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Infection, IV management & Sepsis and
Shock Verified and Updated Questions and
Answers (100% Correct Answers)
The nurse is caring for a patient newly diagnosed with sepsis. The patient has a
serum lactate level of 6 mmol/L and fluid resuscitation has been initiated. Which of
the following indicates that the fluid resuscitation received by the patient is
adequate?
Answer: Mean arterial pressure (MAP) of 70 mm Hg
The nurse knows when the cardiovascular system becomes ineffective in maintaining
an adequate mean arterial pressure (MAP). Select the reading below that indicates
tissue hypoperfusion.
Answer: 60 mm Hg
You are caring for a client who is in neurogenic shock. You know that this is a
subcategory of what kind of shock?
Answer: Circulatory (distributive)
The nurse is calculating a patient's mean arterial pressure (MAP). What is the term-
5patient's MAP, if the blood pressure is 110/70 mm Hg?
Answer: 83
You are a nurse in the Emergency Department (ED) caring for a client presenting with
vasodilation. Your assessment indicates that the client's central blood flow is
reduced and their peripheral vascular area is hypervolemic. You notify the physician
that this client is in what kind of shock?
Answer: Circulatory (distributive)
A 17-year-old-male client with a history of depression is brought to the ED after
overdosing on Valium. This client is at risk for developing which type of distributive
shock?
Answer: Neurogenic Shock
You are the nurse caring for a client in septic shock. You know to closely monitor
your client. What finding would you observe when the client's condition is in its
initial stages?
Answer: A rapid, bounding pulse
When vasoactive medications are administered, the nurse must monitor vital signs at
least how often?
Answer: 15 min
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You are caring for a client in the compensation stage of shock. You know that in this
stage of shock epinephrine and norepinephrine are released into the circulation.
What positive effect does this have on your client?
Answer: Increase myocardial contractility
During preshock, the compensatory stage of shock, the body, through sympathetic
nervous system stimulation, will release catecholamines to shunt blood from one
organ to another. Which of the following organs will always be protected?
Answer: Brain
When a patient is in the compensatory stage of shock which of the following
symptoms occurs?
Answer: tachycardia
The client exhibits a blood pressure of 110/68 mm Hg, pulse rate of 112 beats/min,
temperature of 102°F with skin warm and flushed. Respirations are 30 breaths/min.
The nurse assesses the client may be exhibiting the early stage of which shock?
Answer: Septic
During the compensation stage of shock, what is the consequence of the release of
catecholamine sin the skeletal muscles?
Answer: Blood supply to the skeletal muscles increases.
The nurse is caring for a critically ill client. Which of the following is the nurse
correct to identify as a positive effect of catecholamine release during the
compensation stage of shock?
Answer: increase in arterial ozygenation
You are caring for a client in the compensation stage of shock. You know that in this
stage of shock epinephrine and norepinephrine are released into the circulation.
What positive effect does this have on your client?
Answer: Increase myocardial contractility
The nurse is caring for a client in the irreversible stage of shock. The nurse is
explaining to the client's family the poor prognosis. Which would the nurse be most
accurate to explain as the rationale for imminent death?
Answer: multiple organ failure
A patient is in the progressive stage of shock with lung decompensation. What
treatment does the nurse anticipate assisting with?
Answer: Intubation and mechanical ventilation
Infection, IV management & Sepsis and
Shock Verified and Updated Questions and
Answers (100% Correct Answers)
The nurse is caring for a patient newly diagnosed with sepsis. The patient has a
serum lactate level of 6 mmol/L and fluid resuscitation has been initiated. Which of
the following indicates that the fluid resuscitation received by the patient is
adequate?
Answer: Mean arterial pressure (MAP) of 70 mm Hg
The nurse knows when the cardiovascular system becomes ineffective in maintaining
an adequate mean arterial pressure (MAP). Select the reading below that indicates
tissue hypoperfusion.
Answer: 60 mm Hg
You are caring for a client who is in neurogenic shock. You know that this is a
subcategory of what kind of shock?
Answer: Circulatory (distributive)
The nurse is calculating a patient's mean arterial pressure (MAP). What is the term-
5patient's MAP, if the blood pressure is 110/70 mm Hg?
Answer: 83
You are a nurse in the Emergency Department (ED) caring for a client presenting with
vasodilation. Your assessment indicates that the client's central blood flow is
reduced and their peripheral vascular area is hypervolemic. You notify the physician
that this client is in what kind of shock?
Answer: Circulatory (distributive)
A 17-year-old-male client with a history of depression is brought to the ED after
overdosing on Valium. This client is at risk for developing which type of distributive
shock?
Answer: Neurogenic Shock
You are the nurse caring for a client in septic shock. You know to closely monitor
your client. What finding would you observe when the client's condition is in its
initial stages?
Answer: A rapid, bounding pulse
When vasoactive medications are administered, the nurse must monitor vital signs at
least how often?
Answer: 15 min
, Inquire through: | Professional | Confidential Support
You are caring for a client in the compensation stage of shock. You know that in this
stage of shock epinephrine and norepinephrine are released into the circulation.
What positive effect does this have on your client?
Answer: Increase myocardial contractility
During preshock, the compensatory stage of shock, the body, through sympathetic
nervous system stimulation, will release catecholamines to shunt blood from one
organ to another. Which of the following organs will always be protected?
Answer: Brain
When a patient is in the compensatory stage of shock which of the following
symptoms occurs?
Answer: tachycardia
The client exhibits a blood pressure of 110/68 mm Hg, pulse rate of 112 beats/min,
temperature of 102°F with skin warm and flushed. Respirations are 30 breaths/min.
The nurse assesses the client may be exhibiting the early stage of which shock?
Answer: Septic
During the compensation stage of shock, what is the consequence of the release of
catecholamine sin the skeletal muscles?
Answer: Blood supply to the skeletal muscles increases.
The nurse is caring for a critically ill client. Which of the following is the nurse
correct to identify as a positive effect of catecholamine release during the
compensation stage of shock?
Answer: increase in arterial ozygenation
You are caring for a client in the compensation stage of shock. You know that in this
stage of shock epinephrine and norepinephrine are released into the circulation.
What positive effect does this have on your client?
Answer: Increase myocardial contractility
The nurse is caring for a client in the irreversible stage of shock. The nurse is
explaining to the client's family the poor prognosis. Which would the nurse be most
accurate to explain as the rationale for imminent death?
Answer: multiple organ failure
A patient is in the progressive stage of shock with lung decompensation. What
treatment does the nurse anticipate assisting with?
Answer: Intubation and mechanical ventilation
