Nursing 3 exam 3 end of chapter
questions, ATI, and NCLEX questions
ATI Chapter 37 - answer Hemodynamic Shock
1. A nurse is caring for a client and reviewing a new prescription for an afterload-
reducing medication. The
nurse should recognize that this medication is administered for which of the following
types of shock?
A. Cardiogenic
B. Obstructive
C. Hypovolemic
D. Distributive - answerA. CORRECT: Reducing afterload will allow the heart to pump
more effectively, which is needed for
the client who has cardiogenic shock.
2. A nurse is planning care for a client who has septic shock. Which of the following is
the priority action
for the nurse to take?
A. Maintaining adequate fluid volume with IV infusions
B. Administering antibiotic therapy
C. Monitoring hemodynamic status
D. Administering vasopressor medication - answerB. CORRECT: Using the safety and
risk reduction framework, administration of antibiotics is the
priority action by the nurse. Eliminating endotoxins and mediators from bacteria will
reduce the
vasodilation that is occurring.
3. A nurse in the emergency department is caring for a client who has an allergic
reaction to a bee sting.
The client is experiencing wheezing and swelling of the tongue. Which of the following
medications
should the nurse expect to administer first?
A. Methylprednisolone (Solu-Medrol) IV bolus
B. Diphenhydramine (Benadryl) subcutaneously
C. Epinephrine (Adrenaline) IV
D. Albuterol (Proventil) inhaler - answerC. CORRECT: Using the airway-breathing-
circulation (ABC) priority-setting framework, epinephrine is
administered first. It is a rapid-acting medication that promotes effective oxygenation
and is used
to treat anaphylactic shock.
,4. A nurse in the emergency department is completing an assessment of a client who is
in shock. Which of
the following findings should the nurse expect? (Select all that apply.)
A. Heart rate 60/min
B. Seizure activity
C. Respiratory rate 42/min
D. Increased urine output
E. Weak, thready pulse - answerB. CORRECT: Seizure activity may be present in a
client who is in shock.
C. CORRECT: Tachypnea is an expected finding in a client who is in shock.
E. CORRECT: A weak, thready pulse is an expected finding in a client who is in shock.
5. A nurse in a cardiac unit is assisting with the admission of a client who is to undergo
hemodynamic
monitoring. Which of the following actions should the nurse anticipate performing?
A. Administer large volumes of IV fluids.
B. Assist with insertion of pulmonary artery catheter.
C. Obtain Doppler pulses of the extremities.
D. Gather supplies for insertion of a peripheral IV catheter. - answerB. CORRECT: A
pulmonary artery catheter and pressure-monitoring system are inserted for
hemodynamic monitoring of a client.
Med Surg - answerChapt 65
1. Biological mediators produce:
1. Increased capillary permeability
2. Aspiration
3. Hyperthermia
4. Hypoglycemia - answer1
2. Hypovolemic shock state is produced by:
1. Pulmonary emboli
2. Anemia
3. Carbon monoxide poisoning
4. Third spacing of body fluids - answer4
3. Manifestations of anaphylactic shock include: 1. Systolic blood pressure greater than
100 mm Hg
2. Warm, moist skin
3. Bradycardia and hypotension
4. Stridor and wheezing - answer4
4. Which of the following organ systems is among the most common to fail in severe
sepsis?
1. Gastrointestinal system 2. Cardiovascular system
, 3. Renal system
4. Neurological system - answer2
5. The primary purpose for providing crystalloid solutions is to:
1. Supplement hemoglobin concentrations
2. Prevent right ventricular failure
3. Restore fluid volumes and increase preload
4. Minimize organ oxygen demand - answer3
6. DIC plays a role in the inflammatory process by:
1. Promoting movement of bacteria into the general
system
2. Decreasing oxygen supplies to cells
3. Limiting biological mediator release
4. Increasing vascular resistance - answer2
7. What manifestations would indicate a reversal of the shock process?
1. A heart rate of 90 beats per minute
2. A blood pressure of 130/70
3. A respiratory rate of 24 per minute
4. A urine output of 225 mL per hour - answer4
8. All of the individuals below are at risk for developing MODS as the result of a severe
insult to the body. Which one would have the greatest risk?
1. A person who smokes
2. A 75-year-old individual 3. A person with congestive heart failure
4. A person with renal dysfunction - answer3
9. Which of the following is the most important factor for increasing oxygen supply?
1. Decreasing cardiac preload
2. Administration of appropriate fluids
3. Administration of vasoconstrictor medications
4. Maximizing optimal cardiac output - answer4
10. Noncardiogenic-pulmonary edema may result from:
1. Decrease in surfactant
2. Shunting of blood to nonventilated areas
3. Alterations in the alveolar-capillary membrane
4. Increased cardiac output - answer3
ATI Ch. 31 - answerAngina and MI
1. A nurse is admitting a client who has a suspected myocardial infarction (MI) and a
history of angina.
Which of the following findings will help the nurse distinguish angina from an MI?
