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NCLEX-RN Exam - Topic 1 Question 2 Discussion

When evaluating a client with symptoms of shock, it is important for the nurse to differentiate between neurogenic and hypovolemic shock. The symptoms of neurogenic shock differ from hypovolemic shock in that:
A) In neurogenic shock, the skin is warm and dry
B) In hypovolemic shock, there is a bradycardia
C) In hypovolemic shock, capillary refill is less than 2 seconds
D) In neurogenic shock, there is delayed capillary refill

NCLEX-RN Exam - Topic 1 Question 2 Discussion

Actual exam question for NCLEX's NCLEX-RN exam
Question #: 2
Topic #: 1
[All NCLEX-RN Questions]

When evaluating a client with symptoms of shock, it is important for the nurse to differentiate between neurogenic and hypovolemic shock. The symptoms of neurogenic shock differ from hypovolemic shock in that:

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Suggested Answer: A

(A) Neurogenic shock is caused by injury to the cervical region, which leads to loss of sympathetic control. This loss leads to vasodilation of the vascular beds, bradycardia resulting from the lack of sympathetic balance to parasympathetic stimuli from the vagus nerve, and the loss of the ability to sweat below the level of injury. In neurogenic shock, the client is hypotensive but bradycardiac with warm, dry skin. (B) In hypovolemic shock, the client ishypotensive and tachycardiac with cool skin. (C) In hypovolemic shock, the capillary refill would be>5 seconds. (D) In neurogenic shock, there is no capillary delay, the vascular beds are dilated, and peripheral flow is good.


by Lemuel at Jun 14, 2025, 07:52 PM

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Ressie
7 months ago
Wait, are we sure about the capillary refill times?
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Barb
7 months ago
I thought hypovolemic shock would show bradycardia too?
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Shannan
7 months ago
Hypovolemic shock usually has cool, clammy skin.
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Ben
7 months ago
Definitely agree, neurogenic shock is tricky!
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Elfriede
8 months ago
Neurogenic shock has warm, dry skin for sure.
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Cletus
8 months ago
I vaguely remember that neurogenic shock has a different skin presentation, but I can't remember if it's warm and dry or something else.
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Nichelle
8 months ago
I feel like capillary refill is a key indicator, but I can't recall if it's delayed in neurogenic shock or hypovolemic shock.
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Dortha
8 months ago
I think I practiced a question where hypovolemic shock had tachycardia, not bradycardia, but I might be mixing it up.
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Benedict
9 months ago
I remember that in neurogenic shock, the skin can be warm and dry due to vasodilation, but I'm not completely sure about the specifics.
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Blondell
9 months ago
Ugh, I'm really struggling with this question. The symptoms just seem so similar, and I'm not sure I fully understand the distinction between the two types of shock. I'll have to review my notes and try to find a way to remember the differences.
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Tequila
9 months ago
Okay, I've got this. The key difference is that in neurogenic shock, the skin is warm and dry, while in hypovolemic shock, the skin is cool and clammy. I'm confident I can get this right.
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Judy
9 months ago
Hmm, I'm a bit unsure about this one. The symptoms of the two types of shock seem pretty similar, so I'll need to think it through carefully. Maybe I can use the process of elimination to narrow it down.
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Eric
9 months ago
This is a good question to test our understanding of the differences between neurogenic and hypovolemic shock. I'll need to carefully review the symptoms for each type to determine the correct answer.
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Yolando
1 year ago
D has to be the right answer. Neurogenic shock causes delayed capillary refill, while hypovolemic shock has a warm, dry skin.
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Laurene
11 months ago
Yes, you're right. In hypovolemic shock, the skin is warm and dry.
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Delila
11 months ago
I think D is the correct answer. Neurogenic shock does cause delayed capillary refill.
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Kayleigh
1 year ago
Haha, I bet the answer is C. In hypovolemic shock, capillary refill is less than 2 seconds because the patient is trying to save their life by running a marathon.
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Jin
11 months ago
C) In hypovolemic shock, capillary refill is less than 2 seconds
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Cheryl
11 months ago
B) In hypovolemic shock, there is a bradycardia
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Cruz
12 months ago
A) In neurogenic shock, the skin is warm and dry
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Kate
1 year ago
I believe the answer is D) In neurogenic shock, there is delayed capillary refill, as it makes sense with the symptoms.
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Georgeanna
1 year ago
I agree with Pamella, because in hypovolemic shock, there is a bradycardia.
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Pamella
1 year ago
I think the answer is A) In neurogenic shock, the skin is warm and dry.
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Vallie
1 year ago
I'm pretty sure it's B. In hypovolemic shock, there is a bradycardia as the body tries to compensate for the decreased blood volume.
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Augustine
1 year ago
That makes sense. It's a way for the body to try to maintain blood pressure.
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Mitzie
1 year ago
I think you're right. The body slows down the heart rate in hypovolemic shock.
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Glory
1 year ago
I think the correct answer is D. In neurogenic shock, there is delayed capillary refill due to the loss of sympathetic tone, which leads to vasodilation and poor perfusion.
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Maira
1 year ago
D) In neurogenic shock, there is delayed capillary refill
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Cassie
1 year ago
C) In hypovolemic shock, capillary refill is less than 2 seconds
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Ming
1 year ago
B) In hypovolemic shock, there is a bradycardia
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Arlette
1 year ago
A) In neurogenic shock, the skin is warm and dry
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