NRNP6566 – Advanced Care of Adults in
Acute Settings I Final Exam Review |
Verified Questions and Answers | Walden
University 2025/2026 Update
Question 1 68-y/o male with crushing chest pain, ST elevation II, III, aVF, troponin 15.
Immediate reperfusion strategy? Answer: Percutaneous coronary intervention (PCI) within
90 minutes Rationale: Inferior STEMI – fibrinolytic only if PCI delayed >120 min.
Question 2 First-line vasopressor in septic shock (2024 Surviving Sepsis)? Answer:
Norepinephrine
Question 3 Target MAP in septic shock (most patients)? Answer: ≥65 mmHg
Question 4 Initial fluid bolus in septic shock? Answer: 30 mL/kg crystalloid in first 3 hours
Question 5 Ventilated patient → sudden hypotension, tracheal deviation to right, no breath
sounds left → immediate action? Answer: Needle decompression 2nd ICS midclavicular line
left → chest tube
Question 6 Broad-spectrum antibiotics for hospital-acquired pneumonia (no MRSA risk)?
Answer: Piperacillin-tazobactam OR cefepime OR meropenem
Question 7 Most common cause of cardiogenic shock? Answer: Acute myocardial infarction
Question 8 DKA patient with serum K⁺ 3.1 mEq/L on arrival. First step before insulin? Answer:
Potassium repletion (hold insulin until K⁺ >3.3)
Question 9 Target blood glucose in ICU (2025 guidelines)? Answer: 110–180 mg/dL
Question 10 Submassive PE with RV strain and positive troponin but BP stable. Treatment?
Answer: Therapeutic anticoagulation only (no systemic thrombolysis)
Question 11 New-onset A-fib with RVR (HR 160) in ICU – first drug for rate control? Answer:
IV diltiazem or metoprolol
Question 12 Earliest sign of malignant hyperthermia under anesthesia? Answer: Unexplained
rise in end-tidal CO₂
Acute Settings I Final Exam Review |
Verified Questions and Answers | Walden
University 2025/2026 Update
Question 1 68-y/o male with crushing chest pain, ST elevation II, III, aVF, troponin 15.
Immediate reperfusion strategy? Answer: Percutaneous coronary intervention (PCI) within
90 minutes Rationale: Inferior STEMI – fibrinolytic only if PCI delayed >120 min.
Question 2 First-line vasopressor in septic shock (2024 Surviving Sepsis)? Answer:
Norepinephrine
Question 3 Target MAP in septic shock (most patients)? Answer: ≥65 mmHg
Question 4 Initial fluid bolus in septic shock? Answer: 30 mL/kg crystalloid in first 3 hours
Question 5 Ventilated patient → sudden hypotension, tracheal deviation to right, no breath
sounds left → immediate action? Answer: Needle decompression 2nd ICS midclavicular line
left → chest tube
Question 6 Broad-spectrum antibiotics for hospital-acquired pneumonia (no MRSA risk)?
Answer: Piperacillin-tazobactam OR cefepime OR meropenem
Question 7 Most common cause of cardiogenic shock? Answer: Acute myocardial infarction
Question 8 DKA patient with serum K⁺ 3.1 mEq/L on arrival. First step before insulin? Answer:
Potassium repletion (hold insulin until K⁺ >3.3)
Question 9 Target blood glucose in ICU (2025 guidelines)? Answer: 110–180 mg/dL
Question 10 Submassive PE with RV strain and positive troponin but BP stable. Treatment?
Answer: Therapeutic anticoagulation only (no systemic thrombolysis)
Question 11 New-onset A-fib with RVR (HR 160) in ICU – first drug for rate control? Answer:
IV diltiazem or metoprolol
Question 12 Earliest sign of malignant hyperthermia under anesthesia? Answer: Unexplained
rise in end-tidal CO₂
