Chapter 13 Quiz

Question 2

A 70-year-old female was recently discharged from the hospital following a total hip replacement. Today, she

presents with restlessness, tachycardia, and a blood pressure of 90/64 mm Hg. Her skin is hot and moist. You

should be MOST suspicious that she is experiencing:

Select one:

A. septic shock.

B. decompensated shock.

C. a local infection.

D. pump failure.

Question 3

All of the following conditions should make you suspect shock, EXCEPT:

Select one:

A. ischemic stroke.

B. anaphylaxis.

C. spinal injury.

D. severe infection.

Question 4

Capillary sphincters are:

Select one:

A. capable of dilating in order to increase perfusion to crucial body organs.

B. responsible for constricting to compensate for decreased cell perfusion.

C. under complete control of the voluntary portion of the nervous system.

D. circular muscular walls that regulate blood flow through the capillaries.

Question 5

Cardiogenic shock may result from all of the following, EXCEPT:

Select one:

A. heart attack.

B. increased preload.

C. poor contractility.

D. increased afterload.

Question 6

Clinical signs of compensated shock include all of the following, EXCEPT:

Select one:

A. rapid, shallow breathing.

B. cool and clammy skin.

C. absent peripheral pulses.

D. restlessness or anxiety.

Question 7

Distributive shock occurs when:

Select one:

A. an injury causes restriction of the heart muscle and impairs its pumping function.

B. temporary but severe vasodilation causes a decrease in blood supply to the brain.

C. severe bleeding causes tachycardia in order to distribute blood to the organs faster.

D. widespread dilation of the blood vessels causes blood to pool in the vascular beds.

Question 8

Hypovolemic shock caused by severe burns is the result of a loss of:

Select one:

A. plasma.

B. platelets.

C. red blood cells.

D. whole blood.

Question 9

In an acute injury setting, neurogenic shock is commonly accompanied by:

Select one:

A. tachycardia.

B. hypothermia.

C. hypovolemia.

D. diaphoresis.

Question 10

Neurogenic shock occurs when:

Select one:

A. the spinal cord is severed and causes massive hemorrhaging.

B. massive vasoconstriction occurs distal to a spinal cord injury.

C. failure of the nervous system causes widespread vasodilation.

D. there is too much blood to fill a smaller vascular container.

Question 11

One of the primary waste products of normal cellular metabolism that must be removed from the body by the lungs

is:

Select one:

A. pyruvic acid.

B. carbon dioxide.

C. carbon monoxide.

D. lactic acid.

Question 12

Pulmonary edema and impaired ventilation occur during:

Select one:

A. neurogenic shock.

B. anaphylactic shock.

C. septic shock.

D. cardiogenic shock.

Question 13

Shock is the result of:

Select one:

A. temporary dysfunction of a major organ.

B. widespread constriction of the blood vessels.

C. the body’s maintenance of homeostasis.

D. hypoperfusion to the cells of the body.

Question 14

To protect vital organs, the body compensates by directing blood flow away from organs that are more tolerant of

low flow, such as:

Select one:

A. the brain.

B. the heart.

C. the lungs.

D. the skin.

Question 15

Which of the following clinical signs is unique to anaphylactic shock?

Select one:

A. Hypotension

B. Dizziness

C. Wheezing

D. Pallor

Question 16

Which of the following injuries would MOST likely cause obstructive shock?

Select one:

A. Cardiac tamponade

B. Simple pneumothorax

C. Liver laceration

D. Spinal cord injury

Question 17

Which of the following is the ONLY action that can prevent death from a tension pneumothorax?

Select one:

A. Rapid administration of intravenous fluids

B. Decompression of the injured side of the chest

C. Positive-pressure ventilation with a bag-valve mask

D. Early administration of high-flow oxygen

Question 18

Which of the following patients is in decompensated shock?

Select one:

A. A 20-year-old female with absent radial pulses and dilated pupils

B. A 32-year-old male with anxiety and a systolic blood pressure of 110 mm Hg

C. A 23-year-old restless male with cool, clammy skin and tachycardia

D. A 28-year-old female with pale skin and rapid, shallow respirations

Question 19

Which of the following statements regarding anaphylactic shock is correct?

Select one:

A. Anaphylactic shock is caused by immune system failure due to a toxic exposure.

B. Sensitized people will experience less severe reactions upon subsequent exposure.

C. Anaphylactic shock occurs immediately after a person is sensitized to an allergen.

D. Subsequent exposure after sensitization often produces a more severe reaction.

Question 20

Which of the following would MOST likely result in hemorrhagic shock?

Select one:

A. Liver laceration

B. Repeated diarrhea

C. Excessive sweating

D. Severe vomiting