Question one. What is the nurse's first intervention for a patient in hypoalmic shock? A. Administer four fluids rapidly. B. Place the patient in high fowlers position. C. Apply warm compresses to extremities. D. Monitor hourly urine output only. Answer. A. Administer four fluids rapidly. Question two. which is a classic early sign of shock. The nurse should recognize a weak thready pulse. B. Hypertension and brady cardia. C. Bounding peripheral pulses. D. Warm and flush skin. Answer. A weak thready pulse. Question three. What is the priority nursing action for a patient with low blood pressure and signs of shock? A. Place patient flat with legs elevated. B. Administer oral fluids. C. Apply cold packs to the abdomen. D. Encourage the patient to ambulate. Answer. A. Place patient flat with legs elevated. Question four. What is the most appropriate action for a nurse managing septic shock unresponsive to fluids? A. Start norepinephrine infusion. B. Administer acetaminophen for fever. C. Reposition every two hours. D. Apply sequential compression devices. Answer. A. Start norepinephrine infusion. Question five. In shock management, what should the nurse monitor closely to evaluate kidney profusion? A. Assess for decreased urine output. B. Check for brady cardia and hypertension. C. Monitor for facial flushing. D. Observe for increased LOC. Answer A. Assess for decreased urine output. Question six. A patient in shock has modeled skin and a systolic blood pressure of 68 mmg. What is the priority? A. Contact the provider immediately. B. Lower the four fluid rate. C. Encourage the patient to eat. D. Document the finding and continue care. Answer A. Contact the provider immediately. Question seven. What is the first line emergency treatment for anaphylactic shock? A administer epinephrine I am? B. Encourage deep breathing exercises. C. Provide oral antihistamines. D. Apply topical corticosteroids. Answer A. Administer epinephrine AM. Question eight. Which finding is a priority indicator of progressing shock? A sudden drop in blood pressure. B. Increased bowel sounds. C. Dry mucous membranes. D. Elevated oxygen saturation. Answer. A. Sudden drop in blood pressure. Question nine. A trauma patient shows signs of hypoalmia. What intervention should the nurse anticipate? A rapid forbolus of normal saline. B administer furosmomide for C. Encourage oral hydration. D. Place patient on a 24-hour urine collection. Answer. A. Rapid for bololis of normal saline. Question 10. What is the nurse's immediate priority when managing a patient in anaphylactic shock? A. Maintain airway and breathing. B. Perform full skin assessment. C. Apply an abdominal binder. D. Reposition the patient frequently. Answer. A. Maintain airway and breathing. Question 11. What hemodynamic finding indicates hypoalmic shock? A low central venus pressure, CVP. B increased systemic vascular resistance. C. High urine output. D. Brady cardia. Answer. A. Low central venus pressure CVP. Question 12. Which clinical sign suggests early shock and should prompt immediate assessment? A. Tacupnea and restlessness? B. Cool moist skin. C. Increased LOC D bounding pulse. Answer. A. Tacupneia and restlessness. Question 13. Which nursing precaution is most appropriate when initiating high- risk vasopressor therapy? A. Place the patient on high alert drug precautions? B. Administer potassium chloride for push. C. Delay interventions until labs return. D. Discontinue all vasop pressors. Answer A. Place the patient on high alert drug precautions. Question 14. What is the most effective strategy for preventing mortality in septic shock? A early detection and treatment? B. Administer antibiotics after 12 hours. C. Wait for hypotension to confirm diagnosis. D. Focus only on respiratory care. Answer. A. Early detection and treatment. Question 15. What is the nurse's priority assessment for evaluating patient response to shock treatment? A. Priority vital signs. B. Blood glucose check. C. Skin trigger assessment. D. Capillary refill time. Answer. A priority vital signs. Question 16. Which combination of vital signs is most consistent with neurogenic shock? A hypotension and brady cardia? B. Hypertension and tacic cardia. C. Cool clammy skin and bounding pulse. D. Elevated white blood cell count. Answer A. Hypotension and bradic cardia. Question 17. What should the nurse monitor closely to detect changes in profusion in a shock patient? A. Monitor mental status closely. B. Delay neurological checks until stable. C. Use restraints immediately. D. Avoid communicating with the patient. Answer. A. Monitor mental status closely. Question 18. What finding is most expected in early distributive shock such as sepsis? A low systemic vascular resistance? B. High preload and increased cardiac output. C. Elevated hemoglobin and hematocrit. D. Rapid improvement with diuretics. Answer. A. Low systemic vascular resistance. Question 19. What is the primary cause of vasoddilation in septic shock? A infection and vasoddilation. B blood loss and dehydration. Cardiac pump failure. D adrenal insufficiency. Answer. A infection and vasoddilation. Question 20. What is the major physiological outcome of all types of shock if not promptly treated? A reduced tissue profusion. B increased afterload. C. High urine output. D. Hypercalemia. Answer. A. Reduced tissue profusion. Question 