Week 4 - Chapter 42 Shock, Sepsis,
and MOD ADAPTIVE EXAM
QUESTIONS VERIFIED ANSWERS
LATEST UPDATE 2025/2026 RATED A+
Which type of shock would the nurse expect to incorporate into the plan of care for a patient with
multiple bee stings has edema on the lips and tongue, chest pain, dizziness, wheezing, and stridor? -
CORRECT ANSWERS Anaphylactic
Which type of shock is associated with bradycardia? - CORRECT ANSWERS Neurogenic shock
Neurogenic shock is associated with bradycardia. Myocardial dysfunction and changes in body
temperature are signs of septic shock. Reduction in preload, capillary refill, and stroke volume are
clinical manifestations of hypovolemic shock. Chest pain is seen in anaphylactic shock.
Which type of organism most commonly causes sepsis? - CORRECT ANSWERS Bacteria
EXPLANATION:
The most common organisms that cause sepsis are gram-negative and gram-positive bacteria. Fungi,
viruses, and parasites can also cause sepsis but not as frequently.
Which term is used to describe persistent hypotension despite adequate fluid resuscitation requiring
vasopressors along with inadequate tissue perfusion resulting in tissue hypoxia? - CORRECT ANSWERS
Septic shock
EXPLANATION:
Septic shock is characterized by persistent hypotension despite adequate fluid resuscitation requiring
vasopressors along with inadequate tissue perfusion resulting in tissue hypoxia. Sepsis is a constellation
of symptoms or a syndrome in response to an infection; it is characterized by a dysregulated patient
response. Inflammation is the body's response to a microorganism. Organ dysfunction refers to the
failure of an organ system in an acutely ill patient such that homeostasis cannot be maintained without
intervention.
The nurse provides care for a patient with sepsis and identifies which assessment finding is associated
with heart failure (HF)? - CORRECT ANSWERS S3 heart sound
Which physiological change is associated with absolute hypovolemia? - CORRECT ANSWERS A
decrease in venous return
The nurse providing care for a patient with septic shock recalls that the renin-angiotensin system is
activated during which stage of shock? - CORRECT ANSWERS Compensatory
Which arterial blood gas finding is associated with a patient experiencing early shock? - CORRECT
ANSWERS respiratory alkalosis
, The nurse provides care for a patient experiencing shock. Assessment findings are indicative of
decreasing cardiac output and decreased peripheral perfusion. The nurse identifies the patient is in
which stage of shock? - CORRECT ANSWERS Progressive
Which type of shock causes an absence of bowel sounds? - CORRECT ANSWERS Hypovolemic
shock
EXPLANATION:
Absence of bowel sounds is associated with hypovolemic shock. Decreased bowel sounds are seen with
cardiogenic shock. Bowel dysfunction is associated with neurogenic shock. Abdominal pain, nausea, and
vomiting are seen with anaphylactic shock.
Which drug causes arterial and venous dilation? - CORRECT ANSWERS Sodium nitroprusside
EXPLANATION:
Sodium nitroprusside acts by dilating both the arteries and veins. It is used in the treatment of
cardiogenic shock. Dopamine has inotropic activity. It increases the force of the heartbeat and is used in
the treatment of cardiogenic shock. Vasopressin is a vasoconstrictor used mainly in the treatment of
septic shock. Phenylephrine acts by constricting the peripheral nerves and is used in the treatment of
neurogenic shock.
Which type of shock can be treated by minimizing spinal cord trauma with stabilization? - CORRECT
ANSWERS Neurogenic shock
Neurogenic shock is caused by severe injury to the spinal cord and results in loss of sympathetic
stimulation of blood vessels. Apart from administering vasoconstrictor agents, minimizing the spinal
cord trauma with stabilization is a supporting therapy for neurogenic shock. Septic shock occurs in
response to a systemic infection. Obtaining the cultures before starting antibiotics is appropriate care
for septic shock. A life-threatening allergic reaction to a sensitizing substance causes anaphylactic shock.
Avoiding exposure to allergens is supportive therapy for anaphylactic shock. Excessive loss of
intravascular fluid causes hypovolemic shock. Besides restoring fluid volume, correcting the cause of
fluid loss is supportive therapy.
Which nursing diagnosis would be the priority for a patient with hypovolemic shock? - CORRECT
ANSWERS Ineffective tissue perfusion
Which type of shock is associated with hyperglycemia, the presence of pulmonary infiltrates in a chest x-
ray, and increased levels of blood urea nitrogen (BUN)? - CORRECT ANSWERS Cardiogenic
Increased blood levels of glucose, nitrogen, and cardiac markers and presence of pulmonary infiltrates
are seen in cardiogenic shock. Increased blood levels of lactate, glucose, and positive blood cultures are
signs of septic shock. Manifestations of obstructive shock are specific to the area or organ of
obstruction. Electrolyte imbalances and decreased hemoglobin and hematocrit are seen in hypovolemic
shock.
