NURSING 3 FINAL EXAM QUESTIONS AND ANSWERS
Shock - CORRECT ANSWER✅✅The body response to inadequate tissue perfusion
Hypovolemic Shock - CORRECT ANSWER✅✅Decrease in circulating blood volume
What leads to Hypoxia? - CORRECT ANSWER✅✅Decreased tissue perfusion leading to lack of O2
Most common cause of Hypovolemic Shock? - CORRECT ANSWER✅✅Acute blood loss from trauma
Treatment of Hypovolemic Shock? - CORRECT ANSWER✅✅Restoring fluid volume by blood transfusion
and rehydration with IV fluids
Early signs of Hypovolemic shock? - CORRECT ANSWER✅✅Mild Tachycardia and Mild Hypotension
(skin feels cool, clammy, weak thready pulse, hypotension)
How do you correct Hypoxemia? - CORRECT ANSWER✅✅Administering O2
Common prescribed fluids? - CORRECT ANSWER✅✅Lactated ringers or normal saline (0.9% sodium
chloride) help with electrolyte replacement
Why might electrolyte replacement be necessary? - CORRECT ANSWER✅✅To correct Hypovolemia
from large amount of fluids being lost
What electrolyte imbalance happens after large amounts of fluids have been infused? - CORRECT
ANSWER✅✅Hypokalemia (Low Potassium)
A client develops Hypotension from shock what position should you place them in? - CORRECT
ANSWER✅✅On their back (Supine) with feet elevated
,When you rehydrate what should you remember to replace? - CORRECT ANSWER✅✅Potassium
Anaphylactic Shock - CORRECT ANSWER✅✅When the body reacts to a foreign substance (antigen) that
leads to angioedema
Angioedema - CORRECT ANSWER✅✅(Swelling of the face, neck, tongue/throat)
Bronchoconstriction of the airway
Symptoms of Anaphylactic Shock - CORRECT ANSWER✅✅SOB, coughing, chest tightness, weakness,
and dizziness, hives, edema
Most serious complication of Anaphylactic Shock? - CORRECT ANSWER✅✅DEATH
Main medications that cause Anaphylactic Shock? - CORRECT ANSWER✅✅Penicillin and ACE Inhibitors
How would you treat Anaphylactic Shock? - CORRECT ANSWER✅✅Epinephrin (Epi Pen)
Dosage 1:1000 0.3-0.5mL
Top priority with Anaphylactic Shock? - CORRECT ANSWER✅✅Maintain airway
Correct use of an Epi Pen - CORRECT ANSWER✅✅Do not inject intravenously or in the rear end
Keep at room temp no extreme heat
Administer of more than one may be needed
Inject into outer thigh SubQ
A client is not breathing and the nurse starts CPR how do you give respiration's for this client? -
CORRECT ANSWER✅✅Use a bag mask valve
, Fight-or-Flight - CORRECT ANSWER✅✅Extreme or sudden stress activates the sympathetic nervous
system
What happens during fight-or-flight? - CORRECT ANSWER✅✅Increased HR and BP
Vasoconstriction
Decreased peristalsis
Dilated pupils
Neurological Status - CORRECT ANSWER✅✅Earliest sign of change in brain function is a change in level
of consciousness
If your client is joking around with you and moments later they are confused what do you do? -
CORRECT ANSWER✅✅Notify provider or call rapid response and use Glascow coma scale
Glascow Coma Scale - CORRECT ANSWER✅✅A tool for assessing conscientiousness in clients, most
frequently in clients with head injuries. Ranges from 3-15
Glascow coma scale Assessment - CORRECT ANSWER✅✅Eye opening
verbal response
Motor response
3= BAD (deep coma)
15= NORMAL (fully oriented)
Assessing clients mental status - CORRECT ANSWER✅✅The nurse compares the clients appearance,
behavior, posture, mood, gestures, movements and facial expressions, to expected behaviors based on
the clients age, health, education, and social.
