Advanced Med Surg Final Exam Questions
Latest Update 2026 (Questions and
Answers-Verified solutions
what is shock? - CORRECT ANSWERS inadequate tissue perfusion
Stages of shock - CORRECT ANSWERS Initial
Compensatory
Progressive
Irreversible
Initial shock - CORRECT ANSWERS to little oxygen to feed organs
Compensatory shock - CORRECT ANSWERS BP normals
HR increased
S/S: anxious, SOB, confused
Progressive shock - CORRECT ANSWERS cold and clammy is PRIORITY EARLY
SIGN
BP can no longer compensate clinical hypotension (SBP less than < 90 or decrease of 40 from baseline)
Irreversible shock - CORRECT ANSWERS Death
, Hypovolemic shock - CORRECT ANSWERS We will see= oliguria (low urine
output)
Priority intervention = Packed RBC
Caused by= blood /fluid loss from trauma, burns, Sx
Neurogenic shock - CORRECT ANSWERS dysfunction of the sympathetic nervous
system
Caused by= SCI, trauma
Assess for fever and inspect the head and body for sweating
All vital signs are LOW (cardiac output low) = neurogenic bladder (lack of bladder control due to sci or
nerve problems)
Septic shock - CORRECT ANSWERS endotoxins in the bloodstream from
infection such as pneumonia.
positive blood cultures
Treatment = antibiotics
Cardiogenic shock - CORRECT ANSWERS heart pump failure (caused by end
stage HF, MI)
Latest Update 2026 (Questions and
Answers-Verified solutions
what is shock? - CORRECT ANSWERS inadequate tissue perfusion
Stages of shock - CORRECT ANSWERS Initial
Compensatory
Progressive
Irreversible
Initial shock - CORRECT ANSWERS to little oxygen to feed organs
Compensatory shock - CORRECT ANSWERS BP normals
HR increased
S/S: anxious, SOB, confused
Progressive shock - CORRECT ANSWERS cold and clammy is PRIORITY EARLY
SIGN
BP can no longer compensate clinical hypotension (SBP less than < 90 or decrease of 40 from baseline)
Irreversible shock - CORRECT ANSWERS Death
, Hypovolemic shock - CORRECT ANSWERS We will see= oliguria (low urine
output)
Priority intervention = Packed RBC
Caused by= blood /fluid loss from trauma, burns, Sx
Neurogenic shock - CORRECT ANSWERS dysfunction of the sympathetic nervous
system
Caused by= SCI, trauma
Assess for fever and inspect the head and body for sweating
All vital signs are LOW (cardiac output low) = neurogenic bladder (lack of bladder control due to sci or
nerve problems)
Septic shock - CORRECT ANSWERS endotoxins in the bloodstream from
infection such as pneumonia.
positive blood cultures
Treatment = antibiotics
Cardiogenic shock - CORRECT ANSWERS heart pump failure (caused by end
stage HF, MI)
