Shock NCLEX Questions, Nclex Questions for Shock
- Critical Care, Sepsis NCLEX, Ch 67: shock, SIRS,
MODS Questions and Correct Detailed Answers (Verified Answers)
||Already Graded A+||Newest Version
Quiz: A patient is admitted to the emergency department after sustaining abdominal
injuries and a broken femur from a motor vehicle accident. The patient is pale, diaphoretic,
and is not talking coherently. Vital signs upon admission are temperature 98 F (36 C), heart
rate 130 beats/minute, respiratory rate 34 breaths/minute, blood pressure 50/40 mmHg.
The healthcare provider suspects which type of shock?
a.) Hypovolemic
b.) Cardiogenic
c.) Neurogenic
d.) Distributive
Ans: a.) Hypovolemic
Quiz: 1. A patient with septic shock has a urine output of 20 mL/hr for the past 3 hours.
The pulse
rate is 120 and the central venous pressure and pulmonary artery wedge pressure are low.
Which of these orders by the health care provider will the nurse question?
a. Give furosemide (Lasix) 40 mg IV.
b. Increase normal saline infusion to 150 mL/hr.
c. Administer hydrocortisone (SoluCortef) 100 mg IV.
d. Prepare to give drotrecogin alpha (Xigris) 24 mcg/kg/hr.
o
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, Ans: ANS: A
Furosemide will lower the filling pressures and renal perfusion further for the patient
with septic shock. The other orders are appropriate.
DIF: Cognitive Level: Application REF: 1724-1726 | 1731 | 1733
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
Quiz: What will the nurse identify as symptoms of hypovolemic shock in a patient?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Temperature of 97.6°F (36.4°C)
2. Restlessness
3. Decrease in blood pressure of 20 mm Hg when the patient sits up
4. Capillary refill time greater than 3 seconds
5. Sinus bradycardia of 55 beats per minute
o
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, Ans: Correct Answer: 2,3,4
Rationale 1: Fever will increase oxygen demands but is unrelated to hypovolemic shock
unless prolonged fever has caused severe dehydration, reducing the circulating blood
volume. Hypovolemic shock reduces temperatures by peripheral shunting of blood away
from the extremities and reducing the core metabolic rate.
Rationale 2: Due to decreased blood flow to the brain and peripheral areas when blood is
shunted to maintain the vital organs, cerebral hypoxia occurs, leading to a change in
mental status.
Rationale 3: Orthostatic hypotension is a manifestation of hypovolemic shock.
Rationale 4: Due to decreased blood flow to the brain and peripheral areas when blood is
shunted to maintain the vital organs, capillary refill time will be reduced.
Rationale 5: Bradycardia is not present. The compensatory response is to increase the
heart rate to circulate the blood faster to make up for the fluids that are not present in
hypovolemic shock.
Quiz: Why are the manifestations of most types of shock the same regardless of what
specific events or condition caused the shock to occur?
A. The blood, blood vessels, and heart are directly connected to each other so that when
one is affected, all three are affected.
B. Because blood loss occurs with all types of shock, the most common first manifestation is
hypotension.
C. Every type of shock interferes with oxygenation and metabolism of all cells in the same
sequence.
D. The sympathetic nervous system is triggered by any type of shock and initiates the stress
response.
o
o
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in the number given.
, Ans: ANS: D
Rationale: Most manifestations of shock are similar regardless of what starts the process
or which tissues are affected first. These common manifestations result from physiologic
adjustments (compensatory mechanisms) in an attempt to ensure continued oxygenation
of vital organs. These adjustment actions are performed by the sympathetic nervous
system triggering the stress response and activating the endocrine and cardiovascular
systems.
Quiz: 2. A patient with shock of unknown etiology whose hemodynamic monitoring
indicates BP
92/54, pulse 64, and an elevated pulmonary artery wedge pressure has the following
collaborative interventions prescribed. Which intervention will the nurse question?
a. Infuse normal saline at 250 mL/hr.
b. Keep head of bed elevated to 30 degrees.
c. Give nitroprusside (Nipride) unless systolic BP <90 mm Hg.
d. Administer dobutamine (Dobutrex) to keep systolic BP >90 mm Hg.
Ans: ANS: A
The patient's elevated pulmonary artery wedge pressure indicates volume excess. A
normal saline infusion at 250 mL/hr will exacerbate this. The other actions are
appropriate for the patient.
DIF: Cognitive Level: Application REF: 1719 | 1721-1722 | 1735
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
Quiz: The healthcare provider is caring for a patient with a diagnosis of hemorrhagic
pancreatitis. The patient's central venous pressure (CVP) reading is 2, blood pressure is
o
o
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in the number given.
