1
NSG233
NSG233/ NSG 233 EXAM 1: MEDICAL-SURGICAL NURSING III
GUIDE| QUESTIONS & ANSWERS| GRADE A| 100% CORRECT
(VERIFIED SOLUTIONS)(2025/ 2026 UPDATE)
1. What will the SPO2 of a Carbon Dioxide Poision pt look like: it will be
Nl
2. . Whats does Hypothermia put pt's at risk for?: hypoxia acidosis
dysrhythmias
3. A pt w/ dysrhythmias secondary to hypothermia is having
secondary v-fib, what should RN know?: pt must be rewarmed to >90F
(32.2c) prior to defibrillation!!!!!
4. Who all is screened in IPV?: q pt.
Ask "do you feel safe at home?"
5. Whats the pt w/ Compensatory Shock look like?: Normal BP
tachycardia tachypneic
Paco2<32
Cold, clammy
Confused/agitated
respiratory alkalosis
6. Whats Compensatory Shock?: first phase of shock, pt is able to
maintain fluid vol, normal BP
7. Whats Progressive Shock?: shocks begins to fail to meet metabolic
needs bp starts to lower
NSG233
,8. Whats the pt w/ progressive Shock look like?: systolic <90
MAP <65
NEEDS fluid for BP
TACHYYY >150
Rapid,
shallow RR
crackles
mottled,
petechiae
lethargic
Metabolic acidosis
9. Whats the pt w/ irreversible Shock look like?: REQUIRES
MECHANICAL / PHARMACOLOGIC SUPPORT erratic
REQUIRES INTUBATION/MECH VENT
jaundice
Anuric - requires dialysis
profound acidosis
10. Whats MODS: Multiple organ dysfunction syndrome
- altered organ function in acutely ill pt, requires mech vent for organ support
-can be a complication of shock
-common in sepsis pt
10. How do you assess a MODS pt?: tools such as APACHE, SAPS,
PIRO, SOFA 20. What can cause hypovolemic shock?: external fluid loss
- traumatic blood loss internal fluid shifts - severe dehydration , severe
edema, ascites
, 11. What does a hypovolemic shock pt look like?: low
intravascular volume low Venus return
Low stroke
vol low CO
Low tissue perfusion
12. What can cause neurogenic shock?: spinal cord injury
spinal anesthesia other CNS damage depressant action of meds
lack of glucose - insulin
13 whats neurogenic shock?: Normally, during states of stress, the
sympathetic stimulation causes the BP and HR to increase.
In neurogenic shock, the sympathetic system is not able to respond to body
stressors = opposite CM
24. Clinical manifestations of neurogenic shock?: sx of parasympathetic
stimu-
Lation
dry,
warm
skin
Hypotension w/ bradycardia
25. Whats the medication TX of anaphylactic shock?: IM/ scepinephrine
- FIRST TX LINE
1:1,000 CONCENTRATION
NEVER IV
Diphenhydramine (Benadryl) - given IV - reverse effects
NSG233
NSG233/ NSG 233 EXAM 1: MEDICAL-SURGICAL NURSING III
GUIDE| QUESTIONS & ANSWERS| GRADE A| 100% CORRECT
(VERIFIED SOLUTIONS)(2025/ 2026 UPDATE)
1. What will the SPO2 of a Carbon Dioxide Poision pt look like: it will be
Nl
2. . Whats does Hypothermia put pt's at risk for?: hypoxia acidosis
dysrhythmias
3. A pt w/ dysrhythmias secondary to hypothermia is having
secondary v-fib, what should RN know?: pt must be rewarmed to >90F
(32.2c) prior to defibrillation!!!!!
4. Who all is screened in IPV?: q pt.
Ask "do you feel safe at home?"
5. Whats the pt w/ Compensatory Shock look like?: Normal BP
tachycardia tachypneic
Paco2<32
Cold, clammy
Confused/agitated
respiratory alkalosis
6. Whats Compensatory Shock?: first phase of shock, pt is able to
maintain fluid vol, normal BP
7. Whats Progressive Shock?: shocks begins to fail to meet metabolic
needs bp starts to lower
NSG233
,8. Whats the pt w/ progressive Shock look like?: systolic <90
MAP <65
NEEDS fluid for BP
TACHYYY >150
Rapid,
shallow RR
crackles
mottled,
petechiae
lethargic
Metabolic acidosis
9. Whats the pt w/ irreversible Shock look like?: REQUIRES
MECHANICAL / PHARMACOLOGIC SUPPORT erratic
REQUIRES INTUBATION/MECH VENT
jaundice
Anuric - requires dialysis
profound acidosis
10. Whats MODS: Multiple organ dysfunction syndrome
- altered organ function in acutely ill pt, requires mech vent for organ support
-can be a complication of shock
-common in sepsis pt
10. How do you assess a MODS pt?: tools such as APACHE, SAPS,
PIRO, SOFA 20. What can cause hypovolemic shock?: external fluid loss
- traumatic blood loss internal fluid shifts - severe dehydration , severe
edema, ascites
, 11. What does a hypovolemic shock pt look like?: low
intravascular volume low Venus return
Low stroke
vol low CO
Low tissue perfusion
12. What can cause neurogenic shock?: spinal cord injury
spinal anesthesia other CNS damage depressant action of meds
lack of glucose - insulin
13 whats neurogenic shock?: Normally, during states of stress, the
sympathetic stimulation causes the BP and HR to increase.
In neurogenic shock, the sympathetic system is not able to respond to body
stressors = opposite CM
24. Clinical manifestations of neurogenic shock?: sx of parasympathetic
stimu-
Lation
dry,
warm
skin
Hypotension w/ bradycardia
25. Whats the medication TX of anaphylactic shock?: IM/ scepinephrine
- FIRST TX LINE
1:1,000 CONCENTRATION
NEVER IV
Diphenhydramine (Benadryl) - given IV - reverse effects
