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NSG 411 Exam 2 (2025/2026) – 100 Solved Questions on Shock Types, Cardiac Disorders, DIC, Blood Transfusions & Emergency Nursing

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This high-impact nursing study guide includes 100 fully solved exam questions from the NSG 411 Exam 2 (2025/2026), focused on advanced clinical content and emergency nursing care. The questions are designed in a real-exam format with answer explanations, helping students not only memorize facts but also understand clinical decision-making. Topics covered include all major types of shock (hypovolemic, cardiogenic, septic, neurogenic, obstructive, and anaphylactic) with symptoms, treatment protocols, and prioritization strategies. Detailed content on Disseminated Intravascular Coagulation (DIC), including lab value interpretation and emergency interventions, is also included. Students will gain mastery over blood transfusion procedures, recognizing and managing transfusion reactions (acute hemolytic, febrile, allergic, circulatory overload, and anaphylactic). The document also delves into infective endocarditis, acute pericarditis, valve disorders (stenosis, regurgitation, prolapse), rheumatic fever, and coronary artery disease, including acute coronary syndromes (STEMI, NSTEMI, unstable angina) and related pharmacology (e.g., MONA, nitrates, beta blockers, anticoagulants, statins). Realistic clinical scenarios, labs (e.g., troponin, D-dimer), ECG interpretations, and prioritization questions make this an essential study aid. This resource is especially useful for: BSN and ADN nursing students Accelerated nursing programs NCLEX-RN prep Critical care, emergency nursing, and advanced med-surg courses Students studying for HESI, ATI, or other nursing school exams With a clear focus on clinical relevance and exam readiness, this guide supports both concept reinforcement and high-stakes test preparation. Keywords: NSG 411, shock types, hypovolemic shock, cardiogenic shock, septic shock, anaphylactic shock, neurogenic shock, obstructive shock, DIC, blood transfusion reactions, cardiac tamponade, endocarditis, pericarditis, valve disorders, mitral stenosis, myocardial infarction, STEMI, NSTEMI, MONA, emergency nursing, NCLEX prep, critical care nursing, advanced med-surg

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NSG 411 Exam 2 2025/2026 Exam
Questions with 100% Correct Answers |
Latest Update



inadequate oxygen delivery to meet metabolic demands - 🧠 ANSWER ✔✔shock


syndrome characterized by decreased tissue perfusion and impaired cellular

metabolism - 🧠 ANSWER ✔✔shock


what does shock result in - 🧠 ANSWER ✔✔global tissue hypo perfusion and

metabolic acidosis


what can shock occur with - 🧠 ANSWER ✔✔a normal blood pressure


what can hypotension occur without - 🧠 ANSWER ✔✔shock


what does inadequate oxygen delivery activate to maintain systemic oxygen

delivery - 🧠 ANSWER ✔✔autonomic responses


what neurotransmitters does the SNS release - 🧠 ANSWER ✔✔norepinephrine

,epinephrine

dopamine

cortisol

what does the renin angiotensin system conserve and vasoconstrict - 🧠 ANSWER

✔✔water and sodium


what is the goal of the renin angiotensin system to maintain - 🧠 ANSWER

✔✔cerebral and cardiac perfusion


what does shock lead to - 🧠 ANSWER ✔✔systemic metabolic lactic acidosis


what does systemic metabolic lactic acidosis overcome - 🧠 ANSWER ✔✔the

body's compensatory mechanisms


marker for cellular hypoxia - 🧠 ANSWER ✔✔lactate


inability of oxygen delivery to meet demand - 🧠 ANSWER ✔✔tissue hypoxia


4 stages of shock - 🧠 ANSWER ✔✔1. initial


2. compensatory

3. progressive

4. refractory


COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
2
STATEMENT. ALL RIGHTS RESERVED

,which stage of shock is NOT clinically apparent - 🧠 ANSWER ✔✔initial


manifestations of the compensatory stage of shock - 🧠 ANSWER ✔✔- restlessness


- tachycardia

- hypotension

- tachypnea

- oliguria

- hyperglycemia

- decreased bowel sounds

- weak pulses

- cool extremities


manifestations of the progressive stage of shock - 🧠 ANSWER ✔✔- hypotension


- weak peripheral pulses

- anuria

- ischemia of distal extremities

- lethargy

- absent bowel sounds


COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
3
STATEMENT. ALL RIGHTS RESERVED

, - dysrhythmias

- metabolic or respiratory acidosis


manifestations of the refractory stage of shock - 🧠 ANSWER ✔✔- profound

hypotension

- tachycardia

- peripheral tissue ischemia

- multisystem organ failure

- coma


result of multiorgan dysfunction syndrome - 🧠 ANSWER ✔✔end organ failure


what does hypovolemia require - 🧠 ANSWER ✔✔definitive treatment


what is given for non hemorrhagic hypovolemic shock - 🧠 ANSWER

✔✔crystalloids


what is given for hemorrhagic hypovolemic shock - 🧠 ANSWER ✔✔packed red

blood cells

Which finding is the best indicator that the fluid resuscitation for a 90-kg patient

with hypovolemic shock has been effective?



COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
4
STATEMENT. ALL RIGHTS RESERVED

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