ANCC Adult Gerontology Acute Care
Exam Question & Answers 2025
Cardiac Index - CORRECT ANSWERS ✔✔2-4
SVR/Afterload - CORRECT ANSWERS ✔✔800-1200
MAP - CORRECT ANSWERS ✔✔mean CVx80/CO
PA pressure - CORRECT ANSWERS ✔✔15-30
Wedge PCWP pressure - CORRECT ANSWERS ✔✔6-12
Hypovolemic Shock Parameters - CORRECT ANSWERS
✔✔Preload CVP decreased, SVR afterload increased, CI
decreased, Oxygen delivery Decreased, Venous Oxygen
saturation increased
Types of hypovolemic shock - CORRECT ANSWERS
✔✔Hemorrhage, burns, pancreatitis
Cardiogenic shock parameters - CORRECT ANSWERS
✔✔CVP preload increased, SVR afterload increased, CI
decreased, oxygen delivery decreased, SV02 decreased
,ANCC Adult Gerontology Acute Care
Exam Question & Answers 2025
Types of cardiogenic shock - CORRECT ANSWERS
✔✔Post mi, malignant dysrhythmia, acute myocarditis
Obstructive shock parameters - CORRECT ANSWERS
✔✔Preload either, SVR increased, CI decreased, oxygen
delivery decreased, SV02 decreased
Types of obstructive shock - CORRECT ANSWERS
✔✔Tension pneumo, cardiac tamponade, PE
Distributive shock parameters - CORRECT ANSWERS
✔✔Preload CVP decreased, afterload SVR decreased, CI
increased, SV02 decreased, oxygen delivery increased
Types of distributive shock - CORRECT ANSWERS
✔✔Septic shock, anaphylaxis, neurogenic shock
CVP Preload - CORRECT ANSWERS ✔✔2-8
Cardiac Output - CORRECT ANSWERS ✔✔4-8
MAP - CORRECT ANSWERS ✔✔70-90
,ANCC Adult Gerontology Acute Care
Exam Question & Answers 2025
Fractional Excretion of NA <1% - CORRECT ANSWERS
✔✔Prerenal state of kidney dysfunction (i.e. dehydration)
Fractional Excretion of NA >2% - CORRECT ANSWERS
✔✔ATN (acute tubular necrosis)
CPP equation - CORRECT ANSWERS ✔✔MAP-ICP
SIADH Hyposmolar hyponatremia "inappropriate water
retention" - CORRECT ANSWERS ✔✔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 - CORRECT
ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔280
, ANCC Adult Gerontology Acute Care
Exam Question & Answers 2025
Urine Osmo - CORRECT ANSWERS ✔✔300-800
Sodium - CORRECT ANSWERS ✔✔~140
Total cholesterol - CORRECT ANSWERS ✔✔<200
Triglycerides - CORRECT ANSWERS ✔✔<150
HDL - CORRECT ANSWERS ✔✔>40
LDL - CORRECT ANSWERS ✔✔<100
Management of pulm edema - CORRECT ANSWERS
✔✔02, sitting up, morphine 2-4mg, Lasix 40, another
Lasix 40 if needed
Left heart failure - CORRECT ANSWERS ✔✔LUNGS,
dyspnea at rest, rales, wheezing, generally healthy
except acute event, S3, murmur of mitral regurg
Right heart failure - CORRECT ANSWERS ✔✔JVD,
hepatomegaly, peripheral edema
Exam Question & Answers 2025
Cardiac Index - CORRECT ANSWERS ✔✔2-4
SVR/Afterload - CORRECT ANSWERS ✔✔800-1200
MAP - CORRECT ANSWERS ✔✔mean CVx80/CO
PA pressure - CORRECT ANSWERS ✔✔15-30
Wedge PCWP pressure - CORRECT ANSWERS ✔✔6-12
Hypovolemic Shock Parameters - CORRECT ANSWERS
✔✔Preload CVP decreased, SVR afterload increased, CI
decreased, Oxygen delivery Decreased, Venous Oxygen
saturation increased
Types of hypovolemic shock - CORRECT ANSWERS
✔✔Hemorrhage, burns, pancreatitis
Cardiogenic shock parameters - CORRECT ANSWERS
✔✔CVP preload increased, SVR afterload increased, CI
decreased, oxygen delivery decreased, SV02 decreased
,ANCC Adult Gerontology Acute Care
Exam Question & Answers 2025
Types of cardiogenic shock - CORRECT ANSWERS
✔✔Post mi, malignant dysrhythmia, acute myocarditis
Obstructive shock parameters - CORRECT ANSWERS
✔✔Preload either, SVR increased, CI decreased, oxygen
delivery decreased, SV02 decreased
Types of obstructive shock - CORRECT ANSWERS
✔✔Tension pneumo, cardiac tamponade, PE
Distributive shock parameters - CORRECT ANSWERS
✔✔Preload CVP decreased, afterload SVR decreased, CI
increased, SV02 decreased, oxygen delivery increased
Types of distributive shock - CORRECT ANSWERS
✔✔Septic shock, anaphylaxis, neurogenic shock
CVP Preload - CORRECT ANSWERS ✔✔2-8
Cardiac Output - CORRECT ANSWERS ✔✔4-8
MAP - CORRECT ANSWERS ✔✔70-90
,ANCC Adult Gerontology Acute Care
Exam Question & Answers 2025
Fractional Excretion of NA <1% - CORRECT ANSWERS
✔✔Prerenal state of kidney dysfunction (i.e. dehydration)
Fractional Excretion of NA >2% - CORRECT ANSWERS
✔✔ATN (acute tubular necrosis)
CPP equation - CORRECT ANSWERS ✔✔MAP-ICP
SIADH Hyposmolar hyponatremia "inappropriate water
retention" - CORRECT ANSWERS ✔✔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 - CORRECT
ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔280
, ANCC Adult Gerontology Acute Care
Exam Question & Answers 2025
Urine Osmo - CORRECT ANSWERS ✔✔300-800
Sodium - CORRECT ANSWERS ✔✔~140
Total cholesterol - CORRECT ANSWERS ✔✔<200
Triglycerides - CORRECT ANSWERS ✔✔<150
HDL - CORRECT ANSWERS ✔✔>40
LDL - CORRECT ANSWERS ✔✔<100
Management of pulm edema - CORRECT ANSWERS
✔✔02, sitting up, morphine 2-4mg, Lasix 40, another
Lasix 40 if needed
Left heart failure - CORRECT ANSWERS ✔✔LUNGS,
dyspnea at rest, rales, wheezing, generally healthy
except acute event, S3, murmur of mitral regurg
Right heart failure - CORRECT ANSWERS ✔✔JVD,
hepatomegaly, peripheral edema
