1
Chamberlain NR572 NR 572 Actual
Exam Questions and Answers with
Rationales 2026/2027 | Advanced Acute
Care Management Midterm | Weeks 1-4 |
Pass Guarantee
Q001: A 58-year-old with septic shock has a MAP 54 mmHg despite 4 L
crystalloid and norepinephrine 0.3 mcg/kg/min. ScvO₂ is 68 %, lactate 4.2 mmol/L.
Which intervention is next?
Options:
A. Start dopamine 10 mcg/kg/min
B. Add vasopressin 0.04 units/min - CORRECT
C. Transfuse 2 units PRBC
D. Give hydrocortisone 200 mg IV
ANSWER: B
Q002: A 42-year-old with ARDS has Pplat 32 cmH₂O on VC-AC 500 mL, PEEP
12, FiO₂ 0.8. Which ventilator change is priority?
Options:
A. Reduce VT to 350 mL - CORRECT
B. Increase PEEP to 16
C. Switch to PC-CMV
D. Increase RR to 35
ANSWER: A
Q003: A 36-year-old post-cardiac arrest has ROSC, GCS 6, BP 90/60, HR 110. T
38.2 °C. Which neuro-protective strategy is first?
, 2
Options:
A. Start propofol 50 mcg/kg/min
B. Cool to 36 °C for 24 h - CORRECT
C. Give levetiracetam 1 g IV
D. Target MAP 65 mmHg
ANSWER: B
Q004: A 64-year-old with inferior STEMI has HR 42 and BP 78/50. Which agent is
indicated?
Options:
A. Atropine 0.5 mg IV - CORRECT
B. Dopamine 5 mcg/kg/min
C. Isoproterenol 2 mcg/min
D. Adenosine 6 mg IV
ANSWER: A
Q005: A 50-year-old with COPD has PaCO₂ 78 mmHg, pH 7.22, PaO₂ 58 mmHg
on 6 L NC. Which mode is best?
Options:
A. Switch to HFNC 40 L
B. Start BiPAP IPAP 16/EPAP 6 - CORRECT
C. Intubate and AC-VC
D. Increase NC to 8 L
ANSWER: B
Q006: A 29-year-old with TBI has ICP 28 mmHg, MAP 70 mmHg, PaCO₂ 38
mmHg. Which is first?
Options:
, 3
A. Mannitol 1 g/kg IV - CORRECT
B. Hyperventilate to PaCO₂ 30 mmHg
C. Propofol 100 mcg/kg/min
D. Pentobarbital 10 mg/kg
ANSWER: A
Q007: A 55-year-old with cardiogenic shock has PAOP 24 mmHg, CI 1.8
L/min/m², SVR 2100 dyn·s/cm⁵. Which inotrope is best?
Options:
A. Dobutamine 5 mcg/kg/min - CORRECT
B. Milrinone 0.5 mcg/kg/min
C. Norepinephrine 0.1 mcg/kg/min
D. Dopamine 10 mcg/kg/min
ANSWER: A
Q008: A 48-year-old with massive PE has BP 65/40 despite fluid. Which is
definitive?
Options:
A. Heparin 80 units/kg bolus
B. tPA 100 mg/2 h - CORRECT
C. Norepinephrine 0.2 mcg/kg/min
D. IVC filter placement
ANSWER: B
Q009: A 62-year-old with HF has acute AFib HR 180, BP 90/60, RVR. Which is
first?
Options:
A. Amiodarone 150 mg/10 min - CORRECT
Chamberlain NR572 NR 572 Actual
Exam Questions and Answers with
Rationales 2026/2027 | Advanced Acute
Care Management Midterm | Weeks 1-4 |
Pass Guarantee
Q001: A 58-year-old with septic shock has a MAP 54 mmHg despite 4 L
crystalloid and norepinephrine 0.3 mcg/kg/min. ScvO₂ is 68 %, lactate 4.2 mmol/L.
Which intervention is next?
Options:
A. Start dopamine 10 mcg/kg/min
B. Add vasopressin 0.04 units/min - CORRECT
C. Transfuse 2 units PRBC
D. Give hydrocortisone 200 mg IV
ANSWER: B
Q002: A 42-year-old with ARDS has Pplat 32 cmH₂O on VC-AC 500 mL, PEEP
12, FiO₂ 0.8. Which ventilator change is priority?
Options:
A. Reduce VT to 350 mL - CORRECT
B. Increase PEEP to 16
C. Switch to PC-CMV
D. Increase RR to 35
ANSWER: A
Q003: A 36-year-old post-cardiac arrest has ROSC, GCS 6, BP 90/60, HR 110. T
38.2 °C. Which neuro-protective strategy is first?
, 2
Options:
A. Start propofol 50 mcg/kg/min
B. Cool to 36 °C for 24 h - CORRECT
C. Give levetiracetam 1 g IV
D. Target MAP 65 mmHg
ANSWER: B
Q004: A 64-year-old with inferior STEMI has HR 42 and BP 78/50. Which agent is
indicated?
Options:
A. Atropine 0.5 mg IV - CORRECT
B. Dopamine 5 mcg/kg/min
C. Isoproterenol 2 mcg/min
D. Adenosine 6 mg IV
ANSWER: A
Q005: A 50-year-old with COPD has PaCO₂ 78 mmHg, pH 7.22, PaO₂ 58 mmHg
on 6 L NC. Which mode is best?
Options:
A. Switch to HFNC 40 L
B. Start BiPAP IPAP 16/EPAP 6 - CORRECT
C. Intubate and AC-VC
D. Increase NC to 8 L
ANSWER: B
Q006: A 29-year-old with TBI has ICP 28 mmHg, MAP 70 mmHg, PaCO₂ 38
mmHg. Which is first?
Options:
, 3
A. Mannitol 1 g/kg IV - CORRECT
B. Hyperventilate to PaCO₂ 30 mmHg
C. Propofol 100 mcg/kg/min
D. Pentobarbital 10 mg/kg
ANSWER: A
Q007: A 55-year-old with cardiogenic shock has PAOP 24 mmHg, CI 1.8
L/min/m², SVR 2100 dyn·s/cm⁵. Which inotrope is best?
Options:
A. Dobutamine 5 mcg/kg/min - CORRECT
B. Milrinone 0.5 mcg/kg/min
C. Norepinephrine 0.1 mcg/kg/min
D. Dopamine 10 mcg/kg/min
ANSWER: A
Q008: A 48-year-old with massive PE has BP 65/40 despite fluid. Which is
definitive?
Options:
A. Heparin 80 units/kg bolus
B. tPA 100 mg/2 h - CORRECT
C. Norepinephrine 0.2 mcg/kg/min
D. IVC filter placement
ANSWER: B
Q009: A 62-year-old with HF has acute AFib HR 180, BP 90/60, RVR. Which is
first?
Options:
A. Amiodarone 150 mg/10 min - CORRECT
