ATI Med Surg test questions Shock and Multiple
Organ Dysfunction Syndrome 100% Correct
Resolution Result
Verified Answers s,
GRADED A+
A nurse is caring for a client with severe dehydration. The BP is 80/50 mm Hg, HR
130 bpm, and urine output 15 mL/hr.
Which action is the priority?
A. Apply oxygen
B. Administer IV fluids as prescribed
C. Assess peripheral pulses
D. Prepare for blood cultures
Resolution Result Verified Answers : B
Rationale: Volume replacement is the first intervention in hypovolemic shock
to restore tissue perfusion. Q2
A client post-MI has crackles, cool skin, and low urine output. Which medication
should the nurse expect to give?
A. Furosemide
B. Dopamine
C. Epinephrine
D. Atropine
Resolution Result Verified Answers : A
Rationale: Cardiogenic shock leads to pulmonary congestion; diuretics reduce
preload and pulmonary edema.
Q3 —
Which of the following findings indicates late (progressive) septic shock?
A. Warm, flushed skin
, B. Tachypnea
C. Cold, mottled skin and oliguria
D. Bounding pulses
Resolution Result Verified Answers : C
Rationale: In late septic shock, vasoconstriction and organ failure cause cold
extremities and decreased output.
Q4
A client with a cervical spinal injury has hypotension and bradycardia.
Which intervention is appropriate?
A. Administer vasopressors and fluids
B. Elevate head of bed 45°
C. Give beta blockers
D. Apply warm blankets only
Resolution Result Verified Answers : A
Rationale: Neurogenic shock causes loss of sympathetic tone; vasopressors
restore perfusion.A patient develops sudden dyspnea, wheezing, and hives after
IV antibiotics.
What is the nurse’s first action?
A. Give diphenhydramine IV
B. Administer IM epinephrine and maintain airway
C. Start corticosteroids
D. Increase IV fluids
Resolution Result Verified Answers : B
Rationale: Airway management and epinephrine administration are immediate
lifesaving actions.
Q6
Which finding indicates the progressive stage of shock?
A. Tachycardia, mild anxiety
B. Hypotension and metabolic acidosis
C. Restlessness only
D. Normal urine output
Resolution Result Verified Answers : B
Organ Dysfunction Syndrome 100% Correct
Resolution Result
Verified Answers s,
GRADED A+
A nurse is caring for a client with severe dehydration. The BP is 80/50 mm Hg, HR
130 bpm, and urine output 15 mL/hr.
Which action is the priority?
A. Apply oxygen
B. Administer IV fluids as prescribed
C. Assess peripheral pulses
D. Prepare for blood cultures
Resolution Result Verified Answers : B
Rationale: Volume replacement is the first intervention in hypovolemic shock
to restore tissue perfusion. Q2
A client post-MI has crackles, cool skin, and low urine output. Which medication
should the nurse expect to give?
A. Furosemide
B. Dopamine
C. Epinephrine
D. Atropine
Resolution Result Verified Answers : A
Rationale: Cardiogenic shock leads to pulmonary congestion; diuretics reduce
preload and pulmonary edema.
Q3 —
Which of the following findings indicates late (progressive) septic shock?
A. Warm, flushed skin
, B. Tachypnea
C. Cold, mottled skin and oliguria
D. Bounding pulses
Resolution Result Verified Answers : C
Rationale: In late septic shock, vasoconstriction and organ failure cause cold
extremities and decreased output.
Q4
A client with a cervical spinal injury has hypotension and bradycardia.
Which intervention is appropriate?
A. Administer vasopressors and fluids
B. Elevate head of bed 45°
C. Give beta blockers
D. Apply warm blankets only
Resolution Result Verified Answers : A
Rationale: Neurogenic shock causes loss of sympathetic tone; vasopressors
restore perfusion.A patient develops sudden dyspnea, wheezing, and hives after
IV antibiotics.
What is the nurse’s first action?
A. Give diphenhydramine IV
B. Administer IM epinephrine and maintain airway
C. Start corticosteroids
D. Increase IV fluids
Resolution Result Verified Answers : B
Rationale: Airway management and epinephrine administration are immediate
lifesaving actions.
Q6
Which finding indicates the progressive stage of shock?
A. Tachycardia, mild anxiety
B. Hypotension and metabolic acidosis
C. Restlessness only
D. Normal urine output
Resolution Result Verified Answers : B