Week 10 Practice Questions Flashcards
5 inflammation, 5 shock
During the initial assessment, a patient with an active upper GI bleed has a heart rate of
120 bpm and blood pressure of 90/60 mmHg. Which intervention should the nurse
prioritize?
a. Administer IV fluids as ordered
b. Encourage the patient to drink clear fluids
c. Place the patient in prone position
d. Palpate the abdomen to assess for tenderness
A
A patient is admitted with bright red blood in the stool. This finding is most consistent
with which type of GI bleed?
a. Upper GI bleed
b. Lower GI bleed
c. Small intestine bleed
d. Duodenal ulcer bleed
B
The nurse is monitoring a patient with pancreatitis for complications. Which finding
would be most concerning?
a. Blood glucose level of 160 mg/dL
b. Elevated serum lipase level
c. Respiratory rate of 24 breaths per minute
d. Low urine output and elevated heart rate
D
The nurse knows that which of the following is most effective in preventing hypovolemic
shock in a patient with acute pancreatitis?
a. Assessing for signs of jaundice
b. Monitoring vital signs and urine output regularly
c. Encouraging high fluid intake orally
d. Palpating the abdomen for tenderness
B
The nurse is preparing to administer vitamin K to a patient with acute liver failure. The
nurse knows that this medication is intended to:
a. Increase bilirubin clearance
b. Decrease portal hypertension
c. Correct coagulopathy and improve clotting
d. Increase liver enzyme levels
C
Which type of shock is characterized by a sudden loss of sympathetic nervous system
signals, resulting in hypotension and bradycardia?
a. Septic shock
b. Hypovolemic shock
c. Neurogenic shock
d. Cardiogenic shock
C
For a patient with neurogenic shock, which of the following would be the most
appropriate nursing intervention to stabilize blood pressure?
a. Fluid resuscitation and vasopressor administration
b. Bronchodilator administration
c. Immediate surgery
d. Administering antihypertensive medication
A
Which of the following is the primary treatment goal for a patient experiencing
hypovolemic shock?
a. Reducing fever
b. Restoring fluid volume
c. Lowering blood pressure
d. Decreasing oxygen demand
B
A patient with MODS is receiving IV fluids and vasopressors. What is the primary
nursing assessment to monitor the effectiveness of this treatment?
a. Skin turgor
b. Daily weight
c. Serum calcium levels
d. Blood pressure
D
In managing a patient with cardiogenic shock, the nurse understands that the primary goal
of treatment is to:
a. Reduce fluid volume to decrease preload
b. Improve myocardial oxygen supply and decrease workload on the heart
c. Increase heart rate to maintain blood pressure
d. Use vasodilators to increase blood flow to the kidneys
B
