Question 1

The oxygenation goal for most mechanically ventilated patients is ___________________

Accepted Answer

A) SPO₂ 95-100%,PaO₂ 100-105 mm Hg. 
B) SPO₂ 88-90%,PaO₂ 60+ mm Hg. 
C) SPO₂ 93-98%,PaO₂ 75 mm Hg. 
D) PaO₂ 80-100 mm Hg. 
A) SPO₂ 95-100%,PaO₂ 100-105 mm Hg. 
B) SPO₂ 88-90%,PaO₂ 60+ mm Hg. 
C) SPO₂ 93-98%,PaO₂ 75 mm Hg. 
D) PaO₂ 80-100 mm Hg. B

Question 2

The practitioner wants to improve the gas exchange and reduce sedation for a patient on pressure control ventilation.The therapist should consider ________________

Accepted Answer

A) decreasing plateau pressure. 
B) switching to volume assist control ventilation. 
C) changing to APRV. 
D) increasing the PEEP. 
A) decreasing plateau pressure. 
B) switching to volume assist control ventilation. 
C) changing to APRV. 
D) increasing the PEEP. C

Question 3

A practitioner wants to use volume support but is concerned that the patient might have periods of apnea.What should be used to ensure that the patient will have a backup ventilation mode?

Accepted Answer

A) Automode 
B) Automatic tube compensation 
C) Mandatory minute ventilation 
D) Proportional assist ventilation 
A) Automode 
B) Automatic tube compensation 
C) Mandatory minute ventilation 
D) Proportional assist ventilation A

Question 4

Which of the following is true of THIGH with APRV?

Accepted Answer

A) It is the same as IPAP in BiPAP. 
B) It keeps the alveoli recruited and inflated. 
C) Time on Thigh is short than TLOW. 
D) It is the same as plateau pressure in volume ventilation. 
A) It is the same as IPAP in BiPAP. 
B) It keeps the alveoli recruited and inflated. 
C) Time on Thigh is short than TLOW. 
D) It is the same as plateau pressure in volume ventilation.

Question 5

BiLevel with the Nellcor Puritan Bennett 840 allows adjustment of High PEEP,Low PEEP,Time High and Time Low.These controls are also seen in _________________

Accepted Answer

A) SIMV 
B) PRVC 
C) APRV 
D) VSV 
A) SIMV 
B) PRVC 
C) APRV 
D) VSV

Question 6

Time cycled breath control _______________

Accepted Answer

A) identifies periods of apnea. 
B) is adjusted in increments of 1-3 mm Hg. 
C) adjusts the end of inspiration after a specified time. 
D) increases pressure to a set value. 
A) identifies periods of apnea. 
B) is adjusted in increments of 1-3 mm Hg. 
C) adjusts the end of inspiration after a specified time. 
D) increases pressure to a set value.

Question 7

Application of dual control with breathing modes of ventilation is used ____________

Accepted Answer

A) to simplify the ventilation strategy. 
B) to reduce the number of health care providers needed to deliver care. 
C) to reduce the work of breathing while maintaining minute volume and tidal volume. 
D) prior to implementing high frequency ventilation 
A) to simplify the ventilation strategy. 
B) to reduce the number of health care providers needed to deliver care. 
C) to reduce the work of breathing while maintaining minute volume and tidal volume. 
D) prior to implementing high frequency ventilation

Question 8

Volume ventilation is causing high pressures for a patient with ARDS.The practitioner would like to use a pressure mode but is concerned about the changing compliance.Which of the following should be considered for this purpose?

Accepted Answer

A) SIMV 
B) PRVC 
C) Automode with volume support ventilation 
D) Inverse ratio ventilation 
A) SIMV 
B) PRVC 
C) Automode with volume support ventilation 
D) Inverse ratio ventilation

Question 9

The goal of inverse ratio ventilation is to ____________________

Accepted Answer

A) decrease carbon dioxide by over inflation of the alveoli. 
B) increase mean airway pressure to improve oxygenation in ARDS. 
C) hyperextend alveoli to increase pulmonary vascular resistance. 
D) increase air trapping by lengthening inspiration 
A) decrease carbon dioxide by over inflation of the alveoli. 
B) increase mean airway pressure to improve oxygenation in ARDS. 
C) hyperextend alveoli to increase pulmonary vascular resistance. 
D) increase air trapping by lengthening inspiration

Question 10

A practitioner decreases the oxygenation setting on the mechanical ventilator,which results in an increase in heart rate.This is _____________________

Accepted Answer

A) a first sign of hypoxemia. 
B) an expected cardiovascular change. 
C) typical with normal healthy patients. 
D) an indication that the patient needs suctioning. 
A) a first sign of hypoxemia. 
B) an expected cardiovascular change. 
C) typical with normal healthy patients. 
D) an indication that the patient needs suctioning.

Question 11

Intermittent Mandatory Ventilation is _______________________

Accepted Answer

A) spontaneous breathing between machine breaths. 
B) periodic pressure breathing in between volume breaths. 
C) the same as control ventilation. 
D) used to improve arterial oxygenation. 
A) spontaneous breathing between machine breaths. 
B) periodic pressure breathing in between volume breaths. 
C) the same as control ventilation. 
D) used to improve arterial oxygenation.

