ACNP 807 Exam 1 with Complete
Solutions
What could over come stiff lungs for patients on a ventilator Correct Ans-increase peak
pressures to overcome the stiffness
stiff lungs ( i. e., covid, or ARDS)
If a patient on Assist Control Ventilation what should you assess Correct Ans-Assess the peak
pressure because this ventilation setting causes variable pressure
TV x RR = Correct Ans-Minute Ventilation
What are the triggers for cluster headaches? Correct Ans-light, alcohol, stress, and food
(usually occur at night)
What is Brown-Sequard syndrome? Correct Ans-A hemisection lesion of the cord resulting in
ipsilateral motor loss and contralateral loss of sensitivity to pain and temperature
What is the CSF for patients with bacterial meningitis Correct Ans-cloudy
, increased opening pressure >170mm H2O
decreased glucose <40mg/dL
increase protein >20mg/dL
What caused "air stacking" in ventilated patients? Correct Ans-The higher the minute
ventilation the harder it is for the patient exhale all of the air.
what setting helps increase volume in patients on simv Correct Ans-simv + ps
What is anterior cord syndrome? Correct Ans-Occlusion or hypoperfusion of the ventral
spinal artery and results in bilateral deficits in pain and temperature sensation, voluntary motor
control, and autonomic motor control below the lesion. Dorsal columns are spared.
Why would a patient with a suspected stroke but negative CT scan get a repeat scan? Correct
Ans-Patient with an ischemic stroke can be negative for 6 hours after event
simv is linked to _________. Correct Ans-patient ventilated asynchrony
higher the flow = faster flow rate Correct Ans-faster flow rate decreases inspiratory time and
increase the expiratory time
Which patients would benefit from faster flow rate? Correct Ans-COPD
Solutions
What could over come stiff lungs for patients on a ventilator Correct Ans-increase peak
pressures to overcome the stiffness
stiff lungs ( i. e., covid, or ARDS)
If a patient on Assist Control Ventilation what should you assess Correct Ans-Assess the peak
pressure because this ventilation setting causes variable pressure
TV x RR = Correct Ans-Minute Ventilation
What are the triggers for cluster headaches? Correct Ans-light, alcohol, stress, and food
(usually occur at night)
What is Brown-Sequard syndrome? Correct Ans-A hemisection lesion of the cord resulting in
ipsilateral motor loss and contralateral loss of sensitivity to pain and temperature
What is the CSF for patients with bacterial meningitis Correct Ans-cloudy
, increased opening pressure >170mm H2O
decreased glucose <40mg/dL
increase protein >20mg/dL
What caused "air stacking" in ventilated patients? Correct Ans-The higher the minute
ventilation the harder it is for the patient exhale all of the air.
what setting helps increase volume in patients on simv Correct Ans-simv + ps
What is anterior cord syndrome? Correct Ans-Occlusion or hypoperfusion of the ventral
spinal artery and results in bilateral deficits in pain and temperature sensation, voluntary motor
control, and autonomic motor control below the lesion. Dorsal columns are spared.
Why would a patient with a suspected stroke but negative CT scan get a repeat scan? Correct
Ans-Patient with an ischemic stroke can be negative for 6 hours after event
simv is linked to _________. Correct Ans-patient ventilated asynchrony
higher the flow = faster flow rate Correct Ans-faster flow rate decreases inspiratory time and
increase the expiratory time
Which patients would benefit from faster flow rate? Correct Ans-COPD
