sepsis | UPDATED Questions with 100% Verified Answers
University of New HampshireMain Campus • NURS 611
Q1: An immunocompromised older adult has developed a urinary tract infection and the care team
recognizes the need to prevent an exacerbation of the patients infection that could result in urosepsis and
septic shock. What action should the nurse perform to reduce the patients risk of septic shock? A) Apply an
antibiotic ointment to the patients mucous membranes, as ordered. B) Perform passive rangeofmotion
exercises unless contraindicated C) Initiate total parenteral nutrition (TPN) D) Remove invasive devices as
soon as they are no longer needed
A: D
Q2: A critical care nurse is aware of the high incidence of ventilatorassociated pneumonia (VAP) in patients
who are being treated for shock. What intervention should be specified in the patients plan of care while the
patient is ventilated? A) Performing frequent oral care B) Maintaining the patient in a supine position C)
Suctioning the patient every 15 minutes unless contraindicated D) Administering prophylactic antibiotics, as
ordered
A: a
Q3: A patient is responding poorly to interventions aimed at treating shock and appears to be transitioning
to the irreversible stage of shock. What action should the intensive care nurse include during this phase of
the patients care? A) Communicate clearly and frequently with the patients family. B) Taper down
interventions slowly when the prognosis worsens. C) Transfer the patient to a subacute unit when recovery
appears unlikely. D) Ask the patients family how they would prefer treatment to proceed
A: A
Q4: Sepsis is an evolving process, with neither clearly definable clinical signs and symptoms nor predictable
progression. As the ICU nurse caring for a patient with sepsis, the nurse knows that tissue perfusion
declines during sepsis and the patient begins to show signs of organ dysfunction. What sign would indicate
to the nurse that endorgan damage may be occurring? A) Urinary output increases B) Skin becomes warm
and dry C) Adventitious lung sounds occur in the upper airway D) Heart and respiratory rates are elevated
A: D
Q5: The ICU nurse caring for a patient in shock is administering vasoactive medications as per orders. The
nurse should know that vasoactive medications should be administered in what way? A) Through a central
venous line B) By a gravity infusion IV set C) By IV push for rapid onset of action D) Mixed with parenteral
feedings to balance osmosis
A: a
, Q6: The critical care nurse is preparing to initiate an infusion of a vasoactive medication to a patient in
shock. The nurse knows that vasoactive medications are given in all forms of shock. What is the primary
goal of this aspect of treatment? A) To prevent the formation of infarcts of emboli B) To limit stroke volume
and cardiac output C) To prevent pulmonary and peripheral edema D) To maintain adequate mean arterial
pressure
A: D
Q7: A team of nurses are reviewing the similarities and differences between the different classifications of
shock. Which subclassifications of circulatory shock should the nurses identify? Select all that apply. A)
Anaphylactic B) Hypovolemic Test Bank Brunner & Suddarth's Textbook of MedicalSurgical Nursing 14e
(Hinkle 2017) 293 C) Cardiogenic D) Septic E) Neurogenic
A: ade
Q8: When circulatory shock occurs, there is massive vasodilation causing pooling of the blood in the
periphery of the body. An ICU nurse caring for a patient in circulatory shock should know that the pooling of
blood in the periphery leads to what pathophysiological effect? A) Increased stroke volume B) Increased
cardiac output C) Decreased heart rate D) Decreased venous return
A: d
Q9: A critical care nurse is planning assessments in the knowledge that patients in shock are vulnerable to
developing fluid replacement complications. For what signs and symptoms should the nurse monitor the
patient? Select all that apply. A) Hypovolemia Test Bank Brunner & Suddarth's Textbook of
MedicalSurgical Nursing 14e (Hinkle 2017) 292 B) Difficulty breathing C) Cardiovascular overload D)
Pulmonary edema E) Hypoglycemia
A: bcd
Q10: he ICU nurse is caring for a patient with multiple organ dysfunction syndrome (MODS) due to shock.
