Question 1

The purpose of auscultation includes all of the following EXCEPT _______________

Accepted Answer

A)  the need for suction. 
B)  distribution of ventilation. 
C)  changes in breath sounds. 
D)  as required by procedure. 
A)  the need for suction. 
B)  distribution of ventilation. 
C)  changes in breath sounds. 
D)  as required by procedure. D

Question 2

Myasthenia gravis,amyotrophic lateral sclerosis,Gullain-Barre syndrome,spinal cord injuries,and multiple sclerosis may all lead to respiratory failure due to _______________

Accepted Answer

A)  interference with the neurotransmission to the ventilatory muscles. 
B)  failure of the respiratory pump. 
C)  loss of nervous signals to contract for ventilation. 
D)  all of the above. 
A)  interference with the neurotransmission to the ventilatory muscles. 
B)  failure of the respiratory pump. 
C)  loss of nervous signals to contract for ventilation. 
D)  all of the above. D

Question 3

A practitioner should not use the assist ventilation mode in which of the following conditions?

Accepted Answer

A)  Asthmatic patient prior to extubation 
B)  Congestive heart failure after delivery of diuretics 
C)  Resolving pneumonia 
D)  Post-operative abdominal surgery with sedation 
A)  Asthmatic patient prior to extubation 
B)  Congestive heart failure after delivery of diuretics 
C)  Resolving pneumonia 
D)  Post-operative abdominal surgery with sedation D

Question 4

In the early stages of an acute asthmatic attack the practitioner will note which of the following?

Accepted Answer

A)  Type I respiratory failure (normal or low PaCO₂ with low PaO₂) 
B)  Type II respiratory failure(high PaCO₂ with a low PaO₂ 
C)  Respiratory failure with PaCO₂ greater than 50 and PaO₂ less than 50 
D)  Near normal arterial PCO₂ and PO₂ 
A)  Type I respiratory failure (normal or low PaCO₂ with low PaO₂) 
B)  Type II respiratory failure(high PaCO₂ with a low PaO₂ 
C)  Respiratory failure with PaCO₂ greater than 50 and PaO₂ less than 50 
D)  Near normal arterial PCO₂ and PO₂

Question 5

Type I respiratory failure is which of the following?

Accepted Answer

A)  PaCO₂ greater than 50 mmHg and PaO₂ within normal levels 
B)  PaCO₂ greater than 50 mmHg and PaO₂ less than 50 mmHg with pH below 7.35 
C)  High PaCO₂ with a low PO₂ but a normal pH 
D)  PaO₂ of less than 59 mmHg with a normal PaCO₂ 
A)  PaCO₂ greater than 50 mmHg and PaO₂ within normal levels 
B)  PaCO₂ greater than 50 mmHg and PaO₂ less than 50 mmHg with pH below 7.35 
C)  High PaCO₂ with a low PO₂ but a normal pH 
D)  PaO₂ of less than 59 mmHg with a normal PaCO₂

Question 6

When considering types of ventilation,which of the following is NOT an advantage of invasive positive-pressure ventilation?

Accepted Answer

A)  Better regulation of minute ventilation especially in volume modes 
B)  Improved delivery of oxygen therapy 
C)  Better accuracy in monitoring parameters 
D)  Enhanced ability to communicate 
A)  Better regulation of minute ventilation especially in volume modes 
B)  Improved delivery of oxygen therapy 
C)  Better accuracy in monitoring parameters 
D)  Enhanced ability to communicate

Question 7

Excessive length of inspiratory time can result in which of the following?
I.Increased mean airway pressure
II.Reduced cardiac output
III.Hypotension
IV.Reduction in oxygenation

Accepted Answer

A)  I, II, III and IV 
B)  I, II and III 
C)  II, III and IV 
D)  I and II 
A)  I, II, III and IV 
B)  I, II and III 
C)  II, III and IV 
D)  I and II

