Clinical Simulation UPDATED ACTUAL Exam Questions and
CORRECT Answers 100% Correct (verified)
Question 1.
Visuals (things you will always choose...)
Correct Answer: -general appearance -appearance of chest -respiratory
pattern -sensorium -posture -patient color -pulse
Question 2.
Infant normals
Correct Answer: Pulse: 110 - 160 BP: 60/40 mm Hg RR: 30 to 60 Birth Wt:
3000g APGAR: 7 to 10
Question 3.
Hemodynamic Normals
Correct Answer: BP: 120/80 (90/60 to 140/90) MAP: 93 to 94 CVP: 2 to 6 mm Hg
(4 to 12 cmH2O) PAP: 25/8 (mean 13 to 14) PWP/PCWP: 4 to 12 mm Hg CO: 4
to 8 LPM CI: 2.5 to 4 L/min/sq m
Question 4.
UNACCEPTABLE bedside ventilatory parameters
Correct Answer: VC: < 10mL/kg (or < 2 x VT) MIP/NIF: <20 cm H2O RR: >20
bmp or < 8 Vt: < 5mL/kg Ve: > 10 LPM MEP: < 40 cm H2O
Question 5.
Vent Parameters...
Correct Answer: Tidal Volume: 5 to 10 mL/kg -------asthma/ards use 4 mL/kg
Pressure: Pplat from VC or up to 3 cm H2O Rate: 10 to 20 FiO2: 40 to 60% or
set to prior PEEP: 2 to 6 or set to prior
Question 6.
Infant vent settings
Correct Answer: Vt: 4-6 mL/kg PIP: 20 to 30 Rate: 20 to 30 FiO2: 40 to 60%
PEEP: 2 to 4
Question 7.
Airway resistance
,Correct Answer: PIP-Plateau
Used to indicate the amount of pressure support neccessary to overcome
airway resistance
Body box is most accurate measurement
Question 8.
Acid-fast Bacillus (AFB)
Correct Answer: Staining (Ziehl-Neelsen)
Dx of TB
Organisms appear red against blue background
Takes 2-3 weeks
Question 9.
- Albumin
Correct Answer: Normal 3.5-5.0 g/dl
Decreased levels are seen in liver disease
Question 10.
Angiogram
Correct Answer: X-rays of vessels (veins and arteries)
Evaluates blood flow to the brain, heart, lungs, etc.
Question 11.
- Anion Gap
Correct Answer: Normal: 8-18 MEq/L
Identifys the cause of metabolic acidosis
Question 12.
- Ascorbic acid level
Correct Answer: Determination of the amount of vitamin C in the blood
• - Babinski relfex -✓✓Tests brainstem and spinal cord function
Dorsiflex of the toes after stroking foot indacates positive test (lesion may be
present)
Used in stable, yet unconcious patients
Question 13.
Basal metabolic rate
Correct Answer: Term: Basal energy expenditure (BEE), Minimal energy
expenditure (MEE)
, Determined through indirect calorimetry
Helpful in determining a patients nutrional needs
Question 14.
Basic metabolic panel (BMP)
Correct Answer: Blood test (glucose, lytes, fuid levels, and kidney function)
Question 15.
BCG vaccine
Correct Answer: Immunization for TB
Question 16.
- Bilirubin level
Correct Answer: Normal: 0.1-1.0 mg/dl
Orange-yellow pigment of bile
May be useful if patient appears jaundiced
Question 17.
Blood alcohol level
Correct Answer: Sedation or tranquility: 50 mg/dl
Lack of coordination: 50-150 mg/dl
Intoxication (delerium): 140-200 mg/dl
Unconsciousness: 300-400 mg/dl
Fatal: >400 mg/dl
Question 18.
Blood digoxin level
Correct Answer: Increases cardiac contractility in patients with CHF
Therapeutic: 0.9-2.0 ng/mL Toxic: > 3.0 ng/mL
Question 19.
BGL
Correct Answer: Normals: 20-30 (pre-term), > 30 (term), 80-120 (adults)
Question 20.