A. Angina can be relieved with rest and nitroglycerin.
questions, ATI, and NCLEX questions
ATI Chapter 37 - answer Hemodynamic Shock
1. A nurse is caring for a client and reviewing a new prescription for an afterload-
reducing medication. The
nurse should recognize that this medication is administered for which of the following
types of shock?
A. Cardiogenic
B. Obstructive
C. Hypovolemic
D. Distributive - answerA. CORRECT: Reducing afterload will allow the heart to pump
more effectively, which is needed for
the client who has cardiogenic shock.
2. A nurse is planning care for a client who has septic shock. Which of the following is
the priority action
for the nurse to take?
A. Maintaining adequate fluid volume with IV infusions
B. Administering antibiotic therapy
C. Monitoring hemodynamic status
D. Administering vasopressor medication - answerB. CORRECT: Using the safety and
risk reduction framework, administration of antibiotics is the
priority action by the nurse. Eliminating endotoxins and mediators from bacteria will
reduce the
vasodilation that is occurring.
3. A nurse in the emergency department is caring for a client who has an allergic
reaction to a bee sting.
The client is experiencing wheezing and swelling of the tongue. Which of the following
medications
should the nurse expect to administer first?
A. Methylprednisolone (Solu-Medrol) IV bolus
B. Diphenhydramine (Benadryl) subcutaneously
C. Epinephrine (Adrenaline) IV
D. Albuterol (Proventil) inhaler - answerC. CORRECT: Using the airway-breathing-
circulation (ABC) priority-setting framework, epinephrine is
administered first. It is a rapid-acting medication that promotes effective oxygenation
and is used
to treat anaphylactic shock.
,4. A nurse in the emergency department is completing an assessment of a client who is
in shock. Which of
the following findings should the nurse expect? (Select all that apply.)
A. Heart rate 60/min
B. Seizure activity
C. Respiratory rate 42/min
D. Increased urine output
E. Weak, thready pulse - answerB. CORRECT: Seizure activity may be present in a
client who is in shock.
C. CORRECT: Tachypnea is an expected finding in a client who is in shock.
E. CORRECT: A weak, thready pulse is an expected finding in a client who is in shock.
5. A nurse in a cardiac unit is assisting with the admission of a client who is to undergo
hemodynamic
monitoring. Which of the following actions should the nurse anticipate performing?
A. Administer large volumes of IV fluids.
B. Assist with insertion of pulmonary artery catheter.
C. Obtain Doppler pulses of the extremities.
D. Gather supplies for insertion of a peripheral IV catheter. - answerB. CORRECT: A
pulmonary artery catheter and pressure-monitoring system are inserted for
hemodynamic monitoring of a client.
Med Surg - answerChapt 65
1. Biological mediators produce:
1. Increased capillary permeability
2. Aspiration
3. Hyperthermia
4. Hypoglycemia - answer1
2. Hypovolemic shock state is produced by:
1. Pulmonary emboli
2. Anemia
3. Carbon monoxide poisoning
4. Third spacing of body fluids - answer4
3. Manifestations of anaphylactic shock include: 1. Systolic blood pressure greater than
100 mm Hg
2. Warm, moist skin
3. Bradycardia and hypotension
4. Stridor and wheezing - answer4
4. Which of the following organ systems is among the most common to fail in severe
sepsis?
1. Gastrointestinal system 2. Cardiovascular system
, 3. Renal system
4. Neurological system - answer2
5. The primary purpose for providing crystalloid solutions is to:
1. Supplement hemoglobin concentrations
2. Prevent right ventricular failure
3. Restore fluid volumes and increase preload
4. Minimize organ oxygen demand - answer3
6. DIC plays a role in the inflammatory process by:
1. Promoting movement of bacteria into the general
system
2. Decreasing oxygen supplies to cells
3. Limiting biological mediator release
4. Increasing vascular resistance - answer2
7. What manifestations would indicate a reversal of the shock process?
1. A heart rate of 90 beats per minute
2. A blood pressure of 130/70
3. A respiratory rate of 24 per minute
4. A urine output of 225 mL per hour - answer4
8. All of the individuals below are at risk for developing MODS as the result of a severe
insult to the body. Which one would have the greatest risk?
1. A person who smokes
2. A 75-year-old individual 3. A person with congestive heart failure
4. A person with renal dysfunction - answer3
9. Which of the following is the most important factor for increasing oxygen supply?
1. Decreasing cardiac preload
2. Administration of appropriate fluids
3. Administration of vasoconstrictor medications
4. Maximizing optimal cardiac output - answer4
10. Noncardiogenic-pulmonary edema may result from:
1. Decrease in surfactant
2. Shunting of blood to nonventilated areas
3. Alterations in the alveolar-capillary membrane
4. Increased cardiac output - answer3
ATI Ch. 31 - answerAngina and MI
1. A nurse is admitting a client who has a suspected myocardial infarction (MI) and a
history of angina.
Which of the following findings will help the nurse distinguish angina from an MI?
A. Angina can be relieved with rest and nitroglycerin.
