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Shock Quiz

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

During an assessment the nurse is concerned that a patient is developing cardiogenic shock. What did the nurse assess in this patient? (Choose all the correct answers)

a)

Systolic blood pressure 82 mm Hg

b)

Capillary refill 10 seconds

c)

Crackles bilateral lung bases

d)

Heart rate 55 and regular

2.

A patient is admitted to the emergency department after sustaining abdominal injuries and a broken femur from a motor vehicle accident. The patient is pale, diaphoretic, and is not talking coherently. Vital signs upon admission are temperature 36.3), heart rate 130 beats/minute, respiratory rate 34 breaths/minute, blood pressure 50/40mmHg. The healthcare provider suspects which type of shock?

a)

Cardiogenic

b)

Hypovolemic

c)

Neurogenic

d)

Distributive

3.

Which of the following is not capable of producing obstructive shock?

a)

Pulmonary Embolus

b)

Cardiac Tamponade

c)

Tension pneumothorax

d)

Mitral regurgitation

4.

The haemotologic system reacts to acute severe blood loss by:

a)

A rapid increase in red blood cell production

b)

Platelet activation

c)

A rapid increase in platelet production

d)

Deactivating the coagulation cascade

5.

Causes of distributive shock include all of the following EXCEPT:

a)

Myocardial infarction

b)

Toxic shock syndrome

c)

Sepsis

d)

Anaphylaxis

6.

Which of the following is the most common cause of death in intensive care units?

a)

Obstructive shock

b)

Septic shock

c)

Cardiogenic shock

d)

Hypovolaemic shock

7.

What is the treatment of choice to correct Hypovolemic Shock?

a)

Have the patient drink a large bottle of Gatorade.

b)

Replace fluids intravenously as quickly as possible.

c)

Administer a vasopressor (ex: Dopamine or Norepinephrine)

d)

All of the above.

8.

What will the nurse identify as symptoms of hypovolaemic shock in a patient? (there may be more than one correct answer)

a)

Temperature of 36.4

b)

Restlessness

c)

Capillary refill time greater than 3 seconds

d)

Sinus tachycardia of 155bpm

9.

A patient is demonstrating pulmonary edema, hypotension, and delayed capillary refill. The nurse suspects the patient is experiencing which type of shock?

a)

Hypovolemic

b)

Cardiogenic

c)

Anaphylactic

d)

Obstructive

10.

A patient is experiencing an anaphylactic reaction to a medication. The nurse is concerned that the patient will develop distributive shock because:

a)

The release of histamine causes vasodilation with plasma leakage.

b)

Sympathetic innervation is interrupted.

c)

Microorganisms overwhelm the vascular system.

d)

Parasympathetic innervation functions are unopposed