ACCS Review Practice Exam with Verified Answers
1. 40 mL Average urine output per hour is approximately?
2. Less than 100 According to the Berlin Criteria, a patient is classified with
severe ARDS when his Pao2/Fio2 ratio is?
3. CT Scan: checks A patient is admitted to the ED with a possible CVA. Which
chest, abdomen diagnostic test is most appropriate for identification of an
and brain (2-3 di- acute cerebral infarction?
mensions)
4. measures abnor- Cerebral angiography
mal cerebral cir-
culation
5. checks for can- PET scan
cer, brain disor-
ders and heart
diseases
6. B. ET tube is in A patient has been intubated in the ED and has a end tidal
the correct posi- CO2 reading of 4%. The specialist should suspect that the:
tion
A. patient has a pulmonary embolus
*etco2 will be > if B. ET tube is in the correct position
in the esophagus C. ET tube is in the esophagus
D. ET tube is in the right main stem bronchus
7. Myocardial injury Post-operatively, Mr. Hart has a 2-3 mm ST segment ele-
vation on his 12 lead electrocardiograph. This is indicative
of
8. D. Pulmonary Which of the following would most accurately provide
artery catheter necessary information regarding fluid management in the
care of a critically ill patient with pulmonary edema?
A. Bedside PFT
B. Intake and Output measurements
C. Daily weights
D. Pulmonary artery catheter
, ACCS Review Practice Exam with Verified Answers
9. 8 A patient who was struck in the head with a blunt object is
recovering in the ICU. He is angry, combative, and irritable.
He opens his eyes, grunts, and withdraws when the sole
of his foot is stimulated with a sharp object. What is his
score on the Glasgow Coma scale?
10. B. 2 & 3 Chest radiograph changes associated with congestive
heart failure include:
1 is normal
2 and 3 indicates 1. Bilateral radiolucency
CHF 2. Increased pulmonary Vasculature
3. Cardiomegaly
A. 1 & 2 only
B. 2&3 only
C. 1& 3 only
D. All of the above
11. C. Troponin A 57 year old male is admitted to the ICU with chest pain
radiating down his left arm. Which of the following lab tests
would best confirm the diagnosis of myocardial infarction?
A. PvO2
B. Phosphate
C. Troponin
D. Lactate
12. No PR interval A 67 year old male with chest pain and shortness of breath
is placed on a cardiac monitor in the intensive care unit.
The following rhythm is observed on the monitor - what is
the correct interpretation of a 3rd degree AV block?
13. P wave longer Describe a 2nd degree AV block
and skips a beat
14. it's unidentifiable Describe a Multifocal PVC
= treat with O2
and amiodarone
15.
, ACCS Review Practice Exam with Verified Answers
C. Right heart Which of the following tests should the adult critical care
catheterization specialist recommend in order to confirm the diagnosis of
pulmonary artery hypertension?
A. pulmonary functions tests
B. high resolution CT scan
C. Right heart catheterization
D. Six minute walk test
16. B. Brain natri- A 76 y.o. male presents to the ED with shortness of breath.
uretic peptide Upon entering the room the adult critical care specialist
determines that the patient is alert and anxious on oxygen
at 5L/min by nasal cannula. He is seated in the tripod
position and using accessory muscles to breathe. He has
audible crackles bilaterally, jugular venous distension, and
+2 peripheral edema. The following patient data is ob-
tained:
HR 110/min
RR 31/min
BP 154/92 mmHg
Spo2 90%
Which of the following tests should the specialist recom-
mend to confirm a suspicion of congestive heart failure?
A. troponin
B. brain natriuretic peptide
C. magnesium level
D. MB fraction of creatinine phosphokinase
17. flush the catheter The adult critical care specialist assigned to the cardiovas-
cular intensive care unit hears an alarm sound in Room
* dampening 4. Upon entering the room, the specialist notes that the
means it's wet pulmonary artery pressure tracing is dampened. The spe-
and not reading cialist should:
18. A. anti-infective Mrs. Smith is in her third postoperative day following repair
agent of fractured hip. A chest radiograph obtained tis morning
1. 40 mL Average urine output per hour is approximately?
