PN3 Exam 3 ACTUAL UPDATED Exam
Questions and CORRECT Answers
Signs and symptoms of hypovolemic shock - CORRECT ANSWER - tachycardia,
tachypnea, hypotension, anxiety, restlessness, delayed cap refill, poor circulation, decreased
kidney function less than 10ml/hour. if not corrected, can lead to change in LOC
Care of pt in cardiogenic shock with hypotension - CORRECT ANSWER - Place in
trendelenburg if systolic less than 80. Monitor VS including I&O
Physiological changes in anaphylaxis - CORRECT ANSWER - Airway closes due to
edema and bronchospasms. Angioedema #1 sign of anaphylactic shock
Cause of anaphylactic shock - CORRECT ANSWER - hypersensitivity reaction caused by
allergen comes in contact with the body thru ingestion, skin, or inhalation
Cause of cardiogenic shock - CORRECT ANSWER - acute MI, ventricular rupture
Cause of hypovolemic shock - CORRECT ANSWER - acute blood loss from trauma,
surgery, or severe fluid loss
Cause of neurogenic shock - CORRECT ANSWER - spinal cord injuries
Cause of septic shock - CORRECT ANSWER - infection in blood, bone, GI tract, cardiac,
skin, or CNS
Treatment of hypovolemic shock - CORRECT ANSWER - IV fluids of normal saline and
lactacted ringers. Blood products including electrolytes, especially potassium
, Epi pen education - CORRECT ANSWER - Injected subQ in outer area of thigh. Do not
inject into buttocks
Sepsis risks - CORRECT ANSWER - Immunocompromised. Infants, older population,
diabetics
Signs of CHF - CORRECT ANSWER - fatigue, edema in lower extremities, weight gain,
increased urine output especially at night, irregular heartbeat, cough from congested lungs,
wheezing, SOB d/t pulm edema, chest pain, tachypnea, fainting, cyanosis
Risk for anaphylactic shock - CORRECT ANSWER - Penicillin allergies, insect
bites/stings, allergies or asthma, family or personal history
Nurses responsibility for preventing shock - CORRECT ANSWER - Monitor patients for
signs and symptoms of shock, take immediate action if pt becomes positive for shock
Phases of septic shock - CORRECT ANSWER - Sepsis, severe sepsis, and septic shock
Sepsis - CORRECT ANSWER - body temp above 101 or below 96.8, heart rate above 90,
resp higher than 20/min
Severe sepsis - CORRECT ANSWER - Significantly decreased urine output, abrupt
change in mental status, decreased platelets, dyspnea, abnormal heart pumping, abdominal pain
Septic shock - CORRECT ANSWER - Must have s/sx of severe sepsis, low blood pressure
that doesn't adequately respond to simple fluid replacement
Anaphylactic shock treatment and complications - CORRECT ANSWER - Epi-pen,
corticosteroids. Complications include blocked airway, cardiac arrest, respiratory arrest, shock
Questions and CORRECT Answers
Signs and symptoms of hypovolemic shock - CORRECT ANSWER - tachycardia,
tachypnea, hypotension, anxiety, restlessness, delayed cap refill, poor circulation, decreased
kidney function less than 10ml/hour. if not corrected, can lead to change in LOC
Care of pt in cardiogenic shock with hypotension - CORRECT ANSWER - Place in
trendelenburg if systolic less than 80. Monitor VS including I&O
Physiological changes in anaphylaxis - CORRECT ANSWER - Airway closes due to
edema and bronchospasms. Angioedema #1 sign of anaphylactic shock
Cause of anaphylactic shock - CORRECT ANSWER - hypersensitivity reaction caused by
allergen comes in contact with the body thru ingestion, skin, or inhalation
Cause of cardiogenic shock - CORRECT ANSWER - acute MI, ventricular rupture
Cause of hypovolemic shock - CORRECT ANSWER - acute blood loss from trauma,
surgery, or severe fluid loss
Cause of neurogenic shock - CORRECT ANSWER - spinal cord injuries
Cause of septic shock - CORRECT ANSWER - infection in blood, bone, GI tract, cardiac,
skin, or CNS
Treatment of hypovolemic shock - CORRECT ANSWER - IV fluids of normal saline and
lactacted ringers. Blood products including electrolytes, especially potassium
, Epi pen education - CORRECT ANSWER - Injected subQ in outer area of thigh. Do not
inject into buttocks
Sepsis risks - CORRECT ANSWER - Immunocompromised. Infants, older population,
diabetics
Signs of CHF - CORRECT ANSWER - fatigue, edema in lower extremities, weight gain,
increased urine output especially at night, irregular heartbeat, cough from congested lungs,
wheezing, SOB d/t pulm edema, chest pain, tachypnea, fainting, cyanosis
Risk for anaphylactic shock - CORRECT ANSWER - Penicillin allergies, insect
bites/stings, allergies or asthma, family or personal history
Nurses responsibility for preventing shock - CORRECT ANSWER - Monitor patients for
signs and symptoms of shock, take immediate action if pt becomes positive for shock
Phases of septic shock - CORRECT ANSWER - Sepsis, severe sepsis, and septic shock
Sepsis - CORRECT ANSWER - body temp above 101 or below 96.8, heart rate above 90,
resp higher than 20/min
Severe sepsis - CORRECT ANSWER - Significantly decreased urine output, abrupt
change in mental status, decreased platelets, dyspnea, abnormal heart pumping, abdominal pain
Septic shock - CORRECT ANSWER - Must have s/sx of severe sepsis, low blood pressure
that doesn't adequately respond to simple fluid replacement
Anaphylactic shock treatment and complications - CORRECT ANSWER - Epi-pen,
corticosteroids. Complications include blocked airway, cardiac arrest, respiratory arrest, shock
