ANCC Adult Gerontology Acute Care
Exam 2025 Questions and Answers
Cardiac Index - Correct Answer✔️✔️-2-4
SVR/Afterload - Correct Answer✔️✔️-800-1200
MAP - Correct Answer✔️✔️-mean CVx80/CO
PA pressure - Correct Answer✔️✔️-15-30
Wedge PCWP pressure - Correct Answer✔️✔️-6-12
Hypovolemic Shock Parameters - Correct Answer✔️✔️-Preload CVP decreased, SVR afterload
increased, CI decreased, Oxygen delivery Decreased, Venous Oxygen saturation increased
Types of hypovolemic shock - Correct Answer✔️✔️-Hemorrhage, burns, pancreatitis
Cardiogenic shock parameters - Correct Answer✔️✔️-CVP preload increased, SVR afterload
increased, CI decreased, oxygen delivery decreased, SV02 decreased
Types of cardiogenic shock - Correct Answer✔️✔️-Post mi, malignant dysrhythmia, acute
myocarditis
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
,Obstructive shock parameters - Correct Answer✔️✔️-Preload either, SVR increased, CI decreased,
oxygen delivery decreased, SV02 decreased
Types of obstructive shock - Correct Answer✔️✔️-Tension pneumo, cardiac tamponade, PE
Distributive shock parameters - Correct Answer✔️✔️-Preload CVP decreased, afterload SVR
decreased, CI increased, SV02 decreased, oxygen delivery increased
Types of distributive shock - Correct Answer✔️✔️-Septic shock, anaphylaxis, neurogenic shock
CVP Preload - Correct Answer✔️✔️-2-8
Cardiac Output - Correct Answer✔️✔️-4-8
MAP - Correct Answer✔️✔️-70-90
Fractional Excretion of NA <1% - Correct Answer✔️✔️-Prerenal state of kidney dysfunction (i.e.
dehydration)
Fractional Excretion of NA >2% - Correct Answer✔️✔️-ATN (acute tubular necrosis)
CPP equation - Correct Answer✔️✔️-MAP-ICP
SIADH Hyposmolar hyponatremia "inappropriate water retention" - Correct Answer✔️✔️-serum
sodium low, serum osmo low <280, urine osmo high >100, no dehydration, tx restrict fluids
if neuro symptoms give 3%NS
DI Hyperosmolar hypernatremia dry - Correct Answer✔️✔️-Serum sodium high, serum osmo
high >290, urine osmo low <100, urine spec grave 1.005 (urine is like water), urine sodium >20,
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
,dehydration, if serum Na >150 give D5W to replace ½ volume deficit in 12-24 hours, avoid rapid
lowering of Na, DDAVP for acute situations
Serum Osmo - Correct Answer✔️✔️-280
Urine Osmo - Correct Answer✔️✔️-300-800
Sodium - Correct Answer✔️✔️-~140
Total cholesterol - Correct Answer✔️✔️-<200
Triglycerides - Correct Answer✔️✔️-<150
HDL - Correct Answer✔️✔️->40
LDL - Correct Answer✔️✔️-<100
Management of pulm edema - Correct Answer✔️✔️-02, sitting up, morphine 2-4mg, Lasix 40,
another Lasix 40 if needed
Left heart failure - Correct Answer✔️✔️-LUNGS, dyspnea at rest, rales, wheezing, generally
healthy except acute event, S3, murmur of mitral regurg
Right heart failure - Correct Answer✔️✔️-JVD, hepatomegaly, peripheral edema
MR ASS - Correct Answer✔️✔️-Mitral regurg, aortic stenosis, systolic murmurs
MS ARD - Correct Answer✔️✔️-Mitral Stenosis, aortic regurg, diastolic
Mitral murmur locations - Correct Answer✔️✔️-5th ICS, apex
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 3
, Aortic murmur locations - Correct Answer✔️✔️-2nd or 3rd ICS, base
S1 - Correct Answer✔️✔️-AV valves closed, SL open
S2 - Correct Answer✔️✔️-SL closed, AV open
Cardiac blood flow - Correct Answer✔️✔️-SVC,RA, tricuspid, RV, pulmonic valve, pulmonary
artery, lungs, pulmonary veins, LA, mitral, LV, Aortic valve, aorta, body
Cushing's - Correct Answer✔️✔️-Moon face, buffalo hump, hypertension, HYPERglycemia,
HYPERnatremia, HYPOkalemia, tx depends on cause (stop meds, tumor)
Addison's ADRENOcorticoid deficiency - Correct Answer✔️✔️-Remember: SEX, SALT, and
SUGAR
Deficient cortisol, androgens, and aldosterone, hyperpigmentation in buccal mucosa, tanning,
HYPOtension, scant hair, HYPOglycemia, HYPOnatremia, HYPERkalemia, cosyntropin is the rule
out for addison's, manage: referral, glucorticoid, hydrocortisone, fludrocortisone inpatient:
hydrocortisone and fluids
HYPERthyroidism/Grave's - Correct Answer✔️✔️-TSH LOW, T3 High, Grave's Disease, bulgy
eyes, weight loss, fine thin hair, smooth skin, a fib
Specialist referral, propranolol, methimazole, PTU, lugol's
Thyroid crisis - Correct Answer✔️✔️-PTU or Methimazole with adjunct within 1 hour Lugol's
propranolol, hydrocortisone
No ASA
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 4
