Question 1

The respiratory care practitioner is placing a Drager Babylog 8000 plus on a patient.What mode can she use to insure a steady tidal volume?

Accepted Answer

A)  Pressure Control 
B)  SIMV 
C)  CPAP 
D)  Volume guarantee 
A)  Pressure Control 
B)  SIMV 
C)  CPAP 
D)  Volume guarantee

Question 2

The respiratory care practitioner wants to use a spontaneous mode of ventilation that will provide a continuous flow of oxygenated gas at a pressure slightly above ambient pressure on both inspiration and expiration.The practitioner wants to use ________________

Accepted Answer

A)  CPAP. 
B)  SIMV. 
C)  PRVC. 
D)  PS. 
A)  CPAP. 
B)  SIMV. 
C)  PRVC. 
D)  PS.

Question 3

When mechanically ventilating a neonate,traditionally how is inspiration terminated?

Accepted Answer

A)  After a preset volume is delivered 
B)  After a preset time interval has passed 
C)  After a preset pressure is reached 
D)  Once flow decreases to 25% of initial peak flow 
A)  After a preset volume is delivered 
B)  After a preset time interval has passed 
C)  After a preset pressure is reached 
D)  Once flow decreases to 25% of initial peak flow

Question 4

Transillumination is which of the following?

Accepted Answer

A)  Used to reduce bilirubin 
B)  A technique to detect a pneumothorax in newborns 
C)  The light reflecting from the ventilator 
D)  Used to identify pulmonary secretions 
A)  Used to reduce bilirubin 
B)  A technique to detect a pneumothorax in newborns 
C)  The light reflecting from the ventilator 
D)  Used to identify pulmonary secretions

Question 5

Which of the following is a complication due to high PaO₂ levels?

Accepted Answer

A)  Barotrauma 
B)  Retinopathy of prematurity 
C)  Reduced intracranial pressure 
D)  Subcutaneous emphysema 
A