Stage 04 · Judgment · free

Clinical judgment check — Practicing therapist

Multi-variable cases where the data conflict and the right move depends on how you weigh hemodynamics, gas exchange, and timing.

8 questionsScored with rationale·Linked to 3 modules

Question 1 of 8

CVP 2, PAOP 4, cardiac index 1.9, SVR high. This hemodynamic pattern indicates:

Question 2 of 8

During an SBT the patient's rate climbs from 18 to 34 with a VT of 240 mL. You should:

Question 3 of 8

ETCO2 falls abruptly from 38 to 15 while the ventilator settings and airway are unchanged and SpO2 falls. Suspect:

Question 4 of 8

A ventilated patient has a plateau of 34 cmH2O at 6 mL/kg IBW with a PEEP of 14. The next step is:

Question 5 of 8

A patient with a wide-complex tachycardia at 180 and a blood pressure of 74/40 is unresponsive to a fluid bolus. The team should:

Question 6 of 8

A patient improving on bilevel has an SpO2 of 99% on FiO2 0.70. The appropriate action is:

Question 7 of 8

SpO2 reads 100% in a patient pulled from a house fire with headache and confusion. The most useful test is:

Question 8 of 8

The most defensible reason to change a therapy is:

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