Brunner: Medical-Surgical Nursing, 11th Edition
Test Bank
Chapter 15: Shock and Multisystem Failure
Multiple Choice
1. It is necessary for the nurse caring for a patient to understand the pathophysiology behind
shock. Which of the following statements best describes the pathophysiologic rationale for
shock?
A) Blood is shunted from vital organs to peripheral areas of the body.
B) Cells lack an adequate blood supply and are deprived of oxygen and nutrients.
C) Circulating blood volume is decreased.
D) Hemorrhage occurs as a result of trauma.
Ans: B
Chapter: 15
Cognitive Level: Comprehension
Difficulty: Difficult
Integrated Process: Nursing Process
Objective: 1
Patient Needs: D-4
Feedback: Shock is a life-threatening condition with a variety of underlying causes. Shock is
caused when the cells have a lack of adequate blood supply and are deprived of oxygen and
nutrients.
2. When prioritizing the care for a patient, the nurse recognizes that a patient is at risk for
hypovolemic shock when:
A) Fluid circulating in the blood vessels decreases
B) Cardiac output increases
C) Blood pressure increases
D) Pulse is fast and bounding
Ans: A
Chapter: 15
Cognitive Level: Application
, Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 4
Patient Needs: D-4
Feedback: Hypovolemic shock is characterized by a decrease in intravascular volume. Cardiac
output is decreased, and blood pressure decreases and is fast but weak.
3. The nurse recognizes that antidiuretic hormone (ADH) plays a role during hypovolemic
shock. What assessment finding will the nurse likely observe related to the role of ADH during
hypovolemic shock?
A) Increased hunger
B) Increased thirst
C) Increased urinary output
D) Increased capillary perfusion
Ans: B
Chapter: 15
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 1
Patient Needs: D-4
Feedback: When the brain senses low blood pressure, ADH stimulates thirst, a mechanism to
increase volume.
4. A trauma patient arrives to the emergency room and is hemorrhaging. The nurse is aware that
this patient is at greatest risk for which type of shock?
A) Cardiogenic
B) Hypovolemic
C) Neurogenic
D) Septic
Ans: B
Chapter: 15
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 4
Patient Needs: D-4
Feedback: Hemorrhage decreases intravascular volume, which is the cause of hypovolemic
Test Bank
Chapter 15: Shock and Multisystem Failure
Multiple Choice
1. It is necessary for the nurse caring for a patient to understand the pathophysiology behind
shock. Which of the following statements best describes the pathophysiologic rationale for
shock?
A) Blood is shunted from vital organs to peripheral areas of the body.
B) Cells lack an adequate blood supply and are deprived of oxygen and nutrients.
C) Circulating blood volume is decreased.
D) Hemorrhage occurs as a result of trauma.
Ans: B
Chapter: 15
Cognitive Level: Comprehension
Difficulty: Difficult
Integrated Process: Nursing Process
Objective: 1
Patient Needs: D-4
Feedback: Shock is a life-threatening condition with a variety of underlying causes. Shock is
caused when the cells have a lack of adequate blood supply and are deprived of oxygen and
nutrients.
2. When prioritizing the care for a patient, the nurse recognizes that a patient is at risk for
hypovolemic shock when:
A) Fluid circulating in the blood vessels decreases
B) Cardiac output increases
C) Blood pressure increases
D) Pulse is fast and bounding
Ans: A
Chapter: 15
Cognitive Level: Application
, Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 4
Patient Needs: D-4
Feedback: Hypovolemic shock is characterized by a decrease in intravascular volume. Cardiac
output is decreased, and blood pressure decreases and is fast but weak.
3. The nurse recognizes that antidiuretic hormone (ADH) plays a role during hypovolemic
shock. What assessment finding will the nurse likely observe related to the role of ADH during
hypovolemic shock?
A) Increased hunger
B) Increased thirst
C) Increased urinary output
D) Increased capillary perfusion
Ans: B
Chapter: 15
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 1
Patient Needs: D-4
Feedback: When the brain senses low blood pressure, ADH stimulates thirst, a mechanism to
increase volume.
4. A trauma patient arrives to the emergency room and is hemorrhaging. The nurse is aware that
this patient is at greatest risk for which type of shock?
A) Cardiogenic
B) Hypovolemic
C) Neurogenic
D) Septic
Ans: B
Chapter: 15
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 4
Patient Needs: D-4
Feedback: Hemorrhage decreases intravascular volume, which is the cause of hypovolemic
