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Nursing (290) Shock Nclex Questions

Sandra Watson
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shock practice questions


Molloy College


Nursing (290)

1. A 78-kg patient with septic shock has a pulse rate of 120 beats/min with low central venous
pressure and pulmonary artery wedge pressure. Urine output has been 30 mL/hr for the past 3
hours. Which order by the health care provider should the nurse question?
a. Administer furosemide (Lasix) 40 mg IV.
b. Increase normal saline infusion to 250 mL/hr.
c. Give hydrocortisone (Solu-Cortef) 100 mg IV.
d. Titrate norepinephrine to keep systolic blood pressure (BP) above 90 mm Hg.

2. A nurse is caring for a patient whose hemodynamic monitoring indicates a blood pressure of
92/54 mm Hg, a pulse of 64 beats/min, and an elevated pulmonary artery wedge pressure
(PAWP). Which intervention ordered by the health care provider should the nurse question?
a. Elevate head of bed to 30 degrees.
b. Infuse normal saline at 250 mL/hr.
c. Hold nitroprusside if systolic BP is less than 90 mm Hg.
d. Titrate dobutamine to keep systolic BP is greater than 90 mm Hg.

3. A patient with massive trauma and possible spinal cord injury is admitted to the emergency
department (ED). Which assessment finding by the nurse will help confirm a diagnosis of
neurogenic shock?
a. Inspiratory crackles c. Cool, clammy extremities
b. Heart rate 45 beats/min d. Temperature 101.2°F (38.4°C)

4. An older patient with cardiogenic shock is cool and clammy. Hemodynamic monitoring
indicates a high systemic vascular resistance (SVR). Which intervention should the nurse
a. Increase the rate for the dopamine infusion.
b. Decrease the rate for the nitroglycerin infusion.
c. Increase the rate for the sodium nitroprusside infusion.
d. Decrease the rate for the 5% dextrose in normal saline (D5/.9 NS) infusion.

5. After receiving 2 L of normal saline, the central venous pressure for a patient who has septic
shock is 10 mm Hg, but the blood pressure is still 82/40 mm Hg. The nurse will anticipate an
order for
a. furosemide . c. norepinephrine .
b. nitroglycerin . d. sodium nitroprusside .

6. To evaluate the effectiveness of the pantoprazole (Protonix) ordered for a patient with
systemic inflammatory response syndrome (SIRS), which assessment will the nurse perform?
a. Auscultate bowel sounds. c. Check stools for occult blood.
b. Ask the patient about nausea. d. Palpate for abdominal tenderness.

7. A patient with cardiogenic shock has the following vital signs: BP 102/50, pulse 128,
respirations 28. The pulmonary artery wedge pressure (PAWP) is increased, and cardiac
output is low. The nurse will anticipate an order for which medication?
a. 5% albumin infusion c. epinephrine (Adrenalin) drip
b. furosemide (Lasix) IV d. hydrocortisone (Solu-Cortef)

8. The emergency department (ED) nurse receives report that a seriously injured patient involved
in a motor vehicle crash is being transported to the facility with an estimated arrival in 5
minutes. In preparation for the patient’s arrival, the nurse will obtain
a. a dopamine infusion. c. lactated Ringer’s solution.
b. a hypothermia blanket. d. two 16-gauge IV catheters.

9. Which finding is the best indicator that the fluid resuscitation for a 90-kg patient with
hypovolemic shock has been effective?
a. Hemoglobin is within normal limits.
b. Urine output is 65 mL over the past hour.
c. Central venous pressure (CVP) is normal.
d. Mean arterial pressure (MAP) is 72 mm Hg.

10. Which intervention will the nurse include in the plan of care for a patient who has cardiogenic
a. Check temperature every 2 hours.
b. Monitor breath sounds frequently.
c. Maintain patient in supine position.
d. Assess skin for flushing and itching.



Nursing (290) Shock Nclex Questions

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