Question 1

According to the retired AARC Clinical Practice Guidelines for Patient Ventilator System checks,how often should patient ventilator checks be done?

Accepted Answer

A)  Hourly 
B)  Every 2-4 hours 
C)  Every 2-4 hours until hs then every 6 hrs 
D)  No specific recommendations are given. 
A)  Hourly 
B)  Every 2-4 hours 
C)  Every 2-4 hours until hs then every 6 hrs 
D)  No specific recommendations are given. B

Question 2

Ventilator proximal gas temperature should be set at _________________

Accepted Answer

A)  36-37 degrees C. 
B)  97 degrees C. 
C)  24-30 degrees C. 
D)  40-45 degrees C. 
A)  36-37 degrees C. 
B)  97 degrees C. 
C)  24-30 degrees C. 
D)  40-45 degrees C. A

Question 3

The respiratory care practitioner has a patient that has a good respiratory effort but he wants to control the inspiratory pressure while maintaining the patient's tidal volume and minute volume.The RCP should consider which of the following modes?

Accepted Answer

A)  Pressure support 
B)  Pressure assist control 
C)  Volume support 
D)  Time cycled, pressure limited ventilation 
A)  Pressure support 
B)  Pressure assist control 
C)  Volume support 
D)  Time cycled, pressure limited ventilation C

Question 4

In neonatal time-cycled,pressure-limited ventilation,the respiratory care practitioner will set the inspiratory gas flow rate at ______________

Accepted Answer

A)  40-60 L/min. 
B)  6-10 L/min. 
C)  20-30 L/min. 
D)  1-5 L/min. 
A)  40-60 L/min. 
B)  6-10 L/min. 
C)  20-30 L/min. 
D)  1-5 L/min.

Question 5

What is the significance of urine output in neonatal ventilation?

Accepted Answer

A)  Identifies the adequacy of oxygenation 
B)  Identifies metabolic function 
C)  Indicates function of vital organs 
D)  Decrease can indicate renal impairment due to ventilating pressures 
A)  Identifies the adequacy of oxygenation 
B)  Identifies metabolic function 
C)  Indicates function of vital organs 
D)  Decrease can indicate renal impairment due to ventilating pressures

Question 6

According to the AARC Clinical Practice Guidelines for application of CPAP to neonates,which of the following is a contraindication for its use?

Accepted Answer

A)  ROP 
B)  Need for intubation 
C)  Stable respiratory drive without apneas 
D)  Prematurity 
A)  ROP 
B)  Need for intubation 
C)  Stable respiratory drive without apneas 
D)  Prematurity

Question 7

Which of the following has been the most common method of ventilating neonates with respiratory failure?

Accepted Answer

A)  Volume assist control ventilation 
B)  Pressure support ventilation 
C)  Time-cycled, pressure-limited ventilation 
D)  Pressure regulated volume control 
A)  Volume assist control ventilation 
B)  Pressure support ventilation 
C)  Time-cycled, pressure-limited ventilation 
D)  Pressure regulated volume control

Question 8

The practitioner notes that an infant is not ventilating sufficiently with the spontaneous breaths during SIMV with PEEP since there are periods of apnea.It is evident the infant should be changed to a different mode.Which mode should the therapist use?

Accepted Answer

A)  VS 
B)  A/C 
C)  PS 
D)  CPAP 
A)  VS 
B)  A/C 
C)  PS 
D)  CPAP

Question 9

Which of the following are true of time constants?
I.Indicate lungs' ability to receive or expel air
II.Are determined by airway resistance times compliance
III.Poor compliance with normal airway resistance results in long time constant.

Accepted Answer

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

Question 10

Which of the following is true of a "lifespan" ventilator?

Accepted Answer

A)  This is the term used when a ventilator is used on a comatose patient. 
B)  It provides pressure and volume ventilation. 
C)  It can be used on infants, pediatric, or adult patients. 
D)  It is the brand name of mechanical ventilators. 
A)  This is the term used when a ventilator is used on a comatose patient. 
B)  It provides pressure and volume ventilation. 
C)  It can be used on infants, pediatric, or adult patients. 
D)  It is the brand name of mechanical ventilators.

Question 11

When a patient of any age cannot adequately provide enough oxygen for the body and sufficiently eliminate carbon dioxide,the term used is ______________

Accepted Answer

A)  ventilatory insufficiency. 
B)  apnea. 
C)  respiratory failure. 
D)  CO₂ retainer. 
A)  ventilatory insufficiency. 
B)  apnea. 
C)  respiratory failure. 
D)  CO₂ retainer.

Question 12

According to the retired AARC Clinical Practice Guidelines on time-triggered,pressure- limited,time-cycled neonatal ventilation,risk of ROP can be minimized by ___________________

Accepted Answer

A)  keeping PaO₂ less than 60 mmHg. 
B)  keeping SpO₂ greater than 80%. 
C)  keeping PaO₂ less than 80 mmHg. 
D)  maintaining pH greater than 7.35. 
A)  keeping PaO₂ less than 60 mmHg. 
B)  keeping SpO₂ greater than 80%. 
C)  keeping PaO₂ less than 80 mmHg. 
D)  maintaining pH greater than 7.35.

