ANCC ADULT GERONTOLOGY ACUTE CARE
NURSE PRACTITIONER COMPREHENSIVE
QUESTIONS AND CORRECT ANSWERS
◉ SVR/Afterload.
Answer: 800-1200
◉ MAP.
Answer: mean CVx80/CO
◉ PA pressure.
Answer: 15-30
◉ Wedge PCWP pressure.
Answer: 6-12
◉ Hypovolemic Shock Parameters.
Answer: Preload CVP decreased, SVR afterload increased, CI
decreased, Oxygen delivery Decreased, Venous Oxygen saturation
increased
◉ Types of hypovolemic shock.
,Answer: Hemorrhage, burns, pancreatitis
◉ Cardiogenic shock parameters.
Answer: CVP preload increased, SVR afterload increased, CI
decreased, oxygen delivery decreased, SV02 decreased
◉ Types of cardiogenic shock.
Answer: Post mi, malignant dysrhythmia, acute myocarditis
◉ Obstructive shock parameters.
Answer: Preload either, SVR increased, CI decreased, oxygen delivery
decreased, SV02 decreased
◉ Types of obstructive shock.
Answer: Tension pneumo, cardiac tamponade, PE
◉ Distributive shock parameters.
Answer: Preload CVP decreased, afterload SVR decreased, CI
increased, SV02 decreased, oxygen delivery increased
◉ Types of distributive shock.
Answer: Septic shock, anaphylaxis, neurogenic shock
,◉ CVP Preload.
Answer: 2-8
◉ Cardiac Output.
Answer: 4-8
◉ MAP.
Answer: 70-90
◉ Fractional Excretion of NA <1%.
Answer: Prerenal state of kidney dysfunction (i.e. dehydration)
◉ Fractional Excretion of NA >2%.
Answer: ATN (acute tubular necrosis)
◉ CPP equation.
Answer: MAP-ICP
◉ SIADH Hyposmolar hyponatremia "inappropriate water
retention".
, Answer: serum sodium low, serum osmo low <280, urine osmo high
>100, no dehydration, tx restrict fluids
if neuro symptoms give 3%NS
◉ DI Hyperosmolar hypernatremia dry.
Answer: Serum sodium high, serum osmo high >290, urine osmo
low <100, urine spec grave 1.005 (urine is like water), urine sodium
>20, dehydration, if serum Na >150 give D5W to replace ½ volume
deficit in 12-24 hours, avoid rapid lowering of Na, DDAVP for acute
situations
◉ Serum Osmo.
Answer: 280
◉ Urine Osmo.
Answer: 300-800
◉ Sodium.
Answer: ~140
◉ Total cholesterol.
Answer: <200
NURSE PRACTITIONER COMPREHENSIVE
QUESTIONS AND CORRECT ANSWERS
◉ SVR/Afterload.
Answer: 800-1200
◉ MAP.
Answer: mean CVx80/CO
◉ PA pressure.
Answer: 15-30
◉ Wedge PCWP pressure.
Answer: 6-12
◉ Hypovolemic Shock Parameters.
Answer: Preload CVP decreased, SVR afterload increased, CI
decreased, Oxygen delivery Decreased, Venous Oxygen saturation
increased
◉ Types of hypovolemic shock.
,Answer: Hemorrhage, burns, pancreatitis
◉ Cardiogenic shock parameters.
Answer: CVP preload increased, SVR afterload increased, CI
decreased, oxygen delivery decreased, SV02 decreased
◉ Types of cardiogenic shock.
Answer: Post mi, malignant dysrhythmia, acute myocarditis
◉ Obstructive shock parameters.
Answer: Preload either, SVR increased, CI decreased, oxygen delivery
decreased, SV02 decreased
◉ Types of obstructive shock.
Answer: Tension pneumo, cardiac tamponade, PE
◉ Distributive shock parameters.
Answer: Preload CVP decreased, afterload SVR decreased, CI
increased, SV02 decreased, oxygen delivery increased
◉ Types of distributive shock.
Answer: Septic shock, anaphylaxis, neurogenic shock
,◉ CVP Preload.
Answer: 2-8
◉ Cardiac Output.
Answer: 4-8
◉ MAP.
Answer: 70-90
◉ Fractional Excretion of NA <1%.
Answer: Prerenal state of kidney dysfunction (i.e. dehydration)
◉ Fractional Excretion of NA >2%.
Answer: ATN (acute tubular necrosis)
◉ CPP equation.
Answer: MAP-ICP
◉ SIADH Hyposmolar hyponatremia "inappropriate water
retention".
, Answer: serum sodium low, serum osmo low <280, urine osmo high
>100, no dehydration, tx restrict fluids
if neuro symptoms give 3%NS
◉ DI Hyperosmolar hypernatremia dry.
Answer: Serum sodium high, serum osmo high >290, urine osmo
low <100, urine spec grave 1.005 (urine is like water), urine sodium
>20, dehydration, if serum Na >150 give D5W to replace ½ volume
deficit in 12-24 hours, avoid rapid lowering of Na, DDAVP for acute
situations
◉ Serum Osmo.
Answer: 280
◉ Urine Osmo.
Answer: 300-800
◉ Sodium.
Answer: ~140
◉ Total cholesterol.
Answer: <200
