NURS 4385 EXAM 1 QUESTIONS WITH ANSWERS
GRADED A+ SUCCESS GUARANTEED NEW UPDATE
2023 A+
Module 1 - Shock
What laboratory finding is consistent with cardiogenic shock?
a. Decreased liver enzymes
b. Increased WBC
c. Decreased hgb, hct, RBC
d. Increased BUN and creatinine
Answer: The renal hypoperfusion that accompanies cardiogenic shock results in increased BUN
and creatinine levels. Impaired perfusion of the liver results in increased liver enzymes, but white
blood cell levels do not typically increase in cardiogenic shock. Red blood cell indices are
typically normal because of relative hypovolemia.
A patient with a massive GI bleed has developed hypovolemic shock. What is the priority
nursing diagnosis?
a. Anxiety
b. Acute pain
c. Impaired tissue integrity
d. Ineffective tissue perfusion
The many deleterious effects of shock are all related to inadequate perfusion and oxygenation of
every body system. This nursing diagnosis supersedes the other diagnoses.
, NURS 4385 EXAM 1 QUESTIONS WITH ANSWERS
GRADED A+ SUCCESS GUARANTEED NEW UPDATE
2023 A+
A patient with a suspected brain tumor is scheduled for a CT scan with contrast media.
The nurse notifies the provider that the patient reported an allergy to shellfish. Which
response by the provider should the nurse question?
a. Complete the CT scan without contrast
b. Give IV diphenhydramine before procedure
c. Give IV lorazepam before procedure
d. Premedicate with hydrocortisone sodium succinate
A person with an allergy to shellfish is at an increased risk to develop anaphylactic shock if
contrast media is injected for a CT scan. To prevent anaphylactic shock, the nurse should
always confirm the patient’s allergies before diagnostic procedures (e.g., CT scan with contrast
media). Appropriate interventions may include cancelling the procedure, completing the
procedure without contrast media, or premedication with diphenhydramine or hydrocortisone.
IV fluids may be given to promote renal clearance of the contrast media and prevent renal
toxicity and acute kidney injury. The use of an antianxiety agent such as lorazepam would not
be effective in preventing an allergic reaction to the contrast media.
, NURS 4385 EXAM 1 QUESTIONS WITH ANSWERS
GRADED A+ SUCCESS GUARANTEED NEW UPDATE
2023 A+
When caring for a patient in acute septic shock, what should the nurse anticipate?
a. Infusing large amounts of IV fluids
b. Administering osmotic and/or loop diuretics
c. Administering IV diphenhydramine
d. Assisting with insertion of a ventricular access device
Septic shock is characterized by a decreased circulating blood volume. Volume expansion with
the administration of IV fluids is the cornerstone of therapy. Administering diuretics is
inappropriate. VADs are useful for cardiogenic shock, not septic shock. Diphenhydramine may
be used for anaphylactic shock but would not be helpful with septic shock.
A patient is admitted to the emergency department vomiting bright red blood. The
patient’s vital signs are BP of 78/58 mm Hg, pulse of 124 beats/min, respirations of 28
breaths/min, and temperature of 97.2° F (36.2° C). Which provider order should the
nurse complete first?
a. Obtain 12 lead ECG and arterial blood gases
b. Rapidly administer 1000 mL NS
c. Start norepinephrine by continuous IV infusion
d. Insert a NG tube and indwelling urinary catheter
, NURS 4385 EXAM 1 QUESTIONS WITH ANSWERS
GRADED A+ SUCCESS GUARANTEED NEW UPDATE
2023 A+
Isotonic crystalloids, such as normal saline solution, should be used in the initial resuscitation of
hypovolemic shock. Vasopressor drugs (e.g., norepinephrine) may be considered if the patient
does not respond to fluid resuscitation and blood products. Other orders (e.g., insertion of
nasogastric tube and indwelling bladder catheter and obtaining the diagnostic studies) can be
done after fluid resuscitation is started.
