Clinical Simulation SAE Practice UPDATED ACTUAL Exam
Questions and CORRECT Answers (A+ Verified Answers)
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
Question 13.
- Babinski relfex
Correct Answer: 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 14.
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
• Basic metabolic panel (BMP) -✓✓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)
Questions and CORRECT Answers (A+ Verified Answers)
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
Question 13.
- Babinski relfex
Correct Answer: 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 14.
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
• Basic metabolic panel (BMP) -✓✓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)