What nursing action should be prioritized at this point during care? A) Providing information and support to
family members B) Preparing the family for a long recovery process C) Educating the patient regarding the
use of supportive fluids D) Facilitating the rehabilitation phase of treatment
A: a
Q11: The intensive care nurse is responsible for the care of a patient with shock. What cardiac signs or
symptoms would suggest to the nurse that the patient may be experiencing acute organ dysfunction? Select
all that apply. A) Drop in systolic blood pressure of 40 mm Hg from baselines B) Hypotension that responds
to bolus fluid resuscitation C) Exaggerated response to vasoactive medications D) Serum lactate >4 mmol/L
E) Mean arterial pressure (MAP) of 65 mm Hg
A: ade
University of New HampshireMain Campus • NURS 611
Q1: An immunocompromised older adult has developed a urinary tract infection and the care team
recognizes the need to prevent an exacerbation of the patients infection that could result in urosepsis and
septic shock. What action should the nurse perform to reduce the patients risk of septic shock? A) Apply an
antibiotic ointment to the patients mucous membranes, as ordered. B) Perform passive rangeofmotion
exercises unless contraindicated C) Initiate total parenteral nutrition (TPN) D) Remove invasive devices as
soon as they are no longer needed
A: D
Q2: A critical care nurse is aware of the high incidence of ventilatorassociated pneumonia (VAP) in patients
who are being treated for shock. What intervention should be specified in the patients plan of care while the
patient is ventilated? A) Performing frequent oral care B) Maintaining the patient in a supine position C)
Suctioning the patient every 15 minutes unless contraindicated D) Administering prophylactic antibiotics, as
ordered
A: a
Q3: A patient is responding poorly to interventions aimed at treating shock and appears to be transitioning
to the irreversible stage of shock. What action should the intensive care nurse include during this phase of
the patients care? A) Communicate clearly and frequently with the patients family. B) Taper down
interventions slowly when the prognosis worsens. C) Transfer the patient to a subacute unit when recovery
appears unlikely. D) Ask the patients family how they would prefer treatment to proceed
A: A
Q4: Sepsis is an evolving process, with neither clearly definable clinical signs and symptoms nor predictable
progression. As the ICU nurse caring for a patient with sepsis, the nurse knows that tissue perfusion
declines during sepsis and the patient begins to show signs of organ dysfunction. What sign would indicate
to the nurse that endorgan damage may be occurring? A) Urinary output increases B) Skin becomes warm
and dry C) Adventitious lung sounds occur in the upper airway D) Heart and respiratory rates are elevated
A: D
Q5: The ICU nurse caring for a patient in shock is administering vasoactive medications as per orders. The
nurse should know that vasoactive medications should be administered in what way? A) Through a central
venous line B) By a gravity infusion IV set C) By IV push for rapid onset of action D) Mixed with parenteral
feedings to balance osmosis
A: a
, Q6: The critical care nurse is preparing to initiate an infusion of a vasoactive medication to a patient in
shock. The nurse knows that vasoactive medications are given in all forms of shock. What is the primary
goal of this aspect of treatment? A) To prevent the formation of infarcts of emboli B) To limit stroke volume
and cardiac output C) To prevent pulmonary and peripheral edema D) To maintain adequate mean arterial
pressure
A: D
Q7: A team of nurses are reviewing the similarities and differences between the different classifications of
shock. Which subclassifications of circulatory shock should the nurses identify? Select all that apply. A)
Anaphylactic B) Hypovolemic Test Bank Brunner & Suddarth's Textbook of MedicalSurgical Nursing 14e
(Hinkle 2017) 293 C) Cardiogenic D) Septic E) Neurogenic
A: ade
Q8: When circulatory shock occurs, there is massive vasodilation causing pooling of the blood in the
periphery of the body. An ICU nurse caring for a patient in circulatory shock should know that the pooling of
blood in the periphery leads to what pathophysiological effect? A) Increased stroke volume B) Increased
cardiac output C) Decreased heart rate D) Decreased venous return
A: d
Q9: A critical care nurse is planning assessments in the knowledge that patients in shock are vulnerable to
developing fluid replacement complications. For what signs and symptoms should the nurse monitor the
patient? Select all that apply. A) Hypovolemia Test Bank Brunner & Suddarth's Textbook of
MedicalSurgical Nursing 14e (Hinkle 2017) 292 B) Difficulty breathing C) Cardiovascular overload D)
Pulmonary edema E) Hypoglycemia
A: bcd
Q10: he ICU nurse is caring for a patient with multiple organ dysfunction syndrome (MODS) due to shock.
What nursing action should be prioritized at this point during care? A) Providing information and support to
family members B) Preparing the family for a long recovery process C) Educating the patient regarding the
use of supportive fluids D) Facilitating the rehabilitation phase of treatment
A: a
Q11: The intensive care nurse is responsible for the care of a patient with shock. What cardiac signs or
symptoms would suggest to the nurse that the patient may be experiencing acute organ dysfunction? Select
all that apply. A) Drop in systolic blood pressure of 40 mm Hg from baselines B) Hypotension that responds
to bolus fluid resuscitation C) Exaggerated response to vasoactive medications D) Serum lactate >4 mmol/L
E) Mean arterial pressure (MAP) of 65 mm Hg
A: ade
