ACCS
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ACCS 363
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This ACCS Review Practice Exam for 2026/2027 provides a complete set of questions with fully verified solutions. It covers key topics in medical assisting, anatomy, physiology, patient rights, and clinical procedures, including true/false and multiple-choice questions. Designed for students preparing for ACCS exams, this resource helps strengthen knowledge, improve test-taking skills, and ensure readiness with instant download access.
- Exam (elaborations)
- • 25 pages's •
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ACCS•ACCS
Respiratory Critical Care -ACCS exam 
ACTUAL QUESTIONS AND CORRECT 
ANSWERS 
Bodai adapter - Correct answersA device that fits on the endotracheal tube for bronchoscopy 
The endotracheal tube must be at least a size ____ for bronchoscopy? - Correct answers7.0 
mm 
Amount of force needed for cricoid pressure? - Correct answers10-30 Newtons 
Sledinger approach - Correct answersWhen a bougie is inserted through the old endotracheal 
tube, which is removed, and the new endotracheal tube is a...
- Exam (elaborations)
- • 4 pages's •
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ACCS•ACCS
CXR of Emphysema Answer - diminished marking 
- flattened diaphragms 
-hyperlucency 
- increased AP diameter 
 
treat Emphysema Answer - in emergency treat with 100% FiO2 
 d/t impending hypoxic state 
- otherwise low flow O2 at home using oxygen 
 conserving devices 
- bronchodilation meds via MDI or nebs 
- corticosteroids 
 
Emphysema ABG Answer compensated respiratory acidosis
- Exam (elaborations)
- • 18 pages's •
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ACCS•ACCS
List he four critical life functions Answer Ventilation - moving air in and out of the lungs 
 
Oxygen - getting oxygen into the blood 
 
Circulation - moving the blood through the body
- Exam (elaborations)
- • 28 pages's •
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ACCS•ACCS
Average urine output per hour is approximately? Answer 40 mL 
 
According to the Berlin Criteria, a patient is classified with severe ARDS when his Pao2/Fio2 ratio is? Answer Less than 100 
 
A patient is admitted to the ED with a possible CVA. Which diagnostic test is most appropriate for identification of an acute cerebral infarction? Answer CT Scan: checks chest, abdomen and brain (2-3 dimensions)
- Exam (elaborations)
- • 37 pages's •
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ACCS•ACCS
ARDS Classification , Berlin Criteria Answer Mild ARDS : P/F ratio < 300, 
Moderate ARDS: P/F ratio < 200, 
Severe ARDS: P/F ratio < 100 
 
NSTEMI , Non-ST segment Elevation Myocardial Infarction Answer character of chest pain, prior history of CAD. 
ECG indicates ST segment depression
- Exam (elaborations)
- • 8 pages's •
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ACCS•ACCS
Glasgow Coma Scale Answer is used to assess level of consciousness after head injury. 
Eye=4: verbal stimuli 3, to pain 2 
Mouth=5: confused 4, inappropriate 3, incoherent 2. 
arm=6, localize pain 5, withdraw from pain 4, flex to pain 3, extension to pain 2. 
8 or less intubate 
 
Changes in CVP can indicates Answer changes in Fluid balance, 
decreased CVp<2 can indicate hypovolemia, 
increased CVP>6 can indicate hypervolemia
- Exam (elaborations)
- • 12 pages's •
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ACCS•ACCS
Normal Urine Output Answer 40 mL/hr (approx. 1 Liter/day) 
 
Decreased CVP (<2 mmHg) Answer Hypovolemia 
 
Increased CVP (>6 mmHg) Answer Hypervolemia
- Exam (elaborations)
- • 115 pages's •
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ACCS•ACCS
Fentanyl Citrate (Sublimaze) Answer Pain management (Analgesia) (Opioid) 
Use: any indication of pain (vitals, pain scale), s/p MVA, SCI, vent asynchrony 
Adverse: resp depression 
Notes: may also come across Sufentanil and Remifentanil (both opiod based as well) 
 
Morphine Answer Pain management (Analgesia) (Opioid) (Powerful narcotic)! 
Use: any indication of pain (vitals, pain scale), dyspnea, hospice, pallative care, end of life 
Adverse: resp depression, cardiac, lowers RR, BP, cardiovasc...
- Exam (elaborations)
- • 24 pages's •
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ACCS•ACCS
DRUGS ROUTES OF ADMINISTRATION (5) Answer 1. Enteral 
2. Parenteral 
3. Transdermal 
4. Inhalation 
5. Topical 
 
What is enteral route ? Answer ENTERAL - absorbed in GI 
a. sublingual 
b. oral 
c. buccal/ lingual/ sublingual 
d. rectal 
 
What is the Parenteral route? (3) Answer Parenteral 
a. Intravenous ( IV) 
b. intramuscular (IM) 
c. subcutaneous (SubQ).
- Exam (elaborations)
- • 15 pages's •
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ACCS•ACCS