RN 402 ATI Shock
Practice Questions
, When caring for a patient with pulmonary hypertension, which parameter is most
appropriate for the nurse to
monitor to evaluate the effectiveness of the treatment?
A. Central venous pressure (CVP)
B. Systemic vascular resistance (SVR)
C. Pulmonary vascular resistance (PVR)
D. Pulmonary artery wedge pressure (PAWP) - CORRECT ANSWERS-C. Pulmonary
vascular resistance (PVR)
Rationale: ANS: 3PVR is a major contributor to pulmonary hypertension, and a
decrease would indicate
that pulmonary hypertension was improving. The other parameters also may be
monitored but
A 78-kg patient with septic shock has a urine output of 30 mL/hr for the past 3 hours.
The pulse rate is 120/minute
and the central venous pressure and pulmonary artery wedge pressure are low. Which
order by the health care
provider will the nurse question?
A. Give PRN furosemide (Lasix) 40 mg IV.
B. Increase normal saline infusion to 250 mL/hr.
C. Administer hydrocortisone (Solu-Cortef) 100 mg IV.
D. Titrate norepinephrine (Levophed) to keep systolic BP >90 mm Hg - CORRECT
ANSWERS-A. Give PRN furosemide (Lasix) 40 mg IV.
Rationale: ANS: 1Furosemide will lower the filling pressures and renal perfusion further
for the patient
with septic shock. The other orders are appropriate.
Following surgery for an abdominal aortic aneurysm, a patient's central venous pressure
(CVP) monitor indicates
low pressures. Which action is a priority for the nurse to take?
A. Administer IV diuretic medications.
B. Increase the IV fluid infusion per protocol.
C. Document the CVP and continue to monitor.
D. Elevate the head of the patient's bed to 45 degrees - CORRECT ANSWERS-B.
Increase the IV fluid infusion per protocol.
Rationale: ANS: 2A low CVP indicates hypovolemia and a need for an increase in the
infusion rate.
Diuretic administration will contribute to hypovolemia and elevation of the head may
decrease
cerebral perfusion. Documentation and continued monitoring is an inadequate response
to the
low CVP.
Practice Questions
, When caring for a patient with pulmonary hypertension, which parameter is most
appropriate for the nurse to
monitor to evaluate the effectiveness of the treatment?
A. Central venous pressure (CVP)
B. Systemic vascular resistance (SVR)
C. Pulmonary vascular resistance (PVR)
D. Pulmonary artery wedge pressure (PAWP) - CORRECT ANSWERS-C. Pulmonary
vascular resistance (PVR)
Rationale: ANS: 3PVR is a major contributor to pulmonary hypertension, and a
decrease would indicate
that pulmonary hypertension was improving. The other parameters also may be
monitored but
A 78-kg patient with septic shock has a urine output of 30 mL/hr for the past 3 hours.
The pulse rate is 120/minute
and the central venous pressure and pulmonary artery wedge pressure are low. Which
order by the health care
provider will the nurse question?
A. Give PRN furosemide (Lasix) 40 mg IV.
B. Increase normal saline infusion to 250 mL/hr.
C. Administer hydrocortisone (Solu-Cortef) 100 mg IV.
D. Titrate norepinephrine (Levophed) to keep systolic BP >90 mm Hg - CORRECT
ANSWERS-A. Give PRN furosemide (Lasix) 40 mg IV.
Rationale: ANS: 1Furosemide will lower the filling pressures and renal perfusion further
for the patient
with septic shock. The other orders are appropriate.
Following surgery for an abdominal aortic aneurysm, a patient's central venous pressure
(CVP) monitor indicates
low pressures. Which action is a priority for the nurse to take?
A. Administer IV diuretic medications.
B. Increase the IV fluid infusion per protocol.
C. Document the CVP and continue to monitor.
D. Elevate the head of the patient's bed to 45 degrees - CORRECT ANSWERS-B.
Increase the IV fluid infusion per protocol.
Rationale: ANS: 2A low CVP indicates hypovolemia and a need for an increase in the
infusion rate.
Diuretic administration will contribute to hypovolemia and elevation of the head may
decrease
cerebral perfusion. Documentation and continued monitoring is an inadequate response
to the
low CVP.
