Question 1

Which of the following is most accurate with regard to the use of epinephrine and vasopressin during cardiac arrest?

Accepted Answer

A)  1 mg of epinephrine by IV is recommended. 
B)  Administer epinephrine as soon as feasible after onset of cardiac arrest due to an initial nonshockable rhythm. 
C)  High single-dose epinephrine is recommended. 
D)  Vasopressin offers no advantage over epinephrine. 
A)  1 mg of epinephrine by IV is recommended. 
B)  Administer epinephrine as soon as feasible after onset of cardiac arrest due to an initial nonshockable rhythm. 
C)  High single-dose epinephrine is recommended. 
D)  Vasopressin offers no advantage over epinephrine. C

Question 2

According to the AHA guidelines for adult cardiovascular life support, the FIO2 used during CPR should be:

Accepted Answer

A)  100% or highest available. 
B)  no higher than 60%. 
C)  40% to 60%. 
D)  based on the patient's arterial blood gases. 
A)  100% or highest available. 
B)  no higher than 60%. 
C)  40% to 60%. 
D)  based on the patient's arterial blood gases. A

Question 3

A patient complaints of dyspnea at rest has a heart rate of 160/min. The initial treatment for this type of tachycardia should be:

Accepted Answer

A)  norepinephrine. 
B)  atropine. 
C)  cardioversion. 
D)  CPR. 
A)  norepinephrine. 
B)  atropine. 
C)  cardioversion. 
D)  CPR. C

Question 4

Hypoxia, respiratory and circulatory adverse outcomes, falling, disconnection of access lines and ET tube are some complications associated with:

Accepted Answer

A)  inadequate sedation. 
B)  early mobility and exercise. 
C)  excessive pain. 
D)  spontaneous breathing trial. 
A)  inadequate sedation. 
B)  early mobility and exercise. 
C)  excessive pain. 
D)  spontaneous breathing trial.

Question 5

The best method to confirm the depth placement of an endotracheal tube is:

Accepted Answer

A)  auscultation. 
B)  capnography. 
C)  CT scan. 
D)  chest radiograph. 
A)  auscultation. 
B)  capnography. 
C)  CT scan. 
D)  chest radiograph.

Question 6

To perform a traditional nasal intubation on an adult patient:

Accepted Answer

A)  a Magill forceps is required. 
B)  a flexible stylet is required. 
C)  the patient must first be orally intubated. 
D)  the ET tube must be size 5 or smaller. 
A)  a Magill forceps is required. 
B)  a flexible stylet is required. 
C)  the patient must first be orally intubated. 
D)  the ET tube must be size 5 or smaller.

Question 7

Based on the AHA guidelines for adult cardiovascular life support, cricoid pressure during endotracheal intubation:

Accepted Answer

A)  is recommended. 
B)  is not recommended. 
C)  enhances visualization of vocal cords. 
D)  significantly reduces incidence of aspiration. 
A)  is recommended. 
B)  is not recommended. 
C)  enhances visualization of vocal cords. 
D)  significantly reduces incidence of aspiration.

Question 8

Gastric residual volume is a clinical procedure to determine a patient's tolerance to:

Accepted Answer

A)  enteral nutritional therapy. 
B)  parenteral nutritional therapy. 
C)  macronutrients such as protein, carbohydrate, and lipid. 
D)  micronutrients such as minerals and electrolytes. 
A)  enteral nutritional therapy. 
B)  parenteral nutritional therapy. 
C)  macronutrients such as protein, carbohydrate, and lipid. 
D)  micronutrients such as minerals and electrolytes.

Question 9

For mechanically ventilated patients, which mode of ventilation is recommended by PADIS during sleep?

Accepted Answer

A)  Assist/control mode 
B)  Pressure support ventilation 
C)  Airway pressure release ventilation 
D)  Continuous positive airway pressure 
A)  Assist/control mode 
B)  Pressure support ventilation 
C)  Airway pressure release ventilation 
D)  Continuous positive airway pressure

Question 10

In comparing the PADIS and ABCDEF bundles:

Accepted Answer

A)  PADIS and ABCDEF are essentially identical. 
B)  PADIS does not include SAT and SBT. 
C)  ABCDEF includes all categories in PADIS. 
D)  PADIS includes family engagement/empowerment. 
A)  PADIS and ABCDEF are essentially identical. 
B)  PADIS does not include SAT and SBT. 
C)  ABCDEF includes all categories in PADIS. 
D)  PADIS includes family engagement/empowerment.

Question 11

A patient complaints of dizziness and weakness and has a heart rate of 45/min and blood pressure of 88/46 mm Hg. The ECG shows sinus bradycardia. This patient should initially be treated with:

Accepted Answer

A)  transcutaneous pacing. 
B)  atropine. 
C)  dopamine. 
D)  epinephrine. 
A)  transcutaneous pacing. 
B)  atropine. 
C)  dopamine. 
D)  epinephrine.

