Quiz
Shock
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Questions in this quiz (23)
1Norepinephrine ______ insulin release, whereas epinephrine ________ insulin release.
- Ainhibits; stimulates
- Bstimulates; inhibits
2One of the major causes of death in shock is myocardial deterioration. MDF (myocardial depressant factor) causes significant reduction in cardiac output in response to...
- Aischemia of the GI tract
- Breduction in blood volume
- Ctissue hypoxia
- Dhyperglycemia
3From the following, select the correct clinical manifestations of shock (think compensatory mechanisms).
- AHypertension
- BHypotension
- CTachypnea
- DBradypnea
- ETachycardia
- FBradycardia
- GAnxiety, irritability
- HDecrease in urine output
4Hypovolemic shock begins to develop when the intravascular volume has decreased by approximately ___
- A15%
- B50%
- C20%
- D5%
5Which type of shock is most common in children?
- AHypovolemic
- BAnaphylactic
- CCardiogenic
- DObstructive
6If a patient has tension pneumothorax, which kind of shock are they most likely to develop?
- AHypovolemic
- BObstructive
- CHemorrhagic
- DSeptic
7What is the number one cause of cardiogenic shock?
- AMyocardial infarction
- BUnstable angina
- CPericarditis
- DCardiac tamponade
8A clinical manifestation of neurogenic shock is ________, whereas patients with cardiogenic and obstructive shock may present _________.
- Awarm and flushed skin; cyanotic and mottled skin
- Bcyanotic and mottled skin; warm and flushed skin
9Not everyone who experiences anaphylaxis will have anaphylactic shock.
- ATrue
- BFalse
10Which form of shock is the number one cause of death in ICU settings?
- ASeptic
- BAnaphylactic
- CCardiogenic
- DHypovolemic
11Hypotension is the hallmark clinical finding of which stage of shock?
- AInitial
- BCompensatory
- CProgressive
- DIrreversible
12Which of the following are you most likely going to see in a person experiencing shock?
- AMetabolic acidosis
- BMetabolic alkalosis
- CRespiratory acidosis
- DRespiratory alkalosis
13A decrease of systolic BP by more than __ mmHg with an increased heartrate by more than __ BPM indicates actual or relative hypovolemia requiring immediate assessment of need for fluid replacement and CV support.
- A20; 20
- B40; 20
- C10; 10
- D5; 10
14A person with neurogenic shock initially exhibits...
- Ahypertension
- Btachycardia
- Cbradycardia
- Dincreased central venous pressure
15How does any type of shock cause oliguria?
- ABy stimulating the renin-angiotensin system
- BBy decreasing the perfusion to the kidneys
- CBy stimulating carotid and baroreceptors
- DBy decreasing the PNS stimulation
16What type of shock develops with overstimulation of the PNS or understimulation of the SNS?
- ASeptic
- BCardiogenic
- CAnaphylactic
- DVasogenic
17_________ shock is often more severe than other forms because of its sudden, rapid systemic vasodilation.
- ASeptic
- BHypovolemic
- CAnaphylactic
- DNeurogenic
18What type of shock results from decreased systemic vascular resistance?
- ASeptic
- BCardiogenic
- CHypovolemic
- DHeart failure
19What are the primary goals for treatment of shock?
- AMaximizing oxygen delivery and minimizing oxygen demand
- BMaintaining hydration and adequate urinary output
- CSupporting all facets to the cardiovascular system
- DMaintaining all vital signs within normal ranges
20To determine a client's response to fluid therapy for shock, the nurse should monitor...
- Ahematocrit and hemoglobin levels
- Burine output and specific gravity
- Cblood pressure and pulse
- Darterial blood gasses and heart rate
21Which clinical manifestation of septic shock confirms an elevation in immune system response?
- ATachycardia
- BIncreased white blood cell count
- CLow respiratory rate
- DHypothermia
22The release of catecholamines by the adrenal glands compensates for which initial effects of hypovolemic shock?
- AInterstitial fluid moves out of the vascular compartment
- BSystemic vascular resistance is decreased
- CHeart rate is increased
- DWater excretion is increased
23Which condition is best defined as a clinical syndrome involving a systemic response to infection, which is manifested by two or more of the systemic inflammatory response syndrome criteria?
- ABacteremia
- BSepsis
- CSepticemia
- DSeptic shock
Information
- Description
- Test to prep for Shock lecture.
- Author
- Ash Lig
- Language
- English
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- 262
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