CLINICAL SIMULATION STUDY SET
EXAM QUESTIONS AND ANSWERS.
VERIFIED 2025/2026.
Visuals (things you will always choose...) - ANS -general appearance
-appearance of chest
-respiratory pattern
-sensorium
-posture
-patient color
-pulse
Infant normals - ANS Pulse: 110 - 160
BP: 60/40 mm Hg
RR: 30 to 60
Birth Wt: 3000g
APGAR: 7 to 10
Hemodynamic Normals - ANS BP: 120/80 (90/60 to 140/90)
MAP: 93 to 94
CVP: 2 to 6 mm Hg (4 to 12 cmH2O)
PAP: 25/8 (mean 13 to 14)
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,PWP/PCWP: 4 to 12 mm Hg
CO: 4 to 8 LPM
CI: 2.5 to 4 L/min/sq m
UNACCEPTABLE bedside ventilatory parameters - ANS VC: < 10mL/kg (or < 2 x VT)
MIP/NIF: <20 cm H2O
RR: >20 bmp or < 8
Vt: < 5mL/kg
Ve: > 10 LPM
MEP: < 40 cm H2O
Vent Parameters... - ANS Tidal Volume: 5 to 10 mL/kg
-------asthma/ards use 4 mL/kg
Pressure: Pplat from VC or up to 3 cm H2O
Rate: 10 to 20
FiO2: 40 to 60% or set to prior
PEEP: 2 to 6 or set to prior
Infant vent settings - ANS Vt: 4-6 mL/kg
PIP: 20 to 30
Rate: 20 to 30
FiO2: 40 to 60%
PEEP: 2 to 4
Airway resistance - ANS PIP-Plateau
Used to indicate the amount of pressure support neccessary to overcome airway resistance
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Body box is most accurate measurement
Acid-fast Bacillus (AFB) - ANS Staining (Ziehl-Neelsen)
Dx of TB
Organisms appear red against blue background
Takes 2-3 weeks
- Albumin - ANS Normal 3.5-5.0 g/dl
Decreased levels are seen in liver disease
Angiogram - ANS X-rays of vessels (veins and arteries)
Evaluates blood flow to the brain, heart, lungs, etc.
- Anion Gap - ANS Normal: 8-18 MEq/L
Identifys the cause of metabolic acidosis
- Ascorbic acid level - ANS Determination of the amount of vitamin C in the blood
- Babinski relfex - ANS Tests brainstem and spinal cord function
Dorsiflex of the toes after stroking foot indacates positive test (lesion may be present)
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
EXAM QUESTIONS AND ANSWERS.
VERIFIED 2025/2026.
Visuals (things you will always choose...) - ANS -general appearance
-appearance of chest
-respiratory pattern
-sensorium
-posture
-patient color
-pulse
Infant normals - ANS Pulse: 110 - 160
BP: 60/40 mm Hg
RR: 30 to 60
Birth Wt: 3000g
APGAR: 7 to 10
Hemodynamic Normals - ANS BP: 120/80 (90/60 to 140/90)
MAP: 93 to 94
CVP: 2 to 6 mm Hg (4 to 12 cmH2O)
PAP: 25/8 (mean 13 to 14)
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,PWP/PCWP: 4 to 12 mm Hg
CO: 4 to 8 LPM
CI: 2.5 to 4 L/min/sq m
UNACCEPTABLE bedside ventilatory parameters - ANS VC: < 10mL/kg (or < 2 x VT)
MIP/NIF: <20 cm H2O
RR: >20 bmp or < 8
Vt: < 5mL/kg
Ve: > 10 LPM
MEP: < 40 cm H2O
Vent Parameters... - ANS Tidal Volume: 5 to 10 mL/kg
-------asthma/ards use 4 mL/kg
Pressure: Pplat from VC or up to 3 cm H2O
Rate: 10 to 20
FiO2: 40 to 60% or set to prior
PEEP: 2 to 6 or set to prior
Infant vent settings - ANS Vt: 4-6 mL/kg
PIP: 20 to 30
Rate: 20 to 30
FiO2: 40 to 60%
PEEP: 2 to 4
Airway resistance - ANS PIP-Plateau
Used to indicate the amount of pressure support neccessary to overcome airway resistance
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Body box is most accurate measurement
Acid-fast Bacillus (AFB) - ANS Staining (Ziehl-Neelsen)
Dx of TB
Organisms appear red against blue background
Takes 2-3 weeks
- Albumin - ANS Normal 3.5-5.0 g/dl
Decreased levels are seen in liver disease
Angiogram - ANS X-rays of vessels (veins and arteries)
Evaluates blood flow to the brain, heart, lungs, etc.
- Anion Gap - ANS Normal: 8-18 MEq/L
Identifys the cause of metabolic acidosis
- Ascorbic acid level - ANS Determination of the amount of vitamin C in the blood
- Babinski relfex - ANS Tests brainstem and spinal cord function
Dorsiflex of the toes after stroking foot indacates positive test (lesion may be present)
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
