EXAM 2 LEVEL 4 NURSING SCF EXAM QUESTIONS AND ANSWERS
A self employed mechanic is diagnosed with carbon monoxide poisoning: BP 90/42, pulse 84, RR 24, O2
94%. What is priority action? - CORRECT ANSWER✅✅Administer 100% oxygen using non-rebreather
mask at 15L/min
neurogenic shock s/s - CORRECT ANSWER✅✅hypotension, bradycardia, RR elevated
DIC Causes - CORRECT ANSWER✅✅-Sepsis
-Post-surgery
-Trauma
-Pregnancy & childbirth
DIC s/s - CORRECT ANSWER✅✅Hematuria
petechiae
bleeding gums/IV site
tachycardia
hypOtension
Hypovolemic Shock s/s - CORRECT ANSWER✅✅hypotension,
tachycardia,
tachypnea,
pallor,
diaphoresis,
cool, clammy skin,
confusion,
or other mental status changes
urine output low less than 30 ml/hr
thirst
, Hypovolemic shock causes - CORRECT ANSWER✅✅Internal/external hemorrhage
Diarrhea/emesis (excessive)
Osmotic diuresis (renal fluid loss related to diabetes or DKA)
BURNS
3rd Spacing
Cardiac Output (CO) - CORRECT ANSWER✅✅The amount of blood pumped by the heart per minute.
CO=HRxSV
inadequate cardiac output (Cardiac Output = HR x SV) - CORRECT ANSWER✅✅cardiogenic shock is
characterized by
In septic shock, the nurse should these in order - CORRECT ANSWER✅✅1. administer IV fluid bolus
2. collect blood cultures
3. Initiate broad-spectrum antibiotics
Septic Shock s/s - CORRECT ANSWER✅✅Tachycardia
Persistent HypOtension
Mental status changes
decreased oxygen saturation
Skin changes (initially warm-flushed, then cool clammy due to impaired profusion)
Septic shock interventions - CORRECT ANSWER✅✅Initiate IV bolus
Administer IV antibiotics
Assess need for vasopressors
Obtain a blood specimen for blood cultures
DIC interventions - CORRECT ANSWER✅✅Initiate norepinephrine (vasopressor) infusion
Monitor coagulation studies
A self employed mechanic is diagnosed with carbon monoxide poisoning: BP 90/42, pulse 84, RR 24, O2
94%. What is priority action? - CORRECT ANSWER✅✅Administer 100% oxygen using non-rebreather
mask at 15L/min
neurogenic shock s/s - CORRECT ANSWER✅✅hypotension, bradycardia, RR elevated
DIC Causes - CORRECT ANSWER✅✅-Sepsis
-Post-surgery
-Trauma
-Pregnancy & childbirth
DIC s/s - CORRECT ANSWER✅✅Hematuria
petechiae
bleeding gums/IV site
tachycardia
hypOtension
Hypovolemic Shock s/s - CORRECT ANSWER✅✅hypotension,
tachycardia,
tachypnea,
pallor,
diaphoresis,
cool, clammy skin,
confusion,
or other mental status changes
urine output low less than 30 ml/hr
thirst
, Hypovolemic shock causes - CORRECT ANSWER✅✅Internal/external hemorrhage
Diarrhea/emesis (excessive)
Osmotic diuresis (renal fluid loss related to diabetes or DKA)
BURNS
3rd Spacing
Cardiac Output (CO) - CORRECT ANSWER✅✅The amount of blood pumped by the heart per minute.
CO=HRxSV
inadequate cardiac output (Cardiac Output = HR x SV) - CORRECT ANSWER✅✅cardiogenic shock is
characterized by
In septic shock, the nurse should these in order - CORRECT ANSWER✅✅1. administer IV fluid bolus
2. collect blood cultures
3. Initiate broad-spectrum antibiotics
Septic Shock s/s - CORRECT ANSWER✅✅Tachycardia
Persistent HypOtension
Mental status changes
decreased oxygen saturation
Skin changes (initially warm-flushed, then cool clammy due to impaired profusion)
Septic shock interventions - CORRECT ANSWER✅✅Initiate IV bolus
Administer IV antibiotics
Assess need for vasopressors
Obtain a blood specimen for blood cultures
DIC interventions - CORRECT ANSWER✅✅Initiate norepinephrine (vasopressor) infusion
Monitor coagulation studies
