Question 1

Why is the nasopharyngeal airway placed for frequent nasotracheal suctioning?

Accepted Answer

A)  To minimize trauma to the patient's nose and nasopharynx 
B)  To allow the patient to be able to speak during the procedure 
C)  To prevent aspiration of abdominal contents 
D)  To prevent hypoxemia during the procedure 
A)  To minimize trauma to the patient's nose and nasopharynx 
B)  To allow the patient to be able to speak during the procedure 
C)  To prevent aspiration of abdominal contents 
D)  To prevent hypoxemia during the procedure

Question 2

If the volume ventilator is used for preoxygenation and preventilation prior to suctioning a patient,you must wait up to 2 minutes,depending on the rate and the tidal volume,before the patient receives 100% oxygen.What is the reason for this?

Accepted Answer

A)  Vagus nerve stimulation 
B)  Suction catheter size 
C)  The invagination of the airway mucosal tissue 
D)  The effects of the wash-out volume 
A)  Vagus nerve stimulation 
B)  Suction catheter size 
C)  The invagination of the airway mucosal tissue 
D)  The effects of the wash-out volume

Question 3

What should be done to prevent a high-risk patient from aspiration of gastric contents?

Accepted Answer

A)  Proper maintenance of cuff pressures 
B)  Use of humidification of secretions with a heated humidifier 
C)  Elevation of the patient's head 30-45 degrees 
D)  The use of subglottic secretion drainage 
A)  Proper maintenance of cuff pressures 
B)  Use of humidification of secretions with a heated humidifier 
C)  Elevation of the patient's head 30-45 degrees 
D)  The use of subglottic secretion drainage

Question 4

A patient's chest radiograph indicates pneumonia and atelectasis of the left upper lobe.Which type of suction catheter should be used to ensure the catheter enters the left lung?

Accepted Answer

A)  Whistle tip catheter 
B)  Coudé catheter 
C)  Closed system suction catheter 
D)  Fenestrated suction catheter 
A)  Whistle tip catheter 
B)  Coudé catheter 
C)  Closed system suction catheter 
D)  Fenestrated suction catheter

Question 5

You are suctioning a patient with a metal (silver)tracheostomy with an inner cannula that has a one-way valve.You insert the catheter through the one-way valve to suction the patient but are unable to remove the catheter because the valve closes on the catheter.What should you do now?

Accepted Answer

All suction pressure should be removed f

Question 6

A patient has been placed on mechanical ventilation.The respiratory care practitioner needs to know the absolute contraindication to suctioning a patient through an endotracheal tube that is on mechanical ventilation is:

Accepted Answer

A)  a bronchospasm. 
B)  coagulopathy. 
C)  an irritable airway. 
D)  none of these. 
A)  a bronchospasm. 
B)  coagulopathy. 
C)  an irritable airway. 
D)  none of these.

Question 7

PEEP therapy through a mechanical ventilator may increase the patient's susceptibility to significant hypoxemia.Which suction catheter will maintain the PEEP level in a ventilated patient?

Accepted Answer

A)  Whistle tip suction catheter 
B)  Coude suction catheter 
C)  Closed suction system catheter 
D)  Fenestrated suction catheter 
A)  Whistle tip suction catheter 
B)  Coude suction catheter 
C)  Closed suction system catheter 
D)  Fenestrated suction catheter

Question 8

If a patient is expected to be on a ventilator for more than _________,a heated humidifier should be used if the patient has an artificial airway in place.

Accepted Answer

A)  24 hours 
B)  48 hours 
C)  72 hours 
D)  96 hours 
A)  24 hours 
B)  48 hours 
C)  72 hours 
D)  96 hours

Why is the nasopharyngeal airway placed for frequent nasotracheal suctioning?

If the volume ventilator is used for preoxygenation and preventilation prior to suctioning a patient,you must wait up to 2 minutes,depending on the rate and the tidal volume,before the patient receives 100% oxygen.What is the reason for this?

What should be done to prevent a high-risk patient from aspiration of gastric contents?

