Question 1

A patient develops a bronchospasm during NPPV.What will happen to the delivered Vt if the set pressure remains the same?

Accepted Answer

A)  It will remain the same 
B)  It will decrease 
C)  It will increase 
D)  The set Vt will vary inversely with the delivered Vt 
A)  It will remain the same 
B)  It will decrease 
C)  It will increase 
D)  The set Vt will vary inversely with the delivered Vt

Question 2

A patient is set up on NPPV without humidification.Which of the following should the practitioner tell the nurse are potential hazards of inadequate humidification?

Accepted Answer

A)  Drying of the respiratory mucosa 
B)  Mucous plugging 
C)  Gastric insufflation 
D)  a and b 
A)  Drying of the respiratory mucosa 
B)  Mucous plugging 
C)  Gastric insufflation 
D)  a and b

Question 3

The respiratory care practitioner sets up NPPV on a patient with central sleep apnea.Which of the following modes would be the most dangerous for the patient during NPPV?

Accepted Answer

A)  Spontaneous/timed mode 
B)  Timed mode 
C)  Spontaneous mode 
D)  Assist/control 
A)  Spontaneous/timed mode 
B)  Timed mode 
C)  Spontaneous mode 
D)  Assist/control

Question 4

The respiratory care practitioner sets up a patient on NPPV in the spontaneous/timed mode due to frequent apneic episodes.To ensure that the patient receives continuous ventilation,which of the following should be set on the ventilator?

Accepted Answer

A)  EPAP pressure 
B)  Low pressure alarm 
C)  %IPAP time 
D)  Set rate 
A)  EPAP pressure 
B)  Low pressure alarm 
C)  %IPAP time 
D)  Set rate

Question 5

In acute respiratory failure,NPPV tends to cause which of the following beneficial effects for the patient?
I.Increase the PaO₂
II.Decrease the pH
III.Increase the PaCO₂
IV.Decrease HCO₃

Accepted Answer

A)  I only 
B)  I, II, III 
C)  III and IV 
D)  I and II 
A)  I only 
B)  I, II, III 
C)  III and IV 
D)  I and II

Question 6

The post-operative patient is placed on NPPV to increase alveolar ventilation.After 4 hours the patient has arterial blood gases drawn that reveal hypoxemia and hypercarbia.Which of the following could be the cause of these arterial blood gas abnormality?

Accepted Answer

A)  A proper size fitting face mask 
B)  A leak in the NPPV circuitry 
C)  A pressure sore on the patient's face 
D)  Too much pressure being delivered 
A)  A proper size fitting face mask 
B)  A leak in the NPPV circuitry 
C)  A pressure sore on the patient's face 
D)  Too much pressure being delivered

Question 7

A patient is placed on noninvasive positive-pressure ventilation (NPPV).The patient is on a nasal mask and is having trouble keeping his mouth closed due to tachypnea and dyspnea.Breath sounds are diminished bilaterally.The patient is also complaining of nasal dryness.What should be done to help the patient?

Accepted Answer

A chin strap could be tried,but due to c

Question 8

A patient with COPD is placed on NPPV.The patient develops sudden shortness of breath,asymmetrical chest movement,and tracheal shift away from the side of the chest with no movement.Which of the following is the most likely cause?

Accepted Answer

A)  The patient has developed hypoxemia. 
B)  The patient has developed atelectasis. 
C)  A bleb has ruptured on the patient's lung. 
D)  The patient is experiencing O₂ induced hypoventilation. 
A)  The patient has developed hypoxemia. 
B)  The patient has developed atelectasis. 
C)  A bleb has ruptured on the patient's lung. 
D)  The patient is experiencing O₂ induced hypoventilation.

Question 9

A patient is admitted to the emergency department in respiratory distress.The respiratory care practitioner utilizes a full face mask to administer NPPV.After 20 minutes of NPPV the patient exhibits signs of gastric distention.The physician is concerned about the patient vomiting and aspirating.What should the practitioner recommend to decrease the gastric distention and decrease the possibility of aspiration?

Accepted Answer

A)  The patient should be placed on his side to lessen the possibility of air swallowing. 
B)  The practitioner should place a little force on the mask harness to maintain a good seal. 
C)  Reduce the pressure on the face mask and allow the positive-pressure to seal the mask. 
D)  A nasogastric tube should be placed to decompress the stomach and reduce the risk of aspiration. 
A)  The patient should be placed on his side to lessen the possibility of air swallowing. 
B)  The practitioner should place a little force on the mask harness to maintain a good seal. 
C)  Reduce the pressure on the face mask and allow the positive-pressure to seal the mask. 
D)  A nasogastric tube should be placed to decompress the stomach and reduce the risk of aspiration.

