Free Practice Quiz Question List

6 Shock Management: Integrated Practice Online Quiz Questions

Use this free practice quiz with 20 questions to review 6 Shock Management: Integrated Practice, test your knowledge, and prepare for your next test or exam.

20 questions

True or false

1 point

True or false: Warm skin early in sepsis rules out septic shock.

A
True
B
False

True or false

1 point

True or false: A patient can be in shock before hypotension develops.

A
True
B
False

True or false

1 point

True or false: In an unstable patient with strongly suspected tension pneumothorax, chest decompression should not be delayed for imaging.

A
True
B
False

Written response

1 point

For an adult with septic shock and persistent hypotension, what initial mean arterial pressure (MAP) target, in mm Hg, is commonly recommended?

Fill in the blank

1 point

For an adult with sepsis-induced hypoperfusion or septic shock, guidelines suggest at least of crystalloid within the first 3 hours, individualized to the patient's condition and response.

Written response

1 point

A hypotensive, hypoxemic patient has sudden dyspnea after immobility, relatively clear lungs, and bedside echocardiography suggesting right-ventricular strain. What shock type should be considered?

Fill in the blank

1 point

In hemorrhagic shock after trauma, avoid delaying definitive hemorrhage control with repeated boluses.

Choose one

1 point

Minutes after receiving a medication, a patient develops hives, lip swelling, wheezing, and a blood pressure of 76/42 mm Hg. What is the priority initial lifesaving treatment?

A
Give an antihistamine first and wait to see whether the blood pressure improves.
B
Give intramuscular epinephrine promptly according to protocol.
C
Give a large crystalloid bolus before addressing the airway or allergic reaction.
D
Observe the patient until the hives resolve before activating emergency support.

Choose one

1 point

After a motor-vehicle collision, a restless, pale patient is hypotensive with weak peripheral pulses and a distended abdomen, but has no major external bleeding. Which shock type is most likely?

A
Hypovolemic hemorrhagic shock
B
Cardiogenic shock
C
Distributive shock from anaphylaxis
D
Obstructive shock from tamponade

Choose one

1 point

A patient with acute ischemic ECG changes is hypotensive and has bilateral crackles. Which management approach best addresses the likely cardiogenic shock while limiting risk of worsening pulmonary congestion?

A
Give repeated large-volume crystalloid boluses before assessing the lungs again.
B
Delay cardiac care until the blood pressure returns to normal.
C
Avoid reflexive large-volume fluid administration and activate urgent cardiology/revascularization care.
D
Treat the low blood pressure as evidence of fluid loss, regardless of the crackles and ECG.

Choose one

1 point

A patient with penetrating chest trauma is hypotensive, has distended neck veins and distant heart sounds, and ultrasound shows pericardial fluid impairing cardiac filling. What is the priority definitive management?

A
Wait for spontaneous resolution because pericardial fluid does not affect cardiac filling.
B
Arrange immediate definitive decompression and trauma/surgical management.
C
Give repeated large-volume crystalloid boluses as the sole definitive treatment.
D
Delay intervention until the patient can undergo a full diagnostic workup.

Choose all

1 point

An older adult with several days of vomiting and diarrhea is dizzy, tachycardic, has cool hands and reduced urine output, and has clear lung sounds. Select all management steps consistent with the recommended approach.

A
Give isotonic crystalloid in increments with frequent reassessment.
B
Continue fluid administration without reassessment until urine output is normal.
C
Address the ongoing source of fluid loss and monitor electrolytes and renal function.
D
Treat new crackles as proof that the patient needs a larger fluid bolus.
E
Reassess for fluid intolerance if crackles develop or breathing worsens.

Choose all

1 point

A patient with sudden dyspnea, chest discomfort, hypotension, hypoxemia, and suspected right-ventricular strain may have high-risk pulmonary embolism. Select all statements that accurately describe management options.

A
Support oxygenation and circulation while obtaining urgent specialist assessment.
B
Rule out pulmonary embolism because the lungs are relatively clear.
C
Consider anticoagulation as part of treatment, as appropriate to the patient.
D
Depending on risk and contraindications, consider urgent reperfusion such as thrombolysis, catheter-based treatment, or embolectomy.
E
Wait for hypotension to resolve without treatment before seeking definitive care.

Open ended

1 point

After initial treatment for shock, a patient's perfusion has not clearly improved. Explain how you would assess the response and what you would do next if the poor perfusion persists.

Choose one

1 point

After an older adult with vomiting and diarrhea receives fluid replacement for hypovolemic shock, which trend best indicates improved perfusion?

A
New crackles and worsening breathing
B
Improved mentation, stronger pulses, and increased urine output
C
Increasing confusion and weaker pulses
D
Worsening skin perfusion despite treatment

Choose one

1 point

After treatment for anaphylactic shock, which set of findings should be reassessed?

A
Only the patient’s temperature and bowel sounds
B
Only the appearance of the medication administration site
C
Airway swelling, breathing, blood pressure, and skin findings
D
Only the presence or absence of chest discomfort

Choose one

1 point

After a motor-vehicle collision, a patient is restless, pale, diaphoretic, hypotensive, and has a distended abdomen but no major external bleeding. Which priority plan best addresses the likely cause of shock?

A
Activate trauma and hemorrhage-control support, establish rapid vascular access, and prepare blood products and definitive bleeding control.
B
Give repeated large crystalloid boluses before looking for an internal bleeding source.
C
Wait for external bleeding to appear before activating a hemorrhage response.
D
Treat the patient as having fluid overload because the abdomen is distended.

Written response

1 point

An unstable patient after chest trauma has severe dyspnea, hypotension, and absent breath sounds on one side, strongly suggesting tension pneumothorax. What immediate intervention should occur before imaging?

Choose one

1 point

In a patient treated for cardiogenic shock after acute myocardial infarction, which finding best indicates a favorable response?

A
Blood pressure rises while oxygenation worsens and pulmonary edema increases
B
Perfusion and oxygenation improve without increasing pulmonary edema
C
Crackles increase while peripheral perfusion remains poor
D
Heart rate normalizes even as mentation and oxygenation worsen

Written response

1 point

For an adult with sepsis-induced hypoperfusion or septic shock, guidelines suggest giving at least 30 mL/kg of crystalloid within how many hours?

6 Shock Management: Integrated Practice Online Quiz Questions

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