Part 4

Question 1

copous amounts of pink frothy sputum always means

Answer 1

Left ventricular failure

Question 2

which kind of edema is associated with left heart (ventricular) failure or CHF

Answer 2

Cardiogenic pulmonary edema

Question 3

When ever a patient has an asthma attack with diminished breath sounds it is a sign of

Answer 3

severe bronchoconstriction

Question 4

To prevent barotrauma and the risk of a lung injury during positive pressure ventilation, you should try to maintain the plateau pressure below

Answer 4

30cmH20

Question 5

The tip of an endotracheal tube should be positioned where?

Answer 5

Between the 2nd and 4th thoracic vertebrae

Question 6

After intubation what is usually the case if the patients chest is moving asymmetrically and have no breath sounds on left side

Answer 6

ET tube was pushed to far down trachea into right mainstem bronchus

Question 7

If An adult patient with a tracheostomy in place is receiving ventilatory support in the volume-controlled SIMV mode is having an increased work of breathing you can help by

Answer 7

Increasing the pressure support level

Question 8

The initial settings for a new patient on a ventilator are dependent on what

Answer 8

The patients size and clinical condition

Question 9

If the PaCO2 is elevated the patient is doing what kind of breathing

Answer 9

Hypo ventilating

Question 10

What would you change on a ventilator setting if the patient is hypoventilating

Answer 10

Increase the frequency

Question 11

Chronic COPD patients retain what

Answer 11

CO2

Question 12

What part of an ABG is the most important on reflecting the severity of a patient with chronic COPD

Answer 12

HCO3-

Question 13

If a patient has a possibility for carbonmonoxide poisoning, what device should you use to measure oxygen levels

Answer 13

A co-oximeter

Question 14

If a patient is showing signs of a heart attack what is the first thing you should do

Answer 14

Provide a 100% oxygen via nonrebreather

Question 15

What pulmonary function test can be used without patient cooperation

Answer 15

Maximum inspiratory pressure

Question 16

Brovana is what type of bronchodilator

Answer 16

Long acting beta agonist

Question 17

For a high risk infant with bradycardia and periods of apnea what is best indicated

Answer 17

Mechanical ventilation

Question 18

What is the normal PIP setting for an assit-control vent

Answer 18

20-30cmH20

Question 19

What is the normal rate setting for an assist-control vent

Answer 19

8-20/min

Question 20

What is the normal I:E ratio setting for an assist-control vent

Answer 20

LESS THAN OR EQUAL TO 1:2

Question 21

A sweat chloride test can be used to diagnose what disease

Answer 21

Cystic fibrosis

Question 22

What is the normal range for intracranial pressure

Answer 22

10-12mmHg

Question 23

For patients with high ICP you can lower it by

Answer 23

purposely hyperventilating the patient

Question 24

Hyperventilating lowers what value in an ABG

Answer 24

PaCO2

Question 25

If a newborn has a normal acid base but has severe hypoxemia (PaO2) the most likely cause is

Answer 25

shunting caused by Infant Respiratory Distress Syndrome (IRDS)

Question 26

If a bedside spirometry’s results shows the flows (FEV1) are normal and volumes are decreased (FVC) they have what kind of disease

Answer 26

A restrictive disease

Question 27

If a patient is on long term ventilation (21 or more days) what would be recommended for an artificial airway?

Answer 27

A tracheostomy

Question 28

If a patient is on short term ventilation what would be the recommended artificial airway

Answer 28

Endotracheal tube