Question 1

Which of the following should the practitioner use as a rationale to disqualify a patient from a weaning trial?

Accepted Answer

A)  Heart rate less than 140 beats per minute but still above 80 bpm 
B)  Mentation clearing 
C)  Lack of spontaneous respiratory drive 
D)  PaO₂ / FiO₂ ratio of 220 
A)  Heart rate less than 140 beats per minute but still above 80 bpm 
B)  Mentation clearing 
C)  Lack of spontaneous respiratory drive 
D)  PaO₂ / FiO₂ ratio of 220

Question 2

According to the AARC Clinical Practice Guidelines,which of the following identifies success or tolerance in the spontaneous breathing trial?

Accepted Answer

A)  PaO₂ less than 50 mmHg 
B)  Increase in PaCO₂ of less than 10 mmHg 
C)  pH less than 7.32 
D)  Systolic blood pressure greater than 200 mmHg 
A)  PaO₂ less than 50 mmHg 
B)  Increase in PaCO₂ of less than 10 mmHg 
C)  pH less than 7.32 
D)  Systolic blood pressure greater than 200 mmHg

Question 3

According to the AARC Clinical Practice Guidelines on Weaning and Discontinuation on Ventilatory Support,adequate patient oxygenation criteria for weaning is measured by
I.PaO₂ greater than 60 mm Hg
II.FIO₂ set less than 0.4
III.PEEP zero
IV.PO₂/FIO₂ ratio greater than 150-300

Accepted Answer

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

Question 4

A closed loop ventilator system ____________________

Accepted Answer

A)  Eliminates the need for nurses and respiratory care practitioners. 
B)  can be used in the absence of a protocol. 
C)  continually adjusts the ventilator based on measured patient parameters. 
D)  is a rebreathing system of ventilator care 
A)  Eliminates the need for nurses and respiratory care practitioners. 
B)  can be used in the absence of a protocol. 
C)  continually adjusts the ventilator based on measured patient parameters. 
D)  is a rebreathing system of ventilator care

Question 5

Which of the following is the best predictor of successfully weaning a patient from a ventilator?

Accepted Answer

A)  f/Vt ratio of less than 105 
B)  PaO₂/FIO₂ ratio greater than 150-200 
C)  VD/VT ratio less than 0.55-0.60 
D)  MIP less than -20 to -30 cm H2O 
A)  f/Vt ratio of less than 105 
B)  PaO₂/FIO₂ ratio greater than 150-200 
C)  VD/VT ratio less than 0.55-0.60 
D)  MIP less than -20 to -30 cm H2O

Question 6

Prior to weaning or discontinuing ventilatory support the first step a respiratory therapist should take is to ______________

Accepted Answer

A)  identify the hospital critical care census. 
B)  assess the amount and level of sedation. 
C)  determine if the patient has ventilator associated pneumonia. 
D)  determine if the cause of ventilator failure has been resolved. 
A)  identify the hospital critical care census. 
B)  assess the amount and level of sedation. 
C)  determine if the patient has ventilator associated pneumonia. 
D)  determine if the cause of ventilator failure has been resolved.

Question 7

To assess for the presences of an endotracheal tube cuff leak ,the RCP should do which of the following?

Accepted Answer

A)  Listen at the patient's mouth for air escaping with each ventilator breath 
B)  Place a stethoscope on the patient's neck and listen for air on inspiratory breath 
C)  Check ventilator delivered Vt and measured exhaled Vt 
D)  All of the above 
A)  Listen at the patient's mouth for air escaping with each ventilator breath 
B)  Place a stethoscope on the patient's neck and listen for air on inspiratory breath 
C)  Check ventilator delivered Vt and measured exhaled Vt 
D)  All of the above

Question 8

What should the respiratory care practitioner do when assessing a patient for potential weaning from mechanical ventilation?

Accepted Answer

A)  Evaluate the insurance coverage for critical care services 
B)  Identify improvement from cause respiratory failure 
C)  Assess the presence of chronic lung disease 
D)  Evaluate the medical care services that are available 
A)  Evaluate the insurance coverage for critical care services 
B)  Identify improvement from cause respiratory failure 
C)  Assess the presence of chronic lung disease 
D)  Evaluate the medical care services that are available

Question 9

How do cardiovascular problems result in ventilator dependence?

Accepted Answer

As spontaneous breathing increases venou

Question 10

The respiratory therapist notices the mechanically ventilated patient's work of breathing is increased due to the resistance caused by the artificial airway.This problem can be reduced using _______________

Accepted Answer

A)  BiPAP. 
B)  ATC. 
C)  PRVC. 
D)  PEEP. 
A)  BiPAP. 
B)  ATC. 
C)  PRVC. 
D)  PEEP.

Which of the following should the practitioner use as a rationale to disqualify a patient from a weaning trial?

According to the AARC Clinical Practice Guidelines,which of the following identifies success or tolerance in the spontaneous breathing trial?

According to the AARC Clinical Practice Guidelines on Weaning and Discontinuation on Ventilatory Support,adequate patient oxygenation criteria for weaning is measured by I.PaO₂ greater than 60 mm Hg II.FIO₂ set less than 0.4 III.PEEP zero IV.PO₂/FIO₂ ratio greater than 150-300

A closed loop ventilator system ____________________

Which of the following is the best predictor of successfully weaning a patient from a ventilator?

Prior to weaning or discontinuing ventilatory support the first step a respiratory therapist should take is to ______________

To assess for the presences of an endotracheal tube cuff leak ,the RCP should do which of the following?

What should the respiratory care practitioner do when assessing a patient for potential weaning from mechanical ventilation?

How do cardiovascular problems result in ventilator dependence?

The respiratory therapist notices the mechanically ventilated patient's work of breathing is increased due to the resistance caused by the artificial airway.This problem can be reduced using _______________

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

Noninvasive Positive-Pressure Ventilation

Continuous Mechanical Ventilation

Advanced Modes of Mechanical Ventilation

Wave Form Analysis

Neonatal Mechanical Ventilation

Filters

Exam 28: Weaning and Discontinuance of Mechanical Ventilation

Which of the following should the practitioner use as a rationale to disqualify a patient from a weaning trial?

According to the AARC Clinical Practice Guidelines,which of the following identifies success or tolerance in the spontaneous breathing trial?

According to the AARC Clinical Practice Guidelines on Weaning and Discontinuation on Ventilatory Support,adequate patient oxygenation criteria for weaning is measured by I.PaO₂ greater than 60 mm Hg II.FIO₂ set less than 0.4 III.PEEP zero IV.PO₂/FIO₂ ratio greater than 150-300

A closed loop ventilator system ____________________

Which of the following is the best predictor of successfully weaning a patient from a ventilator?

Prior to weaning or discontinuing ventilatory support the first step a respiratory therapist should take is to ______________

To assess for the presences of an endotracheal tube cuff leak ,the RCP should do which of the following?

What should the respiratory care practitioner do when assessing a patient for potential weaning from mechanical ventilation?

How do cardiovascular problems result in ventilator dependence?

The respiratory therapist notices the mechanically ventilated patient's work of breathing is increased due to the resistance caused by the artificial airway.This problem can be reduced using _______________

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

Noninvasive Positive-Pressure Ventilation

Continuous Mechanical Ventilation

Advanced Modes of Mechanical Ventilation

Wave Form Analysis

Neonatal Mechanical Ventilation

Filters