MDC 4 Module 7+8 Shock, Sepsis, MODS
EXAM QUESTIONS VERIFIED ANSWERS
LATEST UPDATE 2025/2026 RATED A+
A client with a history of depression is brought to the ED after overdosing on Valium. This client is at risk
for developing which type of distributive shock?
a.hypovolemic shock
b.anaphylactic shock
c.septic shock
d.neurogenic shock - CORRECT ANSWERS d.neurogenic shock
When a patient in shock is receiving fluid replacement, what should the nurse monitor frequently?
(Select all that apply.)
a.Vital signs
b.Ability to perform range of motion exercises
c.Mental status
d.Visual acuity
e.Urinary output - CORRECT ANSWERS a.Vital signs
c.Mental status
e.Urinary output
A nurse educator is teaching a group of nurses about assessing critically ill clients for multiple organ
dysfunction syndrome (MODS). The nurse educator evaluates understanding by asking the nurses to
identify which client would be at highest risk for MODS. It would be the client who is experiencing septic
shock and is
,a.An 8-year-old boy who underwent an appendectomy and then incurred an iatrogenic infection
b.A young female adolescent who developed shock from tampon use during menses
c.An older adult man with end-stage renal disease and an infected dialysis access site
d.A middle-aged woman with metastatic breast cancer and a BMI of 26 - CORRECT ANSWERS
c.An older adult man with end-stage renal disease and an infected dialysis access site
The nurse is administering a medication to the client with a positive inotropic effect. Which action of the
medication does the nurse anticipate?
a.Increase the force of myocardial contraction
b.Slow the heart rate
c.Dilate the bronchial tree
d.Depress the central nervous system - CORRECT ANSWERS a.Increase the force of myocardial
contraction
The nursing instructor is discussing shock with the senior nursing students. The instructor tells the
students that shock is a life-threatening condition. What else should the instructor tell the students
about shock?
a.It begins when peripheral blood flow is inadequate.
b.It is a component of any trauma.
c.It occurs when arterial blood flow and oxygen delivery to tissues and cells are inadequate.
d.It causes respiratory distress syndrome. - CORRECT ANSWERS c.It occurs when arterial blood
flow and oxygen delivery to tissues and cells are inadequate.
The nurse assesses a patient who experienced a reaction to a bee sting. The patient's clinical findings
indicate a pre-shock condition, which is evidenced by:
, a.Cold, clammy skin and tachycardia.
b.A heart rate of 140.
c.Crackles and shallow breathing.
d.A systolic blood pressure of 75 mm Hg. - CORRECT ANSWERS a.Cold, clammy skin and
tachycardia.
A client who experienced shock is now nonresponsive and having cardiac dysrhythmias. The client is
being mechanically ventilated, receiving medications to maintain renal perfusion, and is not responding
to treatment. In this stage, it is most important for the nurse to
a.Encourage the family to touch and talk to the client.
b.Inform the family that everything is being done to assist with the client's survival.
c.Open up discussion among the family members about nursing home placement.
d.Contact a spiritual advisor to provide comfort to the family. - CORRECT ANSWERS
a.Encourage the family to touch and talk to the client.
The nurse is assessing a 6-year-old child in the emergency department (ED) who was brought in by the
mother. The child was stung by a bee and is allergic to bee venom. The child is now having trouble
breathing, and is vasodilated, hypotensive, and has broken out in hives. What does the nurse suspect is
wrong with this child?
a.The child is having an allergic reaction and going into anaphylactic shock.
b.The child is having an allergic reaction and going into cardiogenic shock.
c.The child is having an allergic reaction and going into neurogenic shock.
d.The child is having an allergic reaction and going into obstructive shock. - CORRECT ANSWERS
a.The child is having an allergic reaction and going into anaphylactic shock.
EXAM QUESTIONS VERIFIED ANSWERS
LATEST UPDATE 2025/2026 RATED A+
A client with a history of depression is brought to the ED after overdosing on Valium. This client is at risk
for developing which type of distributive shock?
a.hypovolemic shock
b.anaphylactic shock
c.septic shock
d.neurogenic shock - CORRECT ANSWERS d.neurogenic shock
When a patient in shock is receiving fluid replacement, what should the nurse monitor frequently?
(Select all that apply.)
a.Vital signs
b.Ability to perform range of motion exercises
c.Mental status
d.Visual acuity
e.Urinary output - CORRECT ANSWERS a.Vital signs
c.Mental status
e.Urinary output
A nurse educator is teaching a group of nurses about assessing critically ill clients for multiple organ
dysfunction syndrome (MODS). The nurse educator evaluates understanding by asking the nurses to
identify which client would be at highest risk for MODS. It would be the client who is experiencing septic
shock and is
,a.An 8-year-old boy who underwent an appendectomy and then incurred an iatrogenic infection
b.A young female adolescent who developed shock from tampon use during menses
c.An older adult man with end-stage renal disease and an infected dialysis access site
d.A middle-aged woman with metastatic breast cancer and a BMI of 26 - CORRECT ANSWERS
c.An older adult man with end-stage renal disease and an infected dialysis access site
The nurse is administering a medication to the client with a positive inotropic effect. Which action of the
medication does the nurse anticipate?
a.Increase the force of myocardial contraction
b.Slow the heart rate
c.Dilate the bronchial tree
d.Depress the central nervous system - CORRECT ANSWERS a.Increase the force of myocardial
contraction
The nursing instructor is discussing shock with the senior nursing students. The instructor tells the
students that shock is a life-threatening condition. What else should the instructor tell the students
about shock?
a.It begins when peripheral blood flow is inadequate.
b.It is a component of any trauma.
c.It occurs when arterial blood flow and oxygen delivery to tissues and cells are inadequate.
d.It causes respiratory distress syndrome. - CORRECT ANSWERS c.It occurs when arterial blood
flow and oxygen delivery to tissues and cells are inadequate.
The nurse assesses a patient who experienced a reaction to a bee sting. The patient's clinical findings
indicate a pre-shock condition, which is evidenced by:
, a.Cold, clammy skin and tachycardia.
b.A heart rate of 140.
c.Crackles and shallow breathing.
d.A systolic blood pressure of 75 mm Hg. - CORRECT ANSWERS a.Cold, clammy skin and
tachycardia.
A client who experienced shock is now nonresponsive and having cardiac dysrhythmias. The client is
being mechanically ventilated, receiving medications to maintain renal perfusion, and is not responding
to treatment. In this stage, it is most important for the nurse to
a.Encourage the family to touch and talk to the client.
b.Inform the family that everything is being done to assist with the client's survival.
c.Open up discussion among the family members about nursing home placement.
d.Contact a spiritual advisor to provide comfort to the family. - CORRECT ANSWERS
a.Encourage the family to touch and talk to the client.
The nurse is assessing a 6-year-old child in the emergency department (ED) who was brought in by the
mother. The child was stung by a bee and is allergic to bee venom. The child is now having trouble
breathing, and is vasodilated, hypotensive, and has broken out in hives. What does the nurse suspect is
wrong with this child?
a.The child is having an allergic reaction and going into anaphylactic shock.
b.The child is having an allergic reaction and going into cardiogenic shock.
c.The child is having an allergic reaction and going into neurogenic shock.
d.The child is having an allergic reaction and going into obstructive shock. - CORRECT ANSWERS
a.The child is having an allergic reaction and going into anaphylactic shock.
