Exam 4: NSG 430/ NSG430 (New 2025/ 2026 Update)
Adult Health Nursing II | Questions with Verified
Answers| 100% Correct| Grade A GCU.
What is an important nursing intervention for a client with neurogenic shock? -
CORRECT ANS>>keep their room warm to avoid hypothermia (they cannot
regulate their temperature)
What is the treatment, for septic shock? - CORRECT ANS>>cultures, IV
antibiotics (within 1 hour broad to specific), and intravenous fluid resus
What is important to report in septic shock? - CORRECT ANS>>cool and clammy
skin (indicates shock is progressing)
What is the treatment, for all distributive shocks (neurogenic,
septic, and anaphylactic)- CORRECT ANS>>Fluid bolus 30mL/kg (3 times) if
doesn't work then give vasopressors
What can cause a sickle cell anemia crisis? - CORRECT ANS>>High altitudes,
cold, dehydration, and infection
What can prevent sickle cell anemia? - CORRECT ANS>>avoid causes, fluids,
treat infection quickly, immunizations (pneumococcal, Hib, flu, hep)
Shock, is a deficit of oxygen at a cellular level so with any shock it
is important for the nurse to administer . - CORRECT ANS>>oxygen
What is the definitive lab for shock? Why?- CORRECT ANS>>-Lactate
-Shock is caused by a decreased level of oxygen to the organs. Lactate is
produced when there is tissue hypoperfusion.
What are the causes of hypovolemic shock?- CORRECT ANS>>Hemorrhage, N/V
from dehydration, and burns
What are the signs and symptoms of hypovolemic shock?- CORRECT ANS>>-
cool and clammy skin
-hypotension
-tachycardia
, What is cardiogenic shock?- CORRECT ANS>>A pumping failure of the heart
What are the signs and symptoms of cardiogenic shock?- CORRECT
ANS>>crackles, SOB (MONITOR RESPIRATORY), decreased UOP, LOC, and BP
What medications are given for cardiogenic shock?- CORRECT ANS>>-Increase
contractility (dopamine, dobutamine, digoxin)
-Decrease afterload (diuretics to reduce preload/improve CO and dobutamine)
-Improve perfusion (vasodilators such as nitroprusside: effective if skin is warm
and pink)
What are the signs and symptoms of neurogenic shock?- CORRECT
ANS>>hypotension, bradycardia, and poikilothermia
What are important nursing interventions for sickle cell anemia crisis?-
CORRECT ANS>>O2, fluids/electrolytes, pain management (morphine), and
hydroxyurea
What can cause DIC?- CORRECT ANS>>bacterial septicemia
What are nursing interventions for DIC?- CORRECT ANS>>-STABILIZE ABCs
(O2, fluids, etc)
-Treat cause
-Give fresh frozen plasma
Patient with septicemia develops bleeding at venipuncture site and blood in
stools. What is the nurse’s priority?- CORRECT ANS>>NOTIFY HCP (suggests
DIC)
What is the S/S of a febrile, nonhemolytic blood transfusion reaction?- CORRECT
ANS>>fever, chills, and headache
What is a prevention measure of a febrile blood transfusion reaction?- CORRECT
ANS>>acetaminophen or antihistamine 30 minutes prior to infusion
What are the signs and symptoms of an acute hemolytic blood transfusion
reaction?- CORRECT ANS>>fever, chills, Lower, BACK PAIN, HYPOTENSION,
and hematuria
What is the treatment, for an acute hemolytic blood transfusion reaction?-
Adult Health Nursing II | Questions with Verified
Answers| 100% Correct| Grade A GCU.
What is an important nursing intervention for a client with neurogenic shock? -
CORRECT ANS>>keep their room warm to avoid hypothermia (they cannot
regulate their temperature)
What is the treatment, for septic shock? - CORRECT ANS>>cultures, IV
antibiotics (within 1 hour broad to specific), and intravenous fluid resus
What is important to report in septic shock? - CORRECT ANS>>cool and clammy
skin (indicates shock is progressing)
What is the treatment, for all distributive shocks (neurogenic,
septic, and anaphylactic)- CORRECT ANS>>Fluid bolus 30mL/kg (3 times) if
doesn't work then give vasopressors
What can cause a sickle cell anemia crisis? - CORRECT ANS>>High altitudes,
cold, dehydration, and infection
What can prevent sickle cell anemia? - CORRECT ANS>>avoid causes, fluids,
treat infection quickly, immunizations (pneumococcal, Hib, flu, hep)
Shock, is a deficit of oxygen at a cellular level so with any shock it
is important for the nurse to administer . - CORRECT ANS>>oxygen
What is the definitive lab for shock? Why?- CORRECT ANS>>-Lactate
-Shock is caused by a decreased level of oxygen to the organs. Lactate is
produced when there is tissue hypoperfusion.
What are the causes of hypovolemic shock?- CORRECT ANS>>Hemorrhage, N/V
from dehydration, and burns
What are the signs and symptoms of hypovolemic shock?- CORRECT ANS>>-
cool and clammy skin
-hypotension
-tachycardia
, What is cardiogenic shock?- CORRECT ANS>>A pumping failure of the heart
What are the signs and symptoms of cardiogenic shock?- CORRECT
ANS>>crackles, SOB (MONITOR RESPIRATORY), decreased UOP, LOC, and BP
What medications are given for cardiogenic shock?- CORRECT ANS>>-Increase
contractility (dopamine, dobutamine, digoxin)
-Decrease afterload (diuretics to reduce preload/improve CO and dobutamine)
-Improve perfusion (vasodilators such as nitroprusside: effective if skin is warm
and pink)
What are the signs and symptoms of neurogenic shock?- CORRECT
ANS>>hypotension, bradycardia, and poikilothermia
What are important nursing interventions for sickle cell anemia crisis?-
CORRECT ANS>>O2, fluids/electrolytes, pain management (morphine), and
hydroxyurea
What can cause DIC?- CORRECT ANS>>bacterial septicemia
What are nursing interventions for DIC?- CORRECT ANS>>-STABILIZE ABCs
(O2, fluids, etc)
-Treat cause
-Give fresh frozen plasma
Patient with septicemia develops bleeding at venipuncture site and blood in
stools. What is the nurse’s priority?- CORRECT ANS>>NOTIFY HCP (suggests
DIC)
What is the S/S of a febrile, nonhemolytic blood transfusion reaction?- CORRECT
ANS>>fever, chills, and headache
What is a prevention measure of a febrile blood transfusion reaction?- CORRECT
ANS>>acetaminophen or antihistamine 30 minutes prior to infusion
What are the signs and symptoms of an acute hemolytic blood transfusion
reaction?- CORRECT ANS>>fever, chills, Lower, BACK PAIN, HYPOTENSION,
and hematuria
What is the treatment, for an acute hemolytic blood transfusion reaction?-
