FCCS POST TEST Questions and
Answers Verified Solutions Latest
Update
Question:
Which finding is the best indicator that the fluid resuscitation for a patient with
hypovolemic shock has been effective? a. Hemoglobin is within normal limits. b. Urine
output is 60 mL over the last hour. c. Central venous pressure (CVP) is normal. d. Mean
arterial pressure (MAP) is 72 mm Hg.
Answer:
B Assessment of end organ perfusion, such as an adequate urine output, is the best
indicator that fluid resuscitation has been successful. The hemoglobin level, CVP, and
MAP are useful in determining the effects of fluid administration, but they are not as
useful as data indicating good organ perfusion.
Question:
3.Which intervention will the nurse include in the plan of care for a patient who has
cardiogenic shock? a. Check temperature every 2 hours. b. Monitor breath sounds
frequently. c. Maintain patient in supine position. d. Assess skin for flushing and itching.
Answer:
B Since pulmonary congestion and dyspnea are characteristics of cardiogenic shock,
the nurse should assess thebreath sounds frequently. The head of the bed is usually
elevated to decrease dyspnea in patients with cardiogenic shock. Elevated
temperature and flushing or itching of the skin are not typical of cardiogenic.
Question:
Which assessment information is most important for the nurse to obtain to evaluate
whether treatment of a patient with anaphylactic shock has been effective? a. Heart
rate b. Orientation c. Blood pressure d. Oxygen saturation
Answer:
D Because the airway edema that is associated with anaphylaxis can affect airway and
breathing, the oxygen saturation is the most critical assessment. Improvements in the
other assessments will also be expected with effective treatment of anaphylactic
shock.
, Question:
A patient is admitted to the emergency department (ED) for shock of unknown
etiology. The first action by the nurse should be to a. administer oxygen. b. obtain a
12-lead electrocardiogram (ECG). c. obtain the blood pressure. d. check the level of
consciousness.
Answer:
A The initial actions of the nurse are focused on the ABCs airway, breathing, and
circulation and administration of oxygen should be done first. The other actions should
be accomplished as rapidly as possible after oxygen administration.
Question:
A patient who has been involved in a motor vehicle crash arrives in the emergency
department (ED) with cool, clammy skin; tachycardia; and hypotension. Which
intervention ordered by the health care provider should the nurse implement first? a.
Insert two large-bore IV catheters. b. Initiate continuous electrocardiogram (ECG)
monitoring. c. Provide oxygen at 100% per non-rebreather mask. d. Draw blood to type
and crossmatch for transfusions.
Answer:
C The first priority in the initial management of shock is maintenance of the airway and
ventilation. ECG monitoring, insertion of IV catheters, and obtaining blood for
transfusions should also be rapidly accomplished but only after actions to maximize
oxygen delivery have been implemented.
Question:
What determines cardiac output?
Answer:
HR and Stroke Volume
Question:
Second degree wekebauch, how do you identify?
Answer:
P-R Interval lengthening
Answers Verified Solutions Latest
Update
Question:
Which finding is the best indicator that the fluid resuscitation for a patient with
hypovolemic shock has been effective? a. Hemoglobin is within normal limits. b. Urine
output is 60 mL over the last hour. c. Central venous pressure (CVP) is normal. d. Mean
arterial pressure (MAP) is 72 mm Hg.
Answer:
B Assessment of end organ perfusion, such as an adequate urine output, is the best
indicator that fluid resuscitation has been successful. The hemoglobin level, CVP, and
MAP are useful in determining the effects of fluid administration, but they are not as
useful as data indicating good organ perfusion.
Question:
3.Which intervention will the nurse include in the plan of care for a patient who has
cardiogenic shock? a. Check temperature every 2 hours. b. Monitor breath sounds
frequently. c. Maintain patient in supine position. d. Assess skin for flushing and itching.
Answer:
B Since pulmonary congestion and dyspnea are characteristics of cardiogenic shock,
the nurse should assess thebreath sounds frequently. The head of the bed is usually
elevated to decrease dyspnea in patients with cardiogenic shock. Elevated
temperature and flushing or itching of the skin are not typical of cardiogenic.
Question:
Which assessment information is most important for the nurse to obtain to evaluate
whether treatment of a patient with anaphylactic shock has been effective? a. Heart
rate b. Orientation c. Blood pressure d. Oxygen saturation
Answer:
D Because the airway edema that is associated with anaphylaxis can affect airway and
breathing, the oxygen saturation is the most critical assessment. Improvements in the
other assessments will also be expected with effective treatment of anaphylactic
shock.
, Question:
A patient is admitted to the emergency department (ED) for shock of unknown
etiology. The first action by the nurse should be to a. administer oxygen. b. obtain a
12-lead electrocardiogram (ECG). c. obtain the blood pressure. d. check the level of
consciousness.
Answer:
A The initial actions of the nurse are focused on the ABCs airway, breathing, and
circulation and administration of oxygen should be done first. The other actions should
be accomplished as rapidly as possible after oxygen administration.
Question:
A patient who has been involved in a motor vehicle crash arrives in the emergency
department (ED) with cool, clammy skin; tachycardia; and hypotension. Which
intervention ordered by the health care provider should the nurse implement first? a.
Insert two large-bore IV catheters. b. Initiate continuous electrocardiogram (ECG)
monitoring. c. Provide oxygen at 100% per non-rebreather mask. d. Draw blood to type
and crossmatch for transfusions.
Answer:
C The first priority in the initial management of shock is maintenance of the airway and
ventilation. ECG monitoring, insertion of IV catheters, and obtaining blood for
transfusions should also be rapidly accomplished but only after actions to maximize
oxygen delivery have been implemented.
Question:
What determines cardiac output?
Answer:
HR and Stroke Volume
Question:
Second degree wekebauch, how do you identify?
Answer:
P-R Interval lengthening
