PART 1

Question 1

What is the normal values for cuff pressure

Answer 1

20-30cmH20

Question 2

Patient has reduced chest expansion, a hyperresonant percussion note, and absent breath sounds on
the left side. Trachea is shifted to the right. What disease is this most likely to be.

Answer 2

Pneumothorax in left lung

Question 3

What is the most common reason for a bubble humidifier to make a whistling noise

Answer 3

Obstruction to outflow of tube

Question 4

If the FEV1 pre to post values increases by at least what % after bronchodilation therapy it is considered a reversable airway obstruction

Answer 4

12%

Question 5

the patient has a dull percussion note on the left
side, a tracheal shift toward the left side, and absent breath sounds on the left side. What are these all signs for?

Answer 5

Atelectasis in left lung.

Question 6

A 63-year-old female patient is intubated and receiving
mechanical ventilation in the pressure-controlled A/C mode. If the patient’s compliance were to decrease, what would happen to the patients delivered volume?

Answer 6

It would decrease.

Question 7

Retained secretions in a patients endotracheal tube would do what to airway resistance and peak airway pressure?

Answer 7

Increase

Question 8

If a patient was on pressure controlled ventilation what would you expect in delivered volume once secretions were cleared

Answer 8

An increase

Question 9

What does a patient require immediately to treat a pneumothorax

Answer 9

insertion of a chest tube on affected side

Question 10

What is often indicated for treatment of wheezing in CHF or pulmonary edema patients.

Answer 10

Diuretic like Lasix or NPPV with oxygen therapy

Question 11

What drugs can be delivered down the ET tube

Answer 11

N-Narcan (Naloxone)
A-Atropine
V-Vasopressin
E-Epinephrine
L-Lidocaine

Question 12

When directly instilling medications down the ET
tube you have to administer how many times more than normal dose for the medication for it to be effective

Answer 12

2-2.5 times more

Question 13

What substance can be administered via direct instillation in
premature infants?

Answer 13

Exogenous surfactant

Question 14

When a patient is blowing off too much CO2 they are

Answer 14

Hyperventilating

Question 15

Hyperventilating and a flail chest would do what to the ph and SaO2

Answer 15

Increase PH and decrease SaO2

Question 16

On a assist control ventilator Sensitivity uses what kind of pressure in order to help trigger a
breath

Answer 16

Negative pressure

Question 17

What artificial airway is used only when unconscious or sedated and are often used during bag mask ventilation to facilitate effective ventilation

Answer 17

A Oropharyngeal airway

Question 18

What artificial airway can be used in patients with an intact gag reflex, and they help facilitate ventilation and frequent nasal suctioning and also help to minimize mucosal trauma.

Answer 18

A nasopharyngeal airway

Question 19

A premature infant receiving positive pressure ventilation appears to be in acute respiratory distress with signs of hypotension and asymmetrical chest movement. What do these signs indicate may be present?

Answer 19

A pneumothorax

Question 20

During a transillumination if a halo sign shows up through the neonates chest wall that means

Answer 20

It is normal

Question 21

During a transillumination if the chest wall lights up on the neonates chest what does that mean?

Answer 21

There is a pneumothorax

Question 22

If the transillumination test does not reveal a pneumothorax, but the infant still exhibits signs of respiratory distress, you should recommend an immediate..

Answer 22

Chest xray

Question 23

What disease process shows signs of poor body
development, malnourishment, and foul-smelling stools

Answer 23

Cystic Fibrosis

Question 24

JVD is a sign of…

Answer 24

Right heart failure

Question 25

On a flow volume loop tracing if it is tall and skinny it represents what kind of disease

Answer 25

A restrictive disease