AACN PCCN EXAM REVIEW: MULTISYSTEM QUESTIONS WITH VERIFIED ANSWERS

AACN PCCN EXAM REVIEW: MULTISYSTEM
QUESTIONS WITH VERIFIED ANSWERS


Normal inflammatory response - ans- xc xc xc xc




vasodilatation, increased microvascular permeability, cellular activation and release of me
xc xc xc xc xc xc xc xc xc




diators, and coagulation xc xc




Define sepsis - ans- xc xc xc




systemic response to infection, manifested by two or more conditions resulting from infectio
xc xc xc xc xc xc xc xc xc xc xc xc




n (temp >38C, HR >90 bpm, RR >20 bpm, PaCO2 <32 mmHg, WBC >12, <4)
xc xc xc xc xc xc xc xc xc xc xc xc xc xc




Define septic shock - ans- xc xc xc xc




sepsis with hypotension, despite adequate fluid resuscitation, along with presence of perfu
xc xc xc xc xc xc xc xc xc xc xc




sion abnormalities including lactic acidosis, oliguria, acute AMS
xc xc xc xc xc xc xc




Risk factors for sepsis - ans-
xc xc xc xc xc




malnutrition, immunosuppression, prolonged antibiotic use, invasive devices
xc xc xc xc xc xc




Define MODS - ans- xc xc xc




multiple organ dysfunction, worsening progression of systemic inflammatory response (SI
xc xc xc xc xc xc xc xc xc




RS) involving signs of organ dysfunction
xc xc xc xc xc




Management of sepsis - ans- xc xc xc xc




treat cause (antibiotics), maximize oxygen, maximize CO (difficult bc pathological problem
xc xc xc xc xc xc xc xc xc xc xc




of SIRS is increased permeability of capillary bed -
xc xc xc xc xc xc xc xc




liberal fluid admin), decrease oxygen demand (reduce tachycardia, tachypnea, hyperther
xc xc xc xc xc xc xc xc xc xc




mia, pain, prevent shivering, comfort measures)
xc xc xc xc xc




What is NOT an accurate measurement of adequate perfusion - ans-
xc xc xc xc xc xc xc xc xc xc




BLOOD PRESSURE, adequate pressure does not always equal adequate perfusion
xc xc xc xc xc xc xc xc xc




Symptoms of alcohol withdrawal - ans- xc xc xc xc xc




insomnia, tremors, anxiety, GI upset, HA, sweating, palpitations, hallucinations, seizures, f
xc xc xc xc xc xc xc xc xc xc




ever, agitation xc




How is isopropyl alcohol intoxication distinguished from other types of alcohol intoxication -
xc xc xc xc xc xc xc xc xc xc xc xc




ans-presence of ketoacids in urine and serum
xc xc xc xc xc xc xc




Which imbalance is seen in methanol intoxication and relieved by hyperventilation - ans-
xc xc xc xc xc xc xc xc xc xc xc xc




metabolic acidosis (decreased bicarbonate level) xc xc xc xc




Which alcohol intoxication affects renal tubular degeneration - ans-
xc xc xc xc xc xc xc xc




ethylene glycol intoxication xc xc