1
NSG 411 Exam 2 Questions with Answers (100%
Correct Answers)
inadequate oxygen delivery to meet metabolic demands Answer: shock
syndrome characterized by decreased tissue perfusion and impaired
cellular metabolism Answer: shock
what does shock result in Answer: global tissue hypo perfusion and
metabolic acidosis
what can shock occur with Answer: a normal blood pressure
what can hypotension occur without Answer: shock
what does inadequate oxygen delivery activate to maintain systemic
oxygen delivery Answer: autonomic responses
what neurotransmitters does the SNS release Answer: norepinephrine
epinephrine
dopamine
cortisol
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,2
what does the renin angiotensin system conserve and vasoconstrict
Answer: water and sodium
what is the goal of the renin angiotensin system to maintain Answer:
cerebral and cardiac perfusion
what does shock lead to Answer: systemic metabolic lactic acidosis
what does systemic metabolic lactic acidosis overcome Answer: the
body's compensatory mechanisms
marker for cellular hypoxia Answer: lactate
inability of oxygen delivery to meet demand Answer: tissue hypoxia
4 stages of shock Answer: 1. initial
2. compensatory
3. progressive
4. refractory
which stage of shock is NOT clinically apparent Answer: initial
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,3
manifestations of the compensatory stage of shock Answer: -
restlessness
- tachycardia
- hypotension
- tachypnea
- oliguria
- hyperglycemia
- decreased bowel sounds
- weak pulses
- cool extremities
manifestations of the progressive stage of shock Answer: - hypotension
- weak peripheral pulses
- anuria
- ischemia of distal extremities
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, 4
- lethargy
- absent bowel sounds
- dysrhythmias
- metabolic or respiratory acidosis
manifestations of the refractory stage of shock Answer: - profound
hypotension
- tachycardia
- peripheral tissue ischemia
- multisystem organ failure
- coma
result of multiorgan dysfunction syndrome Answer: end organ failure
what does hypovolemia require Answer: definitive treatment
what is given for non hemorrhagic hypovolemic shock Answer:
crystalloids
© 2025 All rights reserved
NSG 411 Exam 2 Questions with Answers (100%
Correct Answers)
inadequate oxygen delivery to meet metabolic demands Answer: shock
syndrome characterized by decreased tissue perfusion and impaired
cellular metabolism Answer: shock
what does shock result in Answer: global tissue hypo perfusion and
metabolic acidosis
what can shock occur with Answer: a normal blood pressure
what can hypotension occur without Answer: shock
what does inadequate oxygen delivery activate to maintain systemic
oxygen delivery Answer: autonomic responses
what neurotransmitters does the SNS release Answer: norepinephrine
epinephrine
dopamine
cortisol
© 2025 All rights reserved
,2
what does the renin angiotensin system conserve and vasoconstrict
Answer: water and sodium
what is the goal of the renin angiotensin system to maintain Answer:
cerebral and cardiac perfusion
what does shock lead to Answer: systemic metabolic lactic acidosis
what does systemic metabolic lactic acidosis overcome Answer: the
body's compensatory mechanisms
marker for cellular hypoxia Answer: lactate
inability of oxygen delivery to meet demand Answer: tissue hypoxia
4 stages of shock Answer: 1. initial
2. compensatory
3. progressive
4. refractory
which stage of shock is NOT clinically apparent Answer: initial
© 2025 All rights reserved
,3
manifestations of the compensatory stage of shock Answer: -
restlessness
- tachycardia
- hypotension
- tachypnea
- oliguria
- hyperglycemia
- decreased bowel sounds
- weak pulses
- cool extremities
manifestations of the progressive stage of shock Answer: - hypotension
- weak peripheral pulses
- anuria
- ischemia of distal extremities
© 2025 All rights reserved
, 4
- lethargy
- absent bowel sounds
- dysrhythmias
- metabolic or respiratory acidosis
manifestations of the refractory stage of shock Answer: - profound
hypotension
- tachycardia
- peripheral tissue ischemia
- multisystem organ failure
- coma
result of multiorgan dysfunction syndrome Answer: end organ failure
what does hypovolemia require Answer: definitive treatment
what is given for non hemorrhagic hypovolemic shock Answer:
crystalloids
© 2025 All rights reserved
