NSG 233 MED SURG III EXAM 4 STUDY BUNDLE
2026 PRACTICE QUESTIONS AND ANSWERS
DETAILED REVIEW
◉ what position should a hypovolemic shock pt be in? Answer:
modified Trendelenburg - restores intravascular volume
◉ pt is undergoing hypovolemic shock d/t a hemorrhage, what should rn
do to treat underlying cause? Answer: Stop bleed - pressure.
◉ pt is undergoing hypovolemic shock d/t severe NVD, what should rn
do to treat underlying cause? Answer: give meds to stop NVD
◉ what types of fluids are administered to a hypovolemic pt? Answer:
NS
LR
albumin
plasma/ RBC
◉ pt comes in w/ poisoning. whats the most important for RN to
maintain? Answer: airway stabilization
◉ whats the s/s of carbon dioxide poisoning? Answer: headache
dizzy
,confused
palpations
muscle weakness
intoxication coma
death
◉ whats the priority nursing assessment for a pt w/ carbon dioxide
poisoning? Answer: access carboxyhemoglobin levels
◉ what will the SPO2 of a Carbon Dioxide Poision pt look like Answer:
it will be Nl
◉ whats does Hypothermia put pt's at risk for? Answer: hypoxia
acidosis
dysrhythmias
◉ a pt w/ dysrhythmias secondary to hypothermia is having secondary
v-fib, what should RN know? Answer: pt must be rewarmed to >90F
(32.2c) prior to defibrillation!!!!!
◉ who all is screened in IPV? Answer: q pt.
ask "do you feel safe at home?"
, ◉ whats the pt w/ Compensatory Shock look like? Answer: Normal BP
tachycardia
tachypneic
PaCO2<32
cold, clammy
confused/agitated
respiratory alkalosis
◉ whats Compensatory Shock? Answer: first phase of shock,
pt is able to maintain fluid vol, normal BP
◉ whats Progressive Shock? Answer: shocks begins to fail to meet
metabolic needs
bp starts to lower
◉ whats the pt w/ progressive Shock look like? Answer: systolic <90
MAP <65
NEEDS fluid for BP
TACHYYY >150
rapid, shallow RR
crackles
mottled, petechiae
2026 PRACTICE QUESTIONS AND ANSWERS
DETAILED REVIEW
◉ what position should a hypovolemic shock pt be in? Answer:
modified Trendelenburg - restores intravascular volume
◉ pt is undergoing hypovolemic shock d/t a hemorrhage, what should rn
do to treat underlying cause? Answer: Stop bleed - pressure.
◉ pt is undergoing hypovolemic shock d/t severe NVD, what should rn
do to treat underlying cause? Answer: give meds to stop NVD
◉ what types of fluids are administered to a hypovolemic pt? Answer:
NS
LR
albumin
plasma/ RBC
◉ pt comes in w/ poisoning. whats the most important for RN to
maintain? Answer: airway stabilization
◉ whats the s/s of carbon dioxide poisoning? Answer: headache
dizzy
,confused
palpations
muscle weakness
intoxication coma
death
◉ whats the priority nursing assessment for a pt w/ carbon dioxide
poisoning? Answer: access carboxyhemoglobin levels
◉ what will the SPO2 of a Carbon Dioxide Poision pt look like Answer:
it will be Nl
◉ whats does Hypothermia put pt's at risk for? Answer: hypoxia
acidosis
dysrhythmias
◉ a pt w/ dysrhythmias secondary to hypothermia is having secondary
v-fib, what should RN know? Answer: pt must be rewarmed to >90F
(32.2c) prior to defibrillation!!!!!
◉ who all is screened in IPV? Answer: q pt.
ask "do you feel safe at home?"
, ◉ whats the pt w/ Compensatory Shock look like? Answer: Normal BP
tachycardia
tachypneic
PaCO2<32
cold, clammy
confused/agitated
respiratory alkalosis
◉ whats Compensatory Shock? Answer: first phase of shock,
pt is able to maintain fluid vol, normal BP
◉ whats Progressive Shock? Answer: shocks begins to fail to meet
metabolic needs
bp starts to lower
◉ whats the pt w/ progressive Shock look like? Answer: systolic <90
MAP <65
NEEDS fluid for BP
TACHYYY >150
rapid, shallow RR
crackles
mottled, petechiae
