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    Exam Review

    1. When you are checking your patient's blood pressure, which of the following findings would suggest the patient may be in cardiogenic shock?
      A)
      Warm extremities.
      B)
      Wide pulse pressure.
      C)
      Strong pulses.
      D)
      Blood pressure of 90/75.
    2. Which of the following findings in your patient with septic shock are concerning to you and may indicate that the patient is developing Multiple Organ Dysfunction Syndrome (MODS)?
      A)
      Coughing up secretions.
      B)
      Tachycardia and fever.
      C)
      High cardiac output and low systemic vascular resistance.
      D)
      Elevated white blood cell count.
    3. Which of the following is true about cardiogenic shock?
      A)
      Occurs when the patient is bleeding.
      B)
      It is comprised of neurogenic, septic, and anaphylactic shock.
      C)
      Occurs when there is systolic or diastolic dysfunction of the heart's pumping action.
      D)
      It results from hypovolemia.
    4. During the compensatory stage of shock, which organs are prioritized in terms of blood flow and perfusion?
      A)
      Skin and Gastrointestinal system.
      B)
      Lungs and brain.
      C)
      Brain and heart.
      D)
      Heart, lungs, and brain.
    Page 1 of 13

    Exam Review

    1. A 45-year-old patient is brought to the emergency department with symptoms of anaphylaxis after a bee sting. The patient presents with hypotension, tachycardia, and difficulty breathing. What is the primary mechanism causing hypotension in this patient?
      A)
      Peripheral vasodilation.
      B)
      Cardiogenic dysfunction.
      C)
      Blood volume loss.
      D)
      Decreased cardiac output.
    2. A 45-year-old patient is brought to the emergency department with symptoms of anaphylaxis after a bee sting. The patient presents with hypotension, tachycardia, and difficulty breathing. Which of the following is the first-line treatment for this patient?
      A)
      Inhaled beta-agonists.
      B)
      Intravenous fluids.
      C)
      Intramuscular epinephrine.
      D)
      Oral antihistamines.
    3. Which assessment findings would you expect to see in your patient in the compensatory stage of shock?
      A)
      Cool and clammy skin.
      B)
      Rashes and hives.
      C)
      Increased temperature.
      D)
      Increased urine output.
    4. What is one of the processes occurring in the compensatory stage of shock?
      A)
      There is an increase in diuresis.
      B)
      Sympathetic Nervous System (SNS) stimulation increases heart rate and myocardial contractility to try to increase blood pressure.
      C)
      There is a decrease in blood pressure.
      D)
      Parasympathetic nervous system is activated to decrease heart rate.
    Page 2 of 13

    Exam Review

    1. Your patient is in hypovolemic shock. Which of the following treatments should be done quickly to reverse tissue dysfunction?
      A)
      Give patient crystalloid fluids.
      B)
      Give patient blood pressure medications.
      C)
      Give patient antipyretics.
      D)
      Give patient antibiotics.
    2. In which stage of shock is recovery unlikely?
      A)
      Progressive stage.
      B)
      Initial stage.
      C)
      Refractory stage.
      D)
      Compensatory stage.
    3. In a patient with shock, you want to decrease oxygen demands as the patient has a lower supply of oxygen due to impaired tissue perfusion. Which of the following interventions should you implement, as the Registered Nurse, to prevent increasing oxygen demands?
      A)
      Only monitor oxygen saturation as needed.
      B)
      Place them in a well-lit room with more people around.
      C)
      Turn and reposition the patient carefully and assess how they respond to this.
      D)
      Intubate the patient if not already intubated.
    4. A client is experiencing anaphylactic shock after being stung by a bee. Which medication should the nurse administer first?
      A)
      Epinephrine.
      B)
      Naloxone.
      C)
      Atropine sulfate.
      D)
      Diphenhydramine.
    Page 3 of 13

    Exam Review

    1. A client is experiencing anaphylactic shock after being stung by a bee. Which medication should the nurse administer first?
      A)
      Epinephrine (Epipen).
      B)
      Naloxone (Narcan).
      C)
      Atropine sulfate.
      D)
      Diphenhydramine (Benadryl).
    2. A 70-year-old patient is malnourished, has a history of type 2 DM, and is admitted from the nursing home with pneumonia and tachypnea. For which kind of shock should the nurse closely monitor this patient?
      A)
      Septic shock.
      B)
      Hypovolemic shock.
      C)
      Obstructive shock.
      D)
      Cardiogenic shock.
    3. Which of the following is NOT an example of absolute hypovolemia?
      A)
      Vomiting.
      B)
      Diuresis.
      C)
      Diarrhea.
      D)
      Oliguria.
    4. When a patient has life-threatening bleeding from DIC, which of the following are treatment options for the patient?
      A)
      Platelets.
      B)
      Packed RBCs.
      C)
      Cryoprecipitate.
      D)
      Fresh Frozen Plasma.
    Page 4 of 13

    Exam Review

    1. What can prevent a patient from moving into the progressive stage of shock?
      A)
      Drawing and monitoring labs every 2-3 hours.
      B)
      Correct the initial cause of shock while patient is still in the compensatory stage.
      C)
      Making sure to control their pain and anxiety.
      D)
      Completing a full physical assessment every 15 mins.
    2. A patient presents to the ED with the chief complaint of falling off of a horse. The HCP suspects a spinal cord injury. You know this puts the patient at risk of neurogenic shock. What is one of the processes occurring in neurogenic shock?
      A)
      There is massive vasodilation without compensation because sympathetic nervous system vasoconstrictor tone is lost.
      B)
      Patient has an infection that may be progressing to the blood.
      C)
      Baroreceptors are compensating by increasing systemic vascular resistance.
      D)
      There is relative hypovolemia and absolute hypovolemia occurring.
    3. As the nurse taking care of a patient on vasodilator therapy, what do you want to monitor for?
      A)
      A patient developing a fever.
      B)
      A decrease in cardiac output or blood pressure.
      C)
      An increase in fluid retention.
      D)
      An increase in blood pressure.
    4. A patient is suspected of having internal bleeding following an abdominal injury. Which diagnostic tests or assessments are most priority for this client?
      A)
      Hemoglobin and Abdominal CT.
      B)
      Chest X-ray and Urine Specific Gravity.
      C)
      Blood Cultures and Sputum Analysis.
      D)
      Basic Metabolic Panel and ECG.
    Page 5 of 13

    Exam Review

    1. You are working in the ED and you hear that your patient is being worked up for sepsis and possible septic shock. What do you need to do before you start antibiotics on this patient?
      A)
      Make sure patient has completed their fluid bolus.
      B)
      Wait for the urine results to come back.
      C)
      Call the lab and make sure blood cultures were drawn on this patient.
      D)
      Wait for blood culture results to come back so you can give the correct antibiotic.
    2. What is the amount of fluids given to a patient in septic shock?
      A)
      30 mL/kg of isotonic crystalloid.
      B)
      30 mL/kg of hypertonic solution.
      C)
      20 mL/kg of isotonic crystalloid.
      D)
      20 mL/kg of hypertonic solution.
    3. What are going to be important findings to pay attention to when a patient is in the progressive stage of shock?
      A)
      Sputum production with cough.
      B)
      Mental status changes.
      C)
      Headache and fevers.
      D)
      Strong pulses.
    4. Which of the following do you expect to see in a patient with septic shock?
      A)
      Obstruction of blood flow.
      B)
      Bradycardia.
      C)
      Persistent hypotension despite fluid resuscitation.
      D)
      Uncontrolled hypertension despite antihypertensives.
    Page 6 of 13