A patient's chest radiograph indicates pneumonia and atelectasis of the left upper lobe.Which type of suction catheter should be used to ensure the catheter enters the left lung?

You are suctioning a patient with a metal (silver)tracheostomy with an inner cannula that has a one-way valve.You insert the catheter through the one-way valve to suction the patient but are unable to remove the catheter because the valve closes on the catheter.What should you do now?

A patient has been placed on mechanical ventilation.The respiratory care practitioner needs to know the absolute contraindication to suctioning a patient through an endotracheal tube that is on mechanical ventilation is:

PEEP therapy through a mechanical ventilator may increase the patient's susceptibility to significant hypoxemia.Which suction catheter will maintain the PEEP level in a ventilated patient?

If a patient is expected to be on a ventilator for more than _________,a heated humidifier should be used if the patient has an artificial airway in place.

Basics of Asepsis

Basic Patient Assessment: Vital Signs and Breath Sounds

Advanced Patient Assessment: Inspection, Palpation, and Percussion

Radiologic Assessment

Pulmonary Function Testing

Electrocardiography

Phlebotomy

Arterial Blood Gas Sampling

Hemodynamic Monitoring

Noninvasive Monitoring

Documentation and Goals Assessment

Oxygen Supply Systems

Oxygen Administration

Introduction to Respiratory Care Pharmacology

Humidity and Aerosol Therapy

Bronchial Hygiene Therapy

Hyperinflation Therapy

Bronchoscopy Assisting

Equipment Processing and Surveillance

Emergency Airway Management

Chest Tubes

Insertion and Maintenance of Intravenous Lines

Noninvasive Positive-Pressure Ventilation

Continuous Mechanical Ventilation

Advanced Modes of Mechanical Ventilation

Wave Form Analysis

Weaning and Discontinuance of Mechanical Ventilation

Neonatal Mechanical Ventilation

Filters

Exam 21: Artificial Airway Care

Why is the nasopharyngeal airway placed for frequent nasotracheal suctioning?

If the volume ventilator is used for preoxygenation and preventilation prior to suctioning a patient,you must wait up to 2 minutes,depending on the rate and the tidal volume,before the patient receives 100% oxygen.What is the reason for this?

What should be done to prevent a high-risk patient from aspiration of gastric contents?

A patient's chest radiograph indicates pneumonia and atelectasis of the left upper lobe.Which type of suction catheter should be used to ensure the catheter enters the left lung?

You are suctioning a patient with a metal (silver)tracheostomy with an inner cannula that has a one-way valve.You insert the catheter through the one-way valve to suction the patient but are unable to remove the catheter because the valve closes on the catheter.What should you do now?

A patient has been placed on mechanical ventilation.The respiratory care practitioner needs to know the absolute contraindication to suctioning a patient through an endotracheal tube that is on mechanical ventilation is:

PEEP therapy through a mechanical ventilator may increase the patient's susceptibility to significant hypoxemia.Which suction catheter will maintain the PEEP level in a ventilated patient?

If a patient is expected to be on a ventilator for more than _________,a heated humidifier should be used if the patient has an artificial airway in place.

Basics of Asepsis

Basic Patient Assessment: Vital Signs and Breath Sounds

Advanced Patient Assessment: Inspection, Palpation, and Percussion

Radiologic Assessment

Pulmonary Function Testing

Electrocardiography

Phlebotomy

Arterial Blood Gas Sampling

Hemodynamic Monitoring

Noninvasive Monitoring

Documentation and Goals Assessment

Oxygen Supply Systems

Oxygen Administration

Introduction to Respiratory Care Pharmacology

Humidity and Aerosol Therapy

Bronchial Hygiene Therapy

Hyperinflation Therapy

Bronchoscopy Assisting

Equipment Processing and Surveillance

Emergency Airway Management

Chest Tubes

Insertion and Maintenance of Intravenous Lines

Noninvasive Positive-Pressure Ventilation

Continuous Mechanical Ventilation

Advanced Modes of Mechanical Ventilation

Wave Form Analysis

Weaning and Discontinuance of Mechanical Ventilation

Neonatal Mechanical Ventilation

Filters