age 1 of 27
AG-ACNP Respiratory Actual Exam 2025/2026
Questions with Verified Solutions || Already Graded
A+ <Recent Version>
Your patient is intubated on the following settings: SIMV/FiO2
.6/PEEP 5. You notice shunting. What should your next action
be? .......Answer.........Increase PEEP from 5 to 10 to recruit alveoli
and increase surface area to improve oxygenation
32 yo. M with PMH significant for mitral valve replacement now
complains of wheezing during physical activity 2-3 times/week.
What should you do next? .......Answer.........Send patient for
pulmonary function testing.
What is the pathology of asthma? .......Answer.........Increased
responsiveness/hyperresponsiveness of the trachea and bronchi
to a stimuli.
,age 2 of 27
Acute inflammation
Narrowing of airways
Hypertrophy of smooth muscle
Mucosal plugging of airways
What are the hallmark signs and symptoms of asthma?
.......Answer.........Respiratory distress at rest
Difficulty speaking in sentences
RR > 28
Pulsus paradoxus > 12 mmHg
What PFT value is suggestive of an obstructive disease?
.......Answer.........Decreased FEV1
, age 3 of 27
Which acid-base imbalance is associated with asthma?
.......Answer.........Respiratory Alkalosis with mild hypoxemia
What PFT values would indicate hospitalization of an asthmatic
patient? .......Answer.........Decreased FEV1 <30% predicted OR
does not increase to at least 40% predicted after 1 hr.
Peak flow is <60 L/min initially OR does not increase to >50%
predicted after 1 hr tx
What are the ominous findings associated with an asthma
exacerbation? .......Answer.........Extreme fatigue
Lethargy
ABG - hypercapnea >pCO2 >45 mmHg = EMERGENCY
AG-ACNP Respiratory Actual Exam 2025/2026
Questions with Verified Solutions || Already Graded
A+ <Recent Version>
Your patient is intubated on the following settings: SIMV/FiO2
.6/PEEP 5. You notice shunting. What should your next action
be? .......Answer.........Increase PEEP from 5 to 10 to recruit alveoli
and increase surface area to improve oxygenation
32 yo. M with PMH significant for mitral valve replacement now
complains of wheezing during physical activity 2-3 times/week.
What should you do next? .......Answer.........Send patient for
pulmonary function testing.
What is the pathology of asthma? .......Answer.........Increased
responsiveness/hyperresponsiveness of the trachea and bronchi
to a stimuli.
,age 2 of 27
Acute inflammation
Narrowing of airways
Hypertrophy of smooth muscle
Mucosal plugging of airways
What are the hallmark signs and symptoms of asthma?
.......Answer.........Respiratory distress at rest
Difficulty speaking in sentences
RR > 28
Pulsus paradoxus > 12 mmHg
What PFT value is suggestive of an obstructive disease?
.......Answer.........Decreased FEV1
, age 3 of 27
Which acid-base imbalance is associated with asthma?
.......Answer.........Respiratory Alkalosis with mild hypoxemia
What PFT values would indicate hospitalization of an asthmatic
patient? .......Answer.........Decreased FEV1 <30% predicted OR
does not increase to at least 40% predicted after 1 hr.
Peak flow is <60 L/min initially OR does not increase to >50%
predicted after 1 hr tx
What are the ominous findings associated with an asthma
exacerbation? .......Answer.........Extreme fatigue
Lethargy
ABG - hypercapnea >pCO2 >45 mmHg = EMERGENCY
