NSG233 EXAM 1 /NSG 233 MED SURG III EXAM 1
NSG233 EXAM 1 /NSG 233 MED SURG III EXAM 1 NEWEST
2025/2026 COMPLETE 100 QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
A patient with septic shock has a BP of 70/46 mm Hg, pulse of 136 beats/min,
respirations of 32 breaths/min, temperature of 104°F, and blood glucose of 246
mg/dL. Which intervention ordered by the health care provider should the nurse
implement first?
a. Give normal saline IV at 500 mL/hr.
b. Give acetaminophen (Tylenol) 650 mg rectally.
c. Start insulin drip to maintain blood glucose at 110 to 150 mg/dL.
d. Start norepinephrine to keep systolic blood pressure above 90 mm Hg. -
ANSWER-a. Give normal saline IV at 500 mL/hr.
Because of the decreased preload associated with septic shock, fluid resuscitation
is the initial therapy. The other actions also are appropriate, and should be
initiated quickly as well.
When the nurse educator is evaluating the skills of a new registered nurse (RN)
caring for patients experiencing shock, which action by the new RN indicates a
need for more education?
a. Placing the pulse oximeter on the ear for a patient with septic shock
b. Keeping the head of the bed flat for a patient with hypovolemic shock
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, NSG233 EXAM 1 /NSG 233 MED SURG III EXAM 1
c. Maintaining a cool room temperature for a patient with neurogenic shock
d. Increasing the nitroprusside infusion rate for a patient with a very high SVR -
ANSWER-c. Maintaining a cool room temperature for a patient with neurogenic
shock
Patients with neurogenic shock have poikilothermia. The room temperature
should be kept warm to avoid hypothermia. The other actions by the new RN are
appropriate.
The nurse is caring for a patient who has septic shock. Which assessment finding is
most important for the nurse to report to the health care provider?
a. Skin cool and clammy
c. Blood pressure of 92/56 mm Hg
b. Heart rate of 118 beats/min
d. O2 saturation of 93% on room air - ANSWER-a. Skin cool and clammy
Because patients in the early stage of septic shock have warm and dry skin, the
patient's cool and clammy skin indicates that shock is progressing. The other
information will also be reported, but does not indicate deterioration of the
patient's status.
A patient is admitted to the emergency department (ED) for shock of unknown
etiology. The first action by the nurse should be to
a. obtain the blood pressure.
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, NSG233 EXAM 1 /NSG 233 MED SURG III EXAM 1
b. check the level of orientation.
c. administer supplemental oxygen.
d. obtain a 12-lead electrocardiogram. - ANSWER-c. administer supplemental
oxygen.
ABC baby
During change-of-shift report, the nurse is told that a patient has been admitted
with dehydration and hypotension after having vomiting and diarrhea for 4 days.
Which finding is most important for the nurse to report to the health care
provider?
a. New onset of confusion
c. Heart rate 112 beats/min
b. Decreased bowel sounds
d. Pale, cool, and dry extremities - ANSWER-a. New onset of confusion
The changes in mental status are indicative that the patient is in the progressive
stage of shock and that rapid intervention is needed to prevent further
deterioration. The other information is consistent with compensatory shock.
A patient who has been involved in a motor vehicle crash arrives in the emergency
department (ED) with cool, clammy skin; tachycardia; and hypotension. Which
intervention ordered by the health care provider should the nurse implement
first?
3|Page
, NSG233 EXAM 1 /NSG 233 MED SURG III EXAM 1
a. Insert two large-bore IV catheters.
b. Provide O2 at 100% per non-rebreather mask.
c. Draw blood to type and crossmatch for transfusions.
d. Initiate continuous electrocardiogram (ECG) monitoring. - ANSWER-b. Provide
O2 at 100% per non-rebreather mask.
Don't get tricked, it's still ABC!
The following interventions are ordered by the health care provider for a patient
who has respiratory distress and syncope after eating strawberries. Which will the
nurse complete first?
a. Give epinephrine.
b. Administer diphenhydramine.
c. Start continuous ECG monitoring.
d. Draw blood for complete blood count (CBC) - ANSWER-a. Give epinephrine.
Epinephrine rapidly causes peripheral vasoconstriction, dilates the bronchi, and
blocks the effects of histamine and reverses the vasodilation, bronchoconstriction,
and histamine release that cause the symptoms of anaphylaxis. The other
interventions are also appropriate but would not be the first ones completed.
Which finding about a patient who is receiving vasopressin to treat septic shock
indicates an immediate need for the nurse to report the finding to the health care
provider?