Question 12

The physician orders a spontaneous awakening trial (SAT) for a patient in the ICU. Which condition should SAT proceed?

Accepted Answer

A)  Continuous sedative infusion is used for seizures. 
B)  Sedative dose for agitation remains unchanged. 
C)  Patient requires neuromuscular blocker. 
D)  Patient has elevated intracranial pressure. 
A)  Continuous sedative infusion is used for seizures. 
B)  Sedative dose for agitation remains unchanged. 
C)  Patient requires neuromuscular blocker. 
D)  Patient has elevated intracranial pressure.

Question 13

Prior to a spontaneous breathing trial, the patient's ability to sustain spontaneous breathing may be evaluated by:

Accepted Answer

A)  serial arterial blood gases. 
B)  serial pulse oximetry. 
C)  vital capacity or maximal inspiratory pressure. 
D)  pulmonary function test. 
A)  serial arterial blood gases. 
B)  serial pulse oximetry. 
C)  vital capacity or maximal inspiratory pressure. 
D)  pulmonary function test.

Question 14

During CPR, the cardiac monitor shows ventricular tachycardia. From the radial pulse, the heart rate is about 70/min. The therapist should:

Accepted Answer

A)  defibrillate at 200 joules biphasic. 
B)  perform CPR. 
C)  initiate oral intubation. 
D)  evaluate and treat ventricular tachycardia. 
A)  defibrillate at 200 joules biphasic. 
B)  perform CPR. 
C)  initiate oral intubation. 
D)  evaluate and treat ventricular tachycardia.

Question 15

According to the ABCDEF bundle, pain assessment may be evaluated by all of the following except the:

Accepted Answer

A)  Numerical Rating Scale (NRS). 
B)  Behavioral Pain Scale (BPS). 
C)  Critical-Care Pain Observation Tool (CPOT). 
D)  Likert Pain Scale (LPS). 
A)  Numerical Rating Scale (NRS). 
B)  Behavioral Pain Scale (BPS). 
C)  Critical-Care Pain Observation Tool (CPOT). 
D)  Likert Pain Scale (LPS).

Question 16

The typical dose for epinephrine during CPR for asystole or PEA is:

Accepted Answer

A)  1 mg every 3 to 5 minutes. 
B)  1 mg every 10 minute. 
C)  5 mg every 3 to 5 minutes. 
D)  5 mg every 10 minute. 
A)  1 mg every 3 to 5 minutes. 
B)  1 mg every 10 minute. 
C)  5 mg every 3 to 5 minutes. 
D)  5 mg every 10 minute.

Question 17

A visual analogue scale is used in which assessment method?

Accepted Answer

A)  Behavioral Pain Scale (BPS) 
B)  Confusion Assessment Method (CAM) 
C)  Richards-Campbell Sleep Questionnaire (RCSQ) 
D)  Richmond Agitation and Sedation Scale (RASS) 
A)  Behavioral Pain Scale (BPS) 
B)  Confusion Assessment Method (CAM) 
C)  Richards-Campbell Sleep Questionnaire (RCSQ) 
D)  Richmond Agitation and Sedation Scale (RASS)

Question 18

A patient with severe agitation is being sedated using the Richmond Agitation and Sedation Scale (RASS) for titration of sedatives. What should be the recommended titration end-point?

Accepted Answer

A)  −5 to −3 
B)  −4 to −3 
C)  −2 to 0 
D)  +1 to +3 
A)  −5 to −3 
B)  −4 to −3 
C)  −2 to 0 
D)  +1 to +3

Question 19

If a ventilator is used to implement the spontaneous breathing trial, the pressure support ventilation:

Accepted Answer

A)  must be set as time cycled. 
B)  must be set as pressure cycled. 
C)  setting should be from 8 to 12 cm H2O. 
D)  setting should be from 5 to 8 cm H2O. 
A)  must be set as time cycled. 
B)  must be set as pressure cycled. 
C)  setting should be from 8 to 12 cm H2O. 
D)  setting should be from 5 to 8 cm H2O.

Question 20

When capnography is not available following intubation, all of the following nonwaveform CO2 devices may be used except a(n):

Accepted Answer

A)  color-change CO2 detecting device. 
B)  esophageal detector. 
C)  ultrasound. 
D)  pulse oximeter. 
A)  color-change CO2 detecting device. 
B)  esophageal detector. 
C)  ultrasound. 
D)  pulse oximeter.

Which of the following is most accurate with regard to the use of epinephrine and vasopressin during cardiac arrest?

