Shock And Mods
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- 1.
A young boy starts to have swelling of the throat and difficulty after eating shrimp in the cafeteria. As the school nurse, what is your first action?
- A.
Apply oxygen
- B.
Inject epinephrine into the thigh
- C.
Administer Levophed STAT
- D.
Assess the airway using a tongue blade and penlight
Correct Answer
B. Inject epinephrine into the thigh -
- 2.
Which heart rate would the nurse expect to see in a patient after a skiing injury that resulted in injury to the head and spinal cord who has developed shock?
- A.
110
- B.
150
- C.
90
- D.
50
Correct Answer
D. 50 -
- 3.
A patient with Hepatitis C and hepatic encephalopathy has been admitted to the unit where you work. The patient has evidence of asterixis, elevated AST, ALT, and bilirubin, massive ascites, dependent edema, and yellowing of the sclera. The patient is a poor historian, but the wife noted the physician recently increased his lactulose dose. Recent assessments point towards shock. The nurse is correct in assuming the patient has what type of shock?
- A.
Neurological
- B.
Hypovolemic
- C.
Neurogenic
- D.
Cardiogenic
Correct Answer
B. HypovolemicExplanation
Ascites= fluid in the wrong space. The increase in lactulose can also cause diarrheaRate this question:
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- 4.
SELECT ALL the signs/symptoms of the compensatory stage of shock that apply
- A.
Cool and clammy skin
- B.
HR 58
- C.
BP 122/80
- D.
Mild confusion
- E.
Decreased urinary output
Correct Answer(s)
A. Cool and clammy skin
C. BP 122/80
D. Mild confusion
E. Decreased urinary output -
- 5.
A patient with shock has a BP of 110/70. What is the pulse pressure and is this sufficient?
- A.
40. yes
- B.
180 yes
- C.
83 yes
- D.
30 no
Correct Answer
A. 40. yes -
- 6.
Recent ABG analysis shows a pH of 7.40, PaCO2 of 38, and HCO3 of 24. What is the correct analysis?
- A.
Fully Compensated Metabolic Alkalosis
- B.
Partially Compensated metabolic alkalosis
- C.
Normal
- D.
Respiratory Acidosis
Correct Answer
C. Normal -
- 7.
The nursing student ask her preceptor to explain the term MAP. The preceptor is correct in responding that MAP is
- A.
This shows if the heart is pumping good enough to get oxygen to the brain
- B.
Don't worry about this. As long as the systolic BP is above 90 they are being well profused
- C.
The difference between the systolic and diastolic blood pressure
- D.
Mean Arterial Pressure. We want this to be 65 or above for adequate perfusion of organs and tissues
Correct Answer
D. Mean Arterial Pressure. We want this to be 65 or above for adequate perfusion of organs and tissues -
- 8.
Recent test show a patient in the progressive stage (MAP of 58) of shock has a GFR of 50 which is a decrease in baseline from 100. What does the nurse assume is happening to the patient?
- A.
Glomerularnephritis
- B.
Pyelonephritis
- C.
Acute Renal Failure
- D.
Chronic Renal Failure
Correct Answer
C. Acute Renal Failure -
- 9.
Which stage of shock is characterized my normal BP?
- A.
Progessive
- B.
Initial
- C.
Compensatory
- D.
Neurogenic
Correct Answer
C. Compensatory -
- 10.
A patient with hypovolemic shock has been admitted to the unit. What position should the nurse place the patient in to increase perfusions
- A.
Trendelenburg
- B.
Reverse trendelenburg
- C.
Modified trendelenburg
- D.
Semi-fowlers
Correct Answer
C. Modified trendelenburg -
- 11.
A patient with shock has been ordered colloid fluid replacement (LR) and 250 ml/hr. What assessments regarding fluid replacement is it crucial the nurse make?
- A.
Skin Turgor
- B.
Capillary refill time bilaterally
- C.
Lung auscultation
- D.
Inspection of the IV site
Correct Answer
C. Lung auscultation -
- 12.
Following a MI the patient develops cardiogenic shock. What medications would the nurse expect to be ordered? SATA
- A.
Dobutamine
- B.
Lasix
- C.
Dopamine
- D.
Nitroglycerin
Correct Answer(s)
A. Dobutamine
C. Dopamine
D. Nitroglycerin -
- 13.
A patient with shock has a MAP of 50 that is not responding to fluid administration. The patient has an arterial line, a peripheral IV to the R AC, an NG tube, and a femoral central line. Where should the nurse administer the ordered vasoactive medications
- A.
Arterial line
- B.
Peripheral line
- C.
NG tube
- D.
Central line
Correct Answer
D. Central line -
- 14.
Which of the following orders does the nurse know will prevent stress ulcers for a patient with shock receiving parenteral nutrition?
- A.
Lasix 20mg IV push
- B.
Protonix
- C.
Zofran
- D.
Turning q 2 hours
Correct Answer
B. Protonix -
- 15.
An 80 year old man with a history of diabetes presents to the ED with a necrotic left leg that is oozing. T 103, BP 80/40, HR 115, RR 36. What does his presentation indicated
- A.
Cardiogenic Shock
- B.
Septic Shock
- C.
Hypovolemic Shock
- D.
MODS
Correct Answer
B. Septic Shock -
- 16.
Which of the following patients have the greatest risk for sepsis?
- A.
A 55 year old male admitted to the ICU after a seizure with possible aspiration pneumonia
- B.
A 50 year old female undergoing a prophylactic bilateral mastectomy
- C.
A 1 year old female child with acute otitis media
- D.
A 68 year old male with a history of COPD admitted with acute exacerbation and pneumonia being treated with IV Levaquin
Correct Answer
D. A 68 year old male with a history of COPD admitted with acute exacerbation and pneumonia being treated with IV Levaquin -
- 17.
Which patient is at greatest risk for shock due to blood loss
- A.
A 20 year old male with 1st degree burns to the palms
- B.
A 60 year old female with a pelvic fracture
- C.
A 16 year old girl with a 3 day history of vomiting and diarrhea
- D.
A 25 year old male with epistaxis following a bar fight
Correct Answer
B. A 60 year old female with a pelvic fracture -
- 18.
Assessments of your patient reveals BP 85/70, HR 155, T 101.4, rr shallow and audible crackles in the lower lobes bilaterally. What stage of shock is the patient likely experiencing?
- A.
Progressive
- B.
Compensation
- C.
Initial
- D.
Irreversible
Correct Answer
A. Progressive -
- 19.
Which stage of shock would a patient likely be in if the BP is 122/82, HR 102, RR 24, skin cool and clammy and slightly confused LOC?
- A.
Progressive
- B.
Compensatory
- C.
Initial
- D.
Irreversible
Correct Answer
B. Compensatory -
- 20.
Which assessments must be made to determine adequate tissue perfusion for a patient with MODS?
- A.
MAP, LOC, PERRLA
- B.
LOC, Skin color, temperature, and urine output
- C.
BP, Pulse, skin turgor
- D.
Mucous membrane assessment, capillary refill, bowel movements
Correct Answer
B. LOC, Skin color, temperature, and urine output -
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Mar 22, 2022Quiz Edited by
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Apr 02, 2015Quiz Created by
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