NR547 Acute Care Practicum - Midterm
Exam Prep (200 Questions, Answers
and Rationales)
Question 1: [Cardiovascular & Hemodynamics] What is the primary indicator of tissue
perfusion in early septic shock? (Variation Code 1)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 2: [Cardiovascular & Hemodynamics] Which hemodynamic parameter represents
right ventricular preload? (Variation Code 1)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 3: [Cardiovascular & Hemodynamics] What is the first-line vasopressor
recommended in cardiogenic shock with severe hypotension? (Variation Code 1)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
,Question 4: [Cardiovascular & Hemodynamics] A patient has a pulmonary artery wedge
pressure (PAWP) of 22 mmHg and a cardiac index of 1.8 L/min/m2. What type of shock is
indicated? (Variation Code 1)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 5: [Cardiovascular & Hemodynamics] What does an elevated central venous
oxygen saturation (ScvO2) typically indicate in a stable patient? (Variation Code 1)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 6: [Pulmonary & ABG Interpretation] An ABG shows pH 7.25, PaCO2 55 mmHg,
HCO3 24 mEq/L. What is the interpretation? (Variation Code 2)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 7: [Pulmonary & ABG Interpretation] What is the primary therapeutic
intervention for acute respiratory distress syndrome (ARDS) to improve oxygenation?
(Variation Code 2)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
,--------------------
Question 8: [Pulmonary & ABG Interpretation] Which parameter on a mechanical
ventilator directly affects the elimination of carbon dioxide? (Variation Code 2)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 9: [Pulmonary & ABG Interpretation] What condition is suggested by sudden
chest pain, dyspnea, and a normal chest X-ray in a post-op patient? (Variation Code 2)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 10: [Pulmonary & ABG Interpretation] What is the target PaO2 range for a patient
with acute respiratory failure without chronic hypercapnia? (Variation Code 2)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 11: [Neurology & Advanced Assessment] What is the first step in assessing an
acute change in mental status in an ICU patient? (Variation Code 3)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
, Question 12: [Neurology & Advanced Assessment] A patient has a Glasgow Coma Scale
(GCS) score of 7. What is the immediate priority? (Variation Code 3)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 13: [Neurology & Advanced Assessment] Which assessment finding is a classic
sign of increased intracranial pressure (ICP)? (Variation Code 3)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 14: [Neurology & Advanced Assessment] What scale is most widely validated for
assessing agitation and sedation in acute care? (Variation Code 3)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 15: [Neurology & Advanced Assessment] What is the diagnostic modality of
choice for a suspected acute ischemic stroke within 3 hours of onset? (Variation Code 3)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Exam Prep (200 Questions, Answers
and Rationales)
Question 1: [Cardiovascular & Hemodynamics] What is the primary indicator of tissue
perfusion in early septic shock? (Variation Code 1)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 2: [Cardiovascular & Hemodynamics] Which hemodynamic parameter represents
right ventricular preload? (Variation Code 1)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 3: [Cardiovascular & Hemodynamics] What is the first-line vasopressor
recommended in cardiogenic shock with severe hypotension? (Variation Code 1)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
,Question 4: [Cardiovascular & Hemodynamics] A patient has a pulmonary artery wedge
pressure (PAWP) of 22 mmHg and a cardiac index of 1.8 L/min/m2. What type of shock is
indicated? (Variation Code 1)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 5: [Cardiovascular & Hemodynamics] What does an elevated central venous
oxygen saturation (ScvO2) typically indicate in a stable patient? (Variation Code 1)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 6: [Pulmonary & ABG Interpretation] An ABG shows pH 7.25, PaCO2 55 mmHg,
HCO3 24 mEq/L. What is the interpretation? (Variation Code 2)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 7: [Pulmonary & ABG Interpretation] What is the primary therapeutic
intervention for acute respiratory distress syndrome (ARDS) to improve oxygenation?
(Variation Code 2)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
,--------------------
Question 8: [Pulmonary & ABG Interpretation] Which parameter on a mechanical
ventilator directly affects the elimination of carbon dioxide? (Variation Code 2)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 9: [Pulmonary & ABG Interpretation] What condition is suggested by sudden
chest pain, dyspnea, and a normal chest X-ray in a post-op patient? (Variation Code 2)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 10: [Pulmonary & ABG Interpretation] What is the target PaO2 range for a patient
with acute respiratory failure without chronic hypercapnia? (Variation Code 2)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 11: [Neurology & Advanced Assessment] What is the first step in assessing an
acute change in mental status in an ICU patient? (Variation Code 3)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
, Question 12: [Neurology & Advanced Assessment] A patient has a Glasgow Coma Scale
(GCS) score of 7. What is the immediate priority? (Variation Code 3)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 13: [Neurology & Advanced Assessment] Which assessment finding is a classic
sign of increased intracranial pressure (ICP)? (Variation Code 3)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 14: [Neurology & Advanced Assessment] What scale is most widely validated for
assessing agitation and sedation in acute care? (Variation Code 3)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 15: [Neurology & Advanced Assessment] What is the diagnostic modality of
choice for a suspected acute ischemic stroke within 3 hours of onset? (Variation Code 3)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
