01
True or false
1 point
A trauma patient can develop tissue hypoperfusion while their blood pressure remains within the usual range.
Free Practice Quiz Question List
2 Shock Recognition and Resuscitation Online Quiz Questions
Use this free practice quiz with 20 questions to review 2 Shock Recognition and Resuscitation, test your knowledge, and prepare for your next test or exam.
20 questions
02
Written response
1 point
A trauma patient has a heart rate of 118/min and a systolic blood pressure of 105 mmHg. Calculate the shock index using heart rate divided by systolic blood pressure. Enter the value to the nearest tenth.
03
Choose one
1 point
After a spinal cord injury, a patient has hypotension, an inappropriately slow heart rate, and warm skin. Which shock category best fits this pattern?
- A
Hypovolemic shock
- B
Distributive shock
- C
Obstructive shock
- D
Cardiogenic shock
04
Fill in the blank
1 point
For suspected life-threatening blood loss, prioritize early resuscitation with under local protocol rather than repeated large crystalloid boluses.
05
Choose one
1 point
A trauma patient has poor perfusion and evidence of cardiac dysfunction. Which approach is most appropriate if cardiogenic shock is suspected?
- A
Give repeated large crystalloid boluses because fluids are a universal treatment for shock.
- B
Restrict assessment to blood pressure because it reliably measures perfusion.
- C
Assess for cardiac dysfunction and use caution because fluids may worsen some cases.
- D
Assume bleeding is the cause and do not assess cardiac function.
06
True or false
1 point
An initially normal hemoglobin result rules out acute blood loss in a trauma patient.
- A
True
- B
False
07
Fill in the blank
1 point
Before attributing hypotension after a spinal injury to neurogenic shock, first assess for .
08
Written response
1 point
Which laboratory marker can reflect hypoperfusion but also has other causes?
09
Choose one
1 point
A trauma patient remains in shock and has chest findings compatible with tension pneumothorax or cardiac tamponade. Which shock category should be considered?
- A
Distributive shock
- B
Cardiogenic shock
- C
Hypovolemic shock
- D
Obstructive shock
10
Choose all
1 point
Which findings can signal impaired perfusion before marked hypotension appears? Select all that apply.
- A
New confusion
- B
A single normal hemoglobin result
- C
Cool, mottled extremities
- D
Delayed capillary refill
- E
Blood pressure considered by itself
- F
Tachycardia
- G
Decreasing urine output
11
Choose all
1 point
After initial treatment for shock, which information should be tracked to assess response and identify persistent or worsening problems? Select all that apply.
- A
Changes in mental status
- B
A single blood pressure reading used as the sole measure of response
- C
Pulse quality and skin perfusion
- D
Whether there was a brief improvement, then stop reassessing
- E
Blood pressure and pulse pressure trends
- F
Urine output and ongoing bleeding
- G
Transfusion needs and serial lactate or base deficit
12
Choose one
1 point
A patient with significant traumatic brain injury is also bleeding. Which statement best guides the fluid and blood-pressure approach?
- A
Use restricted-volume resuscitation in every bleeding patient, regardless of injury.
- B
Do not use restricted-volume resuscitation if it risks inadequate brain perfusion in significant traumatic brain injury; follow applicable trauma protocols.
- C
Avoid blood-component resuscitation and use repeated large crystalloid boluses instead.
- D
Use blood pressure alone to decide whether brain perfusion is adequate.
13
Choose one
1 point
A trauma patient improves briefly after initial resuscitation, then develops renewed tachycardia and falling blood pressure. What is the best next response?
- A
Stop monitoring because the initial improvement proves shock has resolved.
- B
Give repeated large crystalloid boluses without reassessment.
- C
Renew the assessment for ongoing bleeding or another unresolved cause rather than automatically repeating fluids.
- D
Assume the renewed tachycardia is unrelated to the patient's perfusion.
14
Open ended
1 point
A trauma patient with a spinal cord injury has hypotension, an inappropriately slow heart rate, and warm skin. The patient may also have sustained other injuries. Explain what shock pattern this suggests, what other cause must still be assessed, and how the patient's response should be monitored.
15
True or false
1 point
True or false: An elevated shock index, by itself, can definitively rule shock in or rule it out.
- A
True
- B
False
16
Choose one
1 point
After trauma, a patient has a rapid heart rate, narrow pulse pressure, cool clammy skin, weak pulses, and delayed capillary refill. Which shock type best fits this pattern?
- A
Obstructive shock
- B
Hypovolemic shock
- C
Cardiogenic shock
- D
Distributive shock
17
Written response
1 point
What shock category results when a mechanical problem impairs cardiac filling or blood flow?
18
Choose one
1 point
A trauma patient is suspected of having life-threatening blood loss. Which resuscitation approach is most appropriate while definitive hemorrhage control is arranged?
- A
Begin early blood-component resuscitation under the local protocol rather than giving repeated large crystalloid boluses.
- B
Give repeated large crystalloid boluses before arranging hemorrhage control.
- C
Wait for laboratory results before initiating resuscitation.
- D
Use fluid administration alone and reassess only after blood pressure normalizes.
19
Choose one
1 point
A patient has poor perfusion and evidence of cardiac dysfunction after trauma. Which approach best reflects the risks of fluid treatment in possible cardiogenic shock?
- A
Give repeated large fluid boluses because fluids are a universal treatment for shock.
- B
Use restricted-volume resuscitation as the only treatment for all cardiogenic shock.
- C
Assess and address cardiac dysfunction; avoid assuming that more fluid is beneficial.
- D
Delay treatment of rhythm problems until perfusion has normalized.
20
Written response
1 point
What calculation defines the shock index?