2. Less than 100 According to the Berlin Criteria, a patient is classified with
severe ARDS when his Pao2/Fio2 ratio is?
3. CT Scan: checks A patient is admitted to the ED with a possible CVA. Which
chest, abdomen diagnostic test is most appropriate for identification of an
and brain (2-3 di- acute cerebral infarction?
mensions)
4. measures abnor- Cerebral angiography
mal cerebral cir-
culation
5. checks for can- PET scan
cer, brain disor-
ders and heart
diseases
6. B. ET tube is in A patient has been intubated in the ED and has a end tidal
the correct posi- CO2 reading of 4%. The specialist should suspect that the:
tion
A. patient has a pulmonary embolus
*etco2 will be > if B. ET tube is in the correct position
in the esophagus C. ET tube is in the esophagus
D. ET tube is in the right main stem bronchus
7. Myocardial injury Post-operatively, Mr. Hart has a 2-3 mm ST segment ele-
vation on his 12 lead electrocardiograph. This is indicative
of
8. D. Pulmonary Which of the following would most accurately provide
artery catheter necessary information regarding fluid management in the
care of a critically ill patient with pulmonary edema?
A. Bedside PFT
B. Intake and Output measurements
C. Daily weights
D. Pulmonary artery catheter
, ACCS Review Practice Exam with Verified Answers
9. 8 A patient who was struck in the head with a blunt object is
recovering in the ICU. He is angry, combative, and irritable.
He opens his eyes, grunts, and withdraws when the sole
of his foot is stimulated with a sharp object. What is his
score on the Glasgow Coma scale?
10. B. 2 & 3 Chest radiograph changes associated with congestive
heart failure include:
1 is normal
2 and 3 indicates 1. Bilateral radiolucency
CHF 2. Increased pulmonary Vasculature
3. Cardiomegaly
A. 1 & 2 only
B. 2&3 only
C. 1& 3 only
D. All of the above
11. C. Troponin A 57 year old male is admitted to the ICU with chest pain
radiating down his left arm. Which of the following lab tests
would best confirm the diagnosis of myocardial infarction?
A. PvO2
B. Phosphate
C. Troponin
D. Lactate
12. No PR interval A 67 year old male with chest pain and shortness of breath
is placed on a cardiac monitor in the intensive care unit.
The following rhythm is observed on the monitor - what is
the correct interpretation of a 3rd degree AV block?
13. P wave longer Describe a 2nd degree AV block
and skips a beat
14. it's unidentifiable Describe a Multifocal PVC
= treat with O2
and amiodarone
15.
, ACCS Review Practice Exam with Verified Answers
C. Right heart Which of the following tests should the adult critical care
catheterization specialist recommend in order to confirm the diagnosis of
pulmonary artery hypertension?
A. pulmonary functions tests
B. high resolution CT scan
C. Right heart catheterization
D. Six minute walk test
16. B. Brain natri- A 76 y.o. male presents to the ED with shortness of breath.
uretic peptide Upon entering the room the adult critical care specialist
determines that the patient is alert and anxious on oxygen
at 5L/min by nasal cannula. He is seated in the tripod
position and using accessory muscles to breathe. He has
audible crackles bilaterally, jugular venous distension, and
+2 peripheral edema. The following patient data is ob-
tained:
HR 110/min
RR 31/min
BP 154/92 mmHg
Spo2 90%
Which of the following tests should the specialist recom-
mend to confirm a suspicion of congestive heart failure?
A. troponin
B. brain natriuretic peptide
C. magnesium level
D. MB fraction of creatinine phosphokinase
17. flush the catheter The adult critical care specialist assigned to the cardiovas-
cular intensive care unit hears an alarm sound in Room
* dampening 4. Upon entering the room, the specialist notes that the
means it's wet pulmonary artery pressure tracing is dampened. The spe-
and not reading cialist should:
18. A. anti-infective Mrs. Smith is in her third postoperative day following repair
agent of fractured hip. A chest radiograph obtained tis morning
