ACCS-Patient Assessment Exam Questions With Verified Answers
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Course
ACCS
Institution
ACCS
ACCS-Patient Assessment Exam Questions
With Verified Answers
List he four critical life functions - answerVentilation - moving air in and out of the lungs
Oxygen - getting oxygen into the blood
Circulation - moving the blood through the body
Perfusion - getting blood and oxygen into the tissue...
ACCS-Patient Assessment Exam Questions
With Verified Answers
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
Perfusion - getting blood and oxygen into the tissue
Which of the four life function is the FIRST priority? - answer✔Ventilation
HINT: Do not pick STAT ABG on the exam
What assessments would determine how well a patient is ventilating? - answer✔Respiratory
Rate, tidal volume, chest movement, breath sounds, etco2, paco2
HINT: Always choose "turn up the flow" if it's an option.
How would the ACCS determine if a patient has a problem with oxygenation? - answer✔Check
heart rate, color, sensorium, pao2, sao2
HINT: This is the most common problem
What information would help the ACCS determine if a patient's circulation is adequate? -
answer✔Check pulse and heart rate, heart strength, cardiac output
What changes would indicate that a patient may not have adequate perfusion? - answer✔Check
blood pressure, sensorium, temperature, urine output, and hemodynamics.
Describe the difference between "signs" and "symptoms" and list an example of each. -
answer✔Sings: objective information - things that you can see or/ measure.
Example: Color, pulse, edema, blood pressure
Symptoms: subjective information - those things that the patient must tell you.
Example: dyspnea, nausea, pain, muscle weakness, etc.
Define an advance directive. - answer✔Set of instructions documenting what treatment a patient
would want if he/she was unable to make medical decisions.
List and describe the four types of advance directives:
DNR
DNI
Living Will
DPO - answer✔Do Not Resuscitate
Do Not Intubate
Living Will describes treatment plan would want if he becomes terminally ill (<6 months to live)
Durable power of attorney - makes health care decisions effective when patient is unable to make
decisions.
A properly written order for respiratory care should include what four factors? - answer✔Type of
therapy
Frequency
Medication dosage and dilution
Physician signature
What is the normal value for urine output? - answer✔40 mL/hr = 1 liter per day
What findings might indicate that the patient's fluid intake has exceeded their urine output? -
answer✔Weight gain
Electrolyte imbalance
Increased hemodynamic pressures
Decreased lung compliance
Changes in patient's CVP reading can indicate hypovolemia. - answer✔< CVP = hypovolemia
> CVP = hypervolemia
What is normal CVP pressures? - answer✔2-6 mmhg via Swan Ganz
4-12 cmh20 via central line
*NOTE: PFT labs are not on the exam.
Patient lab reports may include:
- abg
- imaging reports
- basic lab assessments (hematology) - answer✔...
Define semicomatose - answer✔Responds only to painful stimuli
lethargic
somnolent
sleepy
Consider drug overdose
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