Question 1

What characteristic of a patient with ARDS suggests that the use of inhaled nitric oxide might be useful?

Accepted Answer

A) elevated CO2 levels in arterial blood gases 
B) severe elevation of pulmonary vascular resistance 
C) severe increases in the work of breathing 
D) bronchoconstriction as evidenced by wheezing 
A) elevated CO2 levels in arterial blood gases 
B) severe elevation of pulmonary vascular resistance 
C) severe increases in the work of breathing 
D) bronchoconstriction as evidenced by wheezing

Question 2

Which of the following organs plays a major role in induction and modulation of the systemic inflammatory response?

Accepted Answer

A) heart 
B) brain 
C) kidneys 
D) liver 
A) heart 
B) brain 
C) kidneys 
D) liver

Question 3

Which of the following assessment tools is most useful in distinguishing ARDS from CHF?

Accepted Answer

A) chest radiograph 
B) arterial blood gas 
C) Swan-Ganz catheter 
D) pulmonary function testing 
A) chest radiograph 
B) arterial blood gas 
C) Swan-Ganz catheter 
D) pulmonary function testing

Question 4

Which of the following statements is true about prone-positioning of patients with ARDS?

Accepted Answer

A) It produces a transient improvement in gas exchange. 
B) It dramatically reduces the mortality of patients with ARDS. 
C) It does not require experienced staff. 
D) It does not improve gas exchange at all. 
A) It produces a transient improvement in gas exchange. 
B) It dramatically reduces the mortality of patients with ARDS. 
C) It does not require experienced staff. 
D) It does not improve gas exchange at all.

Question 5

Distinguishing between hydrostatic and nonhydrostatic pulmonary edema is often difficult, even for skilled clinicians.

Accepted Answer

A) True 
 B)False

Question 6

What is the name of the period that follows the exudative phase in ARDS?

Accepted Answer

A) fibroproliferative 
B) fibrotic 
C) proliferative 
D) intraalveolar 
A) fibroproliferative 
B) fibrotic 
C) proliferative 
D) intraalveolar

Question 7

Which of the following benefits has not been associated with the use of PEEP in a patient with ARDS?

Accepted Answer

A) reduced work of breathing 
B) lowered FIO2 
C) increased functional residual capacity (FR
C)  
D) improved venous return 
A) reduced work of breathing 
B) lowered FIO2 
C) increased functional residual capacity (FR
C)  
D) improved venous return

Question 8

Which of the following systems is the primary operant to rid the body of fluid accumulation in nonpathologic conditions?

Accepted Answer

A) respiratory 
B) cardiac 
C) lymphatic 
D) renal 
A) respiratory 
B) cardiac 
C) lymphatic 
D) renal

Question 9

The mortality rate for patients with acute respiratory distress syndrome (ARDS) has remained stable over the past two decades.

Accepted Answer

A) True 
 B)False

Question 10

Although promising, inhaled NO remains an experimental therapy for patients with ARDS.

Accepted Answer

A) True 
 B)False

Question 11

Which of the following mechanisms ultimately leads to ARDS regardless of the etiology?

Accepted Answer

A) disruption of the endothelial and epithelial barriers 
B) alveolar flooding 
C) interstitial damage 
D) increased oncotic pressure 
A) disruption of the endothelial and epithelial barriers 
B) alveolar flooding 
C) interstitial damage 
D) increased oncotic pressure

Question 12

What ventilatory strategy has been found to be useful for avoiding barotrauma in the treatment of patients with ARDS?

Accepted Answer

A) prolonged expiratory time 
B) permissive hypercapnia 
C) inverse-ratio ventilation 
D) intermittent mandatory ventilation 
A) prolonged expiratory time 
B) permissive hypercapnia 
C) inverse-ratio ventilation 
D) intermittent mandatory ventilation

Exam 27: Acute Lung Injury, Pulmonary Edema, and Multiple System Organ

What characteristic of a patient with ARDS suggests that the use of inhaled nitric oxide might be useful?

Which of the following organs plays a major role in induction and modulation of the systemic inflammatory response?

Which of the following assessment tools is most useful in distinguishing ARDS from CHF?

Which of the following statements is true about prone-positioning of patients with ARDS?

Distinguishing between hydrostatic and nonhydrostatic pulmonary edema is often difficult, even for skilled clinicians.

What is the name of the period that follows the exudative phase in ARDS?

Which of the following benefits has not been associated with the use of PEEP in a patient with ARDS?

Which of the following systems is the primary operant to rid the body of fluid accumulation in nonpathologic conditions?

The mortality rate for patients with acute respiratory distress syndrome (ARDS) has remained stable over the past two decades.

Although promising, inhaled NO remains an experimental therapy for patients with ARDS.

Which of the following mechanisms ultimately leads to ARDS regardless of the etiology?

What ventilatory strategy has been found to be useful for avoiding barotrauma in the treatment of patients with ARDS?

History of Respiratory Care

Quality and Evidence-Based Respiratory Care

Patient Safety, Communication, and Record Keeping

Principles of Infection Control

Ethical and Legal Implications of Practice

Physical Principles of Respiratory Care

Computer Applications in Respiratory Care

The Respiratory System

The Cardiovascular System

Ventilation

Gas Exchange and Transport

Solutions, Body Fluids, and Electrolytes

Acid-Base Balance

Regulation of Breathing

Bedside Assessment of the Patient

Interpretation of Clinical Laboratory Data

Interpreting the Electrocardiogram

Analysis and Monitoring of Gas Exchange

Pulmonary Function Testing

A Review of Thoracic Imaging

Nutrition Assessment

Pulmonary Infections

Obstructive Lung Disease: Copd, Asthma, and Related Diseases

Interstitial Lung Disease

Pleural Diseases

Pulmonary Vascular Disease

Lung Cancer

Neuromuscular and Other Diseases of the Chest Wall

Disorders of Sleep

Neonatal and Pediatric Respiratory Disorders

Airway Pharmacology

Airway Management

Emergency Cardiovascular Life Support

Humidity and Bland Aerosol Therapy

Aerosol Drug Therapy

Storage and Delivery of Medical Gases

Medical Gas Therapy

Lung Expansion Therapy

Bronchial Hygiene Therapy

Respiratory Failure and the Need for Ventilatory Support

Mechanical Ventilators

Physiology of Ventilatory Support

Initiating and Adjusting Ventilatory Support

Noninvasive Positive Pressure Ventilation

Monitoring and Management of the Patient in the Intensive Care Unit

Discontinuing Ventilatory Support

Neonatal and Pediatric Respiratory Care

Patient Education and Health Promotion

Cardiopulmonary Rehabilitation

Respiratory Care in Alternative Settings

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