Ash Lig
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Test to prep for Shock lecture.

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Ash Lig
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Shock

Question 1 of 23

1

Norepinephrine ______ insulin release, whereas epinephrine ________ insulin release.

Select one of the following:

  • inhibits; stimulates

  • stimulates; inhibits

Explanation

Question 2 of 23

1

One of the major causes of death in shock is myocardial deterioration. MDF (myocardial depressant factor) causes significant reduction in cardiac output in response to...

Select one of the following:

  • ischemia of the GI tract

  • reduction in blood volume

  • tissue hypoxia

  • hyperglycemia

Explanation

Question 3 of 23

1

From the following, select the correct clinical manifestations of shock (think compensatory mechanisms).

Select one or more of the following:

  • Hypertension

  • Hypotension

  • Tachypnea

  • Bradypnea

  • Tachycardia

  • Bradycardia

  • Anxiety, irritability

  • Decrease in urine output

Explanation

Question 4 of 23

1

Hypovolemic shock begins to develop when the intravascular volume has decreased by approximately ___

Select one of the following:

  • 15%

  • 50%

  • 20%

  • 5%

Explanation

Question 5 of 23

1

Which type of shock is most common in children?

Select one of the following:

  • Hypovolemic

  • Anaphylactic

  • Cardiogenic

  • Obstructive

Explanation

Question 6 of 23

1

If a patient has tension pneumothorax, which kind of shock are they most likely to develop?

Select one of the following:

  • Hypovolemic

  • Obstructive

  • Hemorrhagic

  • Septic

Explanation

Question 7 of 23

1

What is the number one cause of cardiogenic shock?

Select one of the following:

  • Myocardial infarction

  • Unstable angina

  • Pericarditis

  • Cardiac tamponade

Explanation

Question 8 of 23

1

A clinical manifestation of neurogenic shock is ________, whereas patients with cardiogenic and obstructive shock may present _________.

Select one of the following:

  • warm and flushed skin; cyanotic and mottled skin

  • cyanotic and mottled skin; warm and flushed skin

Explanation

Question 9 of 23

1

Not everyone who experiences anaphylaxis will have anaphylactic shock.

Select one of the following:

  • True
  • False

Explanation

Question 10 of 23

1

Which form of shock is the number one cause of death in ICU settings?

Select one of the following:

  • Septic

  • Anaphylactic

  • Cardiogenic

  • Hypovolemic

Explanation

Question 11 of 23

1

Hypotension is the hallmark clinical finding of which stage of shock?

Select one of the following:

  • Initial

  • Compensatory

  • Progressive

  • Irreversible

Explanation

Question 12 of 23

1

Which of the following are you most likely going to see in a person experiencing shock?

Select one of the following:

  • Metabolic acidosis

  • Metabolic alkalosis

  • Respiratory acidosis

  • Respiratory alkalosis

Explanation

Question 13 of 23

1

A decrease of systolic BP by more than __ mmHg with an increased heartrate by more than __ BPM indicates actual or relative hypovolemia requiring immediate assessment of need for fluid replacement and CV support.

Select one of the following:

  • 20; 20

  • 40; 20

  • 10; 10

  • 5; 10

Explanation

Question 14 of 23

1

A person with neurogenic shock initially exhibits...

Select one of the following:

  • hypertension

  • tachycardia

  • bradycardia

  • increased central venous pressure

Explanation

Question 15 of 23

1

How does any type of shock cause oliguria?

Select one of the following:

  • By stimulating the renin-angiotensin system

  • By decreasing the perfusion to the kidneys

  • By stimulating carotid and baroreceptors

  • By decreasing the PNS stimulation

Explanation

Question 16 of 23

1

What type of shock develops with overstimulation of the PNS or understimulation of the SNS?

Select one of the following:

  • Septic

  • Cardiogenic

  • Anaphylactic

  • Vasogenic

Explanation

Question 17 of 23

1

_________ shock is often more severe than other forms because of its sudden, rapid systemic vasodilation.

Select one of the following:

  • Septic

  • Hypovolemic

  • Anaphylactic

  • Neurogenic

Explanation

Question 18 of 23

1

What type of shock results from decreased systemic vascular resistance?

Select one of the following:

  • Septic

  • Cardiogenic

  • Hypovolemic

  • Heart failure

Explanation

Question 19 of 23

1

What are the primary goals for treatment of shock?

Select one of the following:

  • Maximizing oxygen delivery and minimizing oxygen demand

  • Maintaining hydration and adequate urinary output

  • Supporting all facets to the cardiovascular system

  • Maintaining all vital signs within normal ranges

Explanation

Question 20 of 23

1

To determine a client's response to fluid therapy for shock, the nurse should monitor...

Select one of the following:

  • hematocrit and hemoglobin levels

  • urine output and specific gravity

  • blood pressure and pulse

  • arterial blood gasses and heart rate

Explanation

Question 21 of 23

1

Which clinical manifestation of septic shock confirms an elevation in immune system response?

Select one of the following:

  • Tachycardia

  • Increased white blood cell count

  • Low respiratory rate

  • Hypothermia

Explanation

Question 22 of 23

1

The release of catecholamines by the adrenal glands compensates for which initial effects of hypovolemic shock?

Select one of the following:

  • Interstitial fluid moves out of the vascular compartment

  • Systemic vascular resistance is decreased

  • Heart rate is increased

  • Water excretion is increased

Explanation

Question 23 of 23

1

Which condition is best defined as a clinical syndrome involving a systemic response to infection, which is manifested by two or more of the systemic inflammatory response syndrome criteria?

Select one of the following:

  • Bacteremia

  • Sepsis

  • Septicemia

  • Septic shock

Explanation

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