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RN 402 ATI Shock Practice Questions
Questions and Correct Answers/ Latest
Update / Already Graded
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)
Ans: 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?
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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
Ans: 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
Ans: 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
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cerebral perfusion. Documentation and continued monitoring is
an inadequate response to the
low CVP.
A nurse is caring for a client who sustained blood loss. Which of the
following is a manifestation of hypovolemia?
A. Decreased heart rate
Rationale: The heart rate of a client with hypovolemia will be
increased.
B. Dyspnea
Rationale: Dyspnea is characteristic of respiratory conditions, but is not
usually associated with
hypovolemia.
C. Increased blood pressure
Rationale: The client's blood pressure will decrease due to decreased
blood volume.
D. Thready pulse
Ans: D. Thready pulse
Rationale: A decreased volume of circulating blood and less
pressure within the vessels results in weak thready peripheral
pulses and flattened neck veins
All rights reserved © 2025/ 2026 |
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A nurse is caring for client whose throat culture is positive for group A
streptococcus 24 hr after the rapid strep test (RST) was negative.
Which of the following is the priority nursing action?
Ans: A. Notify the client to return to the clinic for initiation of
antibiotic therapy
A nurse is assessing a client who has an 8 score using the Glasgow
Coma Scale to evaluate levels of
consciousness. Which of the following nursing statements most
accurately describes the score?
A. Indicates the need for total nursing care
B. Reflects an alert client
C. Indicates a client in a deep coma
D. Indicates stable neurological status
Ans: A. Indicates the need for total nursing care
Rationale: The nurse understands a Glasgow Coma score of 8
indicates the client is in a coma and
requires total nursing care.
All rights reserved © 2025/ 2026 |
RN 402 ATI Shock Practice Questions
Questions and Correct Answers/ Latest
Update / Already Graded
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)
Ans: 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?
All rights reserved © 2025/ 2026 |
, Page |2
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
Ans: 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
Ans: 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
All rights reserved © 2025/ 2026 |
, Page |3
cerebral perfusion. Documentation and continued monitoring is
an inadequate response to the
low CVP.
A nurse is caring for a client who sustained blood loss. Which of the
following is a manifestation of hypovolemia?
A. Decreased heart rate
Rationale: The heart rate of a client with hypovolemia will be
increased.
B. Dyspnea
Rationale: Dyspnea is characteristic of respiratory conditions, but is not
usually associated with
hypovolemia.
C. Increased blood pressure
Rationale: The client's blood pressure will decrease due to decreased
blood volume.
D. Thready pulse
Ans: D. Thready pulse
Rationale: A decreased volume of circulating blood and less
pressure within the vessels results in weak thready peripheral
pulses and flattened neck veins
All rights reserved © 2025/ 2026 |
, Page |4
A nurse is caring for client whose throat culture is positive for group A
streptococcus 24 hr after the rapid strep test (RST) was negative.
Which of the following is the priority nursing action?
Ans: A. Notify the client to return to the clinic for initiation of
antibiotic therapy
A nurse is assessing a client who has an 8 score using the Glasgow
Coma Scale to evaluate levels of
consciousness. Which of the following nursing statements most
accurately describes the score?
A. Indicates the need for total nursing care
B. Reflects an alert client
C. Indicates a client in a deep coma
D. Indicates stable neurological status
Ans: A. Indicates the need for total nursing care
Rationale: The nurse understands a Glasgow Coma score of 8
indicates the client is in a coma and
requires total nursing care.
All rights reserved © 2025/ 2026 |
