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WorksheetsCritical Care and Shock Management Quiz
Total questions: 20
Worksheet time: 10mins
A trauma patient has HR 118, BP 120/78, RR 26, lactate 4.9 mmol/L, and cool extremities. What does this most likely indicate?
Stable perfusion
Compensatory shock
Progressive shock
Cardiogenic shock
Which finding is the earliest indicator that a patient may be developing shock?
Hypotension
Decreased urine output
Elevated lactic acid
Altered mental status
A patient with septic shock remains hypotensive after receiving IV fluids. What is the nurse’s priority action?
Draw blood cultures
Begin vasopressor therapy
Administer antipyretics
Insert Foley catheter
Which assessment finding best indicates progression to the progressive stage of shock?
Tachycardia
Bounding pulses
Metabolic acidosis
Warm flushed skin
Which finding is most consistent with cardiogenic shock?
Decreased preload
Pulmonary crackles
Warm extremities
Decreased afterload
A postoperative client suddenly develops dyspnea, chest pain, and SpO₂ 84%. What is the nurse’s priority?
Obtain ABGs
Notify provider
Apply oxygen
Prepare for CT scan
Which patient is at the highest risk for pulmonary embolism?
Client with asthma using inhalers
Client ambulating postoperative day 1
Client on oral contraceptives with calf pain
Client with pneumonia receiving antibiotics
Which assessment finding supports acute respiratory failure rather than pulmonary embolism?
Sudden dyspnea
Hypoxemia
Diffuse crackles bilaterally
Pleuritic chest pain
Which nursing intervention is part of the ventilator-associated pneumonia (VAP) bundle?
Flat positioning
Daily sedation interruption
Routine ventilator circuit changes
Frequent deep suctioning
Which finding best indicates a chest tube is functioning properly?
Continuous bubbling in the water seal chamber
Tidaling with respirations
Drainage greater than 300 mL/hr
Absence of fluctuation in water seal
Which chest tube finding requires immediate nursing intervention?
Drainage of 30 mL/hr
Intermittent bubbling with coughing
Continuous bubbling in the water seal chamber
Tidaling present
ABG: pH 7.29, PaCO₂ 60, HCO₃⁻ 26. How should the nurse interpret this?
Metabolic acidosis
Respiratory acidosis
Compensated respiratory acidosis
Respiratory alkalosis
ABG: pH 7.48, PaCO₂ 28, HCO₃⁻ 24. Which condition is most likely present?
Chronic kidney disease
Diabetic ketoacidosis
Pulmonary embolism
Opioid overdose
ABG: pH 7.36, PaCO₂ 55, HCO₃⁻ 30. How should this be documented?
Uncompensated respiratory acidosis
Compensated respiratory acidosis
Metabolic alkalosis
Mixed acid–base disorder
Which ABG result requires the most urgent intervention?
pH 7.38, PaCO₂ 40
pH 7.33, PaCO₂ 48
pH 7.50, PaCO₂ 30
pH 7.18, PaCO₂ 66
Which blood product is most appropriate for a patient with active bleeding and a platelet count of 18,000/mm³?
Packed red blood cells
Fresh frozen plasma
Platelets
Albumin
Which assessment finding requires the nurse to stop a blood transfusion immediately?
BP 148/90
Fever and chills
Mild headache
Decreased appetite
Which assessment best evaluates the effectiveness of shock treatment?
Blood pressure
Heart rate
Urine output
Respiratory rate
A patient with septic shock has rising lactate levels despite normal blood pressure. What does this indicate?
Adequate perfusion
Early tissue hypoxia
Renal compensation
Resolving shock
Which medication should the nurse question in a patient experiencing cardiogenic shock?
Dobutamine
Norepinephrine
Large-volume IV fluids
Diuretics
