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Patient Assessment 3 > KAHOOTS > Flashcards

KAHOOTS Flashcards

1
Q

Transcutaneous O2 will be _______ compared to PaO2

A

Decreased

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2
Q

Drying Infants will prevent heat loss due to __________

A

Evaporation

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3
Q

__________ administered for ductal dependant CHD

A

Prostaglandin E

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4
Q

Common Error when obtaining CBG ________

A

inadequate warming

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5
Q

Initial lung bud emerges from ______

A

pharynx

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6
Q

Bronchial tree is formed during the _______ phase

A

Embryonal

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7
Q

Amniotic fluid tst that is sensitive indicator of lung maturity is

A

phosphatidlyglycerol/phosphatidylcholine Levels

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8
Q

Substance secreted by type II pneumocytes

A

Reduce surface tension

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9
Q

Examples of tocolytics

A

Progesterone

Ventolin

MgSO4

NOT OXYTOCIN

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10
Q

SaO2 of blood in umbilical vein is

A

80%

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11
Q

Infant born in canalicular phase will require

A

BLES to survive

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12
Q

Zygote normally implants in the ________ of the uterus

A

Endometrum

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13
Q

Medicines commonly used for pediatric consious sedation is ______ becuase it does not cause respiratory depression

A

Ketamine

Eyes will remain open during sedation

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14
Q

Scales used to measure pediatric asthma WOB is the

A

PRAM Score

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15
Q

Positive Apnea Test is when PaCO2 ________________

A

Increases by 20 mmHg

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16
Q

Criteria for calling a 66 is when patient mentation ______

A

Changes

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17
Q

PaO2 value which qualifies patient for home O2 for funding under AADL is

A

PaO2 < 55

18
Q

A common dryingn agent used in EOLC is ______

A

Glycopyrollate

19
Q

The pallitaive ventilator weaning pathway is a multdiscipline approach to discontinuing care on a pt. The pathway involves

a. Using sedative so that a pt with a drive to breath is comfortable
b. Paralyze pt to decrease WOB
c. Hyperoxygenate pt
d. Using inhaled corticosteroids to improve WOB

A

a. Using sedative so that a pt with a drive to breath is comfortable

The weaning pathway is all about making the patient comfortable before extubation

20
Q

As you prepare for the apnea test on an intubated/ventilated patient in the ICU you should verify that

a. PaCO2 has normalized to pt baseline
b. Patient is stable on room air
c. PEEP has been weaned to 5
d. Pt is hypothermic to lower metabolism

A

a. PaCO2 has normalized to pt baseline

21
Q

Which of the following statements identifies a component of the Palliative Ventilator Weaning Pathway during End of Life Care

a. A verbal order from the nurse in charge of the patient is adequate to commence the procedure
b. Intubated patient with a spontaneous drive to breath are placed in the Airway Management Pathway before the ventilator weaning procedure is commenced
c. Additional sedation can be used if the patient Tobin Score remains >105 during titration of ventilator support
d. The ETT is usually left in situ during discontinuation of care

A

c. Additional sedation can be used if the patient Tobin Score remains >105 during titration of ventilator support

22
Q

In pediatric patient, which of the following signs of work of breathing involves the sternocleidomastoids

a. Head bobbing
b. Suprasternal retractions
c. Grunting
d. Nasal Flaring

A

a. Head bobbing

23
Q

. Which of the following is an ancillary test that is used in Neurological Determination of Death

a. Perfusion Scan
b. Caloric Test
c. Apnea Test
d. Pharyngeal Reflex

A

a. Perfusion Scan

24
Q

A patient with a suspected anoxic brain injury due to prolonged CPR is taken for a CT head immediately after ROSC (Return of Spontaneous Circulation). Which of the following is the CT most likely to show

a. Abnormalities that confirm loss of brain stem function
b. Normal Scan
c. Midline shift
d. Intracranial Hemorrhage

A

b. Normal Scan

25
Q

Whole brain death indicates

a. Higher brain death
b. The patient will not have spinal reflexes
c. Higher and lower brain death
d. The patient has a small chance of recovery

A

c. Higher and lower brain death

26
Q

When comparing the airways of a paediatric patient to an adult patient, which of the following is TRUE

a. Apneas <20 seconds in pediatric patients are normal. Apnea is not normal in the adult population
b. The pediatric patient has increased resistance compared to an adult
c. The angle of Louis is located in the same anatomical position in both pediatric and adult patient
d. The pediatric has increased compliance compared to an adult

A

b. The pediatric patient has increased resistance compared to an adult

27
Q

Which component of IPPA is not usually performed in neonatal and pediatric patients?

