Exam 3 EAQs: Ch. 66 - Shock
A patient experiences a myocardial infarction (MI). The nurse closely monitors the
patient for complications and recognizes that hypotension is a warning sign of which
condition?
A secondary MI
Cardiogenic shock
Pulmonary edema
Fatal dysrhythmias - answer Cardiogenic shock
The nurse is caring for a patient who has hypovolemic shock. Which medical diagnosis
does the nurse suspect?
Insect bite
Severe burns
Myocardial infarction
Pulmonary embolism - answer Severe burns
Which type of shock is associated with bradycardia?
Septic shock
Neurogenic shock
Anaphylactic shock
Hypovolemic shock - answer Neurogenic shock
The nurse is caring for a patient who developed cardiogenic shock. Which medical
diagnosis does the nurse suspect?
Urosepsis
Hemorrhage
Myocardial infarction
Tension pneumothorax - answer Myocardial infarction
A patient is showing signs of anaphylactic shock from an insect sting. Which health care
provider's order does the nurse implement first ?
Diphenhydramine 50 mg IV
Oxygen via nasal cannula at 3 L
Epinephrine 1:1000, 0.5 mg IM
Normal saline intravenous (IV) to run at 150 mL/hr - answer Epinephrine 1:1000, 0.5 mg
IM
A patient is brought to the emergency department (ED) after multiple bee stings. On
assessment, the nurse finds that the patient has edema on the lips and tongue as well
as chest pain, dizziness, wheezing, and stridor. What type of shock should the nurse
document this as?
Septic shock
Obstructive shock
Neurogenic shock
Anaphylactic shock - answer Anaphylactic shock
Which type of shock causes an absence of bowel sounds?
, Exam 3 EAQs: Ch. 66 - Shock
Neurogenic shock
Cardiogenic shock
Hypovolemic shock
Anaphylactic shock - answer Hypovolemic shock
A patient presents to the emergency department (ED) in a state of shock. On
assessment, the nurse finds that the patient is cyanotic and has crackles on
auscultation of the lungs. As which type of shock will the nurse classify this?
Neurogenic shock
Cardiogenic shock
Hypovolemic shock
Anaphylactic shock - answer Cardiogenic shock
The nurse is mentoring a graduate nurse and is explaining the use of fluids in a patient
who is experiencing hypovolemic shock. Which of the following fluids increases osmotic
pressure to provide rapid volume expansion?
Lactated Ringer's
3% sodium chloride
Fresh frozen plasma
Human serum albumin - answer Human serum albumin
A patient's localized infection has progressed to the point where septic shock is now
suspected. What medication is an appropriate treatment modality for this patient?
Insulin infusion
Aggressive IV crystalloid fluid resuscitation
Intravenous (IV) administration of epinephrine
Administration of nitrates and β-adrenergic blockers - answer Aggressive IV crystalloid
fluid resuscitation
The nurse is caring for a patient with a tension pneumothorax. The nurse recognizes
that the symptoms of tachypnea, decreased blood pressure, and decreased urine
output are caused by which type of shock?
Septic
Obstructive
Hypovolemic
Anaphylactic - answer Obstructive
Which types of shock are associated with decreased cerebral perfusion? Select all that
apply.
Septic shock
Neurogenic shock
Obstructive shock
Cardiogenic shock
Anaphylactic shock
Hypovolemic shock - answer Obstructive shock
Cardiogenic shock
A patient experiences a myocardial infarction (MI). The nurse closely monitors the
patient for complications and recognizes that hypotension is a warning sign of which
condition?
A secondary MI
Cardiogenic shock
Pulmonary edema
Fatal dysrhythmias - answer Cardiogenic shock
The nurse is caring for a patient who has hypovolemic shock. Which medical diagnosis
does the nurse suspect?
Insect bite
Severe burns
Myocardial infarction
Pulmonary embolism - answer Severe burns
Which type of shock is associated with bradycardia?
Septic shock
Neurogenic shock
Anaphylactic shock
Hypovolemic shock - answer Neurogenic shock
The nurse is caring for a patient who developed cardiogenic shock. Which medical
diagnosis does the nurse suspect?
Urosepsis
Hemorrhage
Myocardial infarction
Tension pneumothorax - answer Myocardial infarction
A patient is showing signs of anaphylactic shock from an insect sting. Which health care
provider's order does the nurse implement first ?
Diphenhydramine 50 mg IV
Oxygen via nasal cannula at 3 L
Epinephrine 1:1000, 0.5 mg IM
Normal saline intravenous (IV) to run at 150 mL/hr - answer Epinephrine 1:1000, 0.5 mg
IM
A patient is brought to the emergency department (ED) after multiple bee stings. On
assessment, the nurse finds that the patient has edema on the lips and tongue as well
as chest pain, dizziness, wheezing, and stridor. What type of shock should the nurse
document this as?
Septic shock
Obstructive shock
Neurogenic shock
Anaphylactic shock - answer Anaphylactic shock
Which type of shock causes an absence of bowel sounds?
, Exam 3 EAQs: Ch. 66 - Shock
Neurogenic shock
Cardiogenic shock
Hypovolemic shock
Anaphylactic shock - answer Hypovolemic shock
A patient presents to the emergency department (ED) in a state of shock. On
assessment, the nurse finds that the patient is cyanotic and has crackles on
auscultation of the lungs. As which type of shock will the nurse classify this?
Neurogenic shock
Cardiogenic shock
Hypovolemic shock
Anaphylactic shock - answer Cardiogenic shock
The nurse is mentoring a graduate nurse and is explaining the use of fluids in a patient
who is experiencing hypovolemic shock. Which of the following fluids increases osmotic
pressure to provide rapid volume expansion?
Lactated Ringer's
3% sodium chloride
Fresh frozen plasma
Human serum albumin - answer Human serum albumin
A patient's localized infection has progressed to the point where septic shock is now
suspected. What medication is an appropriate treatment modality for this patient?
Insulin infusion
Aggressive IV crystalloid fluid resuscitation
Intravenous (IV) administration of epinephrine
Administration of nitrates and β-adrenergic blockers - answer Aggressive IV crystalloid
fluid resuscitation
The nurse is caring for a patient with a tension pneumothorax. The nurse recognizes
that the symptoms of tachypnea, decreased blood pressure, and decreased urine
output are caused by which type of shock?
Septic
Obstructive
Hypovolemic
Anaphylactic - answer Obstructive
Which types of shock are associated with decreased cerebral perfusion? Select all that
apply.
Septic shock
Neurogenic shock
Obstructive shock
Cardiogenic shock
Anaphylactic shock
Hypovolemic shock - answer Obstructive shock
Cardiogenic shock
