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• The content and feel of each of our simulations is designed to recreate the same experience found on the actual exam. As you become more comfortable with the computer testing format, you will be able to focus more on what is best for the patient and less on how the computer works. • Separate scoring for Information Gathering and Decision Making is provided at the end of each simulation.

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• An analysis of your positive and negative choices is also produced. A complete post-test review of the entire simulation using color-coded options will allow you to quickly see your correct and incorrect selections. • A detailed review of each section will explain what was the best course of action and how you can improve your test-taking. • Each simulation requires 1 token to play. Once you complete a simulation, you may repeat that simulation for a period of two weeks without using another token.

Cardiac - 1 You are the critical care specialist assigned to the Intensive Care Unit of a 544 bed medical center. As you arrive in the unit at 07:00 you are requested to come to the bedside of the patient in room 1119.

The medical resident informs you that the patient was admitted last night and had a quadruple-lumen, balloon tipped, flow directed, pulmonary artery catheter inserted soon after admission. The resident asks you to confirm that the catheter and monitoring system is functioning properly. She also asks you to assist her in interpreting the values currently being measured by the catheter.

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Cardiac - 2 You are the respiratory therapist assigned to the Intensive Care Unit of a 200 bed hospital. As you arrive in the unit to begin your shift you are requested to come to the bedside of the patient in room 7.

The physician present informs you that the patient was admitted this morning complaining of severe chest pain and nausea. The patient was diagnosed with acute coronary artery disease and was taken to surgery. The patient had a pulmonary artery catheter inserted soon after returning to the ICU. The physician would like you to assist in the care of the patient. Cardiac - 4 You are a respiratory therapist working at a 180 bed community hospital. You have been called to the coronary care unit to assist in the care of a patient. The patient is a 65 year-old stock broker.

Earlier today he started to experience some breathlessness and chest pain while working. EMS brought him to the emergency department to be evaluated. He has a history of peripheral vascular disease. He arrived with his ECG exhibiting elevated 'ST' segments. His physician has asked you to follow the patient and report any unusual findings to him. You proceed to the patient's room. General Medical - 4 You are the evening shift therapist in a 500-bed medical center.

You receive a call at 2100 to come to the intensive care unit. As you enter the unit, the patient arrives from surgery. The patient is a 42 year old female who was admitted for abdominal swelling and tenderness. Exploratory surgery was performed to identify possible causes. A central line was inserted at the bedside in the right subclavian vein following the surgery. The attending physician would like you to assist in the care of the patient. General Medical - 9 You are the day shift therapist in a 800-bed medical center.