Critical Care Test #1 with correct answer
2025
Shock - CORRECT ANSWER-Condition in which tissue perfusion is inadequate to
deliver oxygen, nutrients to support vital organs, cellular functions. Affects all body
systems.
Decreased tissue perfusion and oxygenation - CORRECT ANSWER-How does your
body first respond to a shock state?
Increased HR, BP, contractility --> increased cardiac output
Decreased respiratory rate to increase oxygen saturation
Increased renin-angiotension which leads to increased reabsorption of sodium water--->
increased preload and decreased urine output
Catecholamines and cortisol provide increased glucose to metabolism - CORRECT
ANSWER-How does your body activate homeostatic response in order to restore tissue
perfusion and oxygenation?
Hypovolemic, cardiogenic, septic, neurogenic, and anaphylactic - CORRECT ANSWER-
What are the different types of shock?
Compensatory, progressive, irreversible - CORRECT ANSWER-What are the stages of
shock?
Compensatory - CORRECT ANSWER-Body tries to keep BP up by increasing HR
Cool clamy skin, hypoactive bowl sounds, decreased urine output, pallor
Acidosis occurs for anaerobic metabolism
RR increased d/t acidosis --> compensatory resp alakalosis
Confusion
Progressive - CORRECT ANSWER-BP and MAP decrease (MAP FALLS BELOW 70,
GFR CANNOT BE MAINTAINED- acute renal failure may occur), HR increases
Central venous pressure ONLY THROUGH BROWN PORT ON TRIPLE LUMEN
Pallor d/t vasoconstriction
Inadequate perfusion leads to dysrhythmias, ischemias
Mental status further deteriorates from hypoxia
Disseminated Intravascular Coagulation (DIC) may occur as cause or complication of
shock (hemorrhage) treated by a dose of HEPARIN
, Irreversible - CORRECT ANSWER-Pt is not responding to treatment, BP low, renal and
liver fail, acidosis worsens, multi organ failure
Saline- the line is used for drawing blood - CORRECT ANSWER-What is the only thing
that can go into the line that measures arterial blood pressure?
Early identification, timely treatment, identify and treat underlying cause - CORRECT
ANSWER-How is shock best prevented?
NS, LR, D5W (FLUIDS), vasoactive meds (norepid, levo, vasopressin, neo-stick) ,
nutritional support (3 day rule) - CORRECT ANSWER-How is shock best generally
managed?
Hypovolemic Shock - CORRECT ANSWER-Shock state resulting from decreased
intravascular volume due to fluid loss
Na, K, H&H (platelets,cbc), BUN, Creatinine, PTT, PT/INR - CORRECT ANSWER-What
are labs that you would look at in a patient experiencing hypovolemic shock?
trauma, blood loss, diarrhea, vomiting, dehydration, burns, diuretics, dialysis -
CORRECT ANSWER-What are causes of hypovolemic shock?
Increased HR, decreased BP, decreased perfusion, decreased SPO2, decreased urine
output, decreased stroke volume, increased respirations, decreased CO2 (GIVE PT A
PAPER BAG), fatigue, pallor, change in mental status - CORRECT ANSWER-What are
s/s of hypovolemic shock?
Treatment of underlying cause, Lactated Ringers or NS (give LR for high lactate levels),
vasoconstricting meds such as Levo, vasopressi, or norephinephrine, monitor I&O (AT
LEAST 25ML AN HOUR)- FOLEY!! Monitor lungs sounds and make sure fluids arent
accumulating or shifting, lovenox, ORAL CARE - CORRECT ANSWER-How would you
treat a patient experiencing hypovolemic shock?
Modified Trendelenburg- goal is to put all blood and fluids back to the vital organs to
increase BP - CORRECT ANSWER-What position would you put a shock patient in?
5% albumin- Volume expander so that way the body can perfuse better - CORRECT
ANSWER-What is the most common colloid solution used to treat hypovolemic shock?
check vanc levels 30 minutes before administering medication d/t kidney function and
renal failure. - CORRECT ANSWER-Why would you run a Vanc trough before
administering Vancomycin?
Red Man Syndrome- Erythematous rash on face, neck, and upper torso - CORRECT
ANSWER-What might happen if you infuse vancomycin too fast?