- Critical Care, Sepsis NCLEX, Ch 67: shock, SIRS,
MODS Questions and Correct Detailed Answers (Verified Answers)
||Already Graded A+||Newest Version
Quiz: A patient is admitted to the emergency department after sustaining abdominal
injuries and a broken femur from a motor vehicle accident. The patient is pale, diaphoretic,
and is not talking coherently. Vital signs upon admission are temperature 98 F (36 C), heart
rate 130 beats/minute, respiratory rate 34 breaths/minute, blood pressure 50/40 mmHg.
The healthcare provider suspects which type of shock?
a.) Hypovolemic
b.) Cardiogenic
c.) Neurogenic
d.) Distributive
Ans: a.) Hypovolemic
Quiz: 1. A patient with septic shock has a urine output of 20 mL/hr for the past 3 hours.
The pulse
rate is 120 and the central venous pressure and pulmonary artery wedge pressure are low.
Which of these orders by the health care provider will the nurse question?
a. Give furosemide (Lasix) 40 mg IV.
b. Increase normal saline infusion to 150 mL/hr.
c. Administer hydrocortisone (SoluCortef) 100 mg IV.
d. Prepare to give drotrecogin alpha (Xigris) 24 mcg/kg/hr.
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
[+254707240657] o Your Success is Our Mission!
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in the number given.
, Ans: ANS: A
Furosemide will lower the filling pressures and renal perfusion further for the patient
with septic shock. The other orders are appropriate.
DIF: Cognitive Level: Application REF: 1724-1726 | 1731 | 1733
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
Quiz: What will the nurse identify as symptoms of hypovolemic shock in a patient?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Temperature of 97.6°F (36.4°C)
2. Restlessness
3. Decrease in blood pressure of 20 mm Hg when the patient sits up
4. Capillary refill time greater than 3 seconds
5. Sinus bradycardia of 55 beats per minute
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
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in the number given.
, Ans: Correct Answer: 2,3,4
Rationale 1: Fever will increase oxygen demands but is unrelated to hypovolemic shock
unless prolonged fever has caused severe dehydration, reducing the circulating blood
volume. Hypovolemic shock reduces temperatures by peripheral shunting of blood away
from the extremities and reducing the core metabolic rate.
Rationale 2: Due to decreased blood flow to the brain and peripheral areas when blood is
shunted to maintain the vital organs, cerebral hypoxia occurs, leading to a change in
mental status.
Rationale 3: Orthostatic hypotension is a manifestation of hypovolemic shock.
Rationale 4: Due to decreased blood flow to the brain and peripheral areas when blood is
shunted to maintain the vital organs, capillary refill time will be reduced.
Rationale 5: Bradycardia is not present. The compensatory response is to increase the
heart rate to circulate the blood faster to make up for the fluids that are not present in
hypovolemic shock.
Quiz: Why are the manifestations of most types of shock the same regardless of what
specific events or condition caused the shock to occur?
A. The blood, blood vessels, and heart are directly connected to each other so that when
one is affected, all three are affected.
B. Because blood loss occurs with all types of shock, the most common first manifestation is
hypotension.
C. Every type of shock interferes with oxygenation and metabolism of all cells in the same
sequence.
D. The sympathetic nervous system is triggered by any type of shock and initiates the stress
response.
o
o
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in the number given.
, Ans: ANS: D
Rationale: Most manifestations of shock are similar regardless of what starts the process
or which tissues are affected first. These common manifestations result from physiologic
adjustments (compensatory mechanisms) in an attempt to ensure continued oxygenation
of vital organs. These adjustment actions are performed by the sympathetic nervous
system triggering the stress response and activating the endocrine and cardiovascular
systems.
Quiz: 2. A patient with shock of unknown etiology whose hemodynamic monitoring
indicates BP
92/54, pulse 64, and an elevated pulmonary artery wedge pressure has the following
collaborative interventions prescribed. Which intervention will the nurse question?
a. Infuse normal saline at 250 mL/hr.
b. Keep head of bed elevated to 30 degrees.
c. Give nitroprusside (Nipride) unless systolic BP <90 mm Hg.
d. Administer dobutamine (Dobutrex) to keep systolic BP >90 mm Hg.
Ans: ANS: A
The patient's elevated pulmonary artery wedge pressure indicates volume excess. A
normal saline infusion at 250 mL/hr will exacerbate this. The other actions are
appropriate for the patient.
DIF: Cognitive Level: Application REF: 1719 | 1721-1722 | 1735
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
Quiz: The healthcare provider is caring for a patient with a diagnosis of hemorrhagic
pancreatitis. The patient's central venous pressure (CVP) reading is 2, blood pressure is
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
[+254707240657] o Your Success is Our Mission!
o For online exams and tutor expert, please whatsapp me
in the number given.