- Blood magnesium level
CORRECT Answers 100% Correct (verified)
Question 1.
Visuals (things you will always choose...)
Correct Answer: -general appearance -appearance of chest -respiratory
pattern -sensorium -posture -patient color -pulse
Question 2.
Infant normals
Correct Answer: Pulse: 110 - 160 BP: 60/40 mm Hg RR: 30 to 60 Birth Wt:
3000g APGAR: 7 to 10
Question 3.
Hemodynamic Normals
Correct Answer: BP: 120/80 (90/60 to 140/90) MAP: 93 to 94 CVP: 2 to 6 mm Hg
(4 to 12 cmH2O) PAP: 25/8 (mean 13 to 14) PWP/PCWP: 4 to 12 mm Hg CO: 4
to 8 LPM CI: 2.5 to 4 L/min/sq m
Question 4.
UNACCEPTABLE bedside ventilatory parameters
Correct Answer: VC: < 10mL/kg (or < 2 x VT) MIP/NIF: <20 cm H2O RR: >20
bmp or < 8 Vt: < 5mL/kg Ve: > 10 LPM MEP: < 40 cm H2O
Question 5.
Vent Parameters...
Correct Answer: Tidal Volume: 5 to 10 mL/kg -------asthma/ards use 4 mL/kg
Pressure: Pplat from VC or up to 3 cm H2O Rate: 10 to 20 FiO2: 40 to 60% or
set to prior PEEP: 2 to 6 or set to prior
Question 6.
Infant vent settings
Correct Answer: Vt: 4-6 mL/kg PIP: 20 to 30 Rate: 20 to 30 FiO2: 40 to 60%
PEEP: 2 to 4
Question 7.
Airway resistance
,Correct Answer: PIP-Plateau
Used to indicate the amount of pressure support neccessary to overcome
airway resistance
Body box is most accurate measurement
Question 8.
Acid-fast Bacillus (AFB)
Correct Answer: Staining (Ziehl-Neelsen)
Dx of TB
Organisms appear red against blue background
Takes 2-3 weeks
Question 9.
- Albumin
Correct Answer: Normal 3.5-5.0 g/dl
Decreased levels are seen in liver disease
Question 10.
Angiogram
Correct Answer: X-rays of vessels (veins and arteries)
Evaluates blood flow to the brain, heart, lungs, etc.
Question 11.
- Anion Gap
Correct Answer: Normal: 8-18 MEq/L
Identifys the cause of metabolic acidosis
Question 12.
- Ascorbic acid level
Correct Answer: Determination of the amount of vitamin C in the blood
• - Babinski relfex -✓✓Tests brainstem and spinal cord function
Dorsiflex of the toes after stroking foot indacates positive test (lesion may be
present)
Used in stable, yet unconcious patients
Question 13.
Basal metabolic rate
Correct Answer: Term: Basal energy expenditure (BEE), Minimal energy
expenditure (MEE)
, Determined through indirect calorimetry
Helpful in determining a patients nutrional needs
Question 14.
Basic metabolic panel (BMP)
Correct Answer: Blood test (glucose, lytes, fuid levels, and kidney function)
Question 15.
BCG vaccine
Correct Answer: Immunization for TB
Question 16.
- Bilirubin level
Correct Answer: Normal: 0.1-1.0 mg/dl
Orange-yellow pigment of bile
May be useful if patient appears jaundiced
Question 17.
Blood alcohol level
Correct Answer: Sedation or tranquility: 50 mg/dl
Lack of coordination: 50-150 mg/dl
Intoxication (delerium): 140-200 mg/dl
Unconsciousness: 300-400 mg/dl
Fatal: >400 mg/dl
Question 18.
Blood digoxin level
Correct Answer: Increases cardiac contractility in patients with CHF
Therapeutic: 0.9-2.0 ng/mL Toxic: > 3.0 ng/mL
Question 19.
BGL
Correct Answer: Normals: 20-30 (pre-term), > 30 (term), 80-120 (adults)
Question 20.
- Blood magnesium level