2025
Shock - CORRECT ANSWER-Condition in which tissue perfusion is inadequate to
deliver oxygen, nutrients to support vital organs, cellular functions. Affects all body
systems.
Decreased tissue perfusion and oxygenation - CORRECT ANSWER-How does your
body first respond to a shock state?
Increased HR, BP, contractility --> increased cardiac output
Decreased respiratory rate to increase oxygen saturation
Increased renin-angiotension which leads to increased reabsorption of sodium water--->
increased preload and decreased urine output
Catecholamines and cortisol provide increased glucose to metabolism - CORRECT
ANSWER-How does your body activate homeostatic response in order to restore tissue
perfusion and oxygenation?
Hypovolemic, cardiogenic, septic, neurogenic, and anaphylactic - CORRECT ANSWER-
What are the different types of shock?
Compensatory, progressive, irreversible - CORRECT ANSWER-What are the stages of
shock?
Compensatory - CORRECT ANSWER-Body tries to keep BP up by increasing HR
Cool clamy skin, hypoactive bowl sounds, decreased urine output, pallor
Acidosis occurs for anaerobic metabolism
RR increased d/t acidosis --> compensatory resp alakalosis
Confusion
Progressive - CORRECT ANSWER-BP and MAP decrease (MAP FALLS BELOW 70,
GFR CANNOT BE MAINTAINED- acute renal failure may occur), HR increases
Central venous pressure ONLY THROUGH BROWN PORT ON TRIPLE LUMEN
Pallor d/t vasoconstriction
Inadequate perfusion leads to dysrhythmias, ischemias
Mental status further deteriorates from hypoxia
Disseminated Intravascular Coagulation (DIC) may occur as cause or complication of
shock (hemorrhage) treated by a dose of HEPARIN
, Irreversible - CORRECT ANSWER-Pt is not responding to treatment, BP low, renal and
liver fail, acidosis worsens, multi organ failure
Saline- the line is used for drawing blood - CORRECT ANSWER-What is the only thing
that can go into the line that measures arterial blood pressure?
Early identification, timely treatment, identify and treat underlying cause - CORRECT
ANSWER-How is shock best prevented?
NS, LR, D5W (FLUIDS), vasoactive meds (norepid, levo, vasopressin, neo-stick) ,
nutritional support (3 day rule) - CORRECT ANSWER-How is shock best generally
managed?
Hypovolemic Shock - CORRECT ANSWER-Shock state resulting from decreased
intravascular volume due to fluid loss
Na, K, H&H (platelets,cbc), BUN, Creatinine, PTT, PT/INR - CORRECT ANSWER-What
are labs that you would look at in a patient experiencing hypovolemic shock?
trauma, blood loss, diarrhea, vomiting, dehydration, burns, diuretics, dialysis -
CORRECT ANSWER-What are causes of hypovolemic shock?
Increased HR, decreased BP, decreased perfusion, decreased SPO2, decreased urine
output, decreased stroke volume, increased respirations, decreased CO2 (GIVE PT A
PAPER BAG), fatigue, pallor, change in mental status - CORRECT ANSWER-What are
s/s of hypovolemic shock?
Treatment of underlying cause, Lactated Ringers or NS (give LR for high lactate levels),
vasoconstricting meds such as Levo, vasopressi, or norephinephrine, monitor I&O (AT
LEAST 25ML AN HOUR)- FOLEY!! Monitor lungs sounds and make sure fluids arent
accumulating or shifting, lovenox, ORAL CARE - CORRECT ANSWER-How would you
treat a patient experiencing hypovolemic shock?
Modified Trendelenburg- goal is to put all blood and fluids back to the vital organs to
increase BP - CORRECT ANSWER-What position would you put a shock patient in?
5% albumin- Volume expander so that way the body can perfuse better - CORRECT
ANSWER-What is the most common colloid solution used to treat hypovolemic shock?
check vanc levels 30 minutes before administering medication d/t kidney function and
renal failure. - CORRECT ANSWER-Why would you run a Vanc trough before
administering Vancomycin?
Red Man Syndrome- Erythematous rash on face, neck, and upper torso - CORRECT
ANSWER-What might happen if you infuse vancomycin too fast?
