Practice Test Geeks(ACCS) Adult Critical Care Specialty Practice Test
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Patient Management and Care Flashcards

7 cards from real ACCS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Patient Management and Care flashcards as text

  1. A patient in distributive shock has MAP of 58 mmHg on norepinephrine 0.3 mcg/kg/min. Which adjunctive agent should be added next?

    Answer: Vasopressin 0.03–0.04 units/min

    Vasopressin added to norepinephrine is the recommended second vasopressor in septic shock to achieve MAP goals or spare norepinephrine dose.

  2. A patient with acute kidney injury in the ICU has a potassium of 6.8 mEq/L with peaked T-waves on ECG. What is the most urgent intervention?

    Answer: IV calcium gluconate to stabilize the cardiac membrane

    Calcium gluconate stabilizes the cardiac membrane immediately and is the first-line treatment for hyperkalemia with ECG changes, buying time for definitive therapy.

  3. A patient on prolonged neuromuscular blockade in the ICU is being weaned. Which test is used to confirm adequate reversal before extubation?

    Answer: Train-of-four (TOF) ratio ≥ 0.9

    A train-of-four ratio ≥0.9 on peripheral nerve stimulation confirms adequate reversal of neuromuscular blockade before safe extubation.

  4. An ICU patient develops abdominal compartment syndrome. Which intra-abdominal pressure value confirms the diagnosis in the presence of new organ dysfunction?

    Answer: > 20 mmHg

    Abdominal compartment syndrome is defined as sustained IAP >20 mmHg with new or progressive organ dysfunction.

  5. A patient with acute pancreatitis in the ICU develops respiratory failure. The most likely etiology is:

    Answer: ARDS from systemic inflammatory mediator release

    Severe acute pancreatitis triggers massive cytokine release that causes systemic inflammation and ARDS as a common pulmonary complication.

  6. Which intervention has been shown to reduce ICU-acquired weakness in critically ill patients?

    Answer: Early mobilization and physical therapy initiated in the ICU

    Early physical therapy and mobilization begun in the ICU reduces ICU-acquired weakness and improves functional outcomes at hospital discharge.

  7. A patient with chronic liver disease is admitted to the ICU with gastrointestinal bleeding. In addition to vasoactive agents, which prophylactic medication should be started immediately?

    Answer: Short-course prophylactic antibiotics (ceftriaxone)

    Prophylactic antibiotics (ceftriaxone) are indicated in cirrhotic patients with GI bleeding to prevent bacterial infections and reduce mortality.

Patient Management and Care Flashcards — ACCS Study Cards with Answers