AACN Practice Questions Question And 100% Correct Answers Grade A Certified 2025/26

Tracheal deviation in hemothorax - correct answers Toward unaffected side Early stage of status asthmaticus abg - correct answers Metabolic alkalosis Loud machinery like heart murmur indicates? - correct answers Air embolism What position would you put a patient with air embolism? - correct answers Trendenlenberg with left lateral decubitus tilt Needle compression is for what? Thoracenetisis is for what? - correct answers Needle compression tension pneumo Thoracentesis is to drain fluid from pleural space Normal minute ventilation - correct answers 5-8 What pa02/fi02 ratio is indicative of ARDS - correct answers Less than 300 Criteria for passing spontaneous breathing trial - correct answers -Rapid shallow breathing index of less than105 (RR/VT) -pao2/fio2 ration over 150 -VT more than 5ml/kg If tidaling in cheat tube stops what should you check for - correct answers Obstruction, clots, kinks Purpose of PEEP in ARDS - correct answers Increase alveolar recruitment Ventilator tx for ARDS - correct answers Low tidal volumes Thin, barrel-chested pt w/ pursed lip breathing think..... - correct answers Emphysema What are patients with emphysema at risk for? - correct answers Risk of infection due to long term corticosteroid use How long is spontaneous breathing trial - correct answers 30 minutes ARDS is characterized by what? - correct answers An antecedent event, refractory hypoexmia, and tachypnea ABG of acute respitartoeg failure - correct answers Pao2 less than 60 Paco2 greater than 45 Emergency tx of status asthmatics - correct answers Bronchodilators Abg results for acute respiratory failure - correct answers Po2 less than 60 Pco2 greater than 45 Formula for RSBI - correct answers RR / TV What to do for pleural effusion - correct answers Thoracenetsis What type of pneumo happens in status asthmaticus - correct answers Spontaneous pneumo High incidence of arrhythmias in patient with copd - correct answers Cor Pulmonale is due to - correct answers Enlargement of RV secondary to pulmonary disease Recommended tidal volume for patients - correct answers 6-8 ml/kg Medication to treat pulmonary hypertension - correct answers Eopprostrnoo Heparin MOA - correct answers Prevents platelet aggregation on an embolus Ground glass pattern and honeycomb pattern - correct answers Pulmonary fibrosis Normal pa catheter finding should be anticipated for patient with chronic emphysema - correct answers Increased cvp Normal V/Q ratio - correct answers 0.8 What to assess for with alcohol withdrawal patients - correct answers Fluid retention Hypokalemoa Diarrhea Tachycardia Which cerebral artery is most commonly involved in an epidural bleed? - correct answers Middle menigneal Spinal cord injury patient with hypertension and bradycardia - correct answers Autonomic dysrelwfzia Check for bladder dissection Which lab values are consistent with patient in acute phase of rhabomyolsis - correct answers Hyperkalmiea ans hypocalcemia Aa gradient measures what - correct answers Degree of shunt What type of brain hematoma require immediate surgery? - correct answers Epidural hematoma (burr hole and clot evacuation) Linear temporal skull fracture is associated with what? - correct answers Epidural hematoma Management of high calcium - correct answers Diuretics and ns infusions Lab value typically associated with chronic alcoholism - correct answers Hypomagnesium TIA vs normal stroke - correct answers Stroke like symptoms that usually reverse within 1 hour Best Choi e of medication for alcohol withdrawal patients - correct answers Diazepam Valium Life threatening complications of heroin use - correct answers Prolonged qt interval - torsades de pointes - correct answers Anterior cerebral arterial embolism = hemiplegia / voluntary movement Posterior cerebral artery = visual loss Middle cerbeal artery embolism = aphasia Posterior cerebral artery embolism = sensory loss Symptoms consistent with ICH - correct answers N/V Photophobia Increasing drowsiness Michal rigidity Headache HTN What to give to prevent wernicke encaphepathy - correct answers Thiamine Dantrolene for cerbral palsy and what other medications should not be combined? - correct answers Danteolene and calcium channel blockers can cause v fibrillation Where do you want to keep co2 levels for head patient - correct answers 35-45 Presence of Kernig (straightening of kneee with hip) and brudinski signs (flexion of neck produces neck pain) indicate what? - correct answers Acute meningitis Cushinga triad for head patients - correct answers Wide pulse pressure Bradycardia Irregular respiratons When is urinalysis allalsizagol recommended for rhabdo patients - correct answers When CK levels are greater than 6000 Give sodium bicarb Low magnesium levels in ekg - correct answers Prolonged qt