ATCN 2020 CHAPTER 3 SHOCK EXAM 2026|2027 QUESTIONS WITH
VERIFIED ANSWERS| LATEST UPDATE
_______________________ these types of patients are at risk for extensive blood loos into the tissues
even without fractures - Correct Answer -Obese patients
Provide supplemental oxygen to maintain oxygen saturation greater than ___________% - Correct
Answer -95%.
Circulation - During your primary assessment you should - Correct Answer -Control Hemorrhage
Establish Two large bore IV's
Assess Tissue perfusion
Hypothermia can exacerbate blood loss by ? - Correct Answer -Contributing to coagulopathy and
worsening acidosis
Gastric Dilation occurs when - Correct Answer -Often occurs in trauma patients, especially in children.
This condition can cause unexplained hypotension or cardiac dysrhythmias. Usually bradycardia from
excessive vagal stimulation.
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,Urinary catheterization allows you to what - Correct Answer -Allows you to assess urinary output / renal
perfusion
Initial fluid Therapy - Correct Answer -Adult - usually one liter
Children 20 ml/kg weight less than 40kg
Blood 10ml/kg
What is controlled resuscitation - Correct Answer -Balancing the goal of organ perfusion and tissue
oxygenation with the avoidance of rebleeding by accepting a lower than normal blood pressure has been
termed controlled resuscitation , balanced resuscitation, hypotension resuscitation, permissive,
hypotension.
early administration of ______________________________________________ can prevent the development
of coagulopathy and thrombocytopenia. - Correct Answer -Early administration of blood products and
platelets can prevent the development of coagulopathy and thrombocytopenia.
The volume of urinary output is a reasonable sensitive indicator of renal perfusion, normal urine volumes
generally imply adequate renal blood flow, if not modified by underlying kidney injury, marked
hyperglycemia, or the administration of diuretic agents. - Correct Answer -For this reason, urinary
output is used to monitor renal blood flow.
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, Adequate replacement during resuscitation should produce:
Adult
Child
Infant - Correct Answer -Adult 0.5ml/kg/hr
Child 1 ml/kg/hr
Infant 2 ml/kg/hr (under 1 year of age)
The inability to maintain these levels of urine output or an increase in specific gravity indicates ? -
Correct Answer -Inadequate resuscitation
Class II Hemorrhage Defined - Correct Answer -Is in complicated hemorrhage for which crystalloid fluid
resuscitation is required.
15% - 30% blood volume loss
Tachycardia
Tachypnea
Decrease pulse pressure (r/t catacholamine releases resulting in increased vascular tone)
Subtle CNS changes ( anxiety, fear, hostility)
Urinary output only mildly affected (20 - 30 ml/ hr in class II)
Class III Hemorrhage - Defined - Correct Answer -Is a complicated hemorrhage state in which at least
crystalloid infusion is required and perhaps also blood replacement therapy
31% to 40%. Blood Volume Loss
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VERIFIED ANSWERS| LATEST UPDATE
_______________________ these types of patients are at risk for extensive blood loos into the tissues
even without fractures - Correct Answer -Obese patients
Provide supplemental oxygen to maintain oxygen saturation greater than ___________% - Correct
Answer -95%.
Circulation - During your primary assessment you should - Correct Answer -Control Hemorrhage
Establish Two large bore IV's
Assess Tissue perfusion
Hypothermia can exacerbate blood loss by ? - Correct Answer -Contributing to coagulopathy and
worsening acidosis
Gastric Dilation occurs when - Correct Answer -Often occurs in trauma patients, especially in children.
This condition can cause unexplained hypotension or cardiac dysrhythmias. Usually bradycardia from
excessive vagal stimulation.
1|Page
1|Page
,Urinary catheterization allows you to what - Correct Answer -Allows you to assess urinary output / renal
perfusion
Initial fluid Therapy - Correct Answer -Adult - usually one liter
Children 20 ml/kg weight less than 40kg
Blood 10ml/kg
What is controlled resuscitation - Correct Answer -Balancing the goal of organ perfusion and tissue
oxygenation with the avoidance of rebleeding by accepting a lower than normal blood pressure has been
termed controlled resuscitation , balanced resuscitation, hypotension resuscitation, permissive,
hypotension.
early administration of ______________________________________________ can prevent the development
of coagulopathy and thrombocytopenia. - Correct Answer -Early administration of blood products and
platelets can prevent the development of coagulopathy and thrombocytopenia.
The volume of urinary output is a reasonable sensitive indicator of renal perfusion, normal urine volumes
generally imply adequate renal blood flow, if not modified by underlying kidney injury, marked
hyperglycemia, or the administration of diuretic agents. - Correct Answer -For this reason, urinary
output is used to monitor renal blood flow.
2|Page
2|Page
, Adequate replacement during resuscitation should produce:
Adult
Child
Infant - Correct Answer -Adult 0.5ml/kg/hr
Child 1 ml/kg/hr
Infant 2 ml/kg/hr (under 1 year of age)
The inability to maintain these levels of urine output or an increase in specific gravity indicates ? -
Correct Answer -Inadequate resuscitation
Class II Hemorrhage Defined - Correct Answer -Is in complicated hemorrhage for which crystalloid fluid
resuscitation is required.
15% - 30% blood volume loss
Tachycardia
Tachypnea
Decrease pulse pressure (r/t catacholamine releases resulting in increased vascular tone)
Subtle CNS changes ( anxiety, fear, hostility)
Urinary output only mildly affected (20 - 30 ml/ hr in class II)
Class III Hemorrhage - Defined - Correct Answer -Is a complicated hemorrhage state in which at least
crystalloid infusion is required and perhaps also blood replacement therapy
31% to 40%. Blood Volume Loss
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3|Page