A patient develops a bronchospasm during NPPV.What will happen to the delivered Vt if the set pressure remains the same?

A patient is set up on NPPV without humidification.Which of the following should the practitioner tell the nurse are potential hazards of inadequate humidification?

The respiratory care practitioner sets up NPPV on a patient with central sleep apnea.Which of the following modes would be the most dangerous for the patient during NPPV?

The respiratory care practitioner sets up a patient on NPPV in the spontaneous/timed mode due to frequent apneic episodes.To ensure that the patient receives continuous ventilation,which of the following should be set on the ventilator?

In acute respiratory failure,NPPV tends to cause which of the following beneficial effects for the patient? I.Increase the PaO₂ II.Decrease the pH III.Increase the PaCO₂ IV.Decrease HCO₃

The post-operative patient is placed on NPPV to increase alveolar ventilation.After 4 hours the patient has arterial blood gases drawn that reveal hypoxemia and hypercarbia.Which of the following could be the cause of these arterial blood gas abnormality?

A patient with COPD is placed on NPPV.The patient develops sudden shortness of breath,asymmetrical chest movement,and tracheal shift away from the side of the chest with no movement.Which of the following is the most likely cause?

Basics of Asepsis

Basic Patient Assessment: Vital Signs and Breath Sounds

Advanced Patient Assessment: Inspection, Palpation, and Percussion

Radiologic Assessment

Pulmonary Function Testing

Electrocardiography

Phlebotomy

Arterial Blood Gas Sampling

Hemodynamic Monitoring

Noninvasive Monitoring

Documentation and Goals Assessment

Oxygen Supply Systems

Oxygen Administration

Introduction to Respiratory Care Pharmacology

Humidity and Aerosol Therapy

Bronchial Hygiene Therapy

Hyperinflation Therapy

Bronchoscopy Assisting

Equipment Processing and Surveillance

Emergency Airway Management

Artificial Airway Care

Chest Tubes

Insertion and Maintenance of Intravenous Lines

Continuous Mechanical Ventilation

Advanced Modes of Mechanical Ventilation

Wave Form Analysis

Weaning and Discontinuance of Mechanical Ventilation

Neonatal Mechanical Ventilation

Filters

Exam 24: Noninvasive Positive-Pressure Ventilation

A patient develops a bronchospasm during NPPV.What will happen to the delivered Vt if the set pressure remains the same?

A patient is set up on NPPV without humidification.Which of the following should the practitioner tell the nurse are potential hazards of inadequate humidification?

The respiratory care practitioner sets up NPPV on a patient with central sleep apnea.Which of the following modes would be the most dangerous for the patient during NPPV?

The respiratory care practitioner sets up a patient on NPPV in the spontaneous/timed mode due to frequent apneic episodes.To ensure that the patient receives continuous ventilation,which of the following should be set on the ventilator?

In acute respiratory failure,NPPV tends to cause which of the following beneficial effects for the patient? I.Increase the PaO₂ II.Decrease the pH III.Increase the PaCO₂ IV.Decrease HCO₃

The post-operative patient is placed on NPPV to increase alveolar ventilation.After 4 hours the patient has arterial blood gases drawn that reveal hypoxemia and hypercarbia.Which of the following could be the cause of these arterial blood gas abnormality?

A patient with COPD is placed on NPPV.The patient develops sudden shortness of breath,asymmetrical chest movement,and tracheal shift away from the side of the chest with no movement.Which of the following is the most likely cause?

Basics of Asepsis

Basic Patient Assessment: Vital Signs and Breath Sounds

Advanced Patient Assessment: Inspection, Palpation, and Percussion

Radiologic Assessment

Pulmonary Function Testing

Electrocardiography

Phlebotomy

Arterial Blood Gas Sampling

Hemodynamic Monitoring

Noninvasive Monitoring

Documentation and Goals Assessment

Oxygen Supply Systems

Oxygen Administration

Introduction to Respiratory Care Pharmacology

Humidity and Aerosol Therapy

Bronchial Hygiene Therapy

Hyperinflation Therapy

Bronchoscopy Assisting

Equipment Processing and Surveillance

Emergency Airway Management

Artificial Airway Care

Chest Tubes

Insertion and Maintenance of Intravenous Lines

Continuous Mechanical Ventilation

Advanced Modes of Mechanical Ventilation

Wave Form Analysis

Weaning and Discontinuance of Mechanical Ventilation

Neonatal Mechanical Ventilation

Filters