Shock NCLEX Questions with 100% Verified Answers
Graded A+
A patient is admitted to the emergency b.) Neurogenic
department after sustaining abdominal injuries c.) Obstructive
and a broken femur from a motor vehicle d.) Cardiogenic - ANSWERS - c.)
accident. The patient is pale, diaphoretic, and is Obstructive
not talking coherently. Vital signs upon admission
are temperature 98 F (36 C), heart rate 130 Rationale:
beats/minute, respiratory rate 34 breaths/minute, Obstructive shock can be caused by anything
blood pressure 50/40 mmHg. The healthcare that impedes the heart's ability to contract and
provider suspects which type of shock? pump blood around the body, as with cardiac
tamponade.
a.) Hypovolemic
b.) Cardiogenic
c.) Neurogenic
d.) Distributive - ANSWERS - a.) The healthcare provider is caring for a patient
Hypovolemic who has septic shock. Which of these should the
healthcare provider administer to the patient first?
a.) Antibiotics to treat the underlying infection.
The healthcare provider is caring for a patient b.) Corticosteroids to reduce inflammation.
with a diagnosis of hemorrhagic pancreatitis. The c.) IV fluids to increase intravascular volume.
patient's central venous pressure (CVP) reading d.) Vasopressors to increase blood pressure. -
is 2, blood pressure is 90/50 mmHg, lung sounds ANSWERS - c.) IV fluids to increase
are clear, and jugular veins are flat. Which of intravascular volume.
these actions is most appropriate for the nurse to
take? Rationale:
Circulation and perfusion are addressed first so
a.) Slow the IV infusion rate IV fluids will be started immediately. After blood
b.) Administer dopamine cultures are obtained, broad-spectrum antibiotics
c.) No interventions are needed at this time should be administered without delay.
d.) Increase the IV infusion rate - Vasopressors are administered if the patient is
ANSWERS - d.) Increase the IV infusion not responding to the fluid challenge.
rate Corticosteroids may be considered to address
the inflammatory-induced vasodilation and
capillary leakage.
A patient who has pericarditis related to radiation
therapy, becomes dyspneic, and has a rapid,
weak pulse. Heart sounds are muffled, and a 12 A 4.5 kg infant is admitted to the pediatric
mmHg drop in blood pressure is noted on intensive care unit after 33 days of watery
inspiration. The healthcare provider's diarrhea. The infant is diagnosed with severe
interventions are aimed at preventing which type dehydration. The infant's skin is mottled and
of shock? turgor is poor. Capillary refill is delayed, and
there is an absence of tears with crying. Which
a.) Distributive intervention should be the priority action by the
, Shock NCLEX Questions with 100% Verified Answers
Graded A+
healthcare provider?
a.) Calculate the mean arterial pressure
b.) Draw blood for a complete blood count Which type of fluid is most appropriate for volume
c.) Establish vascular access replacement for a patient with non-hemorrhagic
d.) Take a complete set of vital signs - hypovolemic shock?
ANSWERS - c.) Establish vascular access
a.) Lactated Ringers (LR)
Rationale: b.) 10% Dextrose in Water (D 10 W)
Vascular access should be established quickly in c.) One-half Normal Saline (1/2% NS)
order to replace lost volume before shock d.) Packed Red Blood Cells (PRBC) -
progresses. ANSWERS - a.) Lactated Ringers (LR)
Which of the following assessment findings is an A client is progressing into the third stage of
early indication of hypovolemic shock? shock. The nurse will expect this client to
demonstrate:
a.) Diminished bowel sounds
b.) Increased urinary output Choose all that apply:
c.) Tachycardia
d.) Hypertension - ANSWERS - c.) a.) Intractable circulatory failure.
Tachycardia b.) Neuroendocrine responses.
c.) Demonstrating MODS.
Rationale: d.) Buildup of metabolic wastes.
Tachycardia is an early symptom as the body e.) Profound hypotension.
compensates for a declining blood pressure the f.) Increase in lactic acidosis. - ANSWERS -
heart rate increases to circulate the blood faster c.) Demonstrating MODS.
to prevent tissue hypoxia. d.) Buildup of metabolic wastes.
When compensatory mechanisms for A client has been diagnosed with sepsis. The
hypovolemic shock are activated, the nurse nurse will most likely find which of the following
would expect which two patient findings to when assessing this client:
normalize?
Select all that apply:
a.) Intensity of peripheral pulses and body
temperature. a.) Rapid shallow respirations.
b.) Peripheral pulses and heart rate (HR). b.) Severe hypotension.
c.) Metabolic alkalosis and oxygen saturation. c.) Mental status changes.
d.) Cardiac output (CO) and blood pressure (BP). d.) Elevated temperature.
