PN3 Exam 3 UPDATED ACTUAL Exam
Questions and CORRECT Answers
Main types of shock - CORRECT ANSWER - hypovolemic, cardiogenic, septic,
neurogenic, and anaphylactic
Hypovolemic shock - CORRECT ANSWER - decrease in circulating blood volume
Shock is classified as a - CORRECT ANSWER - CONDITION - not a disease
Who needs to be monitored for shock? - CORRECT ANSWER - EVERYONE
Hypovolemic shock leads to - CORRECT ANSWER - inadequate tissue perfusion -
hypoxia
What leads to neurogenic shock - CORRECT ANSWER - acute spinal chord injury,
temporary spinal shock or permanent paralysis
Septic shock - CORRECT ANSWER - infection
What causes hypovolemic shock - CORRECT ANSWER - bleeding/trauma,
dehydration/fluid loss, burns
What causes cardiogenic shock - CORRECT ANSWER - MI, valve disease, contusion,
irregular heartbeat, dysrhythmia, or CHF
Cardiogenic shock - CORRECT ANSWER - inadequate pumping due to mechanical, or
electrical problems or CHF
, Anaphylactic Shock - CORRECT ANSWER - massive histamine response from exposure
to antigen causing arterioles and capillaries to dilate and intravascular fluid to leak out
Symptoms of hypovolemic shock - CORRECT ANSWER - subtle changes in VS, BP
falls, anxiety, restlessness, delayed capillary refill, and increased respiratory rate, diminished
urinary output, cardiac arrhythmias, cardiac ischemia
Treatment of hypovolemic shock - CORRECT ANSWER - oxygen, blood products, and
IV fluid, electrolyte replacement, watch for changes in VS and report changes
After giving large volumes of fluid replacement - CORRECT ANSWER - watch for
hypokalemia
Cause of cardiogenic shock - CORRECT ANSWER - the heart
Symptoms of cardiogenic shock - CORRECT ANSWER - tachycardia
Treatment for cardiogenic shock - CORRECT ANSWER - identify the cause
Causes of septic shock - CORRECT ANSWER - endotoxins released from bacteria within
the body
Early symptoms of sepsis - CORRECT ANSWER - fever above 104, resp above 20, low
OR high WBC,
As sepsis progresses - CORRECT ANSWER - anxiety, mild HTN, hypoxia, higher fever,
more significant mental changes, tachycardia worsens
When sepsis progresses into septic shock - CORRECT ANSWER - severe tachycardia,
cool and clammy extremities, weak and thready peripheral pulses, significant hypotension, and
hypoxia and respiratory distress, client may be unresponsive and have minimal urine output
Questions and CORRECT Answers
Main types of shock - CORRECT ANSWER - hypovolemic, cardiogenic, septic,
neurogenic, and anaphylactic
Hypovolemic shock - CORRECT ANSWER - decrease in circulating blood volume
Shock is classified as a - CORRECT ANSWER - CONDITION - not a disease
Who needs to be monitored for shock? - CORRECT ANSWER - EVERYONE
Hypovolemic shock leads to - CORRECT ANSWER - inadequate tissue perfusion -
hypoxia
What leads to neurogenic shock - CORRECT ANSWER - acute spinal chord injury,
temporary spinal shock or permanent paralysis
Septic shock - CORRECT ANSWER - infection
What causes hypovolemic shock - CORRECT ANSWER - bleeding/trauma,
dehydration/fluid loss, burns
What causes cardiogenic shock - CORRECT ANSWER - MI, valve disease, contusion,
irregular heartbeat, dysrhythmia, or CHF
Cardiogenic shock - CORRECT ANSWER - inadequate pumping due to mechanical, or
electrical problems or CHF
, Anaphylactic Shock - CORRECT ANSWER - massive histamine response from exposure
to antigen causing arterioles and capillaries to dilate and intravascular fluid to leak out
Symptoms of hypovolemic shock - CORRECT ANSWER - subtle changes in VS, BP
falls, anxiety, restlessness, delayed capillary refill, and increased respiratory rate, diminished
urinary output, cardiac arrhythmias, cardiac ischemia
Treatment of hypovolemic shock - CORRECT ANSWER - oxygen, blood products, and
IV fluid, electrolyte replacement, watch for changes in VS and report changes
After giving large volumes of fluid replacement - CORRECT ANSWER - watch for
hypokalemia
Cause of cardiogenic shock - CORRECT ANSWER - the heart
Symptoms of cardiogenic shock - CORRECT ANSWER - tachycardia
Treatment for cardiogenic shock - CORRECT ANSWER - identify the cause
Causes of septic shock - CORRECT ANSWER - endotoxins released from bacteria within
the body
Early symptoms of sepsis - CORRECT ANSWER - fever above 104, resp above 20, low
OR high WBC,
As sepsis progresses - CORRECT ANSWER - anxiety, mild HTN, hypoxia, higher fever,
more significant mental changes, tachycardia worsens
When sepsis progresses into septic shock - CORRECT ANSWER - severe tachycardia,
cool and clammy extremities, weak and thready peripheral pulses, significant hypotension, and
hypoxia and respiratory distress, client may be unresponsive and have minimal urine output
