CORRECT WELL DETAILED
ANSWERS|LATEST
A patient is experiencing severe hypovolemic shock secondary to a hemorrhage.
Which collaborative intervention should the nurse anticipate?
Antibiotics to decrease risk from infection from blood transfusions
Corticosteroids to decrease inflammatory response from blood transfusions
Sodium bicarbonate to treat metabolic acidosis which occurs with blood transfusions
Calcium chloride to replace the calcium lost during blood transfusions -
ANSWER Calcium chloride to replace the calcium lost during blood transfusions
The nurse is assessing a patient experiencing hypovolemic shock.
Which clinical manifestation is most indicative of early shock?
Heart rate 120 beats/min and blood pressure 120/70 mmHg
Heart rate 96 beats/min and blood pressure 150/90 mmHg
Heart rate 145 beats/min and blood pressure 70/30 mmHg
Heart rate 120 beats/min and blood pressure 100/70 mmHg - ANSWER Heart rate 96
beats/min and blood pressure 150/90 mmHg
The nurse is caring for a patient in hypovolemic shock.
Which fluid order should the nurse question?
0.45% NaCl
Hetastarch
Lactated Ringer
Packed red blood cells - ANSWER 0.45% NaCl
1
,A patient experiencing septic shock is intubated and placed on mechanical ventilation after
progressively worsening arterial blood gas (ABG) values.
Which ABG result should the nurse understand is the most likely reason for the patient's
intubation?
pH increased, PaCO2 decreased, PaO2 decreased
pH decreased, PaCO2 increased, PaO2 decreased
pH decreased, PaCO2 decreased, PaO2 increased
pH increased, PaCO2 increased, PaO2 decreased - ANSWER pH decreased, PaCO2
increased, PaO2 decreased
An older adult patient is experiencing septic shock.
Which therapy should the nurse anticipate?
Administration of an inotrope
Slow administration of antibiotics
Aggressive fluid administration
Aggressive dosing of antibiotics - ANSWER Aggressive dosing of antibiotics
The nurse caring for a patient experiencing shock should monitor which manifestation to
assess tissue perfusion?
Mental status
Pupil size
Breath sounds
Abdominal girth - ANSWER Mental status
The nurse is administering an inotropic medication to a patient experiencing cardiogenic
shock.
The nurse should understand that which statement defines the purpose for this medication
order?
2
,Increases intravascular volume
Prevents dysrhythmia
Increases cardiac contractility
Prevents heart failure - ANSWER Increases cardiac contractility
The nurse understands that a patient with cardiogenic shock is prone to alterations of
gastrointestinal (GI) function.
Which statement by the nurse demonstrates accurate understanding?
"Respiratory acidosis occurs due to inability to remove lactic acid."
"Metabolic alkalosis occurs due to inability to remove lactic acid."
"Shock increases gastric motility."
"Shock decreases gastric motility." - ANSWER "Shock decreases gastric motility."
A newborn is diagnosed with early hypovolemic shock.
Which clinical manifestation indicates the shock is progressing?
Acrocyanosis
Respiratory rate of 40 breaths/min
Heart rate of 140 beats/min
Hypotension - ANSWER Hypotension
The nurse is teaching a patient with cardiac disease about lifestyle modifications to reduce
the risk for cardiogenic shock.
Which modification should the nurse include?
Performing regular exercise
Maintaining a BMI of 40
Reducing smoking
Taking blood pressure medication as needed - ANSWER Performing regular exercise
3
, Which early manifestation is least likely to be expected in a child with shock?
Hypotension
Cardiovascular dysfunction
Infection
Sepsis - ANSWER Hypotension
A nurse is caring for a patient in hypovolemic shock.
Which is the priority action by the nurse?
Administer antihistamines.
Apply oxygen as needed per respirations.
Ensure adequate oxygenation.
Administer morphine. - ANSWER Ensure adequate oxygenation.
The nurse is caring for a patient with severe third spacing. Over the last hour, the patient's
heart rate has consistently increased, the blood pressure has decreased, and the patient has
become confused.
Which is most likely the cause of the symptoms?
Distributive shock
Septic shock
Hypovolemic shock
Cardiogenic shock - ANSWER Hypovolemic shock
The nurse is planning care for a patient experiencing septic shock who is scheduled to have a
central line placed.
Which independent nursing intervention should the nurse implement to decrease the
patient's feelings of anxiety?
Administer antianxiety medications as ordered.
Explain all procedures and therapies ordered.
Discourage visitors to maintain therapeutic environment.
