NUR245 Concepts of Nursing Care of the Adult II Exam 3 | NUR 245 Exam 3 Q&A| Complete
Updated 100% Fall 2025/26.
Part 1: Types of Shock (Questions 1-30)
1. What is a hallmark sign common to all types of shock?
a) Tachycardia
b) Fever
c) Hypotension
d) Bradycardia
Answer: c) Hypotension
Rationale: The guide explicitly states that all types of shock present with hypotension.
2. A patient with an acute myocardial infarction develops cool, clammy skin, tachycardia, and
hypotension. Which type of shock is this most likely, and what is a critical intervention to
avoid?
a) Septic shock; avoid antibiotics
b) Cardiogenic shock; avoid fluid resuscitation
c) Hypovolemic shock; avoid blood transfusions
d) Neurogenic shock; avoid vasopressors
Answer: b) Cardiogenic shock; avoid fluid resuscitation
Rationale: Cardiogenic shock is heart-related (e.g., MI). The guide clearly states: "DO NOT GIVE
FLUIDS RESUSCITATION!!!"
3. Which finding is unique to neurogenic shock?
a) Warm, flushed skin
b) Tachycardia
c) Bradycardia
d) Generalized edema
Answer: c) Bradycardia
Rationale: The guide lists neurogenic shock as "Bradycardic (the only shock)," making it a key
differentiating feature.
4. For a patient in hypovolemic shock from a GI bleed (absolute loss), what is the priority
intervention?
a) Administer IV epinephrine
b) Give a 3:1 ratio of isotonic fluids
c) Apply warm blankets
d) Start a nitroglycerin drip
Answer: b) Give a 3:1 ratio of isotonic fluids
, Rationale: The guide specifies for hypovolemic shock: "3:1 ratio giving fluids" and to use
"isotonic fluids (LR, NS)." Treating the cause (the bleed) is also critical, but fluid replacement is
the immediate priority.
5. A patient experiencing an anaphylactic reaction is showing stridor and angioedema. What
is the nurse's primary concern?
a) Cardiac output
b) Renal function
c) Respiratory status
d) Neurological status
Answer: c) Respiratory status
Rationale: For anaphylactic shock, the guide emphasizes: "First monitor resp status = big
concern !!!"
6. The first-line medication for anaphylactic shock is:
a) Diphenhydramine (Benadryl)
b) Methylprednisolone (Solu-Medrol)
c) Albuterol (Ventolin)
d) Epinephrine
Answer: d) Epinephrine
Rationale: The guide lists the first medication to give as "epinephrine."
7. Which type of shock presents with warm, flushed skin initially and fever?
a) Cardiogenic
b) Septic
c) Neurogenic
d) Obstructive
Answer: b) Septic
Rationale: The guide describes septic shock with "warm & flushed skin first" and notes "it’s the
only one with FEVER."
8. What is the correct order of interventions for a patient in septic shock?
a) Antibiotics, Vasopressors, Fluids
b) Vasopressors, Fluids, Antibiotics
c) Fluids, Antibiotics, Vasopressors
d) Fluids, Vasopressors, Antibiotics
Answer: c) Fluids, Antibiotics, Vasopressors
Rationale: The guide clearly states: "*** #1-fluids (isotonic), #2-antibiotics, #3-
vasopressors/vasoconstrictors." It also notes to draw cultures before antibiotics.
Updated 100% Fall 2025/26.
Part 1: Types of Shock (Questions 1-30)
1. What is a hallmark sign common to all types of shock?
a) Tachycardia
b) Fever
c) Hypotension
d) Bradycardia
Answer: c) Hypotension
Rationale: The guide explicitly states that all types of shock present with hypotension.
2. A patient with an acute myocardial infarction develops cool, clammy skin, tachycardia, and
hypotension. Which type of shock is this most likely, and what is a critical intervention to
avoid?
a) Septic shock; avoid antibiotics
b) Cardiogenic shock; avoid fluid resuscitation
c) Hypovolemic shock; avoid blood transfusions
d) Neurogenic shock; avoid vasopressors
Answer: b) Cardiogenic shock; avoid fluid resuscitation
Rationale: Cardiogenic shock is heart-related (e.g., MI). The guide clearly states: "DO NOT GIVE
FLUIDS RESUSCITATION!!!"
3. Which finding is unique to neurogenic shock?
a) Warm, flushed skin
b) Tachycardia
c) Bradycardia
d) Generalized edema
Answer: c) Bradycardia
Rationale: The guide lists neurogenic shock as "Bradycardic (the only shock)," making it a key
differentiating feature.
4. For a patient in hypovolemic shock from a GI bleed (absolute loss), what is the priority
intervention?
a) Administer IV epinephrine
b) Give a 3:1 ratio of isotonic fluids
c) Apply warm blankets
d) Start a nitroglycerin drip
Answer: b) Give a 3:1 ratio of isotonic fluids
, Rationale: The guide specifies for hypovolemic shock: "3:1 ratio giving fluids" and to use
"isotonic fluids (LR, NS)." Treating the cause (the bleed) is also critical, but fluid replacement is
the immediate priority.
5. A patient experiencing an anaphylactic reaction is showing stridor and angioedema. What
is the nurse's primary concern?
a) Cardiac output
b) Renal function
c) Respiratory status
d) Neurological status
Answer: c) Respiratory status
Rationale: For anaphylactic shock, the guide emphasizes: "First monitor resp status = big
concern !!!"
6. The first-line medication for anaphylactic shock is:
a) Diphenhydramine (Benadryl)
b) Methylprednisolone (Solu-Medrol)
c) Albuterol (Ventolin)
d) Epinephrine
Answer: d) Epinephrine
Rationale: The guide lists the first medication to give as "epinephrine."
7. Which type of shock presents with warm, flushed skin initially and fever?
a) Cardiogenic
b) Septic
c) Neurogenic
d) Obstructive
Answer: b) Septic
Rationale: The guide describes septic shock with "warm & flushed skin first" and notes "it’s the
only one with FEVER."
8. What is the correct order of interventions for a patient in septic shock?
a) Antibiotics, Vasopressors, Fluids
b) Vasopressors, Fluids, Antibiotics
c) Fluids, Antibiotics, Vasopressors
d) Fluids, Vasopressors, Antibiotics
Answer: c) Fluids, Antibiotics, Vasopressors
Rationale: The guide clearly states: "*** #1-fluids (isotonic), #2-antibiotics, #3-
vasopressors/vasoconstrictors." It also notes to draw cultures before antibiotics.
