Question 1

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

Accepted Answer

Dynamic compliance is the compliance of

Question 2

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 3

A practitioner needs to ventilate a patient with airway resistance and lung compliance that will be changing.Which of the following will give a stable tidal volume and minute volume despite this change.

Accepted Answer

A) Pressure ventilator 
B) Bird Mark 7 
C) Volume control ventilator (VCV) 
D) Pressure control ventilation 
A) Pressure ventilator 
B) Bird Mark 7 
C) Volume control ventilator (VCV) 
D) Pressure control ventilation

Question 4

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 5

In the face of changing airway resistance or thoracic compliance,which of the following will occur in volume ventilation?

Accepted Answer

A) Pressure is selected as the controlled variable 
B) Volume will change while pressure will stay the same 
C) Pressure will vary but the tidal volume will remain unchanged 
D) Pressure will stay the same but FIO₂ will vary with back pressure 
A) Pressure is selected as the controlled variable 
B) Volume will change while pressure will stay the same 
C) Pressure will vary but the tidal volume will remain unchanged 
D) Pressure will stay the same but FIO₂ will vary with back pressure

Question 6

How is tubing compliance determined?

Accepted Answer

1.Set the controls to the values listed

Question 7

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 8

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.

Question 9

Which of the following is true of pressure support?
I.Inspiration continues until flow decreases to 25% of peak flow
II.This is an assist mode.
III.It is used to augment the patient's spontaneous breathing
IV.It is a positive pressure delivered on both inspiration and expiration

Accepted Answer

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

Question 10

For the initial ventilator setting,the inspiratory flowrate is ___________________

Accepted Answer

A) set at 70 lpm. 
B) tidal volume time respiratory rate. 
C) adjusted to allow adequate expiratory emptying of the lungs. 
D) to give a 1:2 I:E ratio. 
A) set at 70 lpm. 
B) tidal volume time respiratory rate. 
C) adjusted to allow adequate expiratory emptying of the lungs. 
D) to give a 1:2 I:E ratio.

Question 11

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.

Question 12

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 13

Recommend tidal volume for initial ventilator setting is _____________________

Accepted Answer

A) 400 mL for women and 500 ml for men. 
B) 4-9 mL/Kg of ideal body weight. 
C) 10-15 mL/kg of ideal body weight. 
D) 800 mL for both males and females. 
A) 400 mL for women and 500 ml for men. 
B) 4-9 mL/Kg of ideal body weight. 
C) 10-15 mL/kg of ideal body weight. 
D) 800 mL for both males and females.

Question 14

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.

Exam 25: Continuous Mechanical Ventilation

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

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

A practitioner needs to ventilate a patient with airway resistance and lung compliance that will be changing.Which of the following will give a stable tidal volume and minute volume despite this change.

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

In the face of changing airway resistance or thoracic compliance,which of the following will occur in volume ventilation?

How is tubing compliance determined?

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

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

Which of the following is true of pressure support? I.Inspiration continues until flow decreases to 25% of peak flow II.This is an assist mode. III.It is used to augment the patient's spontaneous breathing IV.It is a positive pressure delivered on both inspiration and expiration

For the initial ventilator setting,the inspiratory flowrate is ___________________

The purpose of auscultation includes all of the following EXCEPT _______________

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

Recommend tidal volume for initial ventilator setting is _____________________

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 _____________

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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