HCAL III Exam 03 Practice Questions
a nurse si caring for a client who has DIC. which labs indicate the client's clotting factors are depleted
SATA
PLT 100
fibrinogen levels 120
fibrin degradation products 4.3
d-dimer 0.03
sedimentation rate 38mm/hr - Answer-PLT 100
fibrinogen levels 120
a nurse is assessing a client and suspects the client is experiencing DIC. which of the following physical
findings should the nurse anticipate
bradycardia
hypertension
epistaxis
,xerostomia - Answer-epistaxis
a nurse is caring for a client who has DIC. which meds should the nurse anticipate giving
heparin
vitamin k
mefoxin
simvastatin - Answer-heparin
a nurse is teaching a newly licensed nurse about HIT. which of the following frisk factors for this disorder
should the nurse include in the teaching
warfarin therapy for a fib
placental abruption
SLE
heparin therapy for DVT - Answer-heparin therapy for DVT
a nurse is caring for a client who has a prescription for an afterload reducing medication. the nurse
should identify that this medication is administered for which of the following types of shock
cardiogenic
hypovolemic
obstructive
distributive - Answer-cardiogenic
a nurse is planning care for a client who has septic shock. which of the following actions is the priority
for the nurse to take
,maintain adequate fluid volume with IV infusions
administer ABX
Monitor hemodynamic status
administer vasopressor medication - Answer-administer ABX
urse is caring for a client who is experiencing wheezing and swelling of the tongue. which of the
following medications should the nurse anticipate administering first
methylprednisolone
diphenhydramine
epinephrine
dobutamine - Answer-epinephrine
a nurse in the ED is assessing a client who is in shock. what are the expected findings SATA
HR 60bpm
seizure activity
respiratory rate 42/min
increased urinary output
weak and thready pulse - Answer-seizure activity
respiratory rate 42/min
weak and thready pulse
, a nurse is caring for a group of clients. whos at risk for obstructive shock
a client with occasional PVCs on the ECG monitor
a client who has been experiencing vomiting and diarrhea for several days
a clieent who has a gram negative bacterial infection
a client who has pulmonary arterial stenosis - Answer-a client who has pulmonary arterial stenosis
A patient is in hypovolemic shock. Select all the stages that a patient can enter when in shock:
A. Proliferative
B. Compensatory
C. Exudative
D. Initial
E. Progressive
F. Fibrotic
G. Refractory - Answer-B. Compensatory
D. Initial
E. Progressive
G. Refractory
During the __________ stage of shock, the signs and symptoms are very subtle. However, cells are
experiencing _________ due to the lack of tissue perfusion, which causes the cells to switch from
___________ metabolism to _________ metabolism.
A. Proliferative, hyperoxia, anaerobic, aerobic
B. Initial, hypoxia, aerobic, anaerobic
C. Compensatory, hypoxia, anaerobic, aerobic
a nurse si caring for a client who has DIC. which labs indicate the client's clotting factors are depleted
SATA
PLT 100
fibrinogen levels 120
fibrin degradation products 4.3
d-dimer 0.03
sedimentation rate 38mm/hr - Answer-PLT 100
fibrinogen levels 120
a nurse is assessing a client and suspects the client is experiencing DIC. which of the following physical
findings should the nurse anticipate
bradycardia
hypertension
epistaxis
,xerostomia - Answer-epistaxis
a nurse is caring for a client who has DIC. which meds should the nurse anticipate giving
heparin
vitamin k
mefoxin
simvastatin - Answer-heparin
a nurse is teaching a newly licensed nurse about HIT. which of the following frisk factors for this disorder
should the nurse include in the teaching
warfarin therapy for a fib
placental abruption
SLE
heparin therapy for DVT - Answer-heparin therapy for DVT
a nurse is caring for a client who has a prescription for an afterload reducing medication. the nurse
should identify that this medication is administered for which of the following types of shock
cardiogenic
hypovolemic
obstructive
distributive - Answer-cardiogenic
a nurse is planning care for a client who has septic shock. which of the following actions is the priority
for the nurse to take
,maintain adequate fluid volume with IV infusions
administer ABX
Monitor hemodynamic status
administer vasopressor medication - Answer-administer ABX
urse is caring for a client who is experiencing wheezing and swelling of the tongue. which of the
following medications should the nurse anticipate administering first
methylprednisolone
diphenhydramine
epinephrine
dobutamine - Answer-epinephrine
a nurse in the ED is assessing a client who is in shock. what are the expected findings SATA
HR 60bpm
seizure activity
respiratory rate 42/min
increased urinary output
weak and thready pulse - Answer-seizure activity
respiratory rate 42/min
weak and thready pulse
, a nurse is caring for a group of clients. whos at risk for obstructive shock
a client with occasional PVCs on the ECG monitor
a client who has been experiencing vomiting and diarrhea for several days
a clieent who has a gram negative bacterial infection
a client who has pulmonary arterial stenosis - Answer-a client who has pulmonary arterial stenosis
A patient is in hypovolemic shock. Select all the stages that a patient can enter when in shock:
A. Proliferative
B. Compensatory
C. Exudative
D. Initial
E. Progressive
F. Fibrotic
G. Refractory - Answer-B. Compensatory
D. Initial
E. Progressive
G. Refractory
During the __________ stage of shock, the signs and symptoms are very subtle. However, cells are
experiencing _________ due to the lack of tissue perfusion, which causes the cells to switch from
___________ metabolism to _________ metabolism.
A. Proliferative, hyperoxia, anaerobic, aerobic
B. Initial, hypoxia, aerobic, anaerobic
C. Compensatory, hypoxia, anaerobic, aerobic
