RRT ACCS EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
Normal Urine Output - CORRECT ANSWER-40 mL/hr (approx. 1 Liter/day)
Decreased CVP (<2 mmHg) - CORRECT ANSWER-Hypovolemia
Increased CVP (>6 mmHg) - CORRECT ANSWER-Hypervolemia
Glasgow Coma Scale (GCS) - CORRECT ANSWER-Eye-opening response
Spontaneous opening- 4
To verbal stimuli- 3
To pain- 2
None- 1
Most appropriate verbal response
Oriented- 5
Confused- 4
Inappropriate words- 3
Incoherent- 2
None- 1
Most intergrated motor response (arm)
Obeys commands- 6
Localizes pain- 5
Withdraws from pain- 4
Flexion to pain- 3
Extension to pain- 2
None- 1
RRT ACCS EXAM QUESTIONS WITH COMPLETE SOLUTIONS
,Orthopnea - CORRECT ANSWER-ability to breathe only in an upright position (CHF, Heart problem)
General malaise - CORRECT ANSWER-Run down feeling, nausea, weakness, fatigue, headache
(electrolyte imbalance)
Dyspnea - CORRECT ANSWER-Grade 1- occurs after unusual exertion
Grade 2- breathless after going up hills or stairs
Grade 3- while walking at normal speed
Grade 4- slowly walking a short distance
Grade 5- at rest, shaving, dressing, etc.
vasovagal syncope - CORRECT ANSWER-Common dizziness and fainting, caused by loss of peripheral
venous tone
orthostatic hypotension - CORRECT ANSWER-Excessive drop in BP when assuming the standing position
Carotid sinus syncope - CORRECT ANSWER-Associated with hypertension carotid sinus - more common
in elderly patients
Cough (tussive) syncope - CORRECT ANSWER-Transient loss of consciousness following severe coughing
FUO - CORRECT ANSWER-fever of unknown origin
heart rate - CORRECT ANSWER-60-100 bpm
Respiratory rate - CORRECT ANSWER-12-20 breaths per minute
Temperature Norm. - CORRECT ANSWER-Oral- 97.0-99.5 *F (36.5-37.5 *C)
Rectal- 98.7-100.5 *F (37.1-38.1 *C)
Ear- 98.7-100.5 *F (37.1-38.1*C)
RRT ACCS EXAM QUESTIONS WITH COMPLETE SOLUTIONS
,PERRLA - CORRECT ANSWER-pupils- equal, round, reactive to light and accommodation
Miosis - CORRECT ANSWER-constricted pupils (pinpoint)
Ptosis - CORRECT ANSWER-Drooping of the upper eyelid
Diplopia - CORRECT ANSWER-Blurred or double vision
Nystagmus - CORRECT ANSWER-involuntary, rapid, rhythmic movement of the eyeball
Peripheral edema - CORRECT ANSWER-Presence of excess fluid in the tissue.
Caused by CHF, pulmonary hypertension, venous insufficiency and renal failure.
Rated +1,+2,+3,+4; higher numbers indicate more severs swelling.
May be described as "pitting edema"
ascites - CORRECT ANSWER-abnormal accumulation of fluid in the abdomen, generally caused by liver
failure
Clubbing of fingers - CORRECT ANSWER-Caused by chronic hypoxemia, suggestive of pulmonary disease
Eupnea - CORRECT ANSWER-normal respiratory rate, depth and rhythm
Tachypnea - CORRECT ANSWER-increased respiratory rate (over 20 breaths per minute)
Bradypnea - CORRECT ANSWER-decreased respiratory rate (less than 12 per minute) variable depth and
irregular rhythm
Apnea - CORRECT ANSWER-not breathing
RRT ACCS EXAM QUESTIONS WITH COMPLETE SOLUTIONS
, Hyperpnea - CORRECT ANSWER-increased respiratory rate, increased depth, regular rhythm (caused by
metabolic disorder, CNS disorder)
Cheyne Stokes - CORRECT ANSWER-gradually increasing then decreasing rate and depth in a cycle lasting
from 30-180 seconds, with periods of apnea lasting up to 60 seconds.
Biot's - CORRECT ANSWER-increased respiratory rate and depth with irregular periods of apnea. Each
breath has the same depth.
Kussmaul's - CORRECT ANSWER-Increased respiratory rate (usually over 20 breaths/min.), increased
depth, irregular rhythm, breathing sounds labored.
Apneustic - CORRECT ANSWER-prolonged gasping inspiration followed by extremely short, insufficient
expiration.
