ABFM + KSA
Shock
Certification Exam
Actual Questions and Answers
100% Guarantee Pass.
This Exam contains:
100% Guarantee Pass.
Actual Questions and Answers
Multiple choice (single best answer)
Case Studies/Scenario-Based Questions
Verified Rationales
,A patient is questioning the nurse about circulation and perfusion. What is the nurse's best
response?
- Perfusion assists the body by preventing clots and increasing stamina.
- Perfusion assists the cell by delivering oxygen and removing waste products.
- Perfusion assists the heart by increasing the cardiac output.
- Perfusion assists the brain by increasing mental alertness.
CORRECT ANSWER:- Perfusion assists the cell by delivering oxygen and removing waste
products.
Perfusion delivers much needed oxygen to the cells of the body and then helps to remove
waste products. Perfusion does not prevent clots, does not increase cardiac output, and does
not increase mental alertness.
A patient is experiencing periods of confusion, and the family is concerned. The patient's son
asks the nurse for an explanation and recommendation. What is the nurse's best response?
- "Your father may be having mini-strokes; I will notify his physician."
- "Your father is just confused about some things since he is in the hospital."
- "The confusion will pass. Your father just has to get up and move around."
- "Talk with your father about past events, and that will help with the confusion."
CORRECT ANSWER:- "Your father may be having mini-strokes; I will notify his physician."
Periods of confusion may be related to mini-strokes, or transient ischemic attacks (TIAs).
Confusion during hospitalization does not occur with every patient. Talking with the patient
or thinking the confusion may pass is not a viable solution. The patient should be assessed
and the reason for the confusion identified.
The nurse is assessing a patient for sleep patterns. The patient reports that he has trouble
sleeping when lying flat. The best response from the nurse is
- open a window to let fresh air into the room.
,- use nasal strips to assist with breathing.
- sleep in a side-lying position.
- use pillows to prop yourself up while sleeping.
CORRECT ANSWER:- use pillows to prop yourself up while sleeping.
Using pillows to prop himself up during sleep allows the patient to breathe more easily and
comfortably. Nasal strips will help with breathing, but they do not always bring relief when
one is lying flat. Sleeping in a side position or opening a window does not help one to
breathe more easily when one is lying flat.
The nurse is assessing a female patient at the neighborhood clinic. The patient is complaining
of "feeling tired all the time." The nurse knows that fatigue may be an underlying symptom
of which condition?
- Ischemia
- Pneumonia
- Myocardial infarction
- Peptic ulcer disease
CORRECT ANSWER:- Myocardial infarction
Fatigue is an atypical symptom of myocardial infarction in women. Ischemia is associated
with pain. Pneumonia is associated with pain and shortness of breath. Peptic ulcer disease is
associated with pain and intestinal discomfort.
Exercise and activity are included in a cardiac rehabilitation program for which purposes?
Select all that apply.
- Increase cardiac output
- Increase serum lipids
- Increase blood pressure
- Increase blood flow to the arteries
, - Increase muscle mass
- Increase flexibility
Correct Answers:
- Increase cardiac output
- Increase blood flow to the arteries
- Increase muscle mass
- Increase flexibility
A cardiac rehabilitation program seeks to increase cardiac output, blood flow to the arteries,
muscle mass, and flexibility. The rehabilitation program does not want to increase serum
lipids or blood pressure.
The nurse is caring for a 55-yr-old man who has a catheter in the right radial artery for
invasive arterial blood pressure monitoring after abdominal aortic aneurysm surgery. Which
observation by the nurse would require an emergency intervention?
- Arterial pressure bag is inflated to 250 mm Hg.
- Calculated mean arterial pressure is 74 mm Hg.
- Patient's head of bed elevation is at 30 degrees.
- Capillary refill time in the right hand is 5 seconds.
CORRECT ANSWER:- Capillary refill time in the right hand is 5 seconds.
Neurovascular status distal to the arterial insertion site is monitored hourly. If arterial flow is
compromised, the limb will be cool and pale, with capillary refill time longer than 3 seconds.
Symptoms of neurologic impairment include paresthesia, pain, or paralysis. Neurovascular
impairment can result in loss of a limb and is an emergency. The pressure bag should be
inflated to 300 mm Hg. Normal range for mean arterial pressure is 70 to 105 mm Hg. The
backrest elevation may be up to 45 degrees unless the patient has orthostatic changes.
The nurse is caring for a 34-yr-old woman with acute decompensated heart failure who has a
pulmonary artery catheter. Which assessment indicates the patient's condition is improving?
- Cardiac output (CO) is 3.5 L/min.
