ADULT GERONTOLOGY ACUTE CARE TEST / ACTUAL ADULT GERONTOLOGY
ACUTE CARE FINAL EXAM 2026 COMPLETE ACCURATE EXAM REAL
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (100%
CORRECT VERIFIED SOLUTIONS) NEWEST UPDATED VERSION |GUARANTEED
SUCCESS |APPROVED FINAL EXAM 2026
A 72-year-old patient presents with acute onset dyspnea, pink frothy sputum, and
crackles bilaterally. Most likely diagnosis?
A. pneumonia
B. pulmonary embolism
C. acute pulmonary edema
D. cop exacerbation
correct answer: c. acute pulmonary edema
rationale: pink frothy sputum and crackles indicate acute left-sided heart failure
with pulmonary edema.
A patient with sepsis has a lactate level of 4.2 moll/L. This finding indicates?
A. respiratory alkalosis
B. adequate perfusion
C. tissue hypo perfusion
D. renal failure
correct answer: c. tissue hypo perfusion
rationale: elevated lactate reflects anaerobic metabolism due to poor tissue
oxygenation.
,A 68-year-old presents with sudden unilateral weakness and aphasia. Last known
well was 1 hour ago. Best initial action?
A. administer tap immediately
B. obtain CT scan without contrast
C. give aspirin
D. perform lumbar puncture
correct answer: b. obtains CT scan without contrast
rationale: noncontract CT is required to rule out hemorrhage before thrombolytic
therapy.
A mechanically ventilated patient suddenly becomes hypotensive with absent
breath sounds on the right. Likely cause?
A. mucus plug
B. pneumonia
C. tension pneumothorax
D. pleural effusion
correct answer: c. tension pneumothorax
rationale: acute hypotension and unilateral absent breath sounds indicate tension
pneumothorax.
Which lab abnormality is most consistent with acute kidney injury?
,A. decreased bun
B. creatinine rise of 0.3 mg/dl in 48 hours
C. elevated calcium
D. decreased potassium
correct answer: b. creatinine rise of 0.3 mg/dl in 48 hours
rationale: this change meets diagnostic criteria for acute kidney injury.
A patient with cop presents with ph. 7.30, pock₂ 58, hock₃ 28. Interpretation?
A. metabolic acidosis
B. respiratory acidosis with compensation
C. metabolic alkalosis
D. respiratory alkalosis
correct answer: b. respiratory acidosis with compensation
rationale: elevated pock₂ with near-normal hock₃ indicates compensated respiratory
acidosis.
A patient with upper go bleed presents with coffee-ground emesis. Priority
intervention?
A. insert ng tube
B. start iv proton pump inhibitor
C. administer antiemetic
D. prepare for colonoscopy
, correct answer: b. start iv proton pump inhibitor
rationale: iv pip reduces gastric acid and stabilizes clot formation.
A 75-year-old presents with confusion, dry mucous membranes, and sodium of 158
me/L. Diagnosis?
A. syndrome of inappropriate ad
B. hypernatremia due to dehydration
C. diabetic ketoacidosis
D. adrenal insufficiency
correct answer: b. hypernatremia due to dehydration
rationale: elevated sodium with signs of volume depletion indicates dehydration.
A patient with acute pancreatitis should initially be managed with?
A. antibiotics
B. aggressive iv fluids
C. surgical intervention
D. diuretics
correct answer: b. aggressive iv fluids
rationale: fluid resuscitation is cornerstone therapy in acute pancreatitis.
Which finding indicates cardiogenic shock?
ACUTE CARE FINAL EXAM 2026 COMPLETE ACCURATE EXAM REAL
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (100%
CORRECT VERIFIED SOLUTIONS) NEWEST UPDATED VERSION |GUARANTEED
SUCCESS |APPROVED FINAL EXAM 2026
A 72-year-old patient presents with acute onset dyspnea, pink frothy sputum, and
crackles bilaterally. Most likely diagnosis?
A. pneumonia
B. pulmonary embolism
C. acute pulmonary edema
D. cop exacerbation
correct answer: c. acute pulmonary edema
rationale: pink frothy sputum and crackles indicate acute left-sided heart failure
with pulmonary edema.
A patient with sepsis has a lactate level of 4.2 moll/L. This finding indicates?
A. respiratory alkalosis
B. adequate perfusion
C. tissue hypo perfusion
D. renal failure
correct answer: c. tissue hypo perfusion
rationale: elevated lactate reflects anaerobic metabolism due to poor tissue
oxygenation.
,A 68-year-old presents with sudden unilateral weakness and aphasia. Last known
well was 1 hour ago. Best initial action?
A. administer tap immediately
B. obtain CT scan without contrast
C. give aspirin
D. perform lumbar puncture
correct answer: b. obtains CT scan without contrast
rationale: noncontract CT is required to rule out hemorrhage before thrombolytic
therapy.
A mechanically ventilated patient suddenly becomes hypotensive with absent
breath sounds on the right. Likely cause?
A. mucus plug
B. pneumonia
C. tension pneumothorax
D. pleural effusion
correct answer: c. tension pneumothorax
rationale: acute hypotension and unilateral absent breath sounds indicate tension
pneumothorax.
Which lab abnormality is most consistent with acute kidney injury?
,A. decreased bun
B. creatinine rise of 0.3 mg/dl in 48 hours
C. elevated calcium
D. decreased potassium
correct answer: b. creatinine rise of 0.3 mg/dl in 48 hours
rationale: this change meets diagnostic criteria for acute kidney injury.
A patient with cop presents with ph. 7.30, pock₂ 58, hock₃ 28. Interpretation?
A. metabolic acidosis
B. respiratory acidosis with compensation
C. metabolic alkalosis
D. respiratory alkalosis
correct answer: b. respiratory acidosis with compensation
rationale: elevated pock₂ with near-normal hock₃ indicates compensated respiratory
acidosis.
A patient with upper go bleed presents with coffee-ground emesis. Priority
intervention?
A. insert ng tube
B. start iv proton pump inhibitor
C. administer antiemetic
D. prepare for colonoscopy
, correct answer: b. start iv proton pump inhibitor
rationale: iv pip reduces gastric acid and stabilizes clot formation.
A 75-year-old presents with confusion, dry mucous membranes, and sodium of 158
me/L. Diagnosis?
A. syndrome of inappropriate ad
B. hypernatremia due to dehydration
C. diabetic ketoacidosis
D. adrenal insufficiency
correct answer: b. hypernatremia due to dehydration
rationale: elevated sodium with signs of volume depletion indicates dehydration.
A patient with acute pancreatitis should initially be managed with?
A. antibiotics
B. aggressive iv fluids
C. surgical intervention
D. diuretics
correct answer: b. aggressive iv fluids
rationale: fluid resuscitation is cornerstone therapy in acute pancreatitis.
Which finding indicates cardiogenic shock?
