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NAME: _________________________________ SN: _________ SCORE/RATING: ____________

DATE: ___________
















Physiologic response to all types of shock include all of the following except: a. Activation of the inflammatory response b. Hypermetabolism c. Hypoperfusion of tissues d. Increased intravascular volume Calculate a patients mean arterial pressure when the blood pressure is 110/70 mmHg. a. 65 b. 73 c. 83 d. 91 Baroreceptors are a primary mechanism of blood pressure regulation which results from the initial stimulation of what type of receptors? a. Chemical b. Hormonal c. Neural d. Pressure The stage of shock characterized by a normal blood pressure is the: a. Initial stage b. Compensatory stage c. Progressive stage d. Irreversible stage The nurse knows to report an early indicator of compensatory shock that would be a pulse pressure of: a. 25 mmHg b. 40 mmHg c. 55 mmHg d. 70 mmHg The nurse assesses a patient in compensatory shock whose lungs have decompensated. The nurse would not expect to find the following symptoms: a. A heart rate greater than 100 bpm b. Crackles c. Lethargy and mental confusion d. Respirations fewer than 15 breaths/min In progressive stage shock, clinical hypotension is present if the systematic blood pressure is: a. 85 mmHg b. 90 mmHg c. 95 mmHg d. 100 mmHg Patients receiving fluid replacement should frequently be monitored for: a. Adequate urinary output b. Changes in mental status c. Vital sign stability d. All of the above Hypovolemic shock occurs when intravascular volume decreases by: a. 5% to 10% c. 35% to 50% b. 15% to 30% d. More than 60% The most commonly used colloidal solution to treat hypovolemic shock is: a. Blood products c. 6% dextran b. 5% albumin d. 6% hetastarch Vasoactive agents are effective in treating shock if fluid administration fails because of their ability to: a. Decrease blood pressure c. Reverse the cause of dehydration b. Decrease stroke volume d. Increase cardiac preload Coronary cardiogenic shock is seen primarily in patients with: a. Cradiomyopathies c. Myocardial infarction b. Dysrhythmias d. Valvular damage In cardiogenic shock, decreased cardiac contractility leads to all of the following compensatory responses except: a. Decreased stroke volume c. Increased stroke volume b. Decreased tissue perfusion d. Pulmonary congestion The drug of choice for cardiac pain relief is intravenous: a. Codeine c. Dilaudid b. Demerol d. Morphine The sequence of organ failure in multiple organ dysfunction syndrome usually begins in the: a. Heart c. Liver b. Kidneys d. Lungs