Question 13

Describe how the initial newborn ventilator setting are determined for mode,rate and flow rate.

Accepted Answer

The mode selected will depend upon the a

Question 14

According to the retired AARC Clinical Practice Guidelines,neurological conditions that can be an indication for time-triggered,pressure-limited,time-cycled neonatal ventilation are which of the following?
I.Apnea of prematurity
II.Intracranial hemorrhage
III.Pre-existing lung disease
IV.Congenital neuromuscular disorder

Accepted Answer

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

Question 15

A mode of ventilation which delivers an inspiration to a set pressure and typically ends when flow drops to 25% of its initial peak value is which of the following?

Accepted Answer

A)  Volume Guarantee 
B)  Pressure Support 
C)  Pressure Assist Control 
D)  Volume Support 
A)  Volume Guarantee 
B)  Pressure Support 
C)  Pressure Assist Control 
D)  Volume Support

Question 16

Describe how the initial newborn ventilator alarm setting are determined.

Accepted Answer

High and Low Inspiratory Pressure Alarms

Question 17

Describe how the initial newborn ventilator setting are determined for tidal volume,oxygen percent and PEEP/CPAP

Accepted Answer

Tidal volumes are either set (if utilizi

Question 18

Which of the following is true of I:E ratio?

Accepted Answer

A)  Refers to inspiratory flow to expiratory flow 
B)  Inspiration is always longer than expiration 
C)  Long time constants need greater than 1:2 ratio 
D)  Higher I:E ratios are better tolerated with short time constants 
A)  Refers to inspiratory flow to expiratory flow 
B)  Inspiration is always longer than expiration 
C)  Long time constants need greater than 1:2 ratio 
D)  Higher I:E ratios are better tolerated with short time constants

Question 19

The respiratory care practitioner wants to reduce or overcome the work of breathing due to the endotracheal tube and ventilator tubing.Which mode can be used for that purpose?

Accepted Answer

A)  Volume me Support 
B)  Synchronized Intermittent Mandatory Ventilation 
C)  Pressure Regulated Volume Control 
D)  Pressure Support 
A)  Volume me Support 
B)  Synchronized Intermittent Mandatory Ventilation 
C)  Pressure Regulated Volume Control 
D)  Pressure Support

Question 20

Describe how the initial newborn ventilator setting are determined for inspiratory time,I:E ratio and peak inspiratory pressure.

Accepted Answer

Inspiratory time is adjusted depending u

Exam 29: Neonatal Mechanical Ventilation

According to the retired AARC Clinical Practice Guidelines for Patient Ventilator System checks,how often should patient ventilator checks be done?

Ventilator proximal gas temperature should be set at _________________

The respiratory care practitioner has a patient that has a good respiratory effort but he wants to control the inspiratory pressure while maintaining the patient's tidal volume and minute volume.The RCP should consider which of the following modes?

In neonatal time-cycled,pressure-limited ventilation,the respiratory care practitioner will set the inspiratory gas flow rate at ______________

What is the significance of urine output in neonatal ventilation?

According to the AARC Clinical Practice Guidelines for application of CPAP to neonates,which of the following is a contraindication for its use?

Which of the following has been the most common method of ventilating neonates with respiratory failure?

The practitioner notes that an infant is not ventilating sufficiently with the spontaneous breaths during SIMV with PEEP since there are periods of apnea.It is evident the infant should be changed to a different mode.Which mode should the therapist use?

Which of the following are true of time constants? I.Indicate lungs' ability to receive or expel air II.Are determined by airway resistance times compliance III.Poor compliance with normal airway resistance results in long time constant.

Which of the following is true of a "lifespan" ventilator?

When a patient of any age cannot adequately provide enough oxygen for the body and sufficiently eliminate carbon dioxide,the term used is ______________

According to the retired AARC Clinical Practice Guidelines on time-triggered,pressure- limited,time-cycled neonatal ventilation,risk of ROP can be minimized by ___________________

Describe how the initial newborn ventilator setting are determined for mode,rate and flow rate.

A mode of ventilation which delivers an inspiration to a set pressure and typically ends when flow drops to 25% of its initial peak value is which of the following?

Describe how the initial newborn ventilator alarm setting are determined.

Describe how the initial newborn ventilator setting are determined for tidal volume,oxygen percent and PEEP/CPAP

Which of the following is true of I:E ratio?

The respiratory care practitioner wants to reduce or overcome the work of breathing due to the endotracheal tube and ventilator tubing.Which mode can be used for that purpose?

Describe how the initial newborn ventilator setting are determined for inspiratory time,I:E ratio and peak inspiratory pressure.

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

Weaning and Discontinuance of Mechanical Ventilation

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