Question 1

Every breath from the ventilator is time or patient triggered,pressure limited,and time cycled.This describes which of the following ventilator modes?

Accepted Answer

A)  Pressure Support Ventilation (PSV) 
B)  Continuous Positive Airway Pressure (CPAP) 
C)  Pressure-Controlled Continuous Mandatory Ventilation (PC-CMV) 
D)  Volume-Controlled Synchronized Mandatory Ventilation (VC-SIMV) 
A)  Pressure Support Ventilation (PSV) 
B)  Continuous Positive Airway Pressure (CPAP) 
C)  Pressure-Controlled Continuous Mandatory Ventilation (PC-CMV) 
D)  Volume-Controlled Synchronized Mandatory Ventilation (VC-SIMV) C

Question 2

A leak around a patient's ET tube cuff during pressure support ventilation (PSV)will cause which of the following to occur?

Accepted Answer

A)  Volume cycle 
B)  Time cycle 
C)  Pressure cycle 
D)  Flow cycle 
A)  Volume cycle 
B)  Time cycle 
C)  Pressure cycle 
D)  Flow cycle B

Question 3

A patient triggered,pressure limited,flow cycled breath describes which of the following?

Accepted Answer

A)  Spontaneous breath 
B)  Pressure-support breath 
C)  Volume-control breath 
D)  Pressure-control breath 
A)  Spontaneous breath 
B)  Pressure-support breath 
C)  Volume-control breath 
D)  Pressure-control breath B

Question 4

A breath that is triggered,limited,and cycled by the mechanical ventilator is which of the following?

Accepted Answer

A)  Assisted breath 
B)  Mandatory breath 
C)  Spontaneous breath 
D)  Synchronized breath 
A)  Assisted breath 
B)  Mandatory breath 
C)  Spontaneous breath 
D)  Synchronized breath

Question 5

A home care patient diagnosed with central sleep apnea would benefit from which of the following modes of ventilation?

Accepted Answer

A)  Pressure Support Ventilation (PSV) 
B)  Noninvasive Positive Pressure Ventilation (NPPV) 
C)  Continuous Positive Airway Pressure (CPAP) 
D)  Pressure Controlled Intermittent Mandatory Ventilation (PC-IMV) 
A)  Pressure Support Ventilation (PSV) 
B)  Noninvasive Positive Pressure Ventilation (NPPV) 
C)  Continuous Positive Airway Pressure (CPAP) 
D)  Pressure Controlled Intermittent Mandatory Ventilation (PC-IMV)

Question 6

A patient arrives in the emergency department following a motor vehicle accident in which the patient sustained a deceleration chest injury.The patient was intubated in the field for airway protection.Physical assessment reveals that the patient is spontaneously breathing at a rate of 16 breaths per minute and breath sounds reveal bibasilar fine crackles at end inspiration.A second arterial blood gas was drawn while the patient was receiving 100% oxygen from an air entrainment large volume nebulizer.   The most appropriate recommendation for this patient is which of the following?

Accepted Answer

A)  Continuous Positive Airway Pressure (CPAP)with supplemental oxygen 
B)  Pressure-Controlled Inverse Ratio Ventilation (PCIRV)with Positive-End-Expiratory Pressure (PEEP)and sedation 
C)  Volume-Controlled Continuous Mandatory Ventilation (VC-CMV) 
D)  Airway Pressure Release Ventilation (APRV) 
A)  Continuous Positive Airway Pressure (CPAP)with supplemental oxygen 
B)  Pressure-Controlled Inverse Ratio Ventilation (PCIRV)with Positive-End-Expiratory Pressure (PEEP)and sedation 
C)  Volume-Controlled Continuous Mandatory Ventilation (VC-CMV) 
D)  Airway Pressure Release Ventilation (APRV)

Question 7

What type of breath occurs when the ventilator controls the timing,tidal volume,or inspiratory pressure?

Accepted Answer

A)  Assisted 
B)  Mandatory 
C)  Spontaneous 
D)  Controlled 
A)  Assisted 
B)  Mandatory 
C)  Spontaneous 
D)  Controlled

Question 8

The ventilator mode that would be most appropriate to iatrogenically induce hyperventilation to manage a closed head injury patient with severely elevated intracranial pressure (ICP)is which of the following?

Accepted Answer

A)  Volume Support Ventilation (VSV) 
B)  Airway Pressure Release Ventilation (APRV) 
C)  Pressure-Controlled Continuous Mandatory Ventilation (PC-CMV) 
D)  Volume-Controlled Synchronized Intermittent Mandatory Ventilation (VC-SIMV) 
A)  Volume Support Ventilation (VSV) 
B)  Airway Pressure Release Ventilation (APRV) 
C)  Pressure-Controlled Continuous Mandatory Ventilation (PC-CMV) 
D)  Volume-Controlled Synchronized Intermittent Mandatory Ventilation (VC-SIMV)

Question 9

The ventilator mode where every breath is patient triggered,pressure targeted,flow cycled with a volume target is which of the following?