Exam 2025 Questions and Answers
Cardiac Index - Correct Answer✔️✔️-2-4
SVR/Afterload - Correct Answer✔️✔️-800-1200
MAP - Correct Answer✔️✔️-mean CVx80/CO
PA pressure - Correct Answer✔️✔️-15-30
Wedge PCWP pressure - Correct Answer✔️✔️-6-12
Hypovolemic Shock Parameters - Correct Answer✔️✔️-Preload CVP decreased, SVR afterload
increased, CI decreased, Oxygen delivery Decreased, Venous Oxygen saturation increased
Types of hypovolemic shock - Correct Answer✔️✔️-Hemorrhage, burns, pancreatitis
Cardiogenic shock parameters - Correct Answer✔️✔️-CVP preload increased, SVR afterload
increased, CI decreased, oxygen delivery decreased, SV02 decreased
Types of cardiogenic shock - Correct Answer✔️✔️-Post mi, malignant dysrhythmia, acute
myocarditis
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
,Obstructive shock parameters - Correct Answer✔️✔️-Preload either, SVR increased, CI decreased,
oxygen delivery decreased, SV02 decreased
Types of obstructive shock - Correct Answer✔️✔️-Tension pneumo, cardiac tamponade, PE
Distributive shock parameters - Correct Answer✔️✔️-Preload CVP decreased, afterload SVR
decreased, CI increased, SV02 decreased, oxygen delivery increased
Types of distributive shock - Correct Answer✔️✔️-Septic shock, anaphylaxis, neurogenic shock
CVP Preload - Correct Answer✔️✔️-2-8
Cardiac Output - Correct Answer✔️✔️-4-8
MAP - Correct Answer✔️✔️-70-90
Fractional Excretion of NA <1% - Correct Answer✔️✔️-Prerenal state of kidney dysfunction (i.e.
dehydration)
Fractional Excretion of NA >2% - Correct Answer✔️✔️-ATN (acute tubular necrosis)
CPP equation - Correct Answer✔️✔️-MAP-ICP
SIADH Hyposmolar hyponatremia "inappropriate water retention" - Correct Answer✔️✔️-serum
sodium low, serum osmo low <280, urine osmo high >100, no dehydration, tx restrict fluids
if neuro symptoms give 3%NS
DI Hyperosmolar hypernatremia dry - Correct Answer✔️✔️-Serum sodium high, serum osmo
high >290, urine osmo low <100, urine spec grave 1.005 (urine is like water), urine sodium >20,
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
,dehydration, if serum Na >150 give D5W to replace ½ volume deficit in 12-24 hours, avoid rapid
lowering of Na, DDAVP for acute situations
Serum Osmo - Correct Answer✔️✔️-280
Urine Osmo - Correct Answer✔️✔️-300-800
Sodium - Correct Answer✔️✔️-~140
Total cholesterol - Correct Answer✔️✔️-<200
Triglycerides - Correct Answer✔️✔️-<150
HDL - Correct Answer✔️✔️->40
LDL - Correct Answer✔️✔️-<100
Management of pulm edema - Correct Answer✔️✔️-02, sitting up, morphine 2-4mg, Lasix 40,
another Lasix 40 if needed
Left heart failure - Correct Answer✔️✔️-LUNGS, dyspnea at rest, rales, wheezing, generally
healthy except acute event, S3, murmur of mitral regurg
Right heart failure - Correct Answer✔️✔️-JVD, hepatomegaly, peripheral edema
MR ASS - Correct Answer✔️✔️-Mitral regurg, aortic stenosis, systolic murmurs
MS ARD - Correct Answer✔️✔️-Mitral Stenosis, aortic regurg, diastolic
Mitral murmur locations - Correct Answer✔️✔️-5th ICS, apex
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 3
, Aortic murmur locations - Correct Answer✔️✔️-2nd or 3rd ICS, base
S1 - Correct Answer✔️✔️-AV valves closed, SL open
S2 - Correct Answer✔️✔️-SL closed, AV open
Cardiac blood flow - Correct Answer✔️✔️-SVC,RA, tricuspid, RV, pulmonic valve, pulmonary
artery, lungs, pulmonary veins, LA, mitral, LV, Aortic valve, aorta, body
Cushing's - Correct Answer✔️✔️-Moon face, buffalo hump, hypertension, HYPERglycemia,
HYPERnatremia, HYPOkalemia, tx depends on cause (stop meds, tumor)
Addison's ADRENOcorticoid deficiency - Correct Answer✔️✔️-Remember: SEX, SALT, and
SUGAR
Deficient cortisol, androgens, and aldosterone, hyperpigmentation in buccal mucosa, tanning,
HYPOtension, scant hair, HYPOglycemia, HYPOnatremia, HYPERkalemia, cosyntropin is the rule
out for addison's, manage: referral, glucorticoid, hydrocortisone, fludrocortisone inpatient:
hydrocortisone and fluids
HYPERthyroidism/Grave's - Correct Answer✔️✔️-TSH LOW, T3 High, Grave's Disease, bulgy
eyes, weight loss, fine thin hair, smooth skin, a fib
Specialist referral, propranolol, methimazole, PTU, lugol's
Thyroid crisis - Correct Answer✔️✔️-PTU or Methimazole with adjunct within 1 hour Lugol's
propranolol, hydrocortisone
No ASA
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 4