According to the AHA guidelines for adult cardiovascular life support, the F_IO₂ used during CPR should be:

A patient complaints of dyspnea at rest has a heart rate of 160/min. The initial treatment for this type of tachycardia should be:

Hypoxia, respiratory and circulatory adverse outcomes, falling, disconnection of access lines and ET tube are some complications associated with:

The best method to confirm the depth placement of an endotracheal tube is:

To perform a traditional nasal intubation on an adult patient:

Based on the AHA guidelines for adult cardiovascular life support, cricoid pressure during endotracheal intubation:

Gastric residual volume is a clinical procedure to determine a patient's tolerance to:

For mechanically ventilated patients, which mode of ventilation is recommended by PADIS during sleep?

In comparing the PADIS and ABCDEF bundles:

A patient complaints of dizziness and weakness and has a heart rate of 45/min and blood pressure of 88/46 mm Hg. The ECG shows sinus bradycardia. This patient should initially be treated with:

The physician orders a spontaneous awakening trial (SAT) for a patient in the ICU. Which condition should SAT proceed?

Prior to a spontaneous breathing trial, the patient's ability to sustain spontaneous breathing may be evaluated by:

During CPR, the cardiac monitor shows ventricular tachycardia. From the radial pulse, the heart rate is about 70/min. The therapist should:

According to the ABCDEF bundle, pain assessment may be evaluated by all of the following except the:

The typical dose for epinephrine during CPR for asystole or PEA is:

A visual analogue scale is used in which assessment method?

A patient with severe agitation is being sedated using the Richmond Agitation and Sedation Scale (RASS) for titration of sedatives. What should be the recommended titration end-point?

If a ventilator is used to implement the spontaneous breathing trial, the pressure support ventilation:

When capnography is not available following intubation, all of the following nonwaveform CO₂ devices may be used except a(n):

Principles of Mechanical Ventilation

Classification of Mechanical Ventilation

Modes of Mechanical Ventilation

Non-Invasive and Invasive Airway Management

Initiation of Mechanical Ventilation

Monitoring in Mechanical Ventilation

Waveform Analysis and Application

Management of Mechanical Ventilation

Critical Care Procedures

Pharmacotherapy in Critical Care

Weaning From Mechanical Ventilation

Neonatal and Pediatric Mechanical Ventilation

Medical Critical Care Issues

Traumatic Critical Care Issues

Filters

Exam 15: Critical Care Guidelines and Bundles

Which of the following is most accurate with regard to the use of epinephrine and vasopressin during cardiac arrest?

According to the AHA guidelines for adult cardiovascular life support, the FIO2 used during CPR should be:

A patient complaints of dyspnea at rest has a heart rate of 160/min. The initial treatment for this type of tachycardia should be:

Hypoxia, respiratory and circulatory adverse outcomes, falling, disconnection of access lines and ET tube are some complications associated with:

The best method to confirm the depth placement of an endotracheal tube is:

To perform a traditional nasal intubation on an adult patient:

Based on the AHA guidelines for adult cardiovascular life support, cricoid pressure during endotracheal intubation:

Gastric residual volume is a clinical procedure to determine a patient's tolerance to:

For mechanically ventilated patients, which mode of ventilation is recommended by PADIS during sleep?

In comparing the PADIS and ABCDEF bundles:

A patient complaints of dizziness and weakness and has a heart rate of 45/min and blood pressure of 88/46 mm Hg. The ECG shows sinus bradycardia. This patient should initially be treated with:

The physician orders a spontaneous awakening trial (SAT) for a patient in the ICU. Which condition should SAT proceed?

Prior to a spontaneous breathing trial, the patient's ability to sustain spontaneous breathing may be evaluated by:

During CPR, the cardiac monitor shows ventricular tachycardia. From the radial pulse, the heart rate is about 70/min. The therapist should:

According to the ABCDEF bundle, pain assessment may be evaluated by all of the following except the:

The typical dose for epinephrine during CPR for asystole or PEA is:

A visual analogue scale is used in which assessment method?

A patient with severe agitation is being sedated using the Richmond Agitation and Sedation Scale (RASS) for titration of sedatives. What should be the recommended titration end-point?

If a ventilator is used to implement the spontaneous breathing trial, the pressure support ventilation:

When capnography is not available following intubation, all of the following nonwaveform CO2 devices may be used except a(n):

Principles of Mechanical Ventilation

Classification of Mechanical Ventilation

Modes of Mechanical Ventilation

Non-Invasive and Invasive Airway Management

Initiation of Mechanical Ventilation

Monitoring in Mechanical Ventilation

Waveform Analysis and Application

Management of Mechanical Ventilation

Critical Care Procedures

Pharmacotherapy in Critical Care

Weaning From Mechanical Ventilation

Neonatal and Pediatric Mechanical Ventilation

Medical Critical Care Issues

Traumatic Critical Care Issues

Filters

According to the AHA guidelines for adult cardiovascular life support, the F_IO₂ used during CPR should be:

When capnography is not available following intubation, all of the following nonwaveform CO₂ devices may be used except a(n):