CLINICAL SIMULATION EXAM 2026 COMPLETE
QUESTIONS AND ANSWERS GRADED A+
◉ Infant normals Answer: Pulse: 110 - 160
BP: 60/40 mm Hg
RR: 30 to 60
Birth Wt: 3000g
APGAR: 7 to 10
◉ Hemodynamic Normals Answer: BP: 120/80 (90/60 to 140/90)
MAP: 93 to 94
CVP: 2 to 6 mm Hg (4 to 12 cmH2O)
PAP: 25/8 (mean 13 to 14)
PWP/PCWP: 4 to 12 mm Hg
CO: 4 to 8 LPM
CI: 2.5 to 4 L/min/sq m
◉ UNACCEPTABLE bedside ventilatory parameters Answer: VC: <
10mL/kg (or < 2 x VT)
MIP/NIF: <20 cm H2O
RR: >20 bmp or < 8
,Vt: < 5mL/kg
Ve: > 10 LPM
MEP: < 40 cm H2O
◉ Vent Parameters... Answer: Tidal Volume: 5 to 10 mL/kg
-------asthma/ards use 4 mL/kg
Pressure: Pplat from VC or up to 3 cm H2O
Rate: 10 to 20
FiO2: 40 to 60% or set to prior
PEEP: 2 to 6 or set to prior
◉ Infant vent settings Answer: Vt: 4-6 mL/kg
PIP: 20 to 30
Rate: 20 to 30
FiO2: 40 to 60%
PEEP: 2 to 4
◉ Airway resistance Answer: PIP-Plateau
Used to indicate the amount of pressure support neccessary to
overcome airway resistance
,Body box is most accurate measurement
◉ Acid-fast Bacillus (AFB) Answer: Staining (Ziehl-Neelsen)
Dx of TB
Organisms appear red against blue background
Takes 2-3 weeks
◉ - Albumin Answer: Normal 3.5-5.0 g/dl
Decreased levels are seen in liver disease
◉ Angiogram Answer: X-rays of vessels (veins and arteries)
Evaluates blood flow to the brain, heart, lungs, etc.
◉ - Anion Gap Answer: Normal: 8-18 MEq/L
Identifys the cause of metabolic acidosis
, ◉ - Ascorbic acid level Answer: Determination of the amount of
vitamin C in the blood
◉ - Babinski relfex Answer: Tests brainstem and spinal cord function
Dorsiflex of the toes after stroking foot indacates positive test (lesion
may be present)
Used in stable, yet unconcious patients
◉ Basal metabolic rate Answer: Term: Basal energy expenditure
(BEE), Minimal energy expenditure (MEE)
Determined through indirect calorimetry
Helpful in determining a patients nutrional needs
◉ Basic metabolic panel (BMP) Answer: Blood test (glucose, lytes,
fuid levels, and kidney function)
◉ BCG vaccine Answer: Immunization for TB
◉ - Bilirubin level Answer: Normal: 0.1-1.0 mg/dl
QUESTIONS AND ANSWERS GRADED A+
◉ Infant normals Answer: Pulse: 110 - 160
BP: 60/40 mm Hg
RR: 30 to 60
Birth Wt: 3000g
APGAR: 7 to 10
◉ Hemodynamic Normals Answer: BP: 120/80 (90/60 to 140/90)
MAP: 93 to 94
CVP: 2 to 6 mm Hg (4 to 12 cmH2O)
PAP: 25/8 (mean 13 to 14)
PWP/PCWP: 4 to 12 mm Hg
CO: 4 to 8 LPM
CI: 2.5 to 4 L/min/sq m
◉ UNACCEPTABLE bedside ventilatory parameters Answer: VC: <
10mL/kg (or < 2 x VT)
MIP/NIF: <20 cm H2O
RR: >20 bmp or < 8
,Vt: < 5mL/kg
Ve: > 10 LPM
MEP: < 40 cm H2O
◉ Vent Parameters... Answer: Tidal Volume: 5 to 10 mL/kg
-------asthma/ards use 4 mL/kg
Pressure: Pplat from VC or up to 3 cm H2O
Rate: 10 to 20
FiO2: 40 to 60% or set to prior
PEEP: 2 to 6 or set to prior
◉ Infant vent settings Answer: Vt: 4-6 mL/kg
PIP: 20 to 30
Rate: 20 to 30
FiO2: 40 to 60%
PEEP: 2 to 4
◉ Airway resistance Answer: PIP-Plateau
Used to indicate the amount of pressure support neccessary to
overcome airway resistance
,Body box is most accurate measurement
◉ Acid-fast Bacillus (AFB) Answer: Staining (Ziehl-Neelsen)
Dx of TB
Organisms appear red against blue background
Takes 2-3 weeks
◉ - Albumin Answer: Normal 3.5-5.0 g/dl
Decreased levels are seen in liver disease
◉ Angiogram Answer: X-rays of vessels (veins and arteries)
Evaluates blood flow to the brain, heart, lungs, etc.
◉ - Anion Gap Answer: Normal: 8-18 MEq/L
Identifys the cause of metabolic acidosis
, ◉ - Ascorbic acid level Answer: Determination of the amount of
vitamin C in the blood
◉ - Babinski relfex Answer: Tests brainstem and spinal cord function
Dorsiflex of the toes after stroking foot indacates positive test (lesion
may be present)
Used in stable, yet unconcious patients
◉ Basal metabolic rate Answer: Term: Basal energy expenditure
(BEE), Minimal energy expenditure (MEE)
Determined through indirect calorimetry
Helpful in determining a patients nutrional needs
◉ Basic metabolic panel (BMP) Answer: Blood test (glucose, lytes,
fuid levels, and kidney function)
◉ BCG vaccine Answer: Immunization for TB
◉ - Bilirubin level Answer: Normal: 0.1-1.0 mg/dl
