ANCC ADULT GERONTOLOGY ACUTE
CARE REVIEW TEST EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES (VERIFIED
ANSWERS) 2025/2026 |
ALREADY GRADED A+
Cardiac Index - --PRECISE ANSWER--2-4
SVR/Afterload - --PRECISE ANSWER--800-1200
MAP - --PRECISE ANSWER--mean CVx80/CO
PA pressure - --PRECISE ANSWER--15-30
Wedge PCWP pressure - --PRECISE ANSWER--6-12
Hypovolemic Shock Parameters - --PRECISE ANSWER--Preload CVP decreased,
SVR afterload increased, CI decreased, Oxygen delivery Decreased, Venous Oxygen
saturation increased
Types of hypovolemic shock - --PRECISE ANSWER--Hemorrhage, burns, pancreatitis
Cardiogenic shock parameters - --PRECISE ANSWER--CVP preload increased, SVR
afterload increased, CI decreased, oxygen delivery decreased, SV02 decreased
Types of cardiogenic shock - --PRECISE ANSWER--Post mi, malignant dysrhythmia, acute
myocarditis
Obstructive shock parameters - --PRECISE ANSWER--Preload either, SVR increased,
CI decreased, oxygen delivery decreased, SV02 decreased
Types of obstructive shock - --PRECISE ANSWER--Tension pneumo, cardiac tamponade,
PE
Distributive shock parameters - --PRECISE ANSWER--Preload CVP decreased,
afterload SVR decreased, CI increased, SV02 decreased, oxygen delivery increased
Types of distributive shock - --PRECISE ANSWER--Septic shock, anaphylaxis, neurogenic
shock
,CVP Preload - --PRECISE ANSWER--2-8
Cardiac Output - --PRECISE ANSWER--4-8
MAP - --PRECISE ANSWER--70-90
Fractional Excretion of NA <1% - --PRECISE ANSWER--Prerenal state of kidney
dysfunction (i.e. dehydration)
Fractional Excretion of NA >2% - --PRECISE ANSWER--ATN (acute tubular necrosis)
, CPP equation - --PRECISE ANSWER--MAP-ICP
SIADH Hyposmolar hyponatremia "inappropriate water retention" - --PRECISE
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 - --PRECISE 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 - --PRECISE ANSWER--280
Urine Osmo - --PRECISE ANSWER--300-800
Sodium - --PRECISE ANSWER--~140
Total cholesterol - --PRECISE ANSWER--<200
Triglycerides - --PRECISE ANSWER--<150
HDL - --PRECISE ANSWER-->40
LDL - --PRECISE ANSWER--<100
Management of pulm edema - --PRECISE ANSWER--02, sitting up, morphine 2-4mg,
Lasix 40, another Lasix 40 if needed
Left heart failure - --PRECISE ANSWER--LUNGS, dyspnea at rest, rales, wheezing,
generally healthy except acute event, S3, murmur of mitral regurg
Right heart failure - --PRECISE ANSWER--JVD, hepatomegaly, peripheral edema
MR ASS - --PRECISE ANSWER--Mitral regurg, aortic stenosis, systolic murmurs
MS ARD - --PRECISE ANSWER--Mitral Stenosis, aortic regurg, diastolic
Mitral murmur locations - --PRECISE ANSWER--5th ICS, apex
Aortic murmur locations - --PRECISE ANSWER--2nd or 3rd ICS, base
S1 - --PRECISE ANSWER--AV valves closed, SL open
S2 - --PRECISE ANSWER--SL closed, AV open
CARE REVIEW TEST EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES (VERIFIED
ANSWERS) 2025/2026 |
ALREADY GRADED A+
Cardiac Index - --PRECISE ANSWER--2-4
SVR/Afterload - --PRECISE ANSWER--800-1200
MAP - --PRECISE ANSWER--mean CVx80/CO
PA pressure - --PRECISE ANSWER--15-30
Wedge PCWP pressure - --PRECISE ANSWER--6-12
Hypovolemic Shock Parameters - --PRECISE ANSWER--Preload CVP decreased,
SVR afterload increased, CI decreased, Oxygen delivery Decreased, Venous Oxygen
saturation increased
Types of hypovolemic shock - --PRECISE ANSWER--Hemorrhage, burns, pancreatitis
Cardiogenic shock parameters - --PRECISE ANSWER--CVP preload increased, SVR
afterload increased, CI decreased, oxygen delivery decreased, SV02 decreased
Types of cardiogenic shock - --PRECISE ANSWER--Post mi, malignant dysrhythmia, acute
myocarditis
Obstructive shock parameters - --PRECISE ANSWER--Preload either, SVR increased,
CI decreased, oxygen delivery decreased, SV02 decreased
Types of obstructive shock - --PRECISE ANSWER--Tension pneumo, cardiac tamponade,
PE
Distributive shock parameters - --PRECISE ANSWER--Preload CVP decreased,
afterload SVR decreased, CI increased, SV02 decreased, oxygen delivery increased
Types of distributive shock - --PRECISE ANSWER--Septic shock, anaphylaxis, neurogenic
shock
,CVP Preload - --PRECISE ANSWER--2-8
Cardiac Output - --PRECISE ANSWER--4-8
MAP - --PRECISE ANSWER--70-90
Fractional Excretion of NA <1% - --PRECISE ANSWER--Prerenal state of kidney
dysfunction (i.e. dehydration)
Fractional Excretion of NA >2% - --PRECISE ANSWER--ATN (acute tubular necrosis)
, CPP equation - --PRECISE ANSWER--MAP-ICP
SIADH Hyposmolar hyponatremia "inappropriate water retention" - --PRECISE
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 - --PRECISE 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 - --PRECISE ANSWER--280
Urine Osmo - --PRECISE ANSWER--300-800
Sodium - --PRECISE ANSWER--~140
Total cholesterol - --PRECISE ANSWER--<200
Triglycerides - --PRECISE ANSWER--<150
HDL - --PRECISE ANSWER-->40
LDL - --PRECISE ANSWER--<100
Management of pulm edema - --PRECISE ANSWER--02, sitting up, morphine 2-4mg,
Lasix 40, another Lasix 40 if needed
Left heart failure - --PRECISE ANSWER--LUNGS, dyspnea at rest, rales, wheezing,
generally healthy except acute event, S3, murmur of mitral regurg
Right heart failure - --PRECISE ANSWER--JVD, hepatomegaly, peripheral edema
MR ASS - --PRECISE ANSWER--Mitral regurg, aortic stenosis, systolic murmurs
MS ARD - --PRECISE ANSWER--Mitral Stenosis, aortic regurg, diastolic
Mitral murmur locations - --PRECISE ANSWER--5th ICS, apex
Aortic murmur locations - --PRECISE ANSWER--2nd or 3rd ICS, base
S1 - --PRECISE ANSWER--AV valves closed, SL open
S2 - --PRECISE ANSWER--SL closed, AV open
