Question 1

Which route for ETT placement is used in an emergency?

Accepted Answer

A)  Orotracheal 
B)  Nasotracheal 
C)  Nasopharyngeal 
D)  Trachea 
A)  Orotracheal 
B)  Nasotracheal 
C)  Nasopharyngeal 
D)  Trachea A

Question 2

The assist-control mode of ventilation functions in which of the following manners?

Accepted Answer

A)  It delivers gas at preset volume, at a set rate, and in response to the patient's inspiratory efforts. 
B)  It delivers gas at a preset volume, allowing the patient to breathe spontaneously at his or her own volume. 
C)  It applies positive pressure during both ventilator breaths and spontaneous breaths. 
D)  It delivers gas at preset rate and tidal volume regardless of the patient's inspiratory efforts. 
A)  It delivers gas at preset volume, at a set rate, and in response to the patient's inspiratory efforts. 
B)  It delivers gas at a preset volume, allowing the patient to breathe spontaneously at his or her own volume. 
C)  It applies positive pressure during both ventilator breaths and spontaneous breaths. 
D)  It delivers gas at preset rate and tidal volume regardless of the patient's inspiratory efforts. A

Question 3

Which of the following should be used when suctioning a mechanically ventilated patient?

Accepted Answer

A)  Three hyperoxygenation breaths (breaths at 100% FiO2) 
B)  Hyperinflation (breaths at 150% tidal volume) 
C)  Limit the number of passes to three. 
D)  Instill 5 to 10 mL of normal saline to facilitate secretion removal. 
E)  Use intermittent suction to avoid damaging tracheal tissue. 
A)  Three hyperoxygenation breaths (breaths at 100% FiO2) 
B)  Hyperinflation (breaths at 150% tidal volume) 
C)  Limit the number of passes to three. 
D)  Instill 5 to 10 mL of normal saline to facilitate secretion removal. 
E)  Use intermittent suction to avoid damaging tracheal tissue. A, B, C

Question 4

Which of the following statements is correct concerning endotracheal tube cuff management?

Accepted Answer

A)  The cuff should be deflated every hour to minimize pressure on the trachea. 
B)  A small leak should be heard on inspiration if the cuff has been inflated using the minimal leak technique. 
C)  Cuff pressures should be kept between 40 to 50 mm Hg to ensure an adequate seal. 
D)  Cuff pressure monitoring should be done once every 24 hours. 
A)  The cuff should be deflated every hour to minimize pressure on the trachea. 
B)  A small leak should be heard on inspiration if the cuff has been inflated using the minimal leak technique. 
C)  Cuff pressures should be kept between 40 to 50 mm Hg to ensure an adequate seal. 
D)  Cuff pressure monitoring should be done once every 24 hours.

Question 5

The finding of normal breath sounds on the right side of the chest and absent breath sounds on the left side of the chest in a newly intubated patient is probably caused by a

Accepted Answer

A)  right mainstem intubation. 
B)  left pneumothorax. 
C)  right hemothorax. 
D)  gastric intubation. 
A)  right mainstem intubation. 
B)  left pneumothorax. 
C)  right hemothorax. 
D)  gastric intubation.

Question 6

A patient was admitted to the critical care unit with acute respiratory failure.The patient has been on a ventilator for 3 days and is being considered for weaning.The ventilator high-pressure alarm keeps going off.When you enter the room, the ventilator inoperative alarm sounds.Which of the following criteria would indicate that the patient is ready to be weaned?

Accepted Answer

A)  FiO2 greater than 50% 
B)  Rapid shallow breathing index less than 105 
C)  Minute ventilation greater than 10 L/min 
D)  Vital capacity/kg greater than or equal to 15 mL 
A)  FiO2 greater than 50% 
B)  Rapid shallow breathing index less than 105 
C)  Minute ventilation greater than 10 L/min 
D)  Vital capacity/kg greater than or equal to 15 mL

Question 7

The most accurate and reliable control of FiO? can be achieved through the use of a(n)

Accepted Answer

A)  simple mask. 
B)  nonrebreathing circuit (closed). 
C)  air-entrainment mask. 
D)  nonrebreathing mask. 
A)  simple mask. 
B)  nonrebreathing circuit (closed). 
C)  air-entrainment mask. 
D)  nonrebreathing mask.

