ANCC ADULT GERONTOLOGY ACUTE CARE NURSE PRACTITIONER
AGACNP FRANCES FINAL PAPER QUESTIONS AND COMPLETE
SOLUTIONS
⩥ 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
⩥ Triglycerides. Answer: <150
⩥ HDL. Answer: >40
⩥ LDL. Answer: <100
⩥ Management of pulm edema. Answer: 02, sitting up, morphine 2-4mg,
Lasix 40, another Lasix 40 if needed
⩥ Left heart failure. Answer: LUNGS, dyspnea at rest, rales, wheezing,
generally healthy except acute event, S3, murmur of mitral regurg
⩥ Right heart failure. Answer: JVD, hepatomegaly, peripheral edema
⩥ MR ASS. Answer: Mitral regurg, aortic stenosis, systolic murmurs
⩥ MS ARD. Answer: Mitral Stenosis, aortic regurg, diastolic
AGACNP FRANCES FINAL PAPER QUESTIONS AND COMPLETE
SOLUTIONS
⩥ 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
⩥ Triglycerides. Answer: <150
⩥ HDL. Answer: >40
⩥ LDL. Answer: <100
⩥ Management of pulm edema. Answer: 02, sitting up, morphine 2-4mg,
Lasix 40, another Lasix 40 if needed
⩥ Left heart failure. Answer: LUNGS, dyspnea at rest, rales, wheezing,
generally healthy except acute event, S3, murmur of mitral regurg
⩥ Right heart failure. Answer: JVD, hepatomegaly, peripheral edema
⩥ MR ASS. Answer: Mitral regurg, aortic stenosis, systolic murmurs
⩥ MS ARD. Answer: Mitral Stenosis, aortic regurg, diastolic