Question 12

The Nellcor Puritan Bennett 840 recommends an operational check of the BDU,sensors,resistance and compliance of the circuit prior to use.This is called ________________

Accepted Answer

A) tubing compliance. 
B) The short self test. 
C) the power on self test 
D) the user verification test 
A) tubing compliance. 
B) The short self test. 
C) the power on self test 
D) the user verification test

Question 13

A respiratory care practitioner identifies that a patient is having breathing difficulties because the endotracheal tube is one size smaller than optimal.The practitioner should consider which of the follow modes to overcome the airway resistance from a small tube?

Accepted Answer

A) Mandatory Minute Ventilation 
B) Proportional Assist Ventilation 
C) Automatic tube compensation 
D) Automode 
A) Mandatory Minute Ventilation 
B) Proportional Assist Ventilation 
C) Automatic tube compensation 
D) Automode

Question 14

Benefits of APRV are which of the following?

Accepted Answer

A) Increased secretion mobilization 
B) Improved gas exchange,reduced dead space,less sedation 
C) Reduction of ventilating pressures 
D) Reversal of bronchospasm 
A) Increased secretion mobilization 
B) Improved gas exchange,reduced dead space,less sedation 
C) Reduction of ventilating pressures 
D) Reversal of bronchospasm

Question 15

What is the auto-set-point control?

Accepted Answer

Auto-set-point control describes modes w

Question 16

Which of the following statements are true regarding RSBI?
I.Less than 105 indicates increasing work of breathing.
II.Respiratory rate divided by tidal volume in liters
III.Increasing RSBI indicates a patient may become fatigued.

Accepted Answer

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

Question 17

A patient needs to have a lower mean airway pressure and improved oxygenation.The respiratory care practitioner should consider _________________

Accepted Answer

A) SIMV. 
B) PRVC. 
C) automode with volume support ventilation. 
D) inverse ratio ventilation. 
A) SIMV. 
B) PRVC. 
C) automode with volume support ventilation. 
D) inverse ratio ventilation.

Question 18

Which of the following will occur after 12 seconds in the VSV Automode?

Accepted Answer

A) The ventilator will flash a visible apnea alarm. 
B) The ventilator will switch to pressure support. 
C) The ventilator will switch to PRVC. 
D) The ventilator will volume assist ventilation. 
A) The ventilator will flash a visible apnea alarm. 
B) The ventilator will switch to pressure support. 
C) The ventilator will switch to PRVC. 
D) The ventilator will volume assist ventilation.

Question 19

What are the purposes of ventilator alarms and backup modes?

Accepted Answer

Appropriate alarm settings and when poss

Question 20

Inverse ratio ventilation is __________________

Accepted Answer

A) where the expiratory phase is longer than inspiration. 
B) best described a expiratory retard. 
C) when inspiration is longer than expiration. 
D) is an I:E of 1:1.1 
A) where the expiratory phase is longer than inspiration. 
B) best described a expiratory retard. 
C) when inspiration is longer than expiration. 
D) is an I:E of 1:1.1

Exam 26: Advanced Modes of Mechanical Ventilation

The oxygenation goal for most mechanically ventilated patients is ___________________

The practitioner wants to improve the gas exchange and reduce sedation for a patient on pressure control ventilation.The therapist should consider ________________

A practitioner wants to use volume support but is concerned that the patient might have periods of apnea.What should be used to ensure that the patient will have a backup ventilation mode?

Which of the following is true of THIGH with APRV?

BiLevel with the Nellcor Puritan Bennett 840 allows adjustment of High PEEP,Low PEEP,Time High and Time Low.These controls are also seen in _________________

Time cycled breath control _______________

Application of dual control with breathing modes of ventilation is used ____________

Volume ventilation is causing high pressures for a patient with ARDS.The practitioner would like to use a pressure mode but is concerned about the changing compliance.Which of the following should be considered for this purpose?

The goal of inverse ratio ventilation is to ____________________

A practitioner decreases the oxygenation setting on the mechanical ventilator,which results in an increase in heart rate.This is _____________________

Intermittent Mandatory Ventilation is _______________________

The Nellcor Puritan Bennett 840 recommends an operational check of the BDU,sensors,resistance and compliance of the circuit prior to use.This is called ________________

A respiratory care practitioner identifies that a patient is having breathing difficulties because the endotracheal tube is one size smaller than optimal.The practitioner should consider which of the follow modes to overcome the airway resistance from a small tube?

Benefits of APRV are which of the following?

What is the auto-set-point control?

Which of the following statements are true regarding RSBI? I.Less than 105 indicates increasing work of breathing. II.Respiratory rate divided by tidal volume in liters III.Increasing RSBI indicates a patient may become fatigued.

A patient needs to have a lower mean airway pressure and improved oxygenation.The respiratory care practitioner should consider _________________

Which of the following will occur after 12 seconds in the VSV Automode?

What are the purposes of ventilator alarms and backup modes?

Inverse ratio ventilation is __________________

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

Continuous Mechanical Ventilation

Wave Form Analysis

Weaning and Discontinuance of Mechanical Ventilation

Neonatal Mechanical Ventilation

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