21. Which assessment finding requires immediate intervention in a patient with suspected septic shock? A. Modeled skin and altered mental status? B. Warm skin and flushed appearance. C. Oxygen saturation at 96%. D. Blood pressure of 100 over 70. Answer. A modeled skin and altered mental status. Question 22. What lab result would most concern the nurse in a patient with cardiogenic shock? A. Elevated tropenin level. B. Decreased white blood cell count. C. Increased platelet count. D. Low hematocrit. Answer A. Elevated tropen level. Question 23. A patient in neurogenic shock is braticartic and hypotensive. What is the priority nursing intervention? A. Administer vasopressors as ordered. B. Place patient in reverse trendelenburgg. C. Provide high flow oxygen via nasal canula. D. Encourage fluid intake orally. Answer A. Administer vasopressors as ordered. Question 24. What initial action should the nurse take when caring for a trauma patient showing signs of hypoalmic shock? A. Apply pressure to bleeding site and elevate legs. B. Prepare for MRI. C. Encourage deep breathing and coughing. D. Elevate head of bed. Answer. A apply pressure to bleeding sight and elevate legs. Question 25. What medication is typically administered first for anaphylactic shock? A. Epinephrine. B. Dyenhydramine. C. Albuterol. D. Predinazone. Answer. A epinephrine. Question 26. Which vital sign change would indicate early progression from compensatory to progressive shock? A decrease in systolic blood pressure. B decrease in respiratory rate. Cre urine output. D. Brady cardia. Answer. A. Decrease in systolic blood pressure. Question 27. A patient receiving norepinephrine has a drop in urine output. What is the best nursing action? A notify the provider immediately. B decrease for fluid rate. C. Administer fioomide. D. Reassess urine output in 4 hours. Answer. A. Notify the provider immediately. Question 28. What assessment data supports the diagnosis of obstructive shock? A. Jugular vein distension and hypotension. B. Bounding pulses and hypertension. C. Warm skin and flushed appearance. D. Increased urinary output. Answer. A. Jugular vein distension and hypotension. Question 29. In early distributive shock, what is the typical skin appearance? A. Warm and flushed. B. Cold and clammy. C. Cyanotic. D. Pale and modeled. Answer. A warm and flushed. Question 30. What nursing diagnosis takes priority in a patient experiencing shock? A. Ineffective tissue profusion? B. Imbalanced nutrition? C. Impaired physical mobility. D. Disturbed sleep pattern. Answer. A. Ineffective tissue profusion. Question 31. A nurse prepares to administer four fluids to a shock patient. Which fluid is most appropriate initially? A. Normal saline. B. Dextrose 5% in water. C. Halfnormal saline. D lactolose. Answer. A normal saline. Question 32. What is the primary goal of vasopressor therapy in shock? A increase profusion to vital organs. B promote diuresis. C decrease afterload. D lower cardiac workload. Answer. A increase profusion to vital organs? Question 33. Which sign indicates improved profusion in a patient with shock? A. Capillary refill less than 2 seconds. B. Blood pressure 100 over 60. C. Respiratory rate of 32. D. Urine output of 10 ml/ hour. Answer. A. Capillary refill less than 2 seconds. Question 34. What is the priority nursing action for a patient developing shock after major surgery? A. Administer oxygen and monitor vital signs. B. Encourage oral intake. C. Apply compression stockings. D. Monitor blood glucose. Answer. A. Administer oxygen and monitor vital signs. Question 35. A nurse notes that a patients mean arterial pressure is 50. What should the nurse do first? A. Notify the provider. B. Check the hemoglobin level. C. Raise the head of the bed. D. Apply warm blankets. Answer. A. Notify the provider. Question 36. Which lab value should the nurse monitor to evaluate metabolic acidosis in shock? A. Serum lactate. B. Hemoglobin. C. Plate count. D. Sodium. Answer. A serum lactate. Question 37. What symptom is most associated with latestage shock? A. Unresponsiveness? B. Mild tacic cardia. C. Warm extremities. D. Normal blood pressure. Answer. A. Unresponsiveness. Question 38. What is the role of the nurse in preventing shockrelated complications in high-risisk patients? A. Early identification of at risk individuals. B. Administering sedatives prophylactically. C. Withholding fluids to prevent overload. D. Encouraging prolonged bed rest. Answer. A. Early identification of at risk individuals. Question 39. Which intervention is most appropriate during the refractory stage of shock? A. Provide comfort and end of life care. B. Administer additional four fluids. C. Begin aggressive fluid resuscitation. D. Increase oral intake. Answer. A. Provide comfort and end of life care. Question 40. A nurse delegates vital signs to a UAP in a patient receiving vasopressors. What instruction is essential? A. Report any systolic blood pressure below 90 immediately. B. Avoid disturbing the patient during assessment. C. Use manual BP cuff only. D. Take vital signs every 2 hours. Answer. A. Report any systolic blood pressure below 90 immediately. If you found this video helpful, don't forget to like, subscribe, and share with your fellow nursing students. Hit the bell icon so you never miss an update. See you in the next one. Happy studying.