NR 572/ NR572 Midterm Exam: Advanced Acute Care Management Review (Latest 2025/ 2026 Update) | Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Chamberlain

NRt 572/t NR572t Midtermt Exam:t
Advancedt Acutet Caret Managementt
Reviewt (Latestt 2025/t 2026t Update)t |t
Questionst &t Answers|t Gradet A|t 100%t
Correctt (Verifiedt Solutions)-t Chamberlain
QUESTION
t obstructivet shock
Answer:
t Shockt thatt occurst whent theret ist at blockt tot bloodt flowt int thet heartt ort greatt vessels,t
causingt ant insufficientt bloodt supplyt tot thet body'st tissues.t thet heartt ist functionalt butt
theret ist ant obstructiont oft outflow.



QUESTION
t causest oft obstructivet shock
Answer:
t cardiact tamponadet massivet pulmonaryt embolism
tensiont pneumothorax
t



QUESTION
t clinicalt featurest oft obstructivet shock
Answer:
t Hypotension,t tachycardia
Weakt threadyt pulset Cool,t pale,t moistt skint UOP<30t mL/hrt Tachypnea



QUESTION

,t hemodynamict patternt int obstructivet shcok
Answer:
t Increasedt preload
Significantlyt decreasedt COt Increasedt SVR



QUESTION
t obstructivet shockt tendst tot mirrort findst int whatt othert kindt oft shock?
Answer:
t car-t diogenic



QUESTION
t obstructivet shockt -t cardiact tamponadet -t specifict findings
Answer:
t Muffledt heartt tones
Pulsust paradoxus



QUESTION
t obstructivet shockt -t massivet PEt -t specifict findings
Answer:
t Clinicalt signst oft deept veint thrombosist (DVT)t int onet ort moret extremitiest ort recentt
diagnosist oft DVT



QUESTION
t obstructivet shockt -t tensiont pneumot -t specifict findings
Answer:
t Unilateralt absencet oft breatht sounds
Deviatet tracheat tot thet sidet oft thet unaffectedt lung

,QUESTION
t distributivet shock
Answer:
t At conditiont thatt occurst whent theret ist widespreadt dilationt oft thet smallt arterioles,t
smallt venules,t ort both.
Distributivet shockt ist characterizedt byt at severet decreaset int vasculart tonet resultingt int
massivet vasodilation.t Althought thet bloodt volumet doesn'tt change,t ant alterationt int
distributiont occurst secondaryt tot increasedt capillaryt permeability,t whicht leadst tot at losst
oft intravasculart fluid.



QUESTION
t causest oft distributivet shock
Answer:
t neurogenict (centralt nervoust systemt injuryt [CNS
injury])
anaphylaxis
systemict infectiont (gramt +/-t bacteria,t fungi,t virus,t ort protozoa)



QUESTION
t clinicalt featurest int distributivet shock
Answer:
t Hypotension,t tachycardia
Weakt threadyt pulset Warmt &t dryt skint UOP<30t mL/hrt Tachypnea



QUESTION
t hemodynamict patternst int distributivet shock
Answer:
t Decreasedt preload
Significantlyt decreasedt SVR
Increasedt COt (sepsis,t anaphylaxis)t mostt typical

, Decreasedt COt (CNSt injury)
Decreasedt ort increasedt diastolict fillingt (basedt ont thet amountt oft fluidt resuscitation)
t



QUESTION
t hypovolemict shockt ("lowt tank")
Answer:
t At conditiont int whicht lowt bloodt volume,t duet tot massivet internalt ort externalt bleedingt
ort extensivet losst oft bodyt water,t resultst int inadequatet perfusion.
-imaginet thatt thet heartt ist ant emptyt tank.
Witht lesst circulatingt bloodt volume,t preloadt andt stroket volumet dropst resultingt int lowt
cardiact output.t Ant increaset int systemict vasculart resistancet (SVR),t ort vasculart tone,t
occurst tot maintaint meant arterialt pressuret (MAP)t andt perfusiont tot thet vitalt organs



QUESTION
t clinicalt featurest oft hypovolemict shock
Answer:
t Hypotension,t tachycardia
Weakt threadyt pulse
t
Cool,t pale,t moistt skin
Decreasedt urinaryt outputt (UOP)



QUESTION
t hemodynamict patternt int hypovolemict shock
Answer:
t Decreasedt preload
Decreasedt diastolict filling
Decreasedt MAP
Decreasedt cardiact outputt (CO)t Increasedt SVR