Question 8

Nursing management of the patient receiving a neuromuscular blocking agent should include

Accepted Answer

A)  withholding all sedation and narcotics. 
B)  protecting the patient from the environment. 
C)  keeping the patient supine. 
D)  speaking to the patient only when necessary. 
A)  withholding all sedation and narcotics. 
B)  protecting the patient from the environment. 
C)  keeping the patient supine. 
D)  speaking to the patient only when necessary.

Question 9

Patient safety precautions when working with oxygen involve

Accepted Answer

A)  observation for signs of oxygen-introduced hyperventilation. 
B)  restriction of smoking. 
C)  removal of all oxygen devices when eating to prevent aspiration. 
D)  administration of oxygen at the nurse's discretion. 
A)  observation for signs of oxygen-introduced hyperventilation. 
B)  restriction of smoking. 
C)  removal of all oxygen devices when eating to prevent aspiration. 
D)  administration of oxygen at the nurse's discretion.

Question 10

Which of the following oxygen administration devices can deliver oxygen concentrations of 90%?

Accepted Answer

A)  Nonrebreathing mask 
B)  Nasal cannula 
C)  Partial rebreathing mask 
D)  Simple mask 
A)  Nonrebreathing mask 
B)  Nasal cannula 
C)  Partial rebreathing mask 
D)  Simple mask

Question 11

Long-term ventilator management over 21 days is best handled through use of a(n)

Accepted Answer

A)  oropharyngeal airway. 
B)  esophageal obturator airway. 
C)  tracheostomy tube. 
D)  endotracheal intubation. 
A)  oropharyngeal airway. 
B)  esophageal obturator airway. 
C)  tracheostomy tube. 
D)  endotracheal intubation.

Question 12

A patient was admitted to the critical care unit with acute respiratory failure.The patient has been on a ventilator for 3 days and is being considered for weaning.The ventilator high-pressure alarm keeps going off.When you enter the room, the ventilator inoperative alarm sounds.What is the primary action the nurse would take?

Accepted Answer

A)  Troubleshoot the ventilator until the problem is found. 
B)  Take the patient off the ventilator and manually ventilate her. 
C)  Call the respiratory therapist for help. 
D)  Silence the ventilator alarms until the problem is resolved. 
A)  Troubleshoot the ventilator until the problem is found. 
B)  Take the patient off the ventilator and manually ventilate her. 
C)  Call the respiratory therapist for help. 
D)  Silence the ventilator alarms until the problem is resolved.

Question 13

Identify the clinical manifestations associated with oxygen toxicity.

Accepted Answer

A)  Substernal chest pain that increases with deep breathing 
B)  Moist cough and tracheal irritation 
C)  Pleuritic pain occurring on inhalation, followed by dyspnea 
D)  Increasing CO2 
E)  Sore throat and eye and ear discomfort 
A)  Substernal chest pain that increases with deep breathing 
B)  Moist cough and tracheal irritation 
C)  Pleuritic pain occurring on inhalation, followed by dyspnea 
D)  Increasing CO2 
E)  Sore throat and eye and ear discomfort

Question 14

A patient was admitted to the critical care unit with acute respiratory failure.The patient has been on a ventilator for 3 days and is being considered for weaning.The ventilator high-pressure alarm keeps going off.When you enter the room, the ventilator inoperative alarm sounds.All of the following conditions would set off the high-pressure alarm except

Accepted Answer

A)  a leak in the patient's ET tube cuff 
B)  a kink in the ET tubing 
C)  coughing 
D)  increased secretions in the patient's airway 
A)  a leak in the patient's ET tube cuff 
B)  a kink in the ET tubing 
C)  coughing 
D)  increased secretions in the patient's airway