4
ANSWERS|LATEST
A patient is experiencing severe hypovolemic shock secondary to a hemorrhage.
Which collaborative intervention should the nurse anticipate?
Antibiotics to decrease risk from infection from blood transfusions
Corticosteroids to decrease inflammatory response from blood transfusions
Sodium bicarbonate to treat metabolic acidosis which occurs with blood transfusions
Calcium chloride to replace the calcium lost during blood transfusions -
ANSWER Calcium chloride to replace the calcium lost during blood transfusions
The nurse is assessing a patient experiencing hypovolemic shock.
Which clinical manifestation is most indicative of early shock?
Heart rate 120 beats/min and blood pressure 120/70 mmHg
Heart rate 96 beats/min and blood pressure 150/90 mmHg
Heart rate 145 beats/min and blood pressure 70/30 mmHg
Heart rate 120 beats/min and blood pressure 100/70 mmHg - ANSWER Heart rate 96
beats/min and blood pressure 150/90 mmHg
The nurse is caring for a patient in hypovolemic shock.
Which fluid order should the nurse question?
0.45% NaCl
Hetastarch
Lactated Ringer
Packed red blood cells - ANSWER 0.45% NaCl
1
,A patient experiencing septic shock is intubated and placed on mechanical ventilation after
progressively worsening arterial blood gas (ABG) values.
Which ABG result should the nurse understand is the most likely reason for the patient's
intubation?
pH increased, PaCO2 decreased, PaO2 decreased
pH decreased, PaCO2 increased, PaO2 decreased
pH decreased, PaCO2 decreased, PaO2 increased
pH increased, PaCO2 increased, PaO2 decreased - ANSWER pH decreased, PaCO2
increased, PaO2 decreased
An older adult patient is experiencing septic shock.
Which therapy should the nurse anticipate?
Administration of an inotrope
Slow administration of antibiotics
Aggressive fluid administration
Aggressive dosing of antibiotics - ANSWER Aggressive dosing of antibiotics
The nurse caring for a patient experiencing shock should monitor which manifestation to
assess tissue perfusion?
Mental status
Pupil size
Breath sounds
Abdominal girth - ANSWER Mental status
The nurse is administering an inotropic medication to a patient experiencing cardiogenic
shock.
The nurse should understand that which statement defines the purpose for this medication
order?
2
,Increases intravascular volume
Prevents dysrhythmia
Increases cardiac contractility
Prevents heart failure - ANSWER Increases cardiac contractility
The nurse understands that a patient with cardiogenic shock is prone to alterations of
gastrointestinal (GI) function.
Which statement by the nurse demonstrates accurate understanding?
"Respiratory acidosis occurs due to inability to remove lactic acid."
"Metabolic alkalosis occurs due to inability to remove lactic acid."
"Shock increases gastric motility."
"Shock decreases gastric motility." - ANSWER "Shock decreases gastric motility."
A newborn is diagnosed with early hypovolemic shock.
Which clinical manifestation indicates the shock is progressing?
Acrocyanosis
Respiratory rate of 40 breaths/min
Heart rate of 140 beats/min
Hypotension - ANSWER Hypotension
The nurse is teaching a patient with cardiac disease about lifestyle modifications to reduce
the risk for cardiogenic shock.
Which modification should the nurse include?
Performing regular exercise
Maintaining a BMI of 40
Reducing smoking
Taking blood pressure medication as needed - ANSWER Performing regular exercise
3
, Which early manifestation is least likely to be expected in a child with shock?
Hypotension
Cardiovascular dysfunction
Infection
Sepsis - ANSWER Hypotension
A nurse is caring for a patient in hypovolemic shock.
Which is the priority action by the nurse?
Administer antihistamines.
Apply oxygen as needed per respirations.
Ensure adequate oxygenation.
Administer morphine. - ANSWER Ensure adequate oxygenation.
The nurse is caring for a patient with severe third spacing. Over the last hour, the patient's
heart rate has consistently increased, the blood pressure has decreased, and the patient has
become confused.
Which is most likely the cause of the symptoms?
Distributive shock
Septic shock
Hypovolemic shock
Cardiogenic shock - ANSWER Hypovolemic shock
The nurse is planning care for a patient experiencing septic shock who is scheduled to have a
central line placed.
Which independent nursing intervention should the nurse implement to decrease the
patient's feelings of anxiety?
Administer antianxiety medications as ordered.
Explain all procedures and therapies ordered.
Discourage visitors to maintain therapeutic environment.
4