- ANSWERS - d.) Cardiac output (CO) and e.) Lactic acidosis.
blood pressure (BP). f.) Oliguria. - ANSWERS - a.) Rapid
Graded A+
A patient is admitted to the emergency b.) Neurogenic
department after sustaining abdominal injuries c.) Obstructive
and a broken femur from a motor vehicle d.) Cardiogenic - ANSWERS - c.)
accident. The patient is pale, diaphoretic, and is Obstructive
not talking coherently. Vital signs upon admission
are temperature 98 F (36 C), heart rate 130 Rationale:
beats/minute, respiratory rate 34 breaths/minute, Obstructive shock can be caused by anything
blood pressure 50/40 mmHg. The healthcare that impedes the heart's ability to contract and
provider suspects which type of shock? pump blood around the body, as with cardiac
tamponade.
a.) Hypovolemic
b.) Cardiogenic
c.) Neurogenic
d.) Distributive - ANSWERS - a.) The healthcare provider is caring for a patient
Hypovolemic who has septic shock. Which of these should the
healthcare provider administer to the patient first?
a.) Antibiotics to treat the underlying infection.
The healthcare provider is caring for a patient b.) Corticosteroids to reduce inflammation.
with a diagnosis of hemorrhagic pancreatitis. The c.) IV fluids to increase intravascular volume.
patient's central venous pressure (CVP) reading d.) Vasopressors to increase blood pressure. -
is 2, blood pressure is 90/50 mmHg, lung sounds ANSWERS - c.) IV fluids to increase
are clear, and jugular veins are flat. Which of intravascular volume.
these actions is most appropriate for the nurse to
take? Rationale:
Circulation and perfusion are addressed first so
a.) Slow the IV infusion rate IV fluids will be started immediately. After blood
b.) Administer dopamine cultures are obtained, broad-spectrum antibiotics
c.) No interventions are needed at this time should be administered without delay.
d.) Increase the IV infusion rate - Vasopressors are administered if the patient is
ANSWERS - d.) Increase the IV infusion not responding to the fluid challenge.
rate Corticosteroids may be considered to address
the inflammatory-induced vasodilation and
capillary leakage.
A patient who has pericarditis related to radiation
therapy, becomes dyspneic, and has a rapid,
weak pulse. Heart sounds are muffled, and a 12 A 4.5 kg infant is admitted to the pediatric
mmHg drop in blood pressure is noted on intensive care unit after 33 days of watery
inspiration. The healthcare provider's diarrhea. The infant is diagnosed with severe
interventions are aimed at preventing which type dehydration. The infant's skin is mottled and
of shock? turgor is poor. Capillary refill is delayed, and
there is an absence of tears with crying. Which
a.) Distributive intervention should be the priority action by the
, Shock NCLEX Questions with 100% Verified Answers
Graded A+
healthcare provider?
a.) Calculate the mean arterial pressure
b.) Draw blood for a complete blood count Which type of fluid is most appropriate for volume
c.) Establish vascular access replacement for a patient with non-hemorrhagic
d.) Take a complete set of vital signs - hypovolemic shock?
ANSWERS - c.) Establish vascular access
a.) Lactated Ringers (LR)
Rationale: b.) 10% Dextrose in Water (D 10 W)
Vascular access should be established quickly in c.) One-half Normal Saline (1/2% NS)
order to replace lost volume before shock d.) Packed Red Blood Cells (PRBC) -
progresses. ANSWERS - a.) Lactated Ringers (LR)
Which of the following assessment findings is an A client is progressing into the third stage of
early indication of hypovolemic shock? shock. The nurse will expect this client to
demonstrate:
a.) Diminished bowel sounds
b.) Increased urinary output Choose all that apply:
c.) Tachycardia
d.) Hypertension - ANSWERS - c.) a.) Intractable circulatory failure.
Tachycardia b.) Neuroendocrine responses.
c.) Demonstrating MODS.
Rationale: d.) Buildup of metabolic wastes.
Tachycardia is an early symptom as the body e.) Profound hypotension.
compensates for a declining blood pressure the f.) Increase in lactic acidosis. - ANSWERS -
heart rate increases to circulate the blood faster c.) Demonstrating MODS.
to prevent tissue hypoxia. d.) Buildup of metabolic wastes.
When compensatory mechanisms for A client has been diagnosed with sepsis. The
hypovolemic shock are activated, the nurse nurse will most likely find which of the following
would expect which two patient findings to when assessing this client:
normalize?
Select all that apply:
a.) Intensity of peripheral pulses and body
temperature. a.) Rapid shallow respirations.
b.) Peripheral pulses and heart rate (HR). b.) Severe hypotension.
c.) Metabolic alkalosis and oxygen saturation. c.) Mental status changes.
d.) Cardiac output (CO) and blood pressure (BP). d.) Elevated temperature.
- ANSWERS - d.) Cardiac output (CO) and e.) Lactic acidosis.
blood pressure (BP). f.) Oliguria. - ANSWERS - a.) Rapid
