Progressive Care Nursing Certification (PCCN) Practice Exam

Which sign is NOT typically associated with septic shock?

1. Hypotension

2. Hyperthermia

3. Bradycardia

4. Tachypnea

The correct answer is: Bradycardia

Bradycardia is not typically associated with septic shock, which is characterized by an overwhelming systemic inflammatory response usually caused by an infection. In septic shock, the body is in a hypermetabolic state and often experiences tachycardia, as the heart rate increases to compensate for decreased perfusion and to meet the body's demand for oxygen. Hypotension is a hallmark sign of septic shock, resulting from the systemic vasodilation and increased vascular permeability that leads to fluid loss from the intravascular space. Hyperthermia can occur due to the body’s response to the infection, often presenting as elevated body temperature, which is a common finding in septic patients. Tachypnea, or increased respiratory rate, is frequently observed as the body attempts to compensate for metabolic acidosis and hypoxemia. Given these associations, it's clear that bradycardia does not align with the signs typically found in patients experiencing septic shock. Instead, the clinical picture is more accurately characterized by the presence of tachycardia, hypotension, hyperthermia, and tachypnea.