ANCC ADULT GERONTOLOGY ACUTE CARE LATEST 2025|2026 EXAM
COMPLETE QUESTIONS AND 100% VERIFIED ANSWERS
Cardiac Index - ✔✔ANS 2-4
SVR/Afterload - ✔✔ANS 800-1200
MAP - ✔✔ANS mean CVx80/CO
PA pressure - ✔✔ANS 15-30
Wedge PCWP pressure - ✔✔ANS 6-12
Hypovolemic Shock Parameters - ✔✔ANS Preload CVP decreased,
SVR afterload increased, CI decreased, Oxygen delivery
Decreased, Venous Oxygen saturation increased
Types of hypovolemic shock - ✔✔ANS Hemorrhage, burns,
pancreatitis
Cardiogenic shock parameters - ✔✔ANS CVP preload increased,
SVR afterload increased, CI decreased, oxygen delivery
,Types of cardiogenic shock - ✔✔ANS Post mi, malignant
dysrhythmia, acute myocarditis
Obstructive shock parameters - ✔✔ANS Preload either, SVR
increased, CI decreased, oxygen delivery decreased, SV02
decreased
Types of obstructive shock - ✔✔ANS Tension pneumo, cardiac
tamponade, PE
Distributive shock parameters - ✔✔ANS Preload CVP decreased,
afterload SVR decreased, CI increased, SV02 decreased, oxygen
delivery increased
Types of distributive shock - ✔✔ANS Septic shock, anaphylaxis,
neurogenic shock
CVP Preload - ✔✔ANS 2-8
Cardiac Output - ✔✔ANS 4-8
MAP - ✔✔ANS 70-90
Fractional Excretion of NA <1% - ✔✔ANS Prerenal state of kidney
dysfunction (i.e. dehydration)
,CPP equation - ✔✔ANS MAP-ICP
SIADH Hyposmolar hyponatremia "inappropriate water retention" -
✔✔ANS 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 - ✔✔ANS Serum sodium high,
serum osmo high >290, urine osmo low <100, urine spec grave
1.005 (urine is like water), urine sodium >20, 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 - ✔✔ANS 280
Urine Osmo - ✔✔ANS 300-800
Sodium - ✔✔ANS ~140
Total cholesterol - ✔✔ANS <200
Triglycerides - ✔✔ANS <150
HDL - ✔✔ANS >40
, Management of pulm edema - ✔✔ANS 02, sitting up, morphine 2-
n n n n n n n n n n
n 4mg, Lasix 40, another Lasix 40 if needed
n n n n n n n
Left heart failure - ✔✔ANS LUNGS, dyspnea at rest, rales, wheezing,
n n n n n n n n n n
n generally healthy except acute event, S3, murmur of mitral regurg
n n n n n n n n n
Right heart failure - ✔✔ANS JVD, hepatomegaly, peripheral edema
n n n n n n n n
MR ASS - ✔✔ANS Mitral regurg, aortic stenosis, systolic murmurs
n n n n n n n n n
MS ARD - ✔✔ANS Mitral Stenosis, aortic regurg, diastolic
n n n n n n n n
Mitral murmur locations - ✔✔ANS 5th ICS, apex
n n n n n n n
Aortic murmur locations - ✔✔ANS 2nd or 3rd ICS, base
n n n n n n n n n
S1 - ✔✔ANS AV valves closed, SL open
n n n n n n n
S2 - ✔✔ANS SL closed, AV open
n n n n n n
Cardiac blood flow - ✔✔ANS SVC,RA, tricuspid, RV, pulmonic valve,
n n n n n n n n n
n pulmonary artery, lungs, pulmonary veins, LA, mitral, LV, Aortic
n n n n n n n n
n valve, aorta, body n n
COMPLETE QUESTIONS AND 100% VERIFIED ANSWERS
Cardiac Index - ✔✔ANS 2-4
SVR/Afterload - ✔✔ANS 800-1200
MAP - ✔✔ANS mean CVx80/CO
PA pressure - ✔✔ANS 15-30
Wedge PCWP pressure - ✔✔ANS 6-12
Hypovolemic Shock Parameters - ✔✔ANS Preload CVP decreased,
SVR afterload increased, CI decreased, Oxygen delivery
Decreased, Venous Oxygen saturation increased
Types of hypovolemic shock - ✔✔ANS Hemorrhage, burns,
pancreatitis
Cardiogenic shock parameters - ✔✔ANS CVP preload increased,
SVR afterload increased, CI decreased, oxygen delivery
,Types of cardiogenic shock - ✔✔ANS Post mi, malignant
dysrhythmia, acute myocarditis
Obstructive shock parameters - ✔✔ANS Preload either, SVR
increased, CI decreased, oxygen delivery decreased, SV02
decreased
Types of obstructive shock - ✔✔ANS Tension pneumo, cardiac
tamponade, PE
Distributive shock parameters - ✔✔ANS Preload CVP decreased,
afterload SVR decreased, CI increased, SV02 decreased, oxygen
delivery increased
Types of distributive shock - ✔✔ANS Septic shock, anaphylaxis,
neurogenic shock
CVP Preload - ✔✔ANS 2-8
Cardiac Output - ✔✔ANS 4-8
MAP - ✔✔ANS 70-90
Fractional Excretion of NA <1% - ✔✔ANS Prerenal state of kidney
dysfunction (i.e. dehydration)
,CPP equation - ✔✔ANS MAP-ICP
SIADH Hyposmolar hyponatremia "inappropriate water retention" -
✔✔ANS 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 - ✔✔ANS Serum sodium high,
serum osmo high >290, urine osmo low <100, urine spec grave
1.005 (urine is like water), urine sodium >20, 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 - ✔✔ANS 280
Urine Osmo - ✔✔ANS 300-800
Sodium - ✔✔ANS ~140
Total cholesterol - ✔✔ANS <200
Triglycerides - ✔✔ANS <150
HDL - ✔✔ANS >40
, Management of pulm edema - ✔✔ANS 02, sitting up, morphine 2-
n n n n n n n n n n
n 4mg, Lasix 40, another Lasix 40 if needed
n n n n n n n
Left heart failure - ✔✔ANS LUNGS, dyspnea at rest, rales, wheezing,
n n n n n n n n n n
n generally healthy except acute event, S3, murmur of mitral regurg
n n n n n n n n n
Right heart failure - ✔✔ANS JVD, hepatomegaly, peripheral edema
n n n n n n n n
MR ASS - ✔✔ANS Mitral regurg, aortic stenosis, systolic murmurs
n n n n n n n n n
MS ARD - ✔✔ANS Mitral Stenosis, aortic regurg, diastolic
n n n n n n n n
Mitral murmur locations - ✔✔ANS 5th ICS, apex
n n n n n n n
Aortic murmur locations - ✔✔ANS 2nd or 3rd ICS, base
n n n n n n n n n
S1 - ✔✔ANS AV valves closed, SL open
n n n n n n n
S2 - ✔✔ANS SL closed, AV open
n n n n n n
Cardiac blood flow - ✔✔ANS SVC,RA, tricuspid, RV, pulmonic valve,
n n n n n n n n n
n pulmonary artery, lungs, pulmonary veins, LA, mitral, LV, Aortic
n n n n n n n n
n valve, aorta, body n n
