Acute Care Nurse Practitioner Hemodynamic Monitoring and Management 2

Question 1

Which formula correctly calculates systemic vascular resistance (SVR)?

Accepted Answer

(MAP - CVP) / CO × 80

Answer

(MAP - PAOP) / CO × 80

Answer

(SBP - DBP) / HR × 80

Answer

(CO × HR) / MAP × 80

Question 2

A patient with septic shock has a persistently low MAP despite 3L of IV fluids. Which vasopressor is the first-line agent per Surviving Sepsis Campaign guidelines?

Accepted Answer

Norepinephrine

Answer

Dopamine

Answer

Epinephrine

Answer

Phenylephrine

Question 3

Which measurement is MOST useful for assessing fluid responsiveness in a mechanically ventilated patient?

Accepted Answer

Pulse pressure variation (PPV)

Answer

Static CVP

Answer

PAOP

Answer

Serum lactate

Question 4

A patient has a cardiac output of 3.0 L/min and a body surface area of 2.0 m². What is the cardiac index?

Accepted Answer

1.5 L/min/m²

Answer

1.0 L/min/m²

Answer

3.0 L/min/m²

Answer

6.0 L/min/m²

Question 5

An ACNP notes that a patient's arterial line shows a dampened waveform. Which action should be taken FIRST?

Accepted Answer

Check for air bubbles or kinks in the tubing

Answer

Flush the line with heparin

Answer

Reposition the transducer

Answer

Order a stat echocardiogram

Question 6

Which hemodynamic profile is consistent with hypovolemic shock?

Accepted Answer

Low CVP, low CO, high SVR

Answer

Low CVP, high CO, low SVR

Answer

High CVP, low CO, high SVR

Answer

High CVP, high CO, low SVR