4|Page
NSG233 EXAM 1 /NSG 233 MED SURG III EXAM 1 NEWEST
2025/2026 COMPLETE 100 QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
A patient with septic shock has a BP of 70/46 mm Hg, pulse of 136 beats/min,
respirations of 32 breaths/min, temperature of 104°F, and blood glucose of 246
mg/dL. Which intervention ordered by the health care provider should the nurse
implement first?
a. Give normal saline IV at 500 mL/hr.
b. Give acetaminophen (Tylenol) 650 mg rectally.
c. Start insulin drip to maintain blood glucose at 110 to 150 mg/dL.
d. Start norepinephrine to keep systolic blood pressure above 90 mm Hg. -
ANSWER-a. Give normal saline IV at 500 mL/hr.
Because of the decreased preload associated with septic shock, fluid resuscitation
is the initial therapy. The other actions also are appropriate, and should be
initiated quickly as well.
When the nurse educator is evaluating the skills of a new registered nurse (RN)
caring for patients experiencing shock, which action by the new RN indicates a
need for more education?
a. Placing the pulse oximeter on the ear for a patient with septic shock
b. Keeping the head of the bed flat for a patient with hypovolemic shock
1|Page
, NSG233 EXAM 1 /NSG 233 MED SURG III EXAM 1
c. Maintaining a cool room temperature for a patient with neurogenic shock
d. Increasing the nitroprusside infusion rate for a patient with a very high SVR -
ANSWER-c. Maintaining a cool room temperature for a patient with neurogenic
shock
Patients with neurogenic shock have poikilothermia. The room temperature
should be kept warm to avoid hypothermia. The other actions by the new RN are
appropriate.
The nurse is caring for a patient who has septic shock. Which assessment finding is
most important for the nurse to report to the health care provider?
a. Skin cool and clammy
c. Blood pressure of 92/56 mm Hg
b. Heart rate of 118 beats/min
d. O2 saturation of 93% on room air - ANSWER-a. Skin cool and clammy
Because patients in the early stage of septic shock have warm and dry skin, the
patient's cool and clammy skin indicates that shock is progressing. The other
information will also be reported, but does not indicate deterioration of the
patient's status.
A patient is admitted to the emergency department (ED) for shock of unknown
etiology. The first action by the nurse should be to
a. obtain the blood pressure.
2|Page
, NSG233 EXAM 1 /NSG 233 MED SURG III EXAM 1
b. check the level of orientation.
c. administer supplemental oxygen.
d. obtain a 12-lead electrocardiogram. - ANSWER-c. administer supplemental
oxygen.
ABC baby
During change-of-shift report, the nurse is told that a patient has been admitted
with dehydration and hypotension after having vomiting and diarrhea for 4 days.
Which finding is most important for the nurse to report to the health care
provider?
a. New onset of confusion
c. Heart rate 112 beats/min
b. Decreased bowel sounds
d. Pale, cool, and dry extremities - ANSWER-a. New onset of confusion
The changes in mental status are indicative that the patient is in the progressive
stage of shock and that rapid intervention is needed to prevent further
deterioration. The other information is consistent with compensatory shock.
A patient who has been involved in a motor vehicle crash arrives in the emergency
department (ED) with cool, clammy skin; tachycardia; and hypotension. Which
intervention ordered by the health care provider should the nurse implement
first?
3|Page
, NSG233 EXAM 1 /NSG 233 MED SURG III EXAM 1
a. Insert two large-bore IV catheters.
b. Provide O2 at 100% per non-rebreather mask.
c. Draw blood to type and crossmatch for transfusions.
d. Initiate continuous electrocardiogram (ECG) monitoring. - ANSWER-b. Provide
O2 at 100% per non-rebreather mask.
Don't get tricked, it's still ABC!
The following interventions are ordered by the health care provider for a patient
who has respiratory distress and syncope after eating strawberries. Which will the
nurse complete first?
a. Give epinephrine.
b. Administer diphenhydramine.
c. Start continuous ECG monitoring.
d. Draw blood for complete blood count (CBC) - ANSWER-a. Give epinephrine.
Epinephrine rapidly causes peripheral vasoconstriction, dilates the bronchi, and
blocks the effects of histamine and reverses the vasodilation, bronchoconstriction,
and histamine release that cause the symptoms of anaphylaxis. The other
interventions are also appropriate but would not be the first ones completed.
Which finding about a patient who is receiving vasopressin to treat septic shock
indicates an immediate need for the nurse to report the finding to the health care
provider?
4|Page