Macroglossia - CORRECT ANSWER-Enlarged tongue
Cachectic - CORRECT ANSWER-Muscle wasting
Normal Pulse - CORRECT ANSWER-60-100 bpm
Tachycardia - CORRECT ANSWER->100 bpm, indicated hypoxemia, anxiety, stress
Bradycardia - CORRECT ANSWER-<60 bpm, indicates heart failure, shock, code/emergency
Heart rate change more than 20 bpm - CORRECT ANSWER-Considered an adverse reaction, stop therapy,
notify nurse/doctor
Pulse varies with respiration - CORRECT ANSWER-May indicate air trapping (status asthmaticus or
cardiac tamponade)
RRT ACCS EXAM QUESTIONS WITH COMPLETE SOLUTIONS
COMPLETE SOLUTIONS
Normal Urine Output - CORRECT ANSWER-40 mL/hr (approx. 1 Liter/day)
Decreased CVP (<2 mmHg) - CORRECT ANSWER-Hypovolemia
Increased CVP (>6 mmHg) - CORRECT ANSWER-Hypervolemia
Glasgow Coma Scale (GCS) - CORRECT ANSWER-Eye-opening response
Spontaneous opening- 4
To verbal stimuli- 3
To pain- 2
None- 1
Most appropriate verbal response
Oriented- 5
Confused- 4
Inappropriate words- 3
Incoherent- 2
None- 1
Most intergrated motor response (arm)
Obeys commands- 6
Localizes pain- 5
Withdraws from pain- 4
Flexion to pain- 3
Extension to pain- 2
None- 1
RRT ACCS EXAM QUESTIONS WITH COMPLETE SOLUTIONS
,Orthopnea - CORRECT ANSWER-ability to breathe only in an upright position (CHF, Heart problem)
General malaise - CORRECT ANSWER-Run down feeling, nausea, weakness, fatigue, headache
(electrolyte imbalance)
Dyspnea - CORRECT ANSWER-Grade 1- occurs after unusual exertion
Grade 2- breathless after going up hills or stairs
Grade 3- while walking at normal speed
Grade 4- slowly walking a short distance
Grade 5- at rest, shaving, dressing, etc.
vasovagal syncope - CORRECT ANSWER-Common dizziness and fainting, caused by loss of peripheral
venous tone
orthostatic hypotension - CORRECT ANSWER-Excessive drop in BP when assuming the standing position
Carotid sinus syncope - CORRECT ANSWER-Associated with hypertension carotid sinus - more common
in elderly patients
Cough (tussive) syncope - CORRECT ANSWER-Transient loss of consciousness following severe coughing
FUO - CORRECT ANSWER-fever of unknown origin
heart rate - CORRECT ANSWER-60-100 bpm
Respiratory rate - CORRECT ANSWER-12-20 breaths per minute
Temperature Norm. - CORRECT ANSWER-Oral- 97.0-99.5 *F (36.5-37.5 *C)
Rectal- 98.7-100.5 *F (37.1-38.1 *C)
Ear- 98.7-100.5 *F (37.1-38.1*C)
RRT ACCS EXAM QUESTIONS WITH COMPLETE SOLUTIONS
,PERRLA - CORRECT ANSWER-pupils- equal, round, reactive to light and accommodation
Miosis - CORRECT ANSWER-constricted pupils (pinpoint)
Ptosis - CORRECT ANSWER-Drooping of the upper eyelid
Diplopia - CORRECT ANSWER-Blurred or double vision
Nystagmus - CORRECT ANSWER-involuntary, rapid, rhythmic movement of the eyeball
Peripheral edema - CORRECT ANSWER-Presence of excess fluid in the tissue.
Caused by CHF, pulmonary hypertension, venous insufficiency and renal failure.
Rated +1,+2,+3,+4; higher numbers indicate more severs swelling.
May be described as "pitting edema"
ascites - CORRECT ANSWER-abnormal accumulation of fluid in the abdomen, generally caused by liver
failure
Clubbing of fingers - CORRECT ANSWER-Caused by chronic hypoxemia, suggestive of pulmonary disease
Eupnea - CORRECT ANSWER-normal respiratory rate, depth and rhythm
Tachypnea - CORRECT ANSWER-increased respiratory rate (over 20 breaths per minute)
Bradypnea - CORRECT ANSWER-decreased respiratory rate (less than 12 per minute) variable depth and
irregular rhythm
Apnea - CORRECT ANSWER-not breathing
RRT ACCS EXAM QUESTIONS WITH COMPLETE SOLUTIONS
, Hyperpnea - CORRECT ANSWER-increased respiratory rate, increased depth, regular rhythm (caused by
metabolic disorder, CNS disorder)
Cheyne Stokes - CORRECT ANSWER-gradually increasing then decreasing rate and depth in a cycle lasting
from 30-180 seconds, with periods of apnea lasting up to 60 seconds.
Biot's - CORRECT ANSWER-increased respiratory rate and depth with irregular periods of apnea. Each
breath has the same depth.
Kussmaul's - CORRECT ANSWER-Increased respiratory rate (usually over 20 breaths/min.), increased
depth, irregular rhythm, breathing sounds labored.
Apneustic - CORRECT ANSWER-prolonged gasping inspiration followed by extremely short, insufficient
expiration.
Macroglossia - CORRECT ANSWER-Enlarged tongue
Cachectic - CORRECT ANSWER-Muscle wasting
Normal Pulse - CORRECT ANSWER-60-100 bpm
Tachycardia - CORRECT ANSWER->100 bpm, indicated hypoxemia, anxiety, stress
Bradycardia - CORRECT ANSWER-<60 bpm, indicates heart failure, shock, code/emergency
Heart rate change more than 20 bpm - CORRECT ANSWER-Considered an adverse reaction, stop therapy,
notify nurse/doctor
Pulse varies with respiration - CORRECT ANSWER-May indicate air trapping (status asthmaticus or
cardiac tamponade)
RRT ACCS EXAM QUESTIONS WITH COMPLETE SOLUTIONS