Shock
Certification Exam
Actual Questions and Answers
100% Guarantee Pass.
This Exam contains:
100% Guarantee Pass.
Actual Questions and Answers
Multiple choice (single best answer)
Case Studies/Scenario-Based Questions
Verified Rationales
,A patient is questioning the nurse about circulation and perfusion. What is the nurse's best
response?
- Perfusion assists the body by preventing clots and increasing stamina.
- Perfusion assists the cell by delivering oxygen and removing waste products.
- Perfusion assists the heart by increasing the cardiac output.
- Perfusion assists the brain by increasing mental alertness.
CORRECT ANSWER:- Perfusion assists the cell by delivering oxygen and removing waste
products.
Perfusion delivers much needed oxygen to the cells of the body and then helps to remove
waste products. Perfusion does not prevent clots, does not increase cardiac output, and does
not increase mental alertness.
A patient is experiencing periods of confusion, and the family is concerned. The patient's son
asks the nurse for an explanation and recommendation. What is the nurse's best response?
- "Your father may be having mini-strokes; I will notify his physician."
- "Your father is just confused about some things since he is in the hospital."
- "The confusion will pass. Your father just has to get up and move around."
- "Talk with your father about past events, and that will help with the confusion."
CORRECT ANSWER:- "Your father may be having mini-strokes; I will notify his physician."
Periods of confusion may be related to mini-strokes, or transient ischemic attacks (TIAs).
Confusion during hospitalization does not occur with every patient. Talking with the patient
or thinking the confusion may pass is not a viable solution. The patient should be assessed
and the reason for the confusion identified.
The nurse is assessing a patient for sleep patterns. The patient reports that he has trouble
sleeping when lying flat. The best response from the nurse is
- open a window to let fresh air into the room.
,- use nasal strips to assist with breathing.
- sleep in a side-lying position.
- use pillows to prop yourself up while sleeping.
CORRECT ANSWER:- use pillows to prop yourself up while sleeping.
Using pillows to prop himself up during sleep allows the patient to breathe more easily and
comfortably. Nasal strips will help with breathing, but they do not always bring relief when
one is lying flat. Sleeping in a side position or opening a window does not help one to
breathe more easily when one is lying flat.
The nurse is assessing a female patient at the neighborhood clinic. The patient is complaining
of "feeling tired all the time." The nurse knows that fatigue may be an underlying symptom
of which condition?
- Ischemia
- Pneumonia
- Myocardial infarction
- Peptic ulcer disease
CORRECT ANSWER:- Myocardial infarction
Fatigue is an atypical symptom of myocardial infarction in women. Ischemia is associated
with pain. Pneumonia is associated with pain and shortness of breath. Peptic ulcer disease is
associated with pain and intestinal discomfort.
Exercise and activity are included in a cardiac rehabilitation program for which purposes?
Select all that apply.
- Increase cardiac output
- Increase serum lipids
- Increase blood pressure
- Increase blood flow to the arteries
, - Increase muscle mass
- Increase flexibility
Correct Answers:
- Increase cardiac output
- Increase blood flow to the arteries
- Increase muscle mass
- Increase flexibility
A cardiac rehabilitation program seeks to increase cardiac output, blood flow to the arteries,
muscle mass, and flexibility. The rehabilitation program does not want to increase serum
lipids or blood pressure.
The nurse is caring for a 55-yr-old man who has a catheter in the right radial artery for
invasive arterial blood pressure monitoring after abdominal aortic aneurysm surgery. Which
observation by the nurse would require an emergency intervention?
- Arterial pressure bag is inflated to 250 mm Hg.
- Calculated mean arterial pressure is 74 mm Hg.
- Patient's head of bed elevation is at 30 degrees.
- Capillary refill time in the right hand is 5 seconds.
CORRECT ANSWER:- Capillary refill time in the right hand is 5 seconds.
Neurovascular status distal to the arterial insertion site is monitored hourly. If arterial flow is
compromised, the limb will be cool and pale, with capillary refill time longer than 3 seconds.
Symptoms of neurologic impairment include paresthesia, pain, or paralysis. Neurovascular
impairment can result in loss of a limb and is an emergency. The pressure bag should be
inflated to 300 mm Hg. Normal range for mean arterial pressure is 70 to 105 mm Hg. The
backrest elevation may be up to 45 degrees unless the patient has orthostatic changes.
The nurse is caring for a 34-yr-old woman with acute decompensated heart failure who has a
pulmonary artery catheter. Which assessment indicates the patient's condition is improving?
- Cardiac output (CO) is 3.5 L/min.
