Question 1

How does shock usually progress?

Options :

A : Compensated to hypotensive shock in hours and hypotensive shock to cardiac arrest in minutes

B : Compensated to hypotensive shock in minutes and hypotensive shock to cardiac arrest in hours

C : Hypotensive to compensated shock in hours and compensated shock to cardiac arrest in minutes

D : Hypotensive to compensated shock in minutes and compensated shock to cardiac arrest in hours

Answer: A

Question 2

If shock is left untreated, the body's natural compensatory mechanisms will begin to fail, causing decreased blood flow. Which of the following blood tests can one obtain to evaluate for organ injury?

Options :

A : Cardiac enzymes

B : Complete blood count

C : Lactic acid

D : Renal panel

Answer: C

Question 3

The normal progression to cardiac arrest in children is:

Options :

A : Shock; Respiratory distress and failure; Cardiopulmonary failure; Cardiac Arrest

B : Cardiopulmonary failure; Shock; Respiratory distress and failure; Cardiac Arrest

C : Respiratory distress and failure; Shock; Cardiopulmonary failure; Cardiac Arrest

D : Shock; Cardiopulmonary failure; Respiratory distress and failure; Cardiac Arrest

Answer: C

Question 4

Mrs. F, 86, is brought into the ED by her daughter with reports of dull abdominal pain x 3 days. She states she has had "thin" stools for the 3 days before the onset of her abdominal pain. She has not been passing much flatus in the last three days. She states she feels weaker and more lethargic. An IV is established, O2 and cardiac monitor are placed. Labs have been sent. Her bowel sounds are absent. The nurse should suspect:

Options :

A : Volvulus

B : Small bowel obstruction

C : Large bowel obstruction

D : Diverticulitis

Answer: C

Question 5

A 7yearold child is brought to the emergency department by his parents with complaint of headache, neck stiffness and fever. His parents report that he seemingly recovered from measles about 7 days ago. The diagnosis is likely to be

Options :

A : Encephalitis

B : Kawasaki disease

C : HIV/AIDS

D : Recurrence of measles

Answer: A