PCCN PCCN Multisystem Conditions and Shock

Question 1

A patient in septic shock has a MAP of 58 mmHg despite 2 liters of IV fluid. Which vasopressor is the first-line agent per Surviving Sepsis guidelines?

Accepted Answer

Norepinephrine

Answer

Epinephrine

Answer

Phenylephrine

Answer

Vasopressin

Question 2

Which hemodynamic profile is characteristic of early distributive (septic) shock?

Accepted Answer

Low SVR, high CO, low PCWP

Answer

High SVR, low CO, high PCWP

Answer

High SVR, high CO, normal PCWP

Answer

Low SVR, low CO, high PCWP

Question 3

A trauma patient develops hypotension, distended neck veins, and absent breath sounds on the left. The nurse should prepare for:

Accepted Answer

Needle decompression of the left chest

Answer

Immediate blood transfusion

Answer

Pericardiocentesis

Answer

Endotracheal intubation

Question 4

Which finding best differentiates cardiogenic shock from hypovolemic shock?

Accepted Answer

Elevated PCWP and reduced cardiac output

Answer

Tachycardia

Answer

Hypotension

Answer

Cool, clammy skin

Question 5

A patient with anaphylactic shock after contrast dye administration. Which medication is administered first?

Accepted Answer

Epinephrine 1:1000 IM

Answer

Methylprednisolone IV

Answer

Diphenhydramine IV

Answer

Ranitidine IV

Question 6

What is the most important early goal in managing hemorrhagic shock following trauma?

Accepted Answer

Control the source of bleeding

Answer

Achieve a MAP > 90 mmHg with crystalloid

Answer

Administer high-dose corticosteroids

Answer

Insert a pulmonary artery catheter