Orlando Health ACC Exam Questions with Verified Solutions
Which of the following are indicators of preload? - Answers CVP, PAP, PAOP
What is the distal (yellow) port connected to? - Answers PAP on hemodynamic pressure system
What hemodynamic changes occur with a low cardiac output? - Answers Increase preload and
Increased afterload
The SVR is 1538 and SVRI 2680, what medication would you recommend? - Answers
Nitroprusside
What medication would you recommend for a PAP of 50/30 and PAWP of 29? - Answers
Furosemide
Which medication is titrated to TOF (train of four) or the peripheral nerve stimulator? - Answers
Rocuronium
Your patient is on hypertonic saline. How quick is it safe to increase the sodium? - Answers 0.5
mEq/hour
What condition can cause a high SvO2? - Answers Sepsis
Your patient has poor contractility, what medication would you recommend? - Answers
Dobutamine
Which of the following means your patient is "fluid responsive" with PLM? - Answers SV change
from 48 to 54
Patient c/o cough with pink sputum, resp. 28, sat 88% on 2L, crackles bilateral. Cause? -
Answers Acute pulmonary edema
Which of the following best describes ARDS (acute respiratory distress syndrome? - Answers
Noncardiogenic pulmonary edema
Which of the following will increase afterload? - Answers Norepinephrine
Your overdose patient was given Narcan and responded. Now he is unresponsive. What
happened? - Answers The half-life of Narcan is shorter than the narcotic
Vent settings: SIMV, rate 6, vT 650, PEEP 5, PS 10, FiO2 60%. ABG: pH 7.36, PCO2 43, PO2 60,
HCO3 26. What setting should be adjusted? - Answers Increase PEEP
Which shock state? Tachycardia, widened pulse pressure, hypotension, increased CO/CI, low
SVRI - Answers Septic shock
The GOALS for pharmacological therapy for cardiogenic shock are: - Answers Increasing
contractility and decreasing afterload
, Your patient has a C-5 injury. BP 85/32, HR 51, RR 18. What does these findings suggest? -
Answers Neurogenic shock
The typical chest x-ray pattern in ARDS is usually reported as: - Answers Diffuse bilateral
infiltrates
In order to reduce the risk of barotrauma during ARDS: - Answers Low tidal volume is used
In determining the amount of air used to wedge a PA catheter, best guideline is: - Answers nflate
slowly until the wedge waveform appears
Vent: AC, rate 16, vT 650, FiO2 65%, PEEP 10, O2 sat 82%. PEEP increased to 12 cm. How will
this affect hemodynamics? - Answers Hypotension related to decreased venous return
A septic patient with new onset AKI has developed a distended abdomen and has an IAP of 24.
What best describes this condition? - Answers Abdominal Compartment Syndrome
When measuring an intra-abdominal pressure, how long do you wait after injecting saline? -
Answers 30 seconds or when the waveform evens out
Which of the following best describes the process of obtaining an intra-abdominal pressure? -
Answers Supine, iliac crest, mid-axillary, end expiration
In cardiac tamponade what are the hemodynamic changes? - Answers Increased CVP, PAD,
equalizing/narrowing PP
Which of the following deaths is reported to Our Legacy (OPO)? - Answers A. 21-year-old who
had a PE
B. 81-year-old who died of heart failure
C. 7-year-old who drowned
D. All of the above
The doctor orders ¼ TOF for patient on NMB. You assess 0/4 twitches. Next step: - Answers
Decrease the NMB drip
Your patient's SVV is 21%, he received a 500 mL of NS bolus. Now his SVV is 20%, what next? -
Answers Assess SVI /contractility
Propofol was started on a patient 30 minutes ago. The HR dropped to 45, what is recommended?
