NRSG 2500 EXAM 3 QUESTIONS AND ANSWERS
T/F: an early and the most accurate indicator of shock is an increase in pulse pressure. - CORRECT
ANSWER✅✅FALSE
pulse pressure is systolic - diastolic, which decreases with shock.
T/F: the most common and serious side effects of fluid replacement are cardiovascular overload and
pulmonary edema - CORRECT ANSWER✅✅true
T/F: cardiogenic shock, impairment of the heart's ability to contract and pump blood is the most
common type of shock - CORRECT ANSWER✅✅false
hypovolemic is the most common type of shock
T/F: organ dysfunction syndrome, requiring medical intervention to support continued organ function,
may be a complication of any form of shock - CORRECT ANSWER✅✅true
hypoxia
FILL IN THE BLANK: in the ______ stage of shock, the patients general health is prior to shock state, as
well as the amount of time it takes to restore tissue perfusion, determines the chance of survival.
a. primary
b. progressive
c. compensatory
d. refractory - CORRECT ANSWER✅✅b. progressive
comorbidities can increase the rate of patients slipping into the irreversible stage of shock
,patients in shock require support for increased energy requirements of at least _____________ calories
a day
a. 2000
b. 2500
c. 3000
d. 3500 - CORRECT ANSWER✅✅c. 3000
a ________________ position is recommended in hypovolemic shock
a. left sims
b. prone
c. supine
d. modified trendelenburg - CORRECT ANSWER✅✅d. modified trendelenburg
the pt is diagnosed with hypovolemic shock and has a BP of 104/66. fifteen minutes lated the BP is
82/66. how much narrowing of the patient's pulse pressure has occurred between the two readings?
a. 21
b. 32
c. 30
d. 24 - CORRECT ANSWER✅✅d. 24
the patient is admitted to the emergency department with diaphoresis, pale clammy skin, and a BP of
90/70. which intervention should be the first priority?
a. start an IV with an 18g catheter
b. administer dopamine intravenous infusion
c. obtain arterial blood gases
d. insert an indwelling urinary catheter - CORRECT ANSWER✅✅a. start an IV with an 18g catheter
,the patient is diagnosed with septicemia and had the following health care provider orders. which order
has the highest priority?
a. provide clear liquid diet
b. draw blood cultures
c. initiate IV antibiotics therapy
d. obtain a STAT chest x-ray - CORRECT ANSWER✅✅b. draw blood cultures
septicemia is sepsis
the pt is diagnosed with neurogenic shock. which s/s should the nurse assess in this patient?
a. cool moist skin
b. bradycardia
c. wheezing
d. decreased bowel sounds - CORRECT ANSWER✅✅b. bradycardia
bradycardia is the tall-tell sign of neurogenic shock. neurogenic shock is the opposite of fight-or-flight
T/F: heart rate x stroke volume = cardiac output - CORRECT ANSWER✅✅true
FILL IN THE BLANK: _______________ _______________ __________________ is a serious complication
that may occur when large volumes of fluids are given - CORRECT ANSWER✅✅abdominal compartment
syndrome
which medications affect the squeeze of the heart?
a. inotropic
b. chronotropic
, c. dromotropic
d. vasopressor - CORRECT ANSWER✅✅a. inotropic
which medications affect the heart rate?
a. inotropic
b. chronotropic
c. dromotropic
d. vasopressor - CORRECT ANSWER✅✅b. chronotropic
FILL IN THE BLANK: pulse pressure _____________ with shock - CORRECT ANSWER✅✅decreases
T/F: a narrowing pulse pressure is a later sign of deterioration then a drop in systolic pressure < 90. -
CORRECT ANSWER✅✅false
which term describes the physiologic condition in which there is inadequate blood flow and oxygen to
the cells and tissues of the body?
a. hypoxia
b. hypoperfusion
c. shock
d. hypoxemia - CORRECT ANSWER✅✅c. shock
FILL IN THE BLANK: early _________ ______________ nutrition promotes GI function through direct
exposure to nutrients - CORRECT ANSWER✅✅enteral nutrition
which type of shock results from decreased intravascular volume?
a. hypovolemic
b. cardiogenic
T/F: an early and the most accurate indicator of shock is an increase in pulse pressure. - CORRECT
ANSWER✅✅FALSE
pulse pressure is systolic - diastolic, which decreases with shock.