Which fluid increases osmotic pressure to provide rapid volume expansion for a patient experiencing
hypovolemic shock? - CORRECT ANSWERS human serum albumin
Septic shock is classified as which type of shock? - CORRECT ANSWERS Distributive
and MOD ADAPTIVE EXAM
QUESTIONS VERIFIED ANSWERS
LATEST UPDATE 2025/2026 RATED A+
Which type of shock would the nurse expect to incorporate into the plan of care for a patient with
multiple bee stings has edema on the lips and tongue, chest pain, dizziness, wheezing, and stridor? -
CORRECT ANSWERS Anaphylactic
Which type of shock is associated with bradycardia? - CORRECT ANSWERS Neurogenic shock
Neurogenic shock is associated with bradycardia. Myocardial dysfunction and changes in body
temperature are signs of septic shock. Reduction in preload, capillary refill, and stroke volume are
clinical manifestations of hypovolemic shock. Chest pain is seen in anaphylactic shock.
Which type of organism most commonly causes sepsis? - CORRECT ANSWERS Bacteria
EXPLANATION:
The most common organisms that cause sepsis are gram-negative and gram-positive bacteria. Fungi,
viruses, and parasites can also cause sepsis but not as frequently.
Which term is used to describe persistent hypotension despite adequate fluid resuscitation requiring
vasopressors along with inadequate tissue perfusion resulting in tissue hypoxia? - CORRECT ANSWERS
Septic shock
EXPLANATION:
Septic shock is characterized by persistent hypotension despite adequate fluid resuscitation requiring
vasopressors along with inadequate tissue perfusion resulting in tissue hypoxia. Sepsis is a constellation
of symptoms or a syndrome in response to an infection; it is characterized by a dysregulated patient
response. Inflammation is the body's response to a microorganism. Organ dysfunction refers to the
failure of an organ system in an acutely ill patient such that homeostasis cannot be maintained without
intervention.
The nurse provides care for a patient with sepsis and identifies which assessment finding is associated
with heart failure (HF)? - CORRECT ANSWERS S3 heart sound
Which physiological change is associated with absolute hypovolemia? - CORRECT ANSWERS A
decrease in venous return
The nurse providing care for a patient with septic shock recalls that the renin-angiotensin system is
activated during which stage of shock? - CORRECT ANSWERS Compensatory
Which arterial blood gas finding is associated with a patient experiencing early shock? - CORRECT
ANSWERS respiratory alkalosis
, The nurse provides care for a patient experiencing shock. Assessment findings are indicative of
decreasing cardiac output and decreased peripheral perfusion. The nurse identifies the patient is in
which stage of shock? - CORRECT ANSWERS Progressive
Which type of shock causes an absence of bowel sounds? - CORRECT ANSWERS Hypovolemic
shock
EXPLANATION:
Absence of bowel sounds is associated with hypovolemic shock. Decreased bowel sounds are seen with
cardiogenic shock. Bowel dysfunction is associated with neurogenic shock. Abdominal pain, nausea, and
vomiting are seen with anaphylactic shock.
Which drug causes arterial and venous dilation? - CORRECT ANSWERS Sodium nitroprusside
EXPLANATION:
Sodium nitroprusside acts by dilating both the arteries and veins. It is used in the treatment of
cardiogenic shock. Dopamine has inotropic activity. It increases the force of the heartbeat and is used in
the treatment of cardiogenic shock. Vasopressin is a vasoconstrictor used mainly in the treatment of
septic shock. Phenylephrine acts by constricting the peripheral nerves and is used in the treatment of
neurogenic shock.
Which type of shock can be treated by minimizing spinal cord trauma with stabilization? - CORRECT
ANSWERS Neurogenic shock
Neurogenic shock is caused by severe injury to the spinal cord and results in loss of sympathetic
stimulation of blood vessels. Apart from administering vasoconstrictor agents, minimizing the spinal
cord trauma with stabilization is a supporting therapy for neurogenic shock. Septic shock occurs in
response to a systemic infection. Obtaining the cultures before starting antibiotics is appropriate care
for septic shock. A life-threatening allergic reaction to a sensitizing substance causes anaphylactic shock.
Avoiding exposure to allergens is supportive therapy for anaphylactic shock. Excessive loss of
intravascular fluid causes hypovolemic shock. Besides restoring fluid volume, correcting the cause of
fluid loss is supportive therapy.
Which nursing diagnosis would be the priority for a patient with hypovolemic shock? - CORRECT
ANSWERS Ineffective tissue perfusion
Which type of shock is associated with hyperglycemia, the presence of pulmonary infiltrates in a chest x-
ray, and increased levels of blood urea nitrogen (BUN)? - CORRECT ANSWERS Cardiogenic
Increased blood levels of glucose, nitrogen, and cardiac markers and presence of pulmonary infiltrates
are seen in cardiogenic shock. Increased blood levels of lactate, glucose, and positive blood cultures are
signs of septic shock. Manifestations of obstructive shock are specific to the area or organ of
obstruction. Electrolyte imbalances and decreased hemoglobin and hematocrit are seen in hypovolemic
shock.
Which fluid increases osmotic pressure to provide rapid volume expansion for a patient experiencing
hypovolemic shock? - CORRECT ANSWERS human serum albumin
Septic shock is classified as which type of shock? - CORRECT ANSWERS Distributive
