Shock
During the compensatory stage, blood is preferentially shunted toward which organs?
A. Kidneys and skin
B. GI tract and lungs
C. Brain and heart
D. Liver and kidneys
C. Brain and heart
What does an ECG primarily record?
A. Mechanical contraction of the heart
B. Electrical activity of the heart
C. Blood flow through the heart
D. Oxygen saturation
B. Electrical activity of the heart
Which IM injection site has no major blood vessels or nerves and has less fat?
A. Deltoid
B. Ventrogluteal
C. Vastus lateralis
D. Dorsogluteal
B. Ventrogluteal
Empyema refers to:
A. Air in the pleural space
B. Pus in the pleural space
C. Blood in the pleural space
D. Fluid in the pericardium
B. Pus in the pleural space
Graphesthesia refers to:
A. Ability to identify an object placed in the hand
B. Ability to recognize a number or letter traced on the skin
C. Ability to distinguish two simultaneous points of contact
D. Ability to detect vibration
B. Ability to recognize a number or letter traced on the skin
Which finding is characteristic of neurogenic shock?
A. Tachycardia and cool skin
B. Bradycardia and warm, dry skin
C. Tachycardia and clammy skin
D. Severe hypertension and bradycardia
B. Bradycardia and warm, dry skin
Which structure is the natural pacemaker of the heart?
A. AV node
B. Bundle of His
C. SA node
D. Purkinje fibers
C. SA node
Which landmark would NOT be used when landmarking the ventrogluteal site?
A. Greater trochanter
B. Iliac crest
C. Anterior superior iliac spine
D. Acromion process
D. Acromion process
Dysphagia refers to:
A. Difficulty speaking
B. Difficulty breathing
C. Difficulty swallowing
D. Difficulty urinating
C. Difficulty swallowing
Agnosia refers to:
A. Inability to recognize or identify familiar stimuli despite intact sensation
B. Inability to perform purposeful movements
C. Loss of speech
D. Loss of coordination
A. Inability to recognize or identify familiar stimuli despite intact sensation
Which finding is associated with early septic shock?
A. Warm, flushed skin
B. Severe bradycardia
C. Cold, mottled skin
D. Profound hypothermia
A. Warm, flushed skin
What is the normal PR interval?
A. 0.02–0.04 seconds
B. 0.06–0.10 seconds
C. 0.12–0.20 seconds
D. 0.34–0.43 seconds
C. 0.12–0.20 seconds
A nurse identifies the greater trochanter and lateral femoral condyle before selecting an injection site. Which muscle is being landmarked?
A. Deltoid
B. Ventrogluteal
C. Vastus lateralis
D. Dorsogluteal
C. Vastus lateralis
Ataxia refers to:
A. Loss of sensation
B. Lack of muscle coordination
C. Muscle paralysis
D. Muscle wasting
B. Lack of muscle coordination
Clonus refers to:
A. Sustained muscle rigidity
B. Complete loss of muscle tone
C. Rapid, involuntary muscle contractions and relaxations
D. Fine involuntary trembling
C. Rapid, involuntary rhythmic muscle contractions and relaxations
Which finding is more characteristic of late septic shock?
A. Warm flushed skin
B. Increased cardiac output
C. Cold, clammy skin
D. Mild anxiety only
C. Cold, clammy skin
A patient has a heart rate of 125 bpm with upright P waves before every QRS. Which rhythm is most likely?
A. Atrial fibrillation
B. Sinus bradycardia
C. Sinus tachycardia
D. Ventricular tachycardia
C. Sinus tachycardia
A student prepares to give a deltoid injection and inserts the needle immediately below the acromion process. What is the problem?
A. The injection is too proximal
B. The injection is too distal
C. The injection is too medial
D. There is no problem
A. The injection is too proximal
Petechiae refers to:
A. Large areas of bruising
B. Small pinpoint areas of bleeding under the skin
C. Fluid-filled blisters
D. Raised itchy lesions
B. Small pinpoint areas of bleeding under the skin
Dysmetria refers to:
A. Inability to judge the distance or range of a movement
B. Inability to recognize objects by touch
C. Inability to perform rapid alternating movements
D. Loss of proprioception
A. Inability to judge the distance or range of a movement
Which medication may be used as an inotrope in cardiogenic shock?
A. Dobutamine
B. Diphenhydramine
C. Atropine
D. Furosemide
A. Dobutamine
A patient with atrial fibrillation has lost their “atrial kick.” What is the consequence?
A. Increased cardiac output
B. Decreased cardiac output
C. Increased oxygen saturation
D. Increased blood pressure
B. Decreased cardiac output
Where is the vastus lateralis muscle located?
A. Later aspect of the upper arm
B. Lateral aspect of the thigh
C. Lateral aspect of the lower leg
D. Medial aspect of the thigh
B. Lateral aspect of the thigh
Stereognosis refers to:
A. Ability to identify an object by touch without seeing it
B. Ability to recognize written numbers on the skin
C. Ability to distinguish between sharp and dull sensations
D. Ability to sense limb position
A. Ability to identify an object by touch without seeing it
Dysdiadochokinesia refers to:
A. Difficulty performing rapid alternating movements
B. Difficulty maintaining balance while standing
C. Difficulty recognizing familiar objects
D. Difficulty initiating speech
A. Difficulty performing rapid alternating movements