Question 15

Complications of ETT tubes include

Accepted Answer

A)  tracheoesophageal fistula. 
B)  cricoid abscess. 
C)  tracheal stenosis. 
D)  tube obstruction. 
E)  tube displacements.
F)None of above 
A)  tracheoesophageal fistula. 
B)  cricoid abscess. 
C)  tracheal stenosis. 
D)  tube obstruction. 
E)  tube displacements.
F)None of above

Question 16

The Passy-Muir valve is contraindicated in patients

Accepted Answer

A)  who are trying to relearn normal breathing patterns. 
B)  who experience low secretions. 
C)  with laryngeal or pharyngeal dysfunction. 
D)  who want to speak while on the ventilator. 
A)  who are trying to relearn normal breathing patterns. 
B)  who experience low secretions. 
C)  with laryngeal or pharyngeal dysfunction. 
D)  who want to speak while on the ventilator.

Question 17

The ventilator variable that causes inspiration is called the

Accepted Answer

A)  cycle. 
B)  trigger. 
C)  flow. 
D)  pressure. 
A)  cycle. 
B)  trigger. 
C)  flow. 
D)  pressure.

Question 18

Use of oxygen therapy in the patient who is hypercapnic may result in

Accepted Answer

A)  oxygen toxicity. 
B)  absorption atelectasis. 
C)  carbon dioxide retention. 
D)  pneumothorax. 
A)  oxygen toxicity. 
B)  absorption atelectasis. 
C)  carbon dioxide retention. 
D)  pneumothorax.

Question 19

Which of the following levels would be classified as a low-flow system of oxygen administration?

Accepted Answer

A)  O? via nasal cannula at 4 L/min 
B)  O? via nasal catheter at a FiO? range of 60% to 75% 
C)  O? via transtracheal catheter at 10 L/min 
D)  O? via simple mask at 12 L/min. 
A)  O? via nasal cannula at 4 L/min 
B)  O? via nasal catheter at a FiO? range of 60% to 75% 
C)  O? via transtracheal catheter at 10 L/min 
D)  O? via simple mask at 12 L/min.

Question 20

The correct procedure for selecting an oropharyngeal airway is to:

Accepted Answer

A)  measure from the tip of the nose to the ear lobe. 
B)  measure from the mouth to the ear lobe. 
C)  measure from the tip of the nose to the middle of the trachea. 
D)  measure the airway from the corner of the patient's mouth to the angle of the jaw. 
A)  measure from the tip of the nose to the ear lobe. 
B)  measure from the mouth to the ear lobe. 
C)  measure from the tip of the nose to the middle of the trachea. 
D)  measure the airway from the corner of the patient's mouth to the angle of the jaw.

Exam 16: Pulmonary Therapeutic Management

Which route for ETT placement is used in an emergency?

The assist-control mode of ventilation functions in which of the following manners?

Which of the following should be used when suctioning a mechanically ventilated patient?

Which of the following statements is correct concerning endotracheal tube cuff management?

The finding of normal breath sounds on the right side of the chest and absent breath sounds on the left side of the chest in a newly intubated patient is probably caused by a

The most accurate and reliable control of FiO? can be achieved through the use of a(n)

Nursing management of the patient receiving a neuromuscular blocking agent should include

Patient safety precautions when working with oxygen involve

Which of the following oxygen administration devices can deliver oxygen concentrations of 90%?

Long-term ventilator management over 21 days is best handled through use of a(n)

Identify the clinical manifestations associated with oxygen toxicity.

Complications of ETT tubes include

The Passy-Muir valve is contraindicated in patients

The ventilator variable that causes inspiration is called the

Use of oxygen therapy in the patient who is hypercapnic may result in

Which of the following levels would be classified as a low-flow system of oxygen administration?

The correct procedure for selecting an oropharyngeal airway is to:

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