Question 8

A family does not want to have their parent with congestive heart failure intubated,but the patient is in need of mechanical ventilation,the therapist should recommend _____________

Accepted Answer

A)  IPPB therapy for 20 minutes every hour. 
B)  CPAP therapy via nasal mask with 50% oxygen. 
C)  noninvasive ventilation using IPAP and EPAP pressures. 
D)  disregarding the wishes of the family and intubate and mechanically ventilate the patient. 
A)  IPPB therapy for 20 minutes every hour. 
B)  CPAP therapy via nasal mask with 50% oxygen. 
C)  noninvasive ventilation using IPAP and EPAP pressures. 
D)  disregarding the wishes of the family and intubate and mechanically ventilate the patient.

Question 9

Respiratory failure is which of the following?
I.PaO₂ of 40-50 mmHg on room air and PaCO₂
II.A syndrome where the lungs are not able to adequately exchange O₂ and CO₂
III.A condition always linked to chronic respiratory diseases
IV.This is a terminal condition with the patient will not recover from

Accepted Answer

A)  I, II, III and IV 
B)  I, II and IV 
C)  I and II 
D)  II and III 
A)  I, II, III and IV 
B)  I, II and IV 
C)  I and II 
D)  II and III

Question 10

Which of the following are contraindications for sending a patient home on a mechanical ventilator?
I.PEEP greater that 10 cm H₂O
II.Inadequate utilities to operate medical devices
III.Oxygen setting above 40%
IV.Presence of elementary age children in the home

Accepted Answer

A)  I, II, III and IV 
B)  I, II and III 
C)  II, III and IV 
D)  I and III 
A)  I, II, III and IV 
B)  I, II and III 
C)  II, III and IV 
D)  I and III

Question 11

The practitioner will determine settings for an alarm to do which of the following?
I.Identify harmful conditions
II.Alert staff of changes in the patient or ventilator condition
III.Provide a method of interaction for the patient

Accepted Answer

A)  I, II and III 
B)  I only 
C)  II only 
D)  I and II only 
A)  I, II and III 
B)  I only 
C)  II only 
D)  I and II only

Question 12

How does a practitioner measure airway resistance on a ventilator?

Accepted Answer

Airway resistance may be easily calculat

Question 13

What equipment procedure should be done prior to using a mechanical ventilator on a patient?

Accepted Answer

A)  Perform a ventilator operational verification procedure 
B)  Identify patient insurance coverage 
C)  Perform a static compliance measurement 
D)  Determine alveolar ventilation 
A)  Perform a ventilator operational verification procedure 
B)  Identify patient insurance coverage 
C)  Perform a static compliance measurement 
D)  Determine alveolar ventilation

Question 14

Use of high pressure,large volume and increased oxygen tension can result in ____________

Accepted Answer

A)  VAP (ventilator associated pneumonia). 
B)  VILI (ventilator induced lung injury). 
C)  RSBI (rapid shallow breathing index). 
D)  MOV (maximum occluding volume). 
A)  VAP (ventilator associated pneumonia). 
B)  VILI (ventilator induced lung injury). 
C)  RSBI (rapid shallow breathing index). 
D)  MOV (maximum occluding volume).

Question 15

To avoid excessive ventilating pressure in a drug overdose patient,a practitioner should consider using which of the following?

Accepted Answer

A)  Pressure control ventilation 
B)  Volume control ventilation 
C)  Assist control volume ventilation 
D)  Manual resuscitator bag without a pressure release valve 
A)  Pressure control ventilation 
B)  Volume control ventilation 
C)  Assist control volume ventilation 
D)  Manual resuscitator bag without a pressure release valve

Question 16

The first action a practitioner should take with an apneic patient is ____________

Accepted Answer

A)  Apply 100% oxygen by non-rebreather mask 
B)  Obtain intubation kit and insert an ETT into the airway 
C)  Insert an oral airway and begin bag/mask ventilation 
D)  Initiate non-invasive CPAP ventilation 
A)  Apply 100% oxygen by non-rebreather mask 
B)  Obtain intubation kit and insert an ETT into the airway 
C)  Insert an oral airway and begin bag/mask ventilation 
D)  Initiate non-invasive CPAP ventilation

Question 17

How is tubing compliance determined?

