{"id":4901,"date":"2024-12-18T00:24:00","date_gmt":"2024-12-18T00:24:00","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=4901"},"modified":"2026-03-20T13:50:47","modified_gmt":"2026-03-20T21:50:47","slug":"nclex-qotd-neurogenic-shock","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-qotd-neurogenic-shock","title":{"rendered":"NCLEX-RN\u00ae Question of the Day: Neurogenic 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-neurogenic-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-neurogenic-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-neurogenic-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-neurogenic-shock\/#Want_to_learn_more_about_this_topic\" >Want to learn more about this topic?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><strong>Get ready for NCLEX success with today&#8217;s question: What&#8217;s the first action the nurse should take when responding to an adult client who has fallen from a roof and is suspected of having neurogenic shock? Can you identify the priority intervention?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The nurse is responding to an accident scene where an adult client fell off their roof and is suspected of having neurogenic shock. Which is the&nbsp;first&nbsp;action the nurse should take?&nbsp;<strong>&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Initiate resuscitative intravenous fluids<br><br>B. Stabilize the client\u2019s spine using a cervical collar<br><br>C. Notify the client\u2019s primary care physician<br><br>D. Administer supplemental oxygen&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><em>Scroll down for the correct answer!<\/em><\/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>B. Stabilize the client\u2019s spine using a cervical collar&nbsp;&nbsp;&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong>&nbsp;After a client sustains a possible spinal cord injury, the nurse should first stabilize the spine using a cervical collar.&nbsp;<\/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\">Neurogenic shock is a type of distributive shock where damage to the brain or spinal cord causes dysregulation of the cardiovascular system, leading to decreased heart rate and vasodilation, which eventually leads to impaired tissue perfusion. The first steps in managing a client with suspected neurogenic shock are to stabilize their spine using a cervical collar, secure the airway, and then provide oxygen. Some clients might also need mechanical ventilatory support. The management continues with early resuscitation with intravenous (IV) fluids and administration of vasoactive medications like norepinephrine. In the case of persistent bradycardia, atropine can be used to increase the heart rate. Clients with neurogenic shock might also benefit from the administration of corticosteroids, such as methylprednisolone.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter is-resized\"><img decoding=\"async\" src=\"https:\/\/osmose-it.s3.amazonaws.com\/RdQrXifeQpiSSM9b49zLRfiLSYauWRBm\/_.png\" alt=\"TREATMENT\n* Stabilize spine using cervical collar\n* Secure airway\n* Provide oxygen (some might need mechanical ventilatory support)\n* Early resuscitation\n* IV Fluids\n* Vasoactive medications (norepinephrine)\n* Corticosteroids (methylprednisolone)\nAddress underlying cause\n*Spinal decompression procedures\n- Closed reduction using traction\n- Spinal surgery\" style=\"width:503px;height:auto\"\/><\/figure>\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<p class=\"wp-block-paragraph\"><strong>A. Initiate resuscitative intravenous fluids<br><br>Rationale:<\/strong>&nbsp;For clients suspected of neurogenic shock, the nurse should plan to initiate resuscitative intravenous fluids early in treatment; however, this is not the nurse\u2019s first action when responding to the scene.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. Notify the client\u2019s primary care physician<br><br>Rationale:<\/strong>&nbsp;Although the nurse should notify the client\u2019s physician in a timely fashion, there is another action that should be taken first.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. Administer supplemental oxygen<br><br>Rationale:&nbsp;<\/strong>For clients suspected of neurogenic shock, the nurse should plan to apply supplemental oxygen. However, this is not the nurse\u2019s first action when responding to the scene.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Want_to_learn_more_about_this_topic\"><\/span>Want to learn more about this topic?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Watch this Osmosis video on <a href=\"https:\/\/www.osmosis.org\/learn\/Shock_-_Neurogenic:_Nursing\" data-type=\"page\" data-id=\"2\">neurogenic shock<\/a><\/strong>!<\/p>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/www.osmosis.org\/plans\/rn\" target=\"_blank\" rel=\"noreferrer noopener\"><img decoding=\"async\" src=\"https:\/\/osmose-it.s3.amazonaws.com\/f7-Q883XRpS2icioa-TWtPslSuODiBKr\/_.png\" alt=\"\"\/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>Want more NCLEX\u00ae-style practice questions? Give Osmosis by Elsevier a try today! Access your&nbsp;<a href=\"https:\/\/www.osmosis.org\/login?type=create\" target=\"_blank\" rel=\"noreferrer noopener\">free trial<\/a>&nbsp;and discover why millions of current and future clinicians and caregivers love learning with us.<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Enhance your NCLEX-RN\u00ae exam preparation by learning about the assessment of tear production in patients suspected of having Sj\u00f6gren syndrome. Test your knowledge and improve your clinical skills today!<\/p>\n","protected":false},"author":279,"featured_media":4902,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[20,29,1367,32],"tags":[519,521,522,283,286,245,154,279,517,518,520],"class_list":["post-4901","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exam-prep","category-nclex","category-nclex-rn","category-nursing","tag-autoimmune-diseases","tag-healthcare-assessment","tag-medical-diagnostics","tag-nclex","tag-nursing","tag-nursing-education","tag-nursing-skills","tag-patient-assessment","tag-schirmer-test","tag-sjogren-syndrome","tag-tear-production"],"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: Neurogenic 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-neurogenic-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: Neurogenic shock - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"Enhance your NCLEX-RN\u00ae exam preparation by learning about the assessment of tear production in patients suspected of having Sj\u00f6gren syndrome. 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