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NRSG 327 Week 4: Shock - Test Questions with Accurate Answers, Exams of Nursing

A series of questions and answers related to shock, a critical medical condition. It covers key aspects of shock, including its components, types, complications, and treatment approaches. Designed to help students understand the different stages of shock and the importance of early recognition and intervention.

Typology: Exams

2024/2025

Available from 03/14/2025

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NRSG 327 WEEK 4: SHOCK- TEST QUESTIONS WITH
ACCURATE ANSWERS
1) What are the 2 main components of shock -- Answer ✔✔ inadequate tissue
perfusion and impaired cellular metabolism
2) What does stroke volume (SV) include -- Answer ✔✔ preload, contractility,
afterload
3) What type of shock impacts preload -- Answer ✔✔ hypovolemic (blood loss,
anemia)
4) What type of shock impacts contractility -- Answer ✔✔ obstructive/cardiogenic
(pericarditis, MI)
5) What type of shock impacts afterload -- Answer ✔✔ distributive (infection,
traumatic spinal cord injury)
6) Cardiogenic = -- Answer ✔✔ systolic issue (MI)
7) Obstructive = -- Answer ✔✔ diastolic issue (Pericarditis)
8) What are some complications of an anterior MI -- Answer ✔✔ dysrhythmias,
pericarditis, cardiogenic shock, HF
9) What are s + s of cardiogenic shock (think low perfusion) -- Answer ✔✔
hypotension, decrease UO, confusion, pale, diaphoretic, N/V, tachycardia, decreased
GI motility, cool, clammy, tachypnea
10) What test do we want to order for shock (most important) -- Answer ✔✔ ABG
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1 | P a g e

NRSG 327 WEEK 4: SHOCK- TEST QUESTIONS WITH

ACCURATE ANSWERS

  1. What are the 2 main components of shock -- Answer ✔✔ inadequate tissue perfusion and impaired cellular metabolism
  2. What does stroke volume (SV) include -- Answer ✔✔ preload, contractility, afterload
  3. What type of shock impacts preload -- Answer ✔✔ hypovolemic (blood loss, anemia)
  4. What type of shock impacts contractility -- Answer ✔✔ obstructive/cardiogenic (pericarditis, MI)
  5. What type of shock impacts afterload -- Answer ✔✔ distributive (infection, traumatic spinal cord injury)
  6. Cardiogenic = -- Answer ✔✔ systolic issue (MI)
  7. Obstructive = -- Answer ✔✔ diastolic issue (Pericarditis)
  8. What are some complications of an anterior MI -- Answer ✔✔ dysrhythmias, pericarditis, cardiogenic shock, HF
  9. What are s + s of cardiogenic shock (think low perfusion) -- Answer ✔✔ hypotension, decrease UO, confusion, pale, diaphoretic, N/V, tachycardia, decreased GI motility, cool, clammy, tachypnea
  10. What test do we want to order for shock (most important) -- Answer ✔✔ ABG

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  1. What other tests do we want to order for shock -- Answer ✔✔ lactic acid, CBC, renal panel, liver panel, BNP, troponin, U/S, CT, CXR
  2. How do we treat shock -- Answer ✔✔ treat cause
  3. How should we treat shock in pt who needs neuro and respiratory support -- Answer ✔✔ intubate
  4. How do we treat shock in pt with decreased O2 supply and increased MI demand -- Answer ✔✔ inotrops
  5. How do we treat shock in pt with decrease myocardial demand -- Answer ✔✔ intra- aortic pump or left ventricular assist device
  6. Initial stage of shock -- Answer ✔✔ little to no symptoms
  7. Compensatory stage of shock -- Answer ✔✔ activating neural, biochemical, and hormonal
  8. Progressive stage of shock -- Answer ✔✔ seeing multiple organ dysfunction syndrome here
  9. Refractory stage of shock -- Answer ✔✔ end game, we see disseminated intravascular coagulation here
  10. What are the 4 stages of shock -- Answer ✔✔ initial, compensatory, progressive, refractory