Exam 4: Shock NCLEX Questions And

Exam 4: Shock NCLEX Questions And

Answers 2023 d - Answer 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 relative hypervolemia
• an absolute hypovolemia
• neurogenic shock from low blood flow
• neurogenic shock from massive vasodilation

b - Answer 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

• sepsis
• septic shock
• multiple organ dysfunction syndrome
• systemic inflammatory response syndrome

b c - Answer Appropriate treatment modalities for the management of cardiogenic shock include (Select all that apply)

• dobutamine to increase myocardial contractility
• vasopressors to increase systemic vascular resistance
• circulatory assist devices such as an intraaortic balloon pump
• corticosteroids to stabilize the cell wall in the infarcted myocardium
• trendelenburg positioning to facilitate venous return and increase preload

d - Answer The most accurate assessment parameters for the nurse to use to determine adequate tissue perfusion in the patient with MODS are

• blood pressure, pulse, and respirations
• breath sounds, blood pressure, and body temperature
• pulse pressure, level of consciousness, and pupillary response
• level of consciousness, urine output, and skin color and temperature

d - Answer What is the key factor in describing any type of shock?

• hypoxemia
• hypotension
• vascular collapse
• inadequate tissue perfusion

b - Answer When shock occurs in a patient with pulmonary embolism or abdominal compartment syndrome, what type of shock would that be?

• distributive shock 1 / 2

Exam 4: Shock NCLEX Questions And

Answers 2023

• obstructive shock
• cardiogenic shock
• hypovolemic shock

a b e f - Answer What physical problems could precipitate hypovolemic shock? (Select all that apply)

• burns
• ascites
• vaccines
• insect bites
• hemorrhage
• ruptured spleen

a - Answer 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?

• septic shock
• neurogenic shock
• cardiogenic shock
• anaphylactic shock

a d e - Answer 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)

• skin
• brain
• heart
• kidneys
• gastrointestinal tract

b - Answer Which hemodynamic monitoring description of the identified shock is accurate?

• tachycardia with hypertension is characteristic of neurogenic syndrome
• increased pulmonary artery wedge pressure (PAWP) and a decreased cardiac

output occur in cardiogenic shock

• anaphylactic shock is characterized by increased systemic vascular resistance,

decreased CO, and decreased PAWP

• in septic shock, bacterial endotoxins
• / 2