ANCC Adult Gerontology Acute Care questions and
answers 2024\2025 A+ Grade
Cardiac Index
- correct answer 2-4
SVR/Afterload
- correct answer 800-1200
MAP
- correct answer mean CVx80/CO
PA pressure
- correct answer 15-30
Wedge PCWP pressure
- correct answer 6-12
Hypovolemic Shock Parameters
- correct answer Preload CVP decreased, SVR afterload increased, CI decreased, Oxygen delivery
Decreased, Venous Oxygen saturation increased
Types of hypovolemic shock
- correct answer Hemorrhage, burns, pancreatitis
Cardiogenic shock parameters
- correct answer CVP preload increased, SVR afterload increased, CI decreased, oxygen delivery
decreased, SV02 decreased
,Types of cardiogenic shock
- correct answer Post mi, malignant dysrhythmia, acute myocarditis
Obstructive shock parameters
- correct answer Preload either, SVR increased, CI decreased, oxygen delivery decreased, SV02
decreased
Types of obstructive shock
- correct answer Tension pneumo, cardiac tamponade, PE
Distributive shock parameters
- correct answer Preload CVP decreased, afterload SVR decreased, CI increased, SV02 decreased, oxygen
delivery increased
Types of distributive shock
- correct answer Septic shock, anaphylaxis, neurogenic shock
CVP Preload
- correct answer 2-8
Cardiac Output
- correct answer 4-8
MAP
- correct answer 70-90
Fractional Excretion of NA <1%
- correct answer Prerenal state of kidney dysfunction (i.e. dehydration)
Fractional Excretion of NA >2%
- correct answer ATN (acute tubular necrosis)
,CPP equation
- correct answer MAP-ICP
SIADH Hyposmolar hyponatremia "inappropriate water retention"
- correct answer serum sodium low, serum osmo low <280, urine osmo high >100, no dehydration, tx
restrict fluids
if neuro symptoms give 3%NS
DI Hyperosmolar hypernatremia dry
- correct answer Serum sodium high, serum osmo high >290, urine osmo low <100, urine spec grave
1.005 (urine is like water), urine sodium >20, dehydration, if serum Na >150 give D5W to replace ½
volume deficit in 12-24 hours, avoid rapid lowering of Na, DDAVP for acute situations
Serum Osmo
- correct answer 280
Urine Osmo
- correct answer 300-800
Sodium
- correct answer ~140
Total cholesterol
- correct answer <200
Triglycerides
- correct answer <150
HDL
- correct answer >40
LDL
- correct answer <100
, Management of pulm edema
- correct answer 02, sitting up, morphine 2-4mg, Lasix 40, another Lasix 40 if needed
Left heart failure
- correct answer LUNGS, dyspnea at rest, rales, wheezing, generally healthy except acute event, S3,
murmur of mitral regurg
Right heart failure
- correct answer JVD, hepatomegaly, peripheral edema
MR ASS
- correct answer Mitral regurg, aortic stenosis, systolic murmurs
MS ARD
- correct answer Mitral Stenosis, aortic regurg, diastolic
Mitral murmur locations
- correct answer 5th ICS, apex
Aortic murmur locations
- correct answer 2nd or 3rd ICS, base
S1
- correct answer AV valves closed, SL open
S2
- correct answer SL closed, AV open
Cardiac blood flow
- correct answer SVC,RA, tricuspid, RV, pulmonic valve, pulmonary artery, lungs, pulmonary veins, LA,
mitral, LV, Aortic valve, aorta, body
answers 2024\2025 A+ Grade
Cardiac Index
- correct answer 2-4
SVR/Afterload
- correct answer 800-1200
MAP
- correct answer mean CVx80/CO
PA pressure
- correct answer 15-30
Wedge PCWP pressure
- correct answer 6-12
Hypovolemic Shock Parameters
- correct answer Preload CVP decreased, SVR afterload increased, CI decreased, Oxygen delivery
Decreased, Venous Oxygen saturation increased
Types of hypovolemic shock
- correct answer Hemorrhage, burns, pancreatitis
Cardiogenic shock parameters
- correct answer CVP preload increased, SVR afterload increased, CI decreased, oxygen delivery
decreased, SV02 decreased
,Types of cardiogenic shock
- correct answer Post mi, malignant dysrhythmia, acute myocarditis
Obstructive shock parameters
- correct answer Preload either, SVR increased, CI decreased, oxygen delivery decreased, SV02
decreased
Types of obstructive shock
- correct answer Tension pneumo, cardiac tamponade, PE
Distributive shock parameters
- correct answer Preload CVP decreased, afterload SVR decreased, CI increased, SV02 decreased, oxygen
delivery increased
Types of distributive shock
- correct answer Septic shock, anaphylaxis, neurogenic shock
CVP Preload
- correct answer 2-8
Cardiac Output
- correct answer 4-8
MAP
- correct answer 70-90
Fractional Excretion of NA <1%
- correct answer Prerenal state of kidney dysfunction (i.e. dehydration)
Fractional Excretion of NA >2%
- correct answer ATN (acute tubular necrosis)
,CPP equation
- correct answer MAP-ICP
SIADH Hyposmolar hyponatremia "inappropriate water retention"
- correct answer serum sodium low, serum osmo low <280, urine osmo high >100, no dehydration, tx
restrict fluids
if neuro symptoms give 3%NS
DI Hyperosmolar hypernatremia dry
- correct answer Serum sodium high, serum osmo high >290, urine osmo low <100, urine spec grave
1.005 (urine is like water), urine sodium >20, dehydration, if serum Na >150 give D5W to replace ½
volume deficit in 12-24 hours, avoid rapid lowering of Na, DDAVP for acute situations
Serum Osmo
- correct answer 280
Urine Osmo
- correct answer 300-800
Sodium
- correct answer ~140
Total cholesterol
- correct answer <200
Triglycerides
- correct answer <150
HDL
- correct answer >40
LDL
- correct answer <100
, Management of pulm edema
- correct answer 02, sitting up, morphine 2-4mg, Lasix 40, another Lasix 40 if needed
Left heart failure
- correct answer LUNGS, dyspnea at rest, rales, wheezing, generally healthy except acute event, S3,
murmur of mitral regurg
Right heart failure
- correct answer JVD, hepatomegaly, peripheral edema
MR ASS
- correct answer Mitral regurg, aortic stenosis, systolic murmurs
MS ARD
- correct answer Mitral Stenosis, aortic regurg, diastolic
Mitral murmur locations
- correct answer 5th ICS, apex
Aortic murmur locations
- correct answer 2nd or 3rd ICS, base
S1
- correct answer AV valves closed, SL open
S2
- correct answer SL closed, AV open
Cardiac blood flow
- correct answer SVC,RA, tricuspid, RV, pulmonic valve, pulmonary artery, lungs, pulmonary veins, LA,
mitral, LV, Aortic valve, aorta, body