a. Palpation
b. Auscultation
c. Inspection
d. Percussion

A

d. Percussion

28
Q

As an RRT on the Outreach Team, which of the following would you NOT do without a Physician’s order

a. Meet a patient’s increasing oxygen requirements by starting optiflow
b. Intubate a patient
c. Start chest compressions on pulseless patient
d. Puncture an obtunded patient for an ABG

A

b. Intubate a patient

29
Q

An RRT working on the wards is called to assess a patient. Upon arrival the patient is only rousing with painful stimuli. The patient was speaking coherently with the bedside RN 30 minutes prior to your assessment. You called the switchboard and activate a Code 66. What would you expect?

a. The Outreach team to response within 15 min
b. The Outreach Physician to respond
c. The Outreach team to immediately response
d. The patient MRHP (most responsible health practitioner) to immediately response

A

a. The Outreach team to response within 15 min

30
Q

Which of the following is a sign Respiratory Failure in a 4 year old patient

a. Hyperpnea
b. Cyanosis
c. Restlessness
d. Nasal Flaring

A

b. Cyanosis

31
Q

You are paged to a ward. Upon arrival you are directed to a room. You enter and find two ward staff standing by a bed. As you enter the room your initial impression of the patient is that they are apneic and unresponsive. The patient has a HR of 50. As you are making these observations, the staff advise you that the patient has a Goal of Care R1. You ask the staff to:

a. Page for an additional respiratory therapist to help with your assessment of the patient
b. Activate a call for assistance (code blue)
c. Get an AED
d. Do nothing as an R1 is not category that includes CPR in the goals

A

b. Activate a call for assistance (code blue)

32
Q

The Outreach Team is called to assess a patient. They categorize the call as level one. What does this mean?

a. A code blue should be activated
b. This category indicates the call is non-acute
c. The Intensivist must be notified
d. Only the MRHP (most responsible health practitioner) needs to be called

A

c. The Intensivist must be notified

33
Q

The primary cause of most cardiac arrest in pediatrics is

a. Cardiovascular
b. Respiratory
c. Due to Trauma
d. Due to disturbances in neutral thermal environment

A

b. Respiratory

34
Q

Which of the following parameters would prompt you to activate a Code 66

a. A desaturation resulting in SpO2 decreasing to 78% that recovers when placed on 4 lpm nasal cannula
b. The patient has suddenly gone into VTach with a pulse
c. The patient has to be shaken to be roused after given their sleeping pill
d. RR is 25

A

b. The patient has suddenly gone into VTach with a pulse

35
Q

Which of the following characteristics would be most worrisome when assessing a three year old pediatric patient

a. Poor mentation
b. Crying loudly in response to pain
c. Intercostal retractions
d. A child displaying the characteristics of regressing in mental age

A

a. Poor mentation

36
Q

Which of the following is NOT a reason to discontinue a bedside apnea test

a. Spontaneous respiratory effort is observed
b. The CO2 exceeds 60 mmHg and there has been a 20 mmHg change from baseline
c. The physician ask you to discontinue the test
d. The ventilator self cycles

A

d. The ventilator self cycles

37
Q

The family of the patient in bed 2 would like to discontinue care this afternoon. During you morning routine assessment of the patient, you notice copious amounts of oral secretions. Based on this information which of the following would you recommend to the physician

a. Salbutamol
b. Hypertonic Saline
c. Glycopyrrolate
d. Morphine

A

c. Glycopyrrolate

38
Q

Member of the Outreach team should notify the Intensivist when

a. A patient requires BiPAP
b. An ABG is required
c. The outreach team has been called twice for the patient in one day
d. A chest X-ray needs to be ordered

A

a. A patient requires BiPAP

39
Q

Which of the following may cause an increase in the AP diameter of the chest in a pediatric patient?

a. Cystic Fibrosis
b. Pneumonia
c. Pectus Excavatum
d. Kyphosis

A

a. Cystic Fibrosis

40
Q

What is the purpose of the Spontaneous Breathing Trial during the Airway Management Pathway

a. To demonatrate to family the accuracy of the Apnea Test
b. To predict how long it will take the patient to pass away after the disocntinuousation of care
c. To assess if the patient has an appropriate level of sedation for when they are taken off support
d. To assess the patient for excessive secretions

A

c. To assess if the patient has an appropriate level of sedation for when they are taken off support

41
Q

Which type of Outreach team can be led by a RRT

a. Medical Emergency Team
b. Code Blue Team
c. Triage Team
d. Rapid Response Team

A

Rapid Response Team

42
Q

In which Goals of Care designation would surgery never be considered

a. C1
b. M1
c. M2
d. C2

A

d. C2

Patient Assessment 3 (12 decks)

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