Mark Klimek NCLEX Review Questions
HYPOVOLEMIC SHOC with Correct
Answers
In hypovolemic shock, there is a _____________ in the circulating ________ volume
which ______________ tissue perfusion with ____________. - ANSWER-decrease;
blood; decreases; oxygen
What gauge catheter would you use to start an IV in hypovolemic shock? - ANSWER-16
or larger
What is the #1 cause of hypovolemic shock? - ANSWER-Acute blood loss
What happens to the blood pressure in hypovolemic shock? - ANSWER-It decreases
What happens to the pulse pressure in hypovolemic shock? - ANSWER-It narrows
How do you calculate the pulse pressure? - ANSWER-Subtract the diastolic from
systolic
If J. Doe's blood pressure is 100/60, what is his pulse pressure? - ANSWER-40
What is the normal pulse pressure? - ANSWER-40 +/- 10
In hypovolemic shock, the LOC is increased/decreased. - ANSWER-decreased
Which heart rate is associated with hypovolemic shock, bradycardia or tachycardia? -
ANSWER-Tachycardia
In hypovolemic shock, the output of urine will be less than ___________ mL/hour. -
ANSWER-25-30
The client's skin will be ________, ________, and ______________. - ANSWER-cool;
pale; clammy (due to arterial constriction to shunt blood from skin to vital organs)
Which acid-base disorder is MOST commonly associated with hypovolemic shock? -
ANSWER-Metabolic acidosis (due to lactic acid accumulation; no oxygen = anaerobic
metabolism)
Of all the following, which one(s) increase in hypovolemic shock? Blood pressure,
output, heart rate, pH, LOC, pulse pressure, respiratory rate - ANSWER-Heart rate and
respiratory rate
HYPOVOLEMIC SHOC with Correct
Answers
In hypovolemic shock, there is a _____________ in the circulating ________ volume
which ______________ tissue perfusion with ____________. - ANSWER-decrease;
blood; decreases; oxygen
What gauge catheter would you use to start an IV in hypovolemic shock? - ANSWER-16
or larger
What is the #1 cause of hypovolemic shock? - ANSWER-Acute blood loss
What happens to the blood pressure in hypovolemic shock? - ANSWER-It decreases
What happens to the pulse pressure in hypovolemic shock? - ANSWER-It narrows
How do you calculate the pulse pressure? - ANSWER-Subtract the diastolic from
systolic
If J. Doe's blood pressure is 100/60, what is his pulse pressure? - ANSWER-40
What is the normal pulse pressure? - ANSWER-40 +/- 10
In hypovolemic shock, the LOC is increased/decreased. - ANSWER-decreased
Which heart rate is associated with hypovolemic shock, bradycardia or tachycardia? -
ANSWER-Tachycardia
In hypovolemic shock, the output of urine will be less than ___________ mL/hour. -
ANSWER-25-30
The client's skin will be ________, ________, and ______________. - ANSWER-cool;
pale; clammy (due to arterial constriction to shunt blood from skin to vital organs)
Which acid-base disorder is MOST commonly associated with hypovolemic shock? -
ANSWER-Metabolic acidosis (due to lactic acid accumulation; no oxygen = anaerobic
metabolism)
Of all the following, which one(s) increase in hypovolemic shock? Blood pressure,
output, heart rate, pH, LOC, pulse pressure, respiratory rate - ANSWER-Heart rate and
respiratory rate
