Exam 2: Shock NCLEX Questions with Verified Answers
1. d A patient has a spinal cord injury at T4. Vital signs include
falling blood pressure and bradycardia. The nurse recog-
nizes that the patient is experiencing
a. a relative hypervolemia
b. an absolute hypovolemia
c. neurogenic shock from low blood flow
d. neurogenic shock from massive vasodilation
2. b A 78 year old man has confusion and temperature of
104. He is a diabetic with purulent drainage from his right
heel. After an infusion of 3 L of normal saline solution, his
assessment findings are BP 84/40, HR 110, RR 42 and
shallow, CO 8L/min, and PAWP 4 mm Hg. This patient's
symptoms are most likely indicative o
a. sepsis
b. septic shock
c. multiple organ dysfunction syndrome
d. systemic inflammatory response syndrome
3. b Appropriate treatment modalities for the management of
c cardiogenic shock include (Select all that apply)
a. dobutamine to increase myocardial contractility
b. vasopressors to increase systemic vascular resistance
c. circulatory assist devices such as an intraaortic balloon
pump
d. corticosteroids to stabilize the cell wall in the infarcted
myocardium
e. trendelenburg positioning to facilitate venous return and
increase preload
4. d The most accurate assessment parameters for the nurse
to use to determine adequate tissue perfusion in the pa-
tient with MODS are
a. blood pressure, pulse, and respirations
b. breath sounds, blood pressure, and body temperature
, Exam 2: Shock NCLEX Questions with Verified Answers
c. pulse pressure, level of consciousness, and pupillary
response
d. level of consciousness, urine output, and skin color and
temperature
5. d What is the key factor in describing any type of shock?
a. hypoxemia
b. hypotension
c. vascular collapse
d. inadequate tissue perfusion
6. b When shock occurs in a patient with pulmonary embolism
or abdominal compartment syndrome, what type of shock
would that be?
a. distributive shock
b. obstructive shock
c. cardiogenic shock
d. hypovolemic shock
7. a What physical problems could precipitate hypovolemic
b shock? (Select all that apply)
e
f a. burns
b. ascites
c. vaccines
d. insect bites
e. hemorrhage
f. ruptured spleen
8. a A 70 year old patient is malnourished, has a history of
type 2 DM, and is admitted from the nursing home with
pneumonia and tachypnea. For which kind of shock should
the nurse closely monitor this patient?
a. septic shock
b. neurogenic shock
c. cardiogenic shock
d. anaphylactic shock
1. d A patient has a spinal cord injury at T4. Vital signs include
falling blood pressure and bradycardia. The nurse recog-
nizes that the patient is experiencing
a. a relative hypervolemia
b. an absolute hypovolemia
c. neurogenic shock from low blood flow
d. neurogenic shock from massive vasodilation
2. b A 78 year old man has confusion and temperature of
104. He is a diabetic with purulent drainage from his right
heel. After an infusion of 3 L of normal saline solution, his
assessment findings are BP 84/40, HR 110, RR 42 and
shallow, CO 8L/min, and PAWP 4 mm Hg. This patient's
symptoms are most likely indicative o
a. sepsis
b. septic shock
c. multiple organ dysfunction syndrome
d. systemic inflammatory response syndrome
3. b Appropriate treatment modalities for the management of
c cardiogenic shock include (Select all that apply)
a. dobutamine to increase myocardial contractility
b. vasopressors to increase systemic vascular resistance
c. circulatory assist devices such as an intraaortic balloon
pump
d. corticosteroids to stabilize the cell wall in the infarcted
myocardium
e. trendelenburg positioning to facilitate venous return and
increase preload
4. d The most accurate assessment parameters for the nurse
to use to determine adequate tissue perfusion in the pa-
tient with MODS are
a. blood pressure, pulse, and respirations
b. breath sounds, blood pressure, and body temperature
, Exam 2: Shock NCLEX Questions with Verified Answers
c. pulse pressure, level of consciousness, and pupillary
response
d. level of consciousness, urine output, and skin color and
temperature
5. d What is the key factor in describing any type of shock?
a. hypoxemia
b. hypotension
c. vascular collapse
d. inadequate tissue perfusion
6. b When shock occurs in a patient with pulmonary embolism
or abdominal compartment syndrome, what type of shock
would that be?
a. distributive shock
b. obstructive shock
c. cardiogenic shock
d. hypovolemic shock
7. a What physical problems could precipitate hypovolemic
b shock? (Select all that apply)
e
f a. burns
b. ascites
c. vaccines
d. insect bites
e. hemorrhage
f. ruptured spleen
8. a A 70 year old patient is malnourished, has a history of
type 2 DM, and is admitted from the nursing home with
pneumonia and tachypnea. For which kind of shock should
the nurse closely monitor this patient?
a. septic shock
b. neurogenic shock
c. cardiogenic shock
d. anaphylactic shock