The nurse is assisting in the care of several patients in the critical care unit. Which
patient is most at risk for MODS?
a. 22 year old with systemic lupus erythematosus admitted with a pelvic fracture
b. 48 year old patient with lung cancer admitted for syndrome of inappropriate
antidiuretic hormone
c. 65 year old with CAD, dyslipidemia, and primary HTN admitted for
unstable angina
d. 83 year old patient with type 2 DM and CKD admitted for peritonitis from
a peritoneal dialysis catheter infection
GRADED A+ SUCCESS GUARANTEED NEW UPDATE
2023 A+
Module 1 - Shock
What laboratory finding is consistent with cardiogenic shock?
a. Decreased liver enzymes
b. Increased WBC
c. Decreased hgb, hct, RBC
d. Increased BUN and creatinine
Answer: The renal hypoperfusion that accompanies cardiogenic shock results in increased BUN
and creatinine levels. Impaired perfusion of the liver results in increased liver enzymes, but white
blood cell levels do not typically increase in cardiogenic shock. Red blood cell indices are
typically normal because of relative hypovolemia.
A patient with a massive GI bleed has developed hypovolemic shock. What is the priority
nursing diagnosis?
a. Anxiety
b. Acute pain
c. Impaired tissue integrity
d. Ineffective tissue perfusion
The many deleterious effects of shock are all related to inadequate perfusion and oxygenation of
every body system. This nursing diagnosis supersedes the other diagnoses.
, NURS 4385 EXAM 1 QUESTIONS WITH ANSWERS
GRADED A+ SUCCESS GUARANTEED NEW UPDATE
2023 A+
A patient with a suspected brain tumor is scheduled for a CT scan with contrast media.
The nurse notifies the provider that the patient reported an allergy to shellfish. Which
response by the provider should the nurse question?
a. Complete the CT scan without contrast
b. Give IV diphenhydramine before procedure
c. Give IV lorazepam before procedure
d. Premedicate with hydrocortisone sodium succinate
A person with an allergy to shellfish is at an increased risk to develop anaphylactic shock if
contrast media is injected for a CT scan. To prevent anaphylactic shock, the nurse should
always confirm the patient’s allergies before diagnostic procedures (e.g., CT scan with contrast
media). Appropriate interventions may include cancelling the procedure, completing the
procedure without contrast media, or premedication with diphenhydramine or hydrocortisone.
IV fluids may be given to promote renal clearance of the contrast media and prevent renal
toxicity and acute kidney injury. The use of an antianxiety agent such as lorazepam would not
be effective in preventing an allergic reaction to the contrast media.
, NURS 4385 EXAM 1 QUESTIONS WITH ANSWERS
GRADED A+ SUCCESS GUARANTEED NEW UPDATE
2023 A+
When caring for a patient in acute septic shock, what should the nurse anticipate?
a. Infusing large amounts of IV fluids
b. Administering osmotic and/or loop diuretics
c. Administering IV diphenhydramine
d. Assisting with insertion of a ventricular access device
Septic shock is characterized by a decreased circulating blood volume. Volume expansion with
the administration of IV fluids is the cornerstone of therapy. Administering diuretics is
inappropriate. VADs are useful for cardiogenic shock, not septic shock. Diphenhydramine may
be used for anaphylactic shock but would not be helpful with septic shock.
A patient is admitted to the emergency department vomiting bright red blood. The
patient’s vital signs are BP of 78/58 mm Hg, pulse of 124 beats/min, respirations of 28
breaths/min, and temperature of 97.2° F (36.2° C). Which provider order should the
nurse complete first?
a. Obtain 12 lead ECG and arterial blood gases
b. Rapidly administer 1000 mL NS
c. Start norepinephrine by continuous IV infusion
d. Insert a NG tube and indwelling urinary catheter
, NURS 4385 EXAM 1 QUESTIONS WITH ANSWERS
GRADED A+ SUCCESS GUARANTEED NEW UPDATE
2023 A+
Isotonic crystalloids, such as normal saline solution, should be used in the initial resuscitation of
hypovolemic shock. Vasopressor drugs (e.g., norepinephrine) may be considered if the patient
does not respond to fluid resuscitation and blood products. Other orders (e.g., insertion of
nasogastric tube and indwelling bladder catheter and obtaining the diagnostic studies) can be
done after fluid resuscitation is started.
The nurse is assisting in the care of several patients in the critical care unit. Which
patient is most at risk for MODS?
a. 22 year old with systemic lupus erythematosus admitted with a pelvic fracture
b. 48 year old patient with lung cancer admitted for syndrome of inappropriate
antidiuretic hormone
c. 65 year old with CAD, dyslipidemia, and primary HTN admitted for
unstable angina
d. 83 year old patient with type 2 DM and CKD admitted for peritonitis from
a peritoneal dialysis catheter infection
