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Exam 4: Shock NCLEX Questions and Correct Answers 2024.
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Exam 4: Shock NCLEX Questions and CorrectAnswers 2024.
d
A patient has a spinal cord injury at T4. Vital signs include falling blood pressure and bradycardia. The
nurse recognizes that the patient is experiencing
a. a relative hypervolemia
b. an absolute hypovolemia
c. neurogenic shock from low blood flow
d. neurogenic shock from massive vasodilation
b
A 78 year old man has confusion and temperature of 104. He is a diabetic with purulent drainage from
his right heel. After an infusion of 3 L of normal saline solution, his assessment findings are BP 84/40, HR
110, RR 42 and shallow, CO 8L/min, and PAWP 4 mm Hg. This patient's symptoms are most likely
indicative o
a. sepsis
b. septic shock
c. multiple organ dysfunction syndrome
d. systemic inflammatory response syndrome
b
c
Appropriate treatment modalities for the management of cardiogenic shock include (Select all that
apply)
a. dobutamine to increase myocardial contractility
b. vasopressors to increase systemic vascular resistance
c. circulatory assist devices such as an intraaortic balloon pump
d. corticosteroids to stabilize the cell wall in the infarcted myocardium
e. trendelenburg positioning to facilitate venous return and increase preload
d
The most accurate assessment parameters for the nurse to use to determine adequate tissue perfusion
in the patient with MODS are
a. blood pressure, pulse, and respirations
,b. breath sounds, blood pressure, and body temperature
c. pulse pressure, level of consciousness, and pupillary response
d. level of consciousness, urine output, and skin color and temperature
d
What is the key factor in describing any type of shock?
a. hypoxemia
b. hypotension
c. vascular collapse
d. inadequate tissue perfusion
b
When shock occurs in a patient with pulmonary embolism or abdominal compartment syndrome, what
type of shock would that be?
a. distributive shock
b. obstructive shock
c. cardiogenic shock
d. hypovolemic shock
a
b
e
f
What physical problems could precipitate hypovolemic shock? (Select all that apply)
a. burns
b. ascites
c. vaccines
d. insect bites
e. hemorrhage
f. ruptured spleen
a
A 70 year old patient is malnourished, has a history of type 2 DM, and is admitted from the nursing
home with pneumonia and tachypnea. For which kind of shock should the nurse closely monitor this
patient?
a. septic shock
, b. neurogenic shock
c. cardiogenic shock
d. anaphylactic shock
a
d
e
In the compensatory stage of hypovolemic shock, to what organs does blood flow decrease after the
sympathetic nervous system activates α-adrenergic stimulation? (Select all that apply)
a. skin
b. brain
c. heart
d. kidneys
e. gastrointestinal tract
b
Which hemodynamic monitoring description of the identified shock is accurate?
a. tachycardia with hypertension is characteristic of neurogenic syndrome
b. increased pulmonary artery wedge pressure (PAWP) and a decreased cardiac output occur in
cardiogenic shock
c. anaphylactic shock is characterized by increased systemic vascular resistance, decreased CO, and
decreased PAWP
d. in septic shock, bacterial endotoxins
d
As the body continues to try to compensate for hypovolemic shock, there is increased angiotensin II from
the activation of the renin-angiotensin-aldosterone system. What physiologic change occurs related to
the increased angiotensin II?
a. vasodilation
b. decreased BP and CO
c. aldosterone release results in sodium and water excretion
d. antidiuretic hormone release increases water reabsorption
a
c
f
The patient is in the compensatory stage of shock. What manifestations indicate this to the
nurse? (Select all that apply)
a. pale and cool
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