T/F: the most common and serious side effects of fluid replacement are cardiovascular overload and
pulmonary edema - CORRECT ANSWER✅✅true
T/F: cardiogenic shock, impairment of the heart's ability to contract and pump blood is the most
common type of shock - CORRECT ANSWER✅✅false
hypovolemic is the most common type of shock
T/F: organ dysfunction syndrome, requiring medical intervention to support continued organ function,
may be a complication of any form of shock - CORRECT ANSWER✅✅true
hypoxia
FILL IN THE BLANK: in the ______ stage of shock, the patients general health is prior to shock state, as
well as the amount of time it takes to restore tissue perfusion, determines the chance of survival.
a. primary
b. progressive
c. compensatory
d. refractory - CORRECT ANSWER✅✅b. progressive
comorbidities can increase the rate of patients slipping into the irreversible stage of shock
,patients in shock require support for increased energy requirements of at least _____________ calories
a day
a. 2000
b. 2500
c. 3000
d. 3500 - CORRECT ANSWER✅✅c. 3000
a ________________ position is recommended in hypovolemic shock
a. left sims
b. prone
c. supine
d. modified trendelenburg - CORRECT ANSWER✅✅d. modified trendelenburg
the pt is diagnosed with hypovolemic shock and has a BP of 104/66. fifteen minutes lated the BP is
82/66. how much narrowing of the patient's pulse pressure has occurred between the two readings?
a. 21
b. 32
c. 30
d. 24 - CORRECT ANSWER✅✅d. 24
the patient is admitted to the emergency department with diaphoresis, pale clammy skin, and a BP of
90/70. which intervention should be the first priority?
a. start an IV with an 18g catheter
b. administer dopamine intravenous infusion
c. obtain arterial blood gases
d. insert an indwelling urinary catheter - CORRECT ANSWER✅✅a. start an IV with an 18g catheter
,the patient is diagnosed with septicemia and had the following health care provider orders. which order
has the highest priority?
a. provide clear liquid diet
b. draw blood cultures
c. initiate IV antibiotics therapy
d. obtain a STAT chest x-ray - CORRECT ANSWER✅✅b. draw blood cultures
septicemia is sepsis
the pt is diagnosed with neurogenic shock. which s/s should the nurse assess in this patient?
a. cool moist skin
b. bradycardia
c. wheezing
d. decreased bowel sounds - CORRECT ANSWER✅✅b. bradycardia
bradycardia is the tall-tell sign of neurogenic shock. neurogenic shock is the opposite of fight-or-flight
T/F: heart rate x stroke volume = cardiac output - CORRECT ANSWER✅✅true
FILL IN THE BLANK: _______________ _______________ __________________ is a serious complication
that may occur when large volumes of fluids are given - CORRECT ANSWER✅✅abdominal compartment
syndrome
which medications affect the squeeze of the heart?
a. inotropic
b. chronotropic
, c. dromotropic
d. vasopressor - CORRECT ANSWER✅✅a. inotropic
which medications affect the heart rate?
a. inotropic
b. chronotropic
c. dromotropic
d. vasopressor - CORRECT ANSWER✅✅b. chronotropic
FILL IN THE BLANK: pulse pressure _____________ with shock - CORRECT ANSWER✅✅decreases
T/F: a narrowing pulse pressure is a later sign of deterioration then a drop in systolic pressure < 90. -
CORRECT ANSWER✅✅false
which term describes the physiologic condition in which there is inadequate blood flow and oxygen to
the cells and tissues of the body?
a. hypoxia
b. hypoperfusion
c. shock
d. hypoxemia - CORRECT ANSWER✅✅c. shock
FILL IN THE BLANK: early _________ ______________ nutrition promotes GI function through direct
exposure to nutrients - CORRECT ANSWER✅✅enteral nutrition
which type of shock results from decreased intravascular volume?
a. hypovolemic
b. cardiogenic
