Acute Care Nurse Practitioner Trivia 4

Question 1

Which scoring system is used to assess the severity of organ dysfunction in critically ill patients?

Accepted Answer

SOFA score

Answer

The Sequential Organ Failure Assessment (SOFA) score evaluates 6 organ systems and is used to define and monitor sepsis-related organ dysfunction.

Question 2

A patient's ABG shows: pH 7.28, PaCO2 58, HCO3 26. What is the PRIMARY acid-base disturbance?

Accepted Answer

Respiratory acidosis

Answer

Elevated PaCO2 (>45) with low pH indicates respiratory acidosis; the near-normal HCO3 suggests this is acute with limited compensation.

Question 3

Which intervention has the STRONGEST evidence for reducing ventilator-associated pneumonia (VAP)?

Accepted Answer

Elevating the head of bed to 30-45 degrees

Answer

Elevating the head of bed to 30-45 degrees is a core VAP bundle element with strong evidence for reducing microaspiration and VAP incidence.

Question 4

A patient develops fever, encephalopathy, and thrombocytopenia after a red blood cell transfusion. Which condition is MOST likely?

Accepted Answer

Thrombotic thrombocytopenic purpura (TTP)

Answer

The pentad of TTP includes fever, thrombocytopenia, microangiopathic hemolytic anemia, neurological changes, and renal impairment; it may be triggered by transfusion.

Question 5

Which is the MOST appropriate initial sedation goal for a mechanically ventilated ICU patient per current PADIS guidelines?

Accepted Answer

Light sedation or alert/calm (RASS 0 to -2)

Answer

The 2018 PADIS guidelines recommend targeting light sedation (RASS 0 to -2) to reduce ICU length of stay, ventilator days, and delirium.

Acute Care Nurse Practitioner Practice Test

Acute Care Nurse Practitioner Practice Test

Acute Care Nurse Practitioner Trivia 4