Accepted Answer

A)  Volume Support Ventilation (VSV) 
B)  Pressure Regulated Volume Control (PRV
C)  
C)  Airway Pressure Release Ventilation (APRV) 
D)  Pressure Augmentation (Paug) 
A)  Volume Support Ventilation (VSV) 
B)  Pressure Regulated Volume Control (PRV
C)  
C)  Airway Pressure Release Ventilation (APRV) 
D)  Pressure Augmentation (Paug)

Question 10

During volume control ventilation a patient's airway resistance increases.This change will cause which of the following to occur?

Accepted Answer

A)  Increase in delivered volume 
B)  Increase in peak airway pressure 
C)  Decrease in plateau pressure 
D)  Decrease in peak airway pressure 
A)  Increase in delivered volume 
B)  Increase in peak airway pressure 
C)  Decrease in plateau pressure 
D)  Decrease in peak airway pressure

Question 11

Which mode of ventilation is shown in the pressure-time scalar in the figure?

Accepted Answer

A)  Pressure-Controlled Continuous Mandatory Ventilation (PC-CMV) 
B)  Volume-Controlled Continuous Mandatory Ventilation (VC-CMV) 
C)  Pressure-Controlled Synchronized Intermittent Mandatory Ventilation (PC-SIMV) 
D)  Volume-Controlled Synchronized Intermittent Mandatory Ventilation (VC-SIMV) 
A)  Pressure-Controlled Continuous Mandatory Ventilation (PC-CMV) 
B)  Volume-Controlled Continuous Mandatory Ventilation (VC-CMV) 
C)  Pressure-Controlled Synchronized Intermittent Mandatory Ventilation (PC-SIMV) 
D)  Volume-Controlled Synchronized Intermittent Mandatory Ventilation (VC-SIMV)

Question 12

A 28-year-old male has arrived in the emergency department following a motor vehicle accident.He has a Glasgow Coma Score of 14.Chest x-ray reveals 5 ribs broken anteriorly in 2 areas each.Physical assessment reveals paradoxical movement of the chest.Breath sounds are diminished and the trachea is midline.Arterial blood gas on nonrebreathing mask is: pH 7.53,partial pressure of carbon dioxide (PaCO2)is 25 mm Hg,partial pressure of oxygen (PaO2)is 59 mm Hg,arterial oxygen saturation (SaO2)93%,bicarbonate (HCO3-)23 mEq/L.The respiratory therapist should recommend which of the following for this patient?

Accepted Answer

A)  Noninvasive Positive Pressure Ventilation (NPPV)with supplemental oxygen 
B)  Intubation with Volume Controlled Continuous Mandatory Ventilation (VC-CMV)with Positive-end-expiratory pressure (PEEP) 
C)  Mask Continuous Positive Airway Pressure (CPAP)with supplemental oxygen 
D)  Intubation with CPAP and pressure support 
A)  Noninvasive Positive Pressure Ventilation (NPPV)with supplemental oxygen 
B)  Intubation with Volume Controlled Continuous Mandatory Ventilation (VC-CMV)with Positive-end-expiratory pressure (PEEP) 
C)  Mask Continuous Positive Airway Pressure (CPAP)with supplemental oxygen 
D)  Intubation with CPAP and pressure support

Question 13

When a patient is to be switched from continuous mandatory ventilation (CMV)to synchronized intermittent mandatory ventilation (SIMV)to facilitate weaning from mechanical ventilation,which of the following could be used in addition to SIMV to assist this process?

Accepted Answer

A)  Continuous Positive Airway Pressure (CPAP) 
B)  Positive-End-Expiratory Pressure (PEEP) 
C)  Pressure Support (PS) 
D)  Pressure Control (P
C)  
A)  Continuous Positive Airway Pressure (CPAP) 
B)  Positive-End-Expiratory Pressure (PEEP) 
C)  Pressure Support (PS) 
D)  Pressure Control (P
C)

Question 14

A hemodynamically unstable patient being ventilated in the volume-controlled continuous mandatory ventilation (VC-CMV)mode is triggering inspiration at a rate of 25 breaths/minute and has the following arterial blood gas results: pH 7.50,partial pressure of carbon dioxide (PaCO2)30 mm Hg,partial pressure of oxygen (PaO2)98 mm Hg,arterial oxygen saturation (SaO2)100%,bicarbonate (HCO3-)24 mEq/L.The respiratory therapist should peform which of the following?