Accepted Answer

1.Set the controls to the values listed

Question 18

What is the difference in calculating dynamic compliance vs static compliance?

Accepted Answer

Dynamic compliance is the compliance of

Question 19

Which of the following is an advantage of using noninvasive ventilation?
I.The reimbursement rate is higher than for mechanical ventilation
II.Intubation can be avoided
III.There is a decreased risk of acquiring a pulmonary infection
IV.Patient maintains ability to communicate

Accepted Answer

A)  I, II, III and IV 
B)  I, II and III 
C)  II, III and IV 
D)  II and IV 
A)  I, II, III and IV 
B)  I, II and III 
C)  II, III and IV 
D)  II and IV

Question 20

When assessing the patient for pending respiratory failure,the practitioner should note which of the following?
I.Appearance such as cyanosis
II.Tachypnea
III.Digit clubbing
IV.Hypoxemia

Accepted Answer

A)  I, II, III and IV 
B)  I, II and III 
C)  II, III and IV 
D)  I, II and IV 
A)  I, II, III and IV 
B)  I, II and III 
C)  II, III and IV 
D)  I, II and IV

Exam 25: Continuous Mechanical Ventilation

The purpose of auscultation includes all of the following EXCEPT _______________

Myasthenia gravis,amyotrophic lateral sclerosis,Gullain-Barre syndrome,spinal cord injuries,and multiple sclerosis may all lead to respiratory failure due to _______________

A practitioner should not use the assist ventilation mode in which of the following conditions?

In the early stages of an acute asthmatic attack the practitioner will note which of the following?

Type I respiratory failure is which of the following?

When considering types of ventilation,which of the following is NOT an advantage of invasive positive-pressure ventilation?

Excessive length of inspiratory time can result in which of the following? I.Increased mean airway pressure II.Reduced cardiac output III.Hypotension IV.Reduction in oxygenation

A family does not want to have their parent with congestive heart failure intubated,but the patient is in need of mechanical ventilation,the therapist should recommend _____________

Which of the following are contraindications for sending a patient home on a mechanical ventilator? I.PEEP greater that 10 cm H₂O II.Inadequate utilities to operate medical devices III.Oxygen setting above 40% IV.Presence of elementary age children in the home

The practitioner will determine settings for an alarm to do which of the following? I.Identify harmful conditions II.Alert staff of changes in the patient or ventilator condition III.Provide a method of interaction for the patient

How does a practitioner measure airway resistance on a ventilator?

What equipment procedure should be done prior to using a mechanical ventilator on a patient?

Use of high pressure,large volume and increased oxygen tension can result in ____________

To avoid excessive ventilating pressure in a drug overdose patient,a practitioner should consider using which of the following?

The first action a practitioner should take with an apneic patient is ____________

How is tubing compliance determined?

What is the difference in calculating dynamic compliance vs static compliance?

Which of the following is an advantage of using noninvasive ventilation? I.The reimbursement rate is higher than for mechanical ventilation II.Intubation can be avoided III.There is a decreased risk of acquiring a pulmonary infection IV.Patient maintains ability to communicate

When assessing the patient for pending respiratory failure,the practitioner should note which of the following? I.Appearance such as cyanosis II.Tachypnea III.Digit clubbing IV.Hypoxemia

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

Artificial Airway Care

Chest Tubes

Insertion and Maintenance of Intravenous Lines

Noninvasive Positive-Pressure Ventilation

Advanced Modes of Mechanical Ventilation

Wave Form Analysis

Weaning and Discontinuance of Mechanical Ventilation

Neonatal Mechanical Ventilation

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