25. A 78-year-old man with a history of diabetes has confusi…

Questions

25. A 78-yeаr-оld mаn with а histоry оf diabetes has confusion and temperature of 104 degrees F. There is a wound on his right heel with purulent drainage. After an infusion of 3 L of normal saline, his assessment findings are  B/P 84/40 mm/Hg, heart rate 110, respirations 42 and shallow, cardiac out 8 L/min, and PAWP 4 mm/Hg. What conditions does his symptoms indicate?

Fоr the rest оf this quiz, use the fоllowing аpplicаtion аrchitecture description as the basis to answer the below questions: Overview - The application is called “CCAPP”.  It has a web-based front-end interface and exposes several services for other applications to utilize. Web Infrastructure - All the application components are written in .NET and deployed on 2 app pools on 3 IIS servers named WIIS1.acme.com (with IP 10.20.10.101), WIIS2.acme.com (with IP 10.20.10.102), & WIIS3.acme.com (with IP 10.20.10.103) – they each listen on port 80. One app pool is for the web-based user interface and utilizes the “/ccapp” virtual directory, while the other app pool is for the web services and uses the “/ccapp-apis” virtual directory The IIS servers are part of two pools (one for each virtual directory) front-ended by a load balancer. The load balancer exposes two VIPs (ccapp.acme.com with IP 204.153.78.20 for the user interface and ccapp-apis.acme.com with IP 204.153.78.21 for the web services) to the internet. The load balancer proxies the web servers and populates the X-Forwarded-For HTTP Header for both pools Both app pools are recycled in a rolling fashion (one IIS server at a time) each night There is no “session stickiness” because the session state is stored in a database Security & Network There is a firewall in between the load balancer and the IIS servers The application’s front-end interface is protected by an OAUTH cloud-based service that has a replicated copied of the company’s Active Directory. For any user to authenticate to the application it needs to be defined in AD and part of the ccapp-users group. The application’s web services are protected by IP-filtering (only certain IP addresses are allowed to connect to them) and application tokens (long strings) are individually shared with each client There is a firewall in between the IIS servers and the database server Database & Other external factors CCAPP utilizes a SQL Server database (IP 10.20.20.100) for its application data and its session state (only applicable to the user interface) CCAPP (UI & services) makes calls to internal web services that have their own web and database servers. The application also makes calls to web services on the Internet The application is 24x7, but also has a nightly batch job component that performs heavy updates for a couple of hours Transaction log backups occur every 30 minutes, differential backups nightly and full backups weekly on Sundays Index rebuilds and/or reorgs (depending on the state of each index) as well statistics updates are performed on a weekly basis as well The database is large (over 3TB) and replicated to another location asynchronously for disaster recovery purposes Personnel Assume you have access to a business user representative, an ITSM practitioner, server engineer, DBA, web hosting engineer, network engineer & an application developer Scenario #2 – Calls come in that one of our external partners are failing to get responses back from one of the “CCAPP” web services. Select the three most appropriate initial questions to ask/actions to take.

Fоr the rest оf this quiz, use the fоllowing аpplicаtion аrchitecture description as the basis to answer the below questions: Overview - The application is called “CCAPP”.  It has a web-based front-end interface and exposes several services for other applications to utilize. Web Infrastructure - All the application components are written in .NET and deployed on 2 app pools on 3 IIS servers named WIIS1.acme.com (with IP 10.20.10.101), WIIS2.acme.com (with IP 10.20.10.102), & WIIS3.acme.com (with IP 10.20.10.103) – they each listen on port 80. One app pool is for the web-based user interface and utilizes the “/ccapp” virtual directory, while the other app pool is for the web services and uses the “/ccapp-apis” virtual directory The IIS servers are part of two pools (one for each virtual directory) front-ended by a load balancer. The load balancer exposes two VIPs (ccapp.acme.com with IP 204.153.78.20 for the user interface and ccapp-apis.acme.com with IP 204.153.78.21 for the web services) to the internet. The load balancer proxies the web servers and populates the X-Forwarded-For HTTP Header for both pools Both app pools are recycled in a rolling fashion (one IIS server at a time) each night There is no “session stickiness” because the session state is stored in a database Security & Network There is a firewall in between the load balancer and the IIS servers The application’s front-end interface is protected by an OAUTH cloud-based service that has a replicated copied of the company’s Active Directory. For any user to authenticate to the application it needs to be defined in AD and part of the ccapp-users group. The application’s web services are protected by IP-filtering (only certain IP addresses are allowed to connect to them) and application tokens (long strings) are individually shared with each client There is a firewall in between the IIS servers and the database server Database & Other external factors CCAPP utilizes a SQL Server database (IP 10.20.20.100) for its application data and its session state (only applicable to the user interface) CCAPP (UI & services) makes calls to internal web services that have their own web and database servers. The application also makes calls to web services on the Internet The application is 24x7, but also has a nightly batch job component that performs heavy updates for a couple of hours Transaction log backups occur every 30 minutes, differential backups nightly and full backups weekly on Sundays Index rebuilds and/or reorgs (depending on the state of each index) as well statistics updates are performed on a weekly basis as well The database is large (over 3TB) and replicated to another location asynchronously for disaster recovery purposes Personnel Assume you have access to a business user representative, an ITSM practitioner, server engineer, DBA, web hosting engineer, network engineer & an application developer Scenario #1 – Calls come in that the user interface for the “CCAPP” application is failing with a generic message on certain screens/functions. Other screens are working fine.  This seems to be happening to many, potentially all users.  The following are the answers provided to the above: Ask the ITSM practitioner if any relevant changes were performed recently – no relevant changes found in last two days Ask the ITSM practitioner (with access to the Helpdesk) & business user representative if any other applications are experiencing performance problems – No other applications experiencing issues Ask the business user representative if they can provide the IP address of a user with the problem – The IP address 10.4.53.5 is provided Ask the business user representative which application screens/functions appear to be working and which are not – It appears that any screens that perform updates are not responding or timing out, while read-only screens seem to be responding Ask the Web Hosting engineer to see if any of the members in the load balancer pool for this application are down – No pool members are down Ask the Server engineer if any of the IIS servers or the database server is experiencing high activity – No servers are experiencing high activity Ask the Database administrator to see if there are any blocked sessions – No blocked sessions found Ask the Network engineer to see if the firewall is experiencing high CPU – CPU activity is normal on the firewall Based on the above answers, select the three most appropriate follow-up questions/actions.