Accepted Answer

A)  Extubate and administer Noninvasive Positive Pressure Ventilation (NPPV). 
B)  Change the mode to Pressure-Controlled Continuous Mandatory Ventilation (PC-CMV). 
C)  Change the mode to Volume-Controlled Synchronized Intermittent Mandatory Ventilation (VC-SIMV). 
D)  Sedate and paralyze the patient. 
A)  Extubate and administer Noninvasive Positive Pressure Ventilation (NPPV). 
B)  Change the mode to Pressure-Controlled Continuous Mandatory Ventilation (PC-CMV). 
C)  Change the mode to Volume-Controlled Synchronized Intermittent Mandatory Ventilation (VC-SIMV). 
D)  Sedate and paralyze the patient.

Question 15

The ventilator mode that delivers pressure breaths that are patient- or time-triggered,volume targeted,time cycled,and where the pressure is automatically adjusted to maintain delivery of the targeted volume is which of the following?

Accepted Answer

A)  Volume Support Ventilation (VSV) 
B)  Pressure Augmentation (Paug) 
C)  MMV 
D)  Pressure Regulated Volume Control (PRV
C)  
A)  Volume Support Ventilation (VSV) 
B)  Pressure Augmentation (Paug) 
C)  MMV 
D)  Pressure Regulated Volume Control (PRV
C)

Question 16

A breath that is patient triggered,pressure targeted,and time cycled is which of the following?

Accepted Answer

A)  Assisted breath 
B)  Mandatory breath 
C)  Spontaneous breath 
D)  Synchronized breath 
A)  Assisted breath 
B)  Mandatory breath 
C)  Spontaneous breath 
D)  Synchronized breath

Question 17

An assisted breath in the pressure-controlled continuous mandatory ventilation (PC-CMV)mode can be described by which of the following?

Accepted Answer

A)  Time triggered,pressure limited,time cycled 
B)  Patient triggered,pressure limited,time cycled 
C)  Time triggered,pressure limited,pressure cycled 
D)  Patient triggered,volume limited,volume cycled 
A)  Time triggered,pressure limited,time cycled 
B)  Patient triggered,pressure limited,time cycled 
C)  Time triggered,pressure limited,pressure cycled 
D)  Patient triggered,volume limited,volume cycled

Question 18

Of the following breath descriptions,which one is considered spontaneous?

Accepted Answer

A)  Flow triggered,pressure limited,flow cycled 
B)  Time triggered,volume limited,volume cycled 
C)  Pressure triggered,pressure limited,time cycled 
D)  Patient triggered,patient cycled,baseline pressure +5 cm H2O 
A)  Flow triggered,pressure limited,flow cycled 
B)  Time triggered,volume limited,volume cycled 
C)  Pressure triggered,pressure limited,time cycled 
D)  Patient triggered,patient cycled,baseline pressure +5 cm H2O

Question 19

Partial ventilatory support can be provided by which of the following ventilator modes?
1)Pressure Controlled Continuous Mandatory Ventilation (PC-CMV)set rate 8 breaths/minute
2)Volume Controlled Synchronized Intermittent Mandatory Ventilation (VC-SIMV)set rate 4 breaths/minute
3)Pressure Controlled Synchronized Intermittent Mandatory Ventilation (PC-SIMV)set rate 10 breaths/minute
4)VC- MMV set Ve8 L/minute

Accepted Answer

A)  1 and 2 only 
B)  2 and 3 only 
C)  2 and 4 only 
D)  3 and 4 only 
A)  1 and 2 only 
B)  2 and 3 only 
C)  2 and 4 only 
D)  3 and 4 only

Question 20

If lung compliance decreases while a patient is receiving mechanical ventilation with pressure-controlled continuous mandatory ventilation (PC-CMV)which of the following would occur?

Accepted Answer

A)  Peak pressure increases 
B)  Peak pressure decreases 
C)  Tidal volume increases 
D)  Tidal volume decreases 
A)  Peak pressure increases 
B)  Peak pressure decreases 
C)  Tidal volume increases 
D)  Tidal volume decreases

Every breath from the ventilator is time or patient triggered,pressure limited,and time cycled.This describes which of the following ventilator modes?

A leak around a patient's ET tube cuff during pressure support ventilation (PSV)will cause which of the following to occur?

A patient triggered,pressure limited,flow cycled breath describes which of the following?

A breath that is triggered,limited,and cycled by the mechanical ventilator is which of the following?

A home care patient diagnosed with central sleep apnea would benefit from which of the following modes of ventilation?

What type of breath occurs when the ventilator controls the timing,tidal volume,or inspiratory pressure?

The ventilator mode that would be most appropriate to iatrogenically induce hyperventilation to manage a closed head injury patient with severely elevated intracranial pressure (ICP)is which of the following?

The ventilator mode where every breath is patient triggered,pressure targeted,flow cycled with a volume target is which of the following?

