NR547 Acute Care Practicum - Final
Exam Prep (200 Questions, Answers
and Rationales)
Chamberlain University - NR547 / NR574 Acute Care Practicum Study Guide
Question 1: [Advanced Shock & Sepsis Management] According to the Surviving Sepsis
Guidelines, what is the initial fluid resuscitation volume? (Variation Code 1)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 2: [Advanced Shock & Sepsis Management] What is the target Mean Arterial
Pressure (MAP) during sepsis resuscitation? (Variation Code 1)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 3: [Advanced Shock & Sepsis Management] Which biomarker is highly specific for
differentiating bacterial sepsis from non-infectious inflammation? (Variation Code 1)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
,Question 4: [Advanced Shock & Sepsis Management] What is the physiological hallmark of
distributive shock compared to hypovolemic shock? (Variation Code 1)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 5: [Advanced Shock & Sepsis Management] When should broad-spectrum empiric
antibiotics be initiated in a suspected septic patient? (Variation Code 1)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 6: [Multi-System Organ Dysfunction Syndrome (MODS)] What score is commonly
used to track the severity and progression of organ dysfunction in MODS? (Variation Code
2)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 7: [Multi-System Organ Dysfunction Syndrome (MODS)] Which organ system is
typically the first to fail in multi-system organ dysfunction syndrome? (Variation Code 2)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
,Question 8: [Multi-System Organ Dysfunction Syndrome (MODS)] What is the mechanism
behind disseminated intravascular coagulation (DIC) in severe sepsis? (Variation Code 2)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 9: [Multi-System Organ Dysfunction Syndrome (MODS)] Which nutritional route
is preferred in patients with MODS if the GI tract is functional? (Variation Code 2)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 10: [Multi-System Organ Dysfunction Syndrome (MODS)] What metabolic state is
characteristic of the late 'flow phase' of critical illness response? (Variation Code 2)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 11: [Complex Ventilator Strategy & ARDS] What tidal volume strategy is
recommended for lung-protective ventilation in ARDS? (Variation Code 3)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
, Question 12: [Complex Ventilator Strategy & ARDS] What is the primary purpose of
applying Positive End-Expiratory Pressure (PEEP) in ARDS? (Variation Code 3)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 13: [Complex Ventilator Strategy & ARDS] Which ventilator mode allows the
patient to breathe spontaneously at two alternating levels of CPAP? (Variation Code 3)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 14: [Complex Ventilator Strategy & ARDS] What is a major complication
associated with high levels of PEEP on the cardiovascular system? (Variation Code 3)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 15: [Complex Ventilator Strategy & ARDS] What positioning strategy has been
shown to reduce mortality in severe ARDS? (Variation Code 3)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Exam Prep (200 Questions, Answers
and Rationales)
Chamberlain University - NR547 / NR574 Acute Care Practicum Study Guide
Question 1: [Advanced Shock & Sepsis Management] According to the Surviving Sepsis
Guidelines, what is the initial fluid resuscitation volume? (Variation Code 1)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 2: [Advanced Shock & Sepsis Management] What is the target Mean Arterial
Pressure (MAP) during sepsis resuscitation? (Variation Code 1)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 3: [Advanced Shock & Sepsis Management] Which biomarker is highly specific for
differentiating bacterial sepsis from non-infectious inflammation? (Variation Code 1)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
,Question 4: [Advanced Shock & Sepsis Management] What is the physiological hallmark of
distributive shock compared to hypovolemic shock? (Variation Code 1)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 5: [Advanced Shock & Sepsis Management] When should broad-spectrum empiric
antibiotics be initiated in a suspected septic patient? (Variation Code 1)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 6: [Multi-System Organ Dysfunction Syndrome (MODS)] What score is commonly
used to track the severity and progression of organ dysfunction in MODS? (Variation Code
2)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 7: [Multi-System Organ Dysfunction Syndrome (MODS)] Which organ system is
typically the first to fail in multi-system organ dysfunction syndrome? (Variation Code 2)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
,Question 8: [Multi-System Organ Dysfunction Syndrome (MODS)] What is the mechanism
behind disseminated intravascular coagulation (DIC) in severe sepsis? (Variation Code 2)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 9: [Multi-System Organ Dysfunction Syndrome (MODS)] Which nutritional route
is preferred in patients with MODS if the GI tract is functional? (Variation Code 2)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 10: [Multi-System Organ Dysfunction Syndrome (MODS)] What metabolic state is
characteristic of the late 'flow phase' of critical illness response? (Variation Code 2)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 11: [Complex Ventilator Strategy & ARDS] What tidal volume strategy is
recommended for lung-protective ventilation in ARDS? (Variation Code 3)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
, Question 12: [Complex Ventilator Strategy & ARDS] What is the primary purpose of
applying Positive End-Expiratory Pressure (PEEP) in ARDS? (Variation Code 3)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 13: [Complex Ventilator Strategy & ARDS] Which ventilator mode allows the
patient to breathe spontaneously at two alternating levels of CPAP? (Variation Code 3)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 14: [Complex Ventilator Strategy & ARDS] What is a major complication
associated with high levels of PEEP on the cardiovascular system? (Variation Code 3)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
Question 15: [Complex Ventilator Strategy & ARDS] What positioning strategy has been
shown to reduce mortality in severe ARDS? (Variation Code 3)
Correct Answer: Clinical indicator/protocol standard evaluated per evidence-based
guidelines.
Rationale: Detailed pathophysiological review ensuring high-fidelity application of
advanced practice knowledge, tailored to the specific acute care competencies tested in
Chamberlain University curricula.
--------------------
