. Initial
, E. Progressive
G. Refractory
During the __________ stage of shock, the signs and symptoms are very subtle. However, cells
are experiencing _________ due to the lack of tissue perfusion, which causes the cells to switch
from ___________ metabolism to _________ metabolism.
A. Proliferative, hyperoxia, anaerobic, aerobic
B. Initial, hypoxia, aerobic, anaerobic
C. Compensatory, hypoxia, anaerobic, aerobic
D. Fibrotic, hypoxia, aerobic, anaerobic - Answers B. Initial, hypoxia, aerobic, anaerobic
You're caring for a patient who is experiencing shock. Which lab result below demonstrates that
the patient's cells are using anaerobic metabolism?
A. Ammonia 18 µ/dL
B. Potassium 4.5 mEq/L
C. Serum Lactate 9 mmol/L
D. Bicarbonate 23 mEq/L - Answers C. Serum Lactate 9 mmol/L
During what stage of shock does the body attempt to utilize the hormonal, neural, and
biochemical responses of the body?
A. Refractory
B. Initial
C. Proliferative
D. Compensatory - Answers D. Compensatory
Which statements are INCORRECT about the compensatory stage of shock. Select all that apply:
A. This stage is reversible.
B. During this stage blood is shunted away from the kidneys, lungs, skin, and gastrointestinal
system to the brain and heart.
a nurse si caring for a client who has DIC. which labs indicate the client's clotting factors are
depleted SATA
PLT 100
fibrinogen levels 120
fibrin degradation products 4.3
d-dimer 0.03
sedimentation rate 38mm/hr - Answers PLT 100
fibrinogen levels 120
a nurse is assessing a client and suspects the client is experiencing DIC. which of the following
physical findings should the nurse anticipate
bradycardia
hypertension
epistaxis
xerostomia - Answers epistaxis
a nurse is caring for a client who has DIC. which meds should the nurse anticipate giving
heparin
vitamin k
mefoxin
simvastatin - Answers heparin
a nurse is teaching a newly licensed nurse about HIT. which of the following frisk factors for this
disorder should the nurse include in the teaching
warfarin therapy for a fib
,placental abruption
SLE
heparin therapy for DVT - Answers heparin therapy for DVT
a nurse is caring for a client who has a prescription for an afterload reducing medication. the
nurse should identify that this medication is administered for which of the following types of
shock
cardiogenic
hypovolemic
obstructive
distributive - Answers cardiogenic
a nurse is planning care for a client who has septic shock. which of the following actions is the
priority for the nurse to take
maintain adequate fluid volume with IV infusions
administer ABX
Monitor hemodynamic status
administer vasopressor medication - Answers administer ABX
urse is caring for a client who is experiencing wheezing and swelling of the tongue. which of the
following medications should the nurse anticipate administering first
methylprednisolone
diphenhydramine
epinephrine
,dobutamine - Answers epinephrine
a nurse in the ED is assessing a client who is in shock. what are the expected findings SATA
HR 60bpm
seizure activity
respiratory rate 42/min
increased urinary output
weak and thready pulse - Answers seizure activity
respiratory rate 42/min
weak and thready pulse
a nurse is caring for a group of clients. whos at risk for obstructive shock
a client with occasional PVCs on the ECG monitor
a client who has been experiencing vomiting and diarrhea for several days
a clieent who has a gram negative bacterial infection
a client who has pulmonary arterial stenosis - Answers a client who has pulmonary arterial
stenosis
A patient is in hypovolemic shock. Select all the stages that a patient can enter when in shock:
A. Proliferative
B. Compensatory
C. Exudative
D. Initial
E. Progressive
F. Fibrotic
G. Refractory - Answers B. Compensatory
D. Initial
, E. Progressive
G. Refractory
During the __________ stage of shock, the signs and symptoms are very subtle. However, cells
are experiencing _________ due to the lack of tissue perfusion, which causes the cells to switch
from ___________ metabolism to _________ metabolism.
A. Proliferative, hyperoxia, anaerobic, aerobic
B. Initial, hypoxia, aerobic, anaerobic
C. Compensatory, hypoxia, anaerobic, aerobic
D. Fibrotic, hypoxia, aerobic, anaerobic - Answers B. Initial, hypoxia, aerobic, anaerobic
You're caring for a patient who is experiencing shock. Which lab result below demonstrates that
the patient's cells are using anaerobic metabolism?
A. Ammonia 18 µ/dL
B. Potassium 4.5 mEq/L
C. Serum Lactate 9 mmol/L
D. Bicarbonate 23 mEq/L - Answers C. Serum Lactate 9 mmol/L
During what stage of shock does the body attempt to utilize the hormonal, neural, and
biochemical responses of the body?
A. Refractory
B. Initial
C. Proliferative
D. Compensatory - Answers D. Compensatory
Which statements are INCORRECT about the compensatory stage of shock. Select all that apply:
A. This stage is reversible.
B. During this stage blood is shunted away from the kidneys, lungs, skin, and gastrointestinal
system to the brain and heart.