During volume control ventilation a patient's airway resistance increases.This change will cause which of the following to occur?

Which mode of ventilation is shown in the pressure-time scalar in the figure?

When a patient is to be switched from continuous mandatory ventilation (CMV)to synchronized intermittent mandatory ventilation (SIMV)to facilitate weaning from mechanical ventilation,which of the following could be used in addition to SIMV to assist this process?

The ventilator mode that delivers pressure breaths that are patient- or time-triggered,volume targeted,time cycled,and where the pressure is automatically adjusted to maintain delivery of the targeted volume is which of the following?

A breath that is patient triggered,pressure targeted,and time cycled is which of the following?

An assisted breath in the pressure-controlled continuous mandatory ventilation (PC-CMV)mode can be described by which of the following?

Of the following breath descriptions,which one is considered spontaneous?

If lung compliance decreases while a patient is receiving mechanical ventilation with pressure-controlled continuous mandatory ventilation (PC-CMV)which of the following would occur?

Basic Terms and Concepts of Mechanical Ventilation

How Ventilators Work

How a Breath Is Delivered

Establishing the Need for Mechanical Ventilation

Initial Ventilator Settings

Final Considerations in Ventilator Setup

Initial Patient Assessment

Ventilator Graphics

Assessment of Respiratory Function

Hemodynamic Monitoring

Methods to Improve Ventilation in Patient-Ventilator Management

Improving Oxygenation and Management of Ards

Ventilator-Associated Pneumonia

Sedatives,Analgesics,and Paralytics

Extrapulmonary Effects of Mechanical Ventilation

Effects of Positive Pressure Ventilation on the Pulmonary System

Troubleshooting and Problem Solving

Basic Concepts of Noninvasive Positive Pressure Ventilation

Discontinuation and Weaning From Mechanical Ventilation

Long Term Ventilation

Neonatal and Pediatric Ventilation

Special Techniques in Ventilatory Support

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Exam 5: Selecting the Ventilator and the Mode

Every breath from the ventilator is time or patient triggered,pressure limited,and time cycled.This describes which of the following ventilator modes?

A leak around a patient's ET tube cuff during pressure support ventilation (PSV)will cause which of the following to occur?

A patient triggered,pressure limited,flow cycled breath describes which of the following?

A breath that is triggered,limited,and cycled by the mechanical ventilator is which of the following?

A home care patient diagnosed with central sleep apnea would benefit from which of the following modes of ventilation?

What type of breath occurs when the ventilator controls the timing,tidal volume,or inspiratory pressure?

The ventilator mode that would be most appropriate to iatrogenically induce hyperventilation to manage a closed head injury patient with severely elevated intracranial pressure (ICP)is which of the following?

The ventilator mode where every breath is patient triggered,pressure targeted,flow cycled with a volume target is which of the following?

During volume control ventilation a patient's airway resistance increases.This change will cause which of the following to occur?

Which mode of ventilation is shown in the pressure-time scalar in the figure?

When a patient is to be switched from continuous mandatory ventilation (CMV)to synchronized intermittent mandatory ventilation (SIMV)to facilitate weaning from mechanical ventilation,which of the following could be used in addition to SIMV to assist this process?

The ventilator mode that delivers pressure breaths that are patient- or time-triggered,volume targeted,time cycled,and where the pressure is automatically adjusted to maintain delivery of the targeted volume is which of the following?

A breath that is patient triggered,pressure targeted,and time cycled is which of the following?

An assisted breath in the pressure-controlled continuous mandatory ventilation (PC-CMV)mode can be described by which of the following?

Of the following breath descriptions,which one is considered spontaneous?

If lung compliance decreases while a patient is receiving mechanical ventilation with pressure-controlled continuous mandatory ventilation (PC-CMV)which of the following would occur?

Basic Terms and Concepts of Mechanical Ventilation

How Ventilators Work

How a Breath Is Delivered

Establishing the Need for Mechanical Ventilation

Initial Ventilator Settings

Final Considerations in Ventilator Setup

Initial Patient Assessment

Ventilator Graphics

Assessment of Respiratory Function

Hemodynamic Monitoring

Methods to Improve Ventilation in Patient-Ventilator Management

Improving Oxygenation and Management of Ards

Ventilator-Associated Pneumonia

Sedatives,Analgesics,and Paralytics

Extrapulmonary Effects of Mechanical Ventilation

Effects of Positive Pressure Ventilation on the Pulmonary System

Troubleshooting and Problem Solving

Basic Concepts of Noninvasive Positive Pressure Ventilation

Discontinuation and Weaning From Mechanical Ventilation

Long Term Ventilation

Neonatal and Pediatric Ventilation

Special Techniques in Ventilatory Support

Filters