Shock and Sepsis NCLEX questions
Study online at https://quizlet.com/_66kg8n
The nurse is caring for postoperative
clients at risk for hypovolemic shock.
Which of the following would cause the
nurse to suspect that the client has early
shock?
A. Hypotension
A. Hypotension
B. Bradypnea
C. Irregular heart rhythm
D. Tachycardia
When caring for an obtunded ED client
with shock of unknown origin, which ac- D. Check the airway and respiratory sta-
tion should the nurse take first? tus
A. Establish IV access and hang pre- When caring for any client, determining
scribed infusion airway and respiratory status is the prior-
B. Apply the automatic BP cuff ity. The airway takes priority over obtain-
C. Assess level of consciousness and ing IV access, applying the blood pres-
pupil response to light sure cuff, and assessing for changes in
D. Check the airway and respiratory sta- the client's mental status.
tus
The nursing assistant reports concerns
about the postoperative client who has A. Compare these vital signs with the last
BP 90/60, HR 80, R 22. What should the several readings.
RN do?
Vital sign trends must be taken into con-
A. Compare these VS with last several sideration; a BP of 90/60 mm Hg may
readings be normal for this client. Calling the sur-
B. Request that the surgeon come see geon is not necessary at this point, and
the client increasing IV fluids is not indicated. The
C. Increase the rate of IV fluids same equipment should be used when
D. Reassess VS using different equip- vital signs are taken postoperatively.
ment
B. Measure hourly urine output
A postoperative client is admitted to
the ICU with hypovolemic shock. Which Monitoring hourly urine output is includ-
nursing action should the nurse delegate ed in nursing assistant education and
does not require special clinical judg-
1/9
, Shock and Sepsis NCLEX questions
Study online at https://quizlet.com/_66kg8n
ment; the nurse evaluates the results.
to the experienced nursing assistant?
Obtaining vital signs, monitoring oxygen
saturation, and assessing mental status
A. Obtain vital signs every 15 minutes
in critically ill clients requires the clini-
B. Measure hourly urine output
cal judgment of the critical care nurse
C. Check oxygen saturation
because immediate intervention may be
D. Assess level of alertness
needed.
When caring for client with hypovolemic
shock with these assessment findings, T D. Bumetanide (Bumex) 1mg IV
97.9, P 122,
A diuretic such as bumetanide will de-
R 24, BP 86/48, total urine output 20mL
crease blood volume in a client who is al-
in last 2 hours, skin cool and clammy,
ready hypovolemic; this order should be
which of the following orders would the
nurse question? questioned because this is not an appro-
priate action to expand the client's blood
A. Dopamine (Intropin) 12mcg/kg/min volume. The other orders are appropriate
B. Dobutamine (Dobutrex) 5mcg/kg/min for improving blood pressure in shock,
C. Plasmanate 1 unit and do not need to be questioned.
D. Bumetanide (Bumex) 1mg IV
Which change in the client with hypov-
olemic shock indicates to the nurse that
treatment is effective?
A. Urine output increases from 5mL/hr to A. Urine output increases from 5mL/hr to
25mL/hr 25mL/hr
B. Pulse pressure decreases from
35mmHg to 28mmHg We want the urine output to increase
C. Respiratory rate increases from
22/minute to 26/minute
D. Body temperature increases from
98.2F to 98.8F
B. BP 90/60 and MAP 70
Which of the following would indicate a
Dopamine improves blood flow by in-
positive outcome after starting dopamine
creasing peripheral resistance, which in-
(Intropin)?
creases blood pressure—a positive re-
sponse in this case. Urine output less
than 30 mL/hr or 0.5 mL/kg/hr and ele-
2/9
Study online at https://quizlet.com/_66kg8n
The nurse is caring for postoperative
clients at risk for hypovolemic shock.
Which of the following would cause the
nurse to suspect that the client has early
shock?
A. Hypotension
A. Hypotension
B. Bradypnea
C. Irregular heart rhythm
D. Tachycardia
When caring for an obtunded ED client
with shock of unknown origin, which ac- D. Check the airway and respiratory sta-
tion should the nurse take first? tus
A. Establish IV access and hang pre- When caring for any client, determining
scribed infusion airway and respiratory status is the prior-
B. Apply the automatic BP cuff ity. The airway takes priority over obtain-
C. Assess level of consciousness and ing IV access, applying the blood pres-
pupil response to light sure cuff, and assessing for changes in
D. Check the airway and respiratory sta- the client's mental status.
tus
The nursing assistant reports concerns
about the postoperative client who has A. Compare these vital signs with the last
BP 90/60, HR 80, R 22. What should the several readings.
RN do?
Vital sign trends must be taken into con-
A. Compare these VS with last several sideration; a BP of 90/60 mm Hg may
readings be normal for this client. Calling the sur-
B. Request that the surgeon come see geon is not necessary at this point, and
the client increasing IV fluids is not indicated. The
C. Increase the rate of IV fluids same equipment should be used when
D. Reassess VS using different equip- vital signs are taken postoperatively.
ment
B. Measure hourly urine output
A postoperative client is admitted to
the ICU with hypovolemic shock. Which Monitoring hourly urine output is includ-
nursing action should the nurse delegate ed in nursing assistant education and
does not require special clinical judg-
1/9
, Shock and Sepsis NCLEX questions
Study online at https://quizlet.com/_66kg8n
ment; the nurse evaluates the results.
to the experienced nursing assistant?
Obtaining vital signs, monitoring oxygen
saturation, and assessing mental status
A. Obtain vital signs every 15 minutes
in critically ill clients requires the clini-
B. Measure hourly urine output
cal judgment of the critical care nurse
C. Check oxygen saturation
because immediate intervention may be
D. Assess level of alertness
needed.
When caring for client with hypovolemic
shock with these assessment findings, T D. Bumetanide (Bumex) 1mg IV
97.9, P 122,
A diuretic such as bumetanide will de-
R 24, BP 86/48, total urine output 20mL
crease blood volume in a client who is al-
in last 2 hours, skin cool and clammy,
ready hypovolemic; this order should be
which of the following orders would the
nurse question? questioned because this is not an appro-
priate action to expand the client's blood
A. Dopamine (Intropin) 12mcg/kg/min volume. The other orders are appropriate
B. Dobutamine (Dobutrex) 5mcg/kg/min for improving blood pressure in shock,
C. Plasmanate 1 unit and do not need to be questioned.
D. Bumetanide (Bumex) 1mg IV
Which change in the client with hypov-
olemic shock indicates to the nurse that
treatment is effective?
A. Urine output increases from 5mL/hr to A. Urine output increases from 5mL/hr to
25mL/hr 25mL/hr
B. Pulse pressure decreases from
35mmHg to 28mmHg We want the urine output to increase
C. Respiratory rate increases from
22/minute to 26/minute
D. Body temperature increases from
98.2F to 98.8F
B. BP 90/60 and MAP 70
Which of the following would indicate a
Dopamine improves blood flow by in-
positive outcome after starting dopamine
creasing peripheral resistance, which in-
(Intropin)?
creases blood pressure—a positive re-
sponse in this case. Urine output less
than 30 mL/hr or 0.5 mL/kg/hr and ele-
2/9
