ACCS Patient Assessment Exam
questions with correct answers
Four critcal life function - CORRECT ANSWER-1. Ventilation 2. Oxygenation 3. Circulation 4. Perfusion
Which of the four critical life functions is the first priority? - CORRECT ANSWER-Ventilation
What assessment would determine how well a patient is ventilating? - CORRECT ANSWER-RR, tidal
volume, chest movement, breath sounds, EtC02, & PaC02
How would the adult critical care specialist determine if a patient has a problem with oxygenation? -
CORRECT ANSWER-HR, color, sensorium, Sa02, & Pa02.
What information would help the adult critical care specialist determine if a patient's circulation is
adequate? - CORRECT ANSWER-Pulse/HR and strength, CO
What changes would indicate that a patient may not have adequate perfusion? - CORRECT ANSWER-
Blood pressure, sensorium, temperature, urine output, hemodynamics.
Describe the difference between "Signs" & "Symptoms" and list an example of each. - CORRECT
ANSWER-Signs: objective information, those things you can see or measure.
Example: color, pulse, edema, BP ect.
Symptoms: subjective information, those things a pt. must tell you.
Example: nausea, dyspnea, pain, muscle weakness etc.
List 6 items that are important to examine when reviewing a patient's chart. - CORRECT ANSWER-1. Pt
chart review.
2. Respiratory care orders
3. Pt progress notes
4. Pt lab reports
ACCS Patient Assessment Exam questions with correct answers
, 5. I&O's
6. Fluid balance
Define advance directives. - CORRECT ANSWER-Set of instructions documenting what treatment a
patient would want if he was unable to make medical decisions.
List and describe the four types of advance directives. - CORRECT ANSWER-1. Do not resuscitate (DNR):
request not to have cardiopulmonary resuscitation performed.
Do not intubate
2. (DNI):request not to be intubated. May use NIV.
3. Living Will: describes treatment pt. would want if one becomes terminally ill. Less than 6 mo to live.
4. Durable Power of Attorney fir health care: legal document that names a health care proxy responsible
for making health care decisions.
A proper written order for respiratory care should include what four factors? - CORRECT ANSWER-1.
Type of therapy
2. Frequency
3. Medication dosage and dilution
4. Physician signature
The adult critical care specialist has just finished administering an aerosol treatment with albuterol to a
pt. with asthma. How should the treatment be charted? - CORRECT ANSWER-Date, time, reaction ect.
What is the normal value for urine output? - CORRECT ANSWER-40 mL/hr (1 liter/day)
What findings might indicate that the pt.'s fluid intake has exceeded their urine output? - CORRECT
ANSWER-1. Weight gain
2. Electrolyte imbalance
3. Increased hemodynamic pressure
4. Decreased lung compliance
ACCS Patient Assessment Exam questions with correct answers
questions with correct answers
Four critcal life function - CORRECT ANSWER-1. Ventilation 2. Oxygenation 3. Circulation 4. Perfusion
Which of the four critical life functions is the first priority? - CORRECT ANSWER-Ventilation
What assessment would determine how well a patient is ventilating? - CORRECT ANSWER-RR, tidal
volume, chest movement, breath sounds, EtC02, & PaC02
How would the adult critical care specialist determine if a patient has a problem with oxygenation? -
CORRECT ANSWER-HR, color, sensorium, Sa02, & Pa02.
What information would help the adult critical care specialist determine if a patient's circulation is
adequate? - CORRECT ANSWER-Pulse/HR and strength, CO
What changes would indicate that a patient may not have adequate perfusion? - CORRECT ANSWER-
Blood pressure, sensorium, temperature, urine output, hemodynamics.
Describe the difference between "Signs" & "Symptoms" and list an example of each. - CORRECT
ANSWER-Signs: objective information, those things you can see or measure.
Example: color, pulse, edema, BP ect.
Symptoms: subjective information, those things a pt. must tell you.
Example: nausea, dyspnea, pain, muscle weakness etc.
List 6 items that are important to examine when reviewing a patient's chart. - CORRECT ANSWER-1. Pt
chart review.
2. Respiratory care orders
3. Pt progress notes
4. Pt lab reports
ACCS Patient Assessment Exam questions with correct answers
, 5. I&O's
6. Fluid balance
Define advance directives. - CORRECT ANSWER-Set of instructions documenting what treatment a
patient would want if he was unable to make medical decisions.
List and describe the four types of advance directives. - CORRECT ANSWER-1. Do not resuscitate (DNR):
request not to have cardiopulmonary resuscitation performed.
Do not intubate
2. (DNI):request not to be intubated. May use NIV.
3. Living Will: describes treatment pt. would want if one becomes terminally ill. Less than 6 mo to live.
4. Durable Power of Attorney fir health care: legal document that names a health care proxy responsible
for making health care decisions.
A proper written order for respiratory care should include what four factors? - CORRECT ANSWER-1.
Type of therapy
2. Frequency
3. Medication dosage and dilution
4. Physician signature
The adult critical care specialist has just finished administering an aerosol treatment with albuterol to a
pt. with asthma. How should the treatment be charted? - CORRECT ANSWER-Date, time, reaction ect.
What is the normal value for urine output? - CORRECT ANSWER-40 mL/hr (1 liter/day)
What findings might indicate that the pt.'s fluid intake has exceeded their urine output? - CORRECT
ANSWER-1. Weight gain
2. Electrolyte imbalance
3. Increased hemodynamic pressure
4. Decreased lung compliance
ACCS Patient Assessment Exam questions with correct answers
