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PN·Canada·
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  2. /REx-PN and NCLEX-PN practice questions
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  5. /Shock Cues & Perfusion Support
PN·Canada·Cardiovascular
CardiovascularPN · LPN · RPNCanada exam scope

Shock Cues & Perfusion Support

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Key Concepts

Introduction

RPN Use SI labs and mmHg BP carefully in stems. Your role is continuous observation, accurate I&O, ordered fluid/blood support, oxygen therapy per order, and immediate escalation when perfusion declines—with clear SBAR-style reporting to RN/NP/physician. Canadian items still punish delay for routine tasks when MAP is falling and reward interprofessional activation. Watch scope: no independent vasopressor titration unless extended role is explicit in the stem. For REx-PN (Canada), questions rarely announce the topic in the first sentence. They hide it inside vitals, labs, and a short story. Your job is to name the clinical problem, justify why it matters now, and select the safest next step for the role you are given—before you let distractors pull you toward busywork or out-of-scope heroics. When two answers feel partly right, pick the one that closes risk first and matches your license in the stem. On the exam, writers often pair stable-sounding options with unstable data—notice the mismatch before you commit. If the stem names a license or role, reread that line; scope errors are classic trap answers even when the clinical topic...

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Pathophysiology / Overview

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Signs and Symptoms

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Red Flags / Danger Signs

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Labs / Diagnostics

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Nursing Assessment and Interventions

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Clinical Pearls

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Client Education

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Tier-Specific Relevance

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Suggested related lessons

  • Sepsis early recognition→
  • Fluids & electrolyte emergencies→
  • Acute coronary syndrome→
  • Clinical judgment & prioritization→

Pulled from this lesson’s related-lesson map when authors provide links—additional topic matches appear in “Your next step” below.

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REx-PN

Practice questions for this topic

Sample stems (up to the current display cap) from the same REx-PN pool aligned to this lesson—open any item in the app bank or run a full topic drill.

  1. A nurse is caring for a 15-year-old female patient who is experiencing acute anxiety during a medical procedure. What is the most appropriate nursing inte…
  2. A nurse is assessing a 72-year-old female patient with a history of heart failure. The patient reports increased shortness of breath and has 2+ pitting ed…
  3. A nurse is caring for a 50-year-old female patient with a new diagnosis of multiple sclerosis (MS). She expresses concerns about her future and the diseas…
  4. A 40-year-old female is admitted with acute cholecystitis and requires surgical intervention. The RPN notes the patient is anxious and has a high heart ra…
  5. A 30-year-old male is being treated for septic shock. He has an elevated heart rate and low blood pressure. What is the most appropriate initial nursing i…

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Review related lessons

  • A 14-year-old girl with anorexia nervosa is being monitored in the hospital. What should the RPN prioritize in her care?
  • A practical nurse is assessing a client with suspected deep vein thrombosis. Which finding is most consistent with DVT in the left calf?
  • A practical nurse is assessing a client with left-sided heart failure. Which findings are most consistent with this condition?
  • A practical nurse is teaching a client about the use of nitroglycerin sublingual tablets for angina. Which instruction is correct?
  • A practical nurse is preparing to administer digoxin to a client. The apical pulse is 54 bpm. What should the nurse do?
  • A client with peripheral arterial disease reports pain in the calves when walking that is relieved by rest. This symptom is called:
  • A client with heart failure has crackles bilaterally in the lungs and is sitting upright to breathe. The nurse recognizes these as signs of:
  • A client experiencing chest pain is given sublingual nitroglycerin. The nurse should instruct the client to:
  • A client with a pacemaker asks about using a microwave oven. The nurse should explain:
  • A client with heart failure is prescribed a low-sodium diet. The nurse should teach the client to avoid:
  • A client with atrial fibrillation is receiving warfarin therapy. The nurse should teach the client to:
  • A client is diagnosed with hypertension. Which lifestyle modification should the nurse recommend first?
  • A client with heart failure should be taught to recognize which signs of worsening condition?
  • A client with newly diagnosed heart failure should be taught to weigh themselves:
  • A client receiving an anticoagulant injection (enoxaparin) should have the injection administered in the:
  • A client with peripheral vascular disease should be taught to:
  • A client with deep vein thrombosis should be monitored for which complication?
  • A client taking antihypertensive medications should be taught to:
  • A client with congestive heart failure gains 3 pounds overnight. The nurse should:
  • A client prescribed nitroglycerin should keep the medication:
  • Practice this topic (app)Question hub · filtered
  • Sepsis early recognition
  • Fluids & electrolyte emergencies
  • Acute coronary syndrome
  • Clinical judgment & prioritization
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    Canada RPN · REx-PN

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