{"id":4208,"date":"2024-09-11T13:01:39","date_gmt":"2024-09-11T13:01:39","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=4208"},"modified":"2026-03-20T13:50:46","modified_gmt":"2026-03-20T21:50:46","slug":"nclex-qotd-obstructive-shock","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-obstructive-shock","title":{"rendered":"NCLEX-RN\u00ae Question of the Day: Obstructive shock"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-obstructive-shock\/#The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_is%E2%80%A6\" >The correct answer to today&#8217;s NCLEX-RN\u00ae Question is&#8230;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-obstructive-shock\/#Major_Takeaway\" >Major Takeaway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-obstructive-shock\/#Incorrect_answer_explanations\" >Incorrect answer explanations<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-obstructive-shock\/#A_Arterial_blood_pH_740\" >A.&nbsp;Arterial blood pH 7.40&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-obstructive-shock\/#B_Urine_output_of_45_mL_in_the_past_hour\" >B.&nbsp;Urine output of 45 mL in the past hour<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-obstructive-shock\/#D_Alert_and_oriented_x4\" >D.&nbsp;Alert and oriented x4<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-obstructive-shock\/#Want_more_NCLEX%C2%AE-style_practice_questions_Try_Osmosis_by_Elsevier_today_Access_your_free_trial_and_find_out_why_millions_of_current_and_future_clinicians_and_caregivers_love_learning_with_us\" >Want more NCLEX\u00ae-style practice questions? Try Osmosis by Elsevier today! Access your&nbsp;free trial&nbsp;and find out why millions of current and future clinicians and caregivers love learning with us.<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><strong><em>Prepare for your NCLEX-RN\u00ae exam with a clinical question about obstructive shock management in the cardiac intensive care unit. Learn to recognize critical findings that require immediate intervention.<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The nurse in the cardiac intensive care unit is monitoring a client with obstructive shock. Which clinical finding should the nurse report to the health care provider&nbsp;<strong>immediately<\/strong>?&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A.&nbsp;Arterial blood pH 7.40&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B.&nbsp;Urine output of 45 mL in the past hour<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C.&nbsp;+1 bilateral peripheral pulses&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D.&nbsp;Alert and oriented x4&nbsp;<\/strong>Scroll down for the correct answer!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_is%E2%80%A6\"><\/span>The correct answer to today&#8217;s NCLEX-RN\u00ae Question is&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C.\u00a0+1 bilateral peripheral pulses<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>+1 peripheral pulses or cold, clammy skin indicate inadequate cardiac output to maintain peripheral circulation. The nurse should notify the health care provider and anticipate immediate intervention.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Major_Takeaway\"><\/span>Major Takeaway<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Obstructive shock is a life-threatening condition that develops when a mechanical obstruction prevents the heart from filling properly or pumping enough blood through the cardiovascular system. This reduces the amount of oxygenated blood that reaches the tissues, causing acute hypoperfusion and tissue hypoxia. The nurse should closely monitor a client with obstructive shock for any signs of complications or a worsening condition. Findings the nurse should immediately report to the health care provider include arterial pH less than 7.35 or bicarbonate less than 21 mEq\/L, minimal urine output, decreased peripheral pulses or cold or clammy skin, and altered level of consciousness (LOC), as well as tachycardia, tachypnea, confusion, or headache.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_answer_explanations\"><\/span>Incorrect answer explanations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"A_Arterial_blood_pH_740\"><\/span>A.&nbsp;Arterial blood pH 7.40&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>An arterial blood pH of 7.40 is within the normal parameters of 7.35 to 7.45 and is an expected finding. Therefore this does not need to be reported to the health care provider.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"B_Urine_output_of_45_mL_in_the_past_hour\"><\/span>B.&nbsp;Urine output of 45 mL in the past hour<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>An hourly urine output of 45 mL is above the minimum of 30 mL\/hr and is an expected finding indicating adequate perfusion to the renal system. Therefore this does not need to be reported to the health care provider.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"D_Alert_and_oriented_x4\"><\/span>D.&nbsp;Alert and oriented x4<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>A client who is fully alert and oriented to person, place, time and situation (x4) is an expected finding indicating adequate cerebral perfusion.<strong><em>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;________________________<\/em><\/strong><\/p>\n\n\n\n<h5 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Want_more_NCLEX%C2%AE-style_practice_questions_Try_Osmosis_by_Elsevier_today_Access_your_free_trial_and_find_out_why_millions_of_current_and_future_clinicians_and_caregivers_love_learning_with_us\"><\/span><strong><em>Want more NCLEX\u00ae-style practice questions? Try Osmosis by Elsevier today! Access your&nbsp;<a href=\"https:\/\/www.osmosis.org\/login?type=create\" target=\"_blank\" rel=\"noreferrer noopener\">free trial<\/a>&nbsp;and find out why millions of current and future clinicians and caregivers love learning with us.<\/em><\/strong><a href=\"https:\/\/www.osmosis.org\/plans\/rn\" target=\"_blank\" rel=\"noreferrer noopener\"><\/a><span class=\"ez-toc-section-end\"><\/span><\/h5>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.osmosis.org\/plans\/rn\"><img loading=\"lazy\" decoding=\"async\" width=\"904\" height=\"324\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_b25149.png?w=904\" alt=\"\" class=\"wp-image-3807\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_b25149.png 904w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_b25149.png?resize=300,108 300w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/image_b25149.png?resize=768,275 768w\" sizes=\"auto, (max-width: 904px) 100vw, 904px\" \/><\/a><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Prepare for your NCLEX-RN\u00ae exam with a clinical question about obstructive shock management in the cardiac intensive care unit. Learn to recognize critical findings that require immediate intervention. The nurse in the cardiac intensive care unit is monitoring a client with obstructive shock. Which clinical finding should the nurse report to the health care provider&nbsp;immediately?&nbsp; [&hellip;]<\/p>\n","protected":false},"author":279,"featured_media":4209,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[20,29,1367,32],"tags":[],"class_list":["post-4208","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exam-prep","category-nclex","category-nclex-rn","category-nursing"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NCLEX-RN\u00ae Question of the Day: Obstructive shock - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-qotd-obstructive-shock\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NCLEX-RN\u00ae Question of the Day: Obstructive shock - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"Prepare for your NCLEX-RN\u00ae exam with a clinical question about obstructive shock management in the cardiac intensive care unit. Learn to recognize critical findings that require immediate intervention. The nurse in the cardiac intensive care unit is monitoring a client with obstructive shock. 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