- Answers DC Propofol
A sedative overdose may experience: - Answers Respiratory depression, hypnotics,
dysrhythmias, pulmonary edema
A phencyclidine (PCP) overdose may experience: - Answers Violent behavior, hallucinations,
Which of the following are indicators of preload? - Answers CVP, PAP, PAOP
What is the distal (yellow) port connected to? - Answers PAP on hemodynamic pressure system
What hemodynamic changes occur with a low cardiac output? - Answers Increase preload and
Increased afterload
The SVR is 1538 and SVRI 2680, what medication would you recommend? - Answers
Nitroprusside
What medication would you recommend for a PAP of 50/30 and PAWP of 29? - Answers
Furosemide
Which medication is titrated to TOF (train of four) or the peripheral nerve stimulator? - Answers
Rocuronium
Your patient is on hypertonic saline. How quick is it safe to increase the sodium? - Answers 0.5
mEq/hour
What condition can cause a high SvO2? - Answers Sepsis
Your patient has poor contractility, what medication would you recommend? - Answers
Dobutamine
Which of the following means your patient is "fluid responsive" with PLM? - Answers SV change
from 48 to 54
Patient c/o cough with pink sputum, resp. 28, sat 88% on 2L, crackles bilateral. Cause? -
Answers Acute pulmonary edema
Which of the following best describes ARDS (acute respiratory distress syndrome? - Answers
Noncardiogenic pulmonary edema
Which of the following will increase afterload? - Answers Norepinephrine
Your overdose patient was given Narcan and responded. Now he is unresponsive. What
happened? - Answers The half-life of Narcan is shorter than the narcotic
Vent settings: SIMV, rate 6, vT 650, PEEP 5, PS 10, FiO2 60%. ABG: pH 7.36, PCO2 43, PO2 60,
HCO3 26. What setting should be adjusted? - Answers Increase PEEP
Which shock state? Tachycardia, widened pulse pressure, hypotension, increased CO/CI, low
SVRI - Answers Septic shock
The GOALS for pharmacological therapy for cardiogenic shock are: - Answers Increasing
contractility and decreasing afterload
, Your patient has a C-5 injury. BP 85/32, HR 51, RR 18. What does these findings suggest? -
Answers Neurogenic shock
The typical chest x-ray pattern in ARDS is usually reported as: - Answers Diffuse bilateral
infiltrates
In order to reduce the risk of barotrauma during ARDS: - Answers Low tidal volume is used
In determining the amount of air used to wedge a PA catheter, best guideline is: - Answers nflate
slowly until the wedge waveform appears
Vent: AC, rate 16, vT 650, FiO2 65%, PEEP 10, O2 sat 82%. PEEP increased to 12 cm. How will
this affect hemodynamics? - Answers Hypotension related to decreased venous return
A septic patient with new onset AKI has developed a distended abdomen and has an IAP of 24.
What best describes this condition? - Answers Abdominal Compartment Syndrome
When measuring an intra-abdominal pressure, how long do you wait after injecting saline? -
Answers 30 seconds or when the waveform evens out
Which of the following best describes the process of obtaining an intra-abdominal pressure? -
Answers Supine, iliac crest, mid-axillary, end expiration
In cardiac tamponade what are the hemodynamic changes? - Answers Increased CVP, PAD,
equalizing/narrowing PP
Which of the following deaths is reported to Our Legacy (OPO)? - Answers A. 21-year-old who
had a PE
B. 81-year-old who died of heart failure
C. 7-year-old who drowned
D. All of the above
The doctor orders ¼ TOF for patient on NMB. You assess 0/4 twitches. Next step: - Answers
Decrease the NMB drip
Your patient's SVV is 21%, he received a 500 mL of NS bolus. Now his SVV is 20%, what next? -
Answers Assess SVI /contractility
Propofol was started on a patient 30 minutes ago. The HR dropped to 45, what is recommended?
- Answers DC Propofol
A sedative overdose may experience: - Answers Respiratory depression, hypnotics,
dysrhythmias, pulmonary edema
A phencyclidine (PCP) overdose may experience: - Answers Violent behavior, hallucinations,
