10 Shock NCLEX® Questions

A client has developed bradycardia and symptoms of shock. Which of the following medications would the nurse most likely administer to correct this situation?

• Amiodarone
• Adenosine
• Verapamil
• Atropine

A 28-year-old client is brought to the emergency department after a motor vehicle accident and has suffered a fractured pelvis. The client is demonstrating signs of hemorrhagic shock as a result of his injuries. Which of the following types of fluids would be most appropriate to administer initially during the resuscitation period?

• D10W
• Lactated Ringer's
• ½ NS with potassium
• D5 NS

A nurse is assessing a client. Which of the following signs and symptoms would indicate the client is in shock? Select all that apply.

• Shallow respirations
• Blue nail beds
• Yellowing of the sclera
• Wheezy breath sounds
• Rapid pulse rate

A client who was diagnosed with heart failure has developed cardiogenic shock as a complication of the condition and needs an intra-aortic balloon pump placed. Which of the following statements accurately describes an intra-aortic balloon?

• The balloon is regularly inflated and deflated to support the pumping action of the heart
• The balloon inflates during systole to increase pressure in the aorta
• The catheter is typically inserted in the subclavian artery and inflated in the abdominal aortic artery
• The IABP increases systemic vascular resistance to strengthen the heart's ventricles

Which best describes the difference between septic shock and multiple organ dysfunction syndrome (MODS)?

• Septic shock causes an elevation in body temperature, tachycardia, and tachypnea, while MODS causes a hypothermia, bradycardia, and bradypnea
• Septic shock is caused by infection that results in hypotension, while MODS involves hypotension as well as other body system abnormalities
• Septic shock refers to the presence of bacteria in the blood, while MODS is chronic inflammation
• Septic shock causes significant illness but is rarely life threatening, while MODS has very high mortality rates

A client presents to the ER bleeding profusely from a gunshot wound. The client is in hypovolemic shock and needs a rapid transfusion. What does the nurse anticipate to replace blood volume after starting the IV?

• Transfuse O- blood without knowing the client's blood type
• Send a type and cross to the lab for analysis
• Transfuse AB+ blood without knowing the client's blood type
• Send a type and screen to the lab for analysis

A new nurse is having a difficult time knowing which client should be seen first because they all seem important. The nurse preceptor helps and explains that the client with which of the following should be seen first?

• Dizziness with normal vital signs
• Febrile, tachycardia, and vomiting
• Abdominal pain, hypertensive and constipated
• Hypotension, tachycardia, and lethargy

Which of the following conditions put a client at risk for cardiogenic shock? Select all that apply.

• Pulmonary embolus
• Hypotension
• Cardiac tamponade
• Damaged heart valves
• Deep vein thrombus

A nurse is caring for a client who is being treated for acute myocardial infarction. The nurse knows that some clients with acute MI go on to develop cardiogenic shock, which can be fatal. Based on the nurse’s understanding of this condition, the nurse knows to look for which of the following signs of cardiogenic shock?

• Hot, flushed extremities
• Muscle and/or joint pain
• Hypotension of less than 100 mmHg systolic for more than 15 minutes
• Oliguria and poor peripheral pulses

The priority nursing intervention for septic shock is which of the following?

• Monitor respiratory rate
• Monitor electrolytes
• Keep the body temperature below 100 degrees Fahrenheit
• Provide IV antibiotics