NCLEX-Style Questions – Shock and Sepsis Exam 2025–2026 – Latest Updated Questions and Correct Answers

Shock and Sepsis NCLEX questions
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Thef9nursef9isf9caringf9forf9postoperativef9clientsf9atf9riskf9forf9hypovolemicf9s
hock.f9Whichf9off9thef9followingf9wouldf9causef9thef9nursef9tof9suspectf9thatf9t
hef9clientf9hasf9earlyf9shock?


A.f9Hypotension
B.f9Bradypnea
C.f9Irregularf9heartf9rhythm

D.f9Tachycardiaf9-f9correctf9answer✔ ✔ A.f9Hypotension


Whenf9caringf9forf9anf9obtundedf9EDf9clientf9withf9shockf9off9unknownf9origi
n,f9whichf9actionf9shouldf9thef9nursef9takef9first?


A.f9Establishf9IVf9accessf9andf9hangf9prescribedf9infusion
B.f9Applyf9thef9automaticf9BPf9cuff
C.f9Assessf9levelf9off9consciousnessf9andf9pupilf9responsef9tof9light

D.f9Checkf9thef9airwayf9andf9respiratoryf9statusf9-f9correctf9answer✔ ✔
D.f9Checkf9thef9airwayf9andf9respiratoryf9status


Whenf9caringf9forf9anyf9client,f9determiningf9airwayf9andf9respiratoryf9statusf9
isf9thef9priority.f9Thef9airwayf9takesf9priorityf9overf9obtainingf9IVf9access,f9ap

,plyingf9thef9bloodf9pressuref9cuff,f9andf9assessingf9forf9changesf9inf9thef9client'
sf9mentalf9status.


Thef9nursingf9assistantf9reportsf9concernsf9aboutf9thef9postoperativef9clientf9
whof9hasf9BPf990/60,f9HRf980,f9Rf922.f9Whatf9shouldf9thef9RNf9do?f9


A.f9Comparef9thesef9VSf9withf9lastf9severalf9readings
B.f9Requestf9thatf9thef9surgeonf9comef9seef9thef9client
C.f9Increasef9thef9ratef9off9IVf9fluids

D.f9Reassessf9VSf9usingf9differentf9equipmentf9-f9correctf9answer✔ ✔
A.f9Comparef9thesef9vitalf9signsf9withf9thef9lastf9severalf9readings.


Vitalf9signf9trendsf9mustf9bef9takenf9intof9consideration;f9af9BPf9off990/60f9mmf
9Hgf9mayf9bef9normalf9forf9thisf9client.f9Callingf9thef9surgeonf9isf9notf9necessar


yf9atf9thisf9point,f9andf9increasingf9IVf9fluidsf9isf9notf9indicated.f9Thef9samef9eq
uipmentf9shouldf9bef9usedf9whenf9vitalf9signsf9aref9takenf9postoperatively.


Af9postoperativef9clientf9isf9admittedf9tof9thef9ICUf9withf9hypovolemicf9shock
.f9Whichf9nursingf9actionf9shouldf9thef9nursef9delegatef9tof9thef9experiencedf9n
ursingf9assistant?f9


A.f9Obtainf9vitalf9signsf9everyf915f9minutes
B.f9Measuref9hourlyf9urinef9output

, C.f9Checkf9oxygenf9saturation

D.f9Assessf9levelf9off9alertnessf9-f9correctf9answer✔ ✔
B.f9Measuref9hourlyf9urinef9output


Monitoringf9hourlyf9urinef9outputf9isf9includedf9inf9nursingf9assistantf9educati
onf9andf9doesf9notf9requiref9specialf9clinicalf9judgment;f9thef9nursef9evaluatesf
9thef9results.f9Obtainingf9vitalf9signs,f9monitoring f9oxygenf9saturation,f9andf9a


ssessingf9mentalf9statusf9inf9criticallyf9illf9clientsf9requiresf9thef9clinicalf9judg
mentf9off9thef9criticalf9caref9nursef9becausef9immediatef9interventionf9mayf9be
f9needed.




Whenf9caringf9forf9clientf9withf9hypovolemicf9shockf9withf9thesef9assessment
f9findings,f9Tf997.9,f9Pf9122,f9



Rf924,f9BPf986/48,f9totalf9urinef9outputf920mLf9inf9lastf92f9hours,f9skinf9coolf9an
df9clammy,f9whichf9off9thef9followingf9ordersf9wouldf9thef9nursef9question?f9


A.f9Dopaminef9(Intropin)f912mcg/kg/min
B.f9Dobutaminef9(Dobutrex)f95mcg/kg/min
C.f9Plasmanatef91f9unit

D.f9Bumetanidef9(Bumex)f91mgf9IVf9-f9correctf9answer✔ ✔
D.f9Bumetanidef9(Bumex)f91mgf9IV


Af9diureticf9suchf9asf9bumetanidef9willf9decreasef9bloodf9volumef9inf9af9clientf9
whof9isf9alreadyf9hypovolemic;f9thisf9orderf9shouldf9bef9questionedf9becausef9