NCLEX-RN Question #428: Real Exam Question with Answer & Explanation

The correct answer is C. Rapid pulse; narrowed pulse pressure; cool, moist skin. (A) Early shock does not exhibit the symptom of marked elevation in blood pressure. A narrowing of the pulse pressure is indicative of early shock. (B) Anuria is a clinical finding in late shock. (C) All of these clinical findings are congruent with early shock. (D) Absence of ur

Question

A 29-year-old client delivered her fifth child by the Lamaze method and developed a postpartal hemorrhage in the recovery room. What are the initial symptoms of shock that she may experience?

Options

AMarked elevation in blood pressure, respirations, and pulse
BDecreased systolic pressure, cold skin, and anuria
CRapid pulse; narrowed pulse pressure; cool, moist skin
DNo urinary output, tachycardia, and restlessness

Explanation

(A) Early shock does not exhibit the symptom of marked elevation in blood pressure. A narrowing of the pulse pressure is indicative of early shock. (B) Anuria is a clinical finding in late shock. (C) All of these clinical findings are congruent with early shock. (D) Absence of urinary output is a clinical finding in the late phase of shock.

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