Decoricate Posturing (move towards the core) - CORRECT ANSWER✅✅Flexion of the arms adduction of
the upper extremities and extension of the lower extremities
What is decorticate posturing caused by? - CORRECT ANSWER✅✅Lesions of the cerebral hemisphere
Shock - CORRECT ANSWER✅✅The body response to inadequate tissue perfusion
Hypovolemic Shock - CORRECT ANSWER✅✅Decrease in circulating blood volume
What leads to Hypoxia? - CORRECT ANSWER✅✅Decreased tissue perfusion leading to lack of O2
Most common cause of Hypovolemic Shock? - CORRECT ANSWER✅✅Acute blood loss from trauma
Treatment of Hypovolemic Shock? - CORRECT ANSWER✅✅Restoring fluid volume by blood transfusion
and rehydration with IV fluids
Early signs of Hypovolemic shock? - CORRECT ANSWER✅✅Mild Tachycardia and Mild Hypotension
(skin feels cool, clammy, weak thready pulse, hypotension)
How do you correct Hypoxemia? - CORRECT ANSWER✅✅Administering O2
Common prescribed fluids? - CORRECT ANSWER✅✅Lactated ringers or normal saline (0.9% sodium
chloride) help with electrolyte replacement
Why might electrolyte replacement be necessary? - CORRECT ANSWER✅✅To correct Hypovolemia
from large amount of fluids being lost
What electrolyte imbalance happens after large amounts of fluids have been infused? - CORRECT
ANSWER✅✅Hypokalemia (Low Potassium)
A client develops Hypotension from shock what position should you place them in? - CORRECT
ANSWER✅✅On their back (Supine) with feet elevated
,When you rehydrate what should you remember to replace? - CORRECT ANSWER✅✅Potassium
Anaphylactic Shock - CORRECT ANSWER✅✅When the body reacts to a foreign substance (antigen) that
leads to angioedema
Angioedema - CORRECT ANSWER✅✅(Swelling of the face, neck, tongue/throat)
Bronchoconstriction of the airway
Symptoms of Anaphylactic Shock - CORRECT ANSWER✅✅SOB, coughing, chest tightness, weakness,
and dizziness, hives, edema
Most serious complication of Anaphylactic Shock? - CORRECT ANSWER✅✅DEATH
Main medications that cause Anaphylactic Shock? - CORRECT ANSWER✅✅Penicillin and ACE Inhibitors
How would you treat Anaphylactic Shock? - CORRECT ANSWER✅✅Epinephrin (Epi Pen)
Dosage 1:1000 0.3-0.5mL
Top priority with Anaphylactic Shock? - CORRECT ANSWER✅✅Maintain airway
Correct use of an Epi Pen - CORRECT ANSWER✅✅Do not inject intravenously or in the rear end
Keep at room temp no extreme heat
Administer of more than one may be needed
Inject into outer thigh SubQ
A client is not breathing and the nurse starts CPR how do you give respiration's for this client? -
CORRECT ANSWER✅✅Use a bag mask valve
, Fight-or-Flight - CORRECT ANSWER✅✅Extreme or sudden stress activates the sympathetic nervous
system
What happens during fight-or-flight? - CORRECT ANSWER✅✅Increased HR and BP
Vasoconstriction
Decreased peristalsis
Dilated pupils
Neurological Status - CORRECT ANSWER✅✅Earliest sign of change in brain function is a change in level
of consciousness
If your client is joking around with you and moments later they are confused what do you do? -
CORRECT ANSWER✅✅Notify provider or call rapid response and use Glascow coma scale
Glascow Coma Scale - CORRECT ANSWER✅✅A tool for assessing conscientiousness in clients, most
frequently in clients with head injuries. Ranges from 3-15
Glascow coma scale Assessment - CORRECT ANSWER✅✅Eye opening
verbal response
Motor response
3= BAD (deep coma)
15= NORMAL (fully oriented)
Assessing clients mental status - CORRECT ANSWER✅✅The nurse compares the clients appearance,
behavior, posture, mood, gestures, movements and facial expressions, to expected behaviors based on
the clients age, health, education, and social.
Decoricate Posturing (move towards the core) - CORRECT ANSWER✅✅Flexion of the arms adduction of
the upper extremities and extension of the lower extremities
What is decorticate posturing caused by? - CORRECT ANSWER✅✅Lesions of the cerebral hemisphere
