ACCS-Patient Assessment questions with correct
answers
List he four critical life functions Answer✔✔ Ventilation - moving air in and out
of the lungs
Oxygen - getting oxygen into the blood
Circulation - moving the blood through the body
Perfusion - getting blood and oxygen into the tissue
Which of the four life function is the FIRST priority? Answer✔✔ Ventilation
HINT: Do not pick STAT ABG on the exam
What assessments would determine how well a patient is ventilating? Answer✔✔
Respiratory Rate, tidal volume, chest movement, breath sounds, etco2, paco2
HINT: Always choose "turn up the flow" if it's an option.
How would the ACCS determine if a patient has a problem with oxygenation?
Answer✔✔ Check heart rate, color, sensorium, pao2, sao2
HINT: This is the most common problem
,What information would help the ACCS determine if a patient's circulation is
adequate? Answer✔✔ Check pulse and heart rate, heart strength, cardiac output
What changes would indicate that a patient may not have adequate perfusion?
Answer✔✔ Check blood pressure, sensorium, temperature, urine output, and
hemodynamics.
Describe the difference between "signs" and "symptoms" and list an example of
each. Answer✔✔ Sings: objective information - things that you can see or/
measure.
Example: Color, pulse, edema, blood pressure
Symptoms: subjective information - those things that the patient must tell you.
Example: dyspnea, nausea, pain, muscle weakness, etc.
Define an advance directive. Answer✔✔ Set of instructions documenting what
treatment a patient would want if he/she was unable to make medical decisions.
List and describe the four types of advance directives:
DNR
DNI
Living Will
DPO Answer✔✔ Do Not Resuscitate
Do Not Intubate
, Living Will describes treatment plan would want if he becomes terminally ill (<6
months to live)
Durable power of attorney - makes health care decisions effective when patient is
unable to make decisions.
A properly written order for respiratory care should include what four factors?
Answer✔✔ Type of therapy
Frequency
Medication dosage and dilution
Physician signature
What is the normal value for urine output? Answer✔✔ 40 mL/hr = 1 liter per day
What findings might indicate that the patient's fluid intake has exceeded their urine
output? Answer✔✔ Weight gain
Electrolyte imbalance
Increased hemodynamic pressures
Decreased lung compliance
Changes in patient's CVP reading can indicate hypovolemia. Answer✔✔ < CVP =
hypovolemia
> CVP = hypervolemia
answers
List he four critical life functions Answer✔✔ Ventilation - moving air in and out
of the lungs
Oxygen - getting oxygen into the blood
Circulation - moving the blood through the body
Perfusion - getting blood and oxygen into the tissue
Which of the four life function is the FIRST priority? Answer✔✔ Ventilation
HINT: Do not pick STAT ABG on the exam
What assessments would determine how well a patient is ventilating? Answer✔✔
Respiratory Rate, tidal volume, chest movement, breath sounds, etco2, paco2
HINT: Always choose "turn up the flow" if it's an option.
How would the ACCS determine if a patient has a problem with oxygenation?
Answer✔✔ Check heart rate, color, sensorium, pao2, sao2
HINT: This is the most common problem
,What information would help the ACCS determine if a patient's circulation is
adequate? Answer✔✔ Check pulse and heart rate, heart strength, cardiac output
What changes would indicate that a patient may not have adequate perfusion?
Answer✔✔ Check blood pressure, sensorium, temperature, urine output, and
hemodynamics.
Describe the difference between "signs" and "symptoms" and list an example of
each. Answer✔✔ Sings: objective information - things that you can see or/
measure.
Example: Color, pulse, edema, blood pressure
Symptoms: subjective information - those things that the patient must tell you.
Example: dyspnea, nausea, pain, muscle weakness, etc.
Define an advance directive. Answer✔✔ Set of instructions documenting what
treatment a patient would want if he/she was unable to make medical decisions.
List and describe the four types of advance directives:
DNR
DNI
Living Will
DPO Answer✔✔ Do Not Resuscitate
Do Not Intubate
, Living Will describes treatment plan would want if he becomes terminally ill (<6
months to live)
Durable power of attorney - makes health care decisions effective when patient is
unable to make decisions.
A properly written order for respiratory care should include what four factors?
Answer✔✔ Type of therapy
Frequency
Medication dosage and dilution
Physician signature
What is the normal value for urine output? Answer✔✔ 40 mL/hr = 1 liter per day
What findings might indicate that the patient's fluid intake has exceeded their urine
output? Answer✔✔ Weight gain
Electrolyte imbalance
Increased hemodynamic pressures
Decreased lung compliance
Changes in patient's CVP reading can indicate hypovolemia. Answer✔✔ < CVP =
hypovolemia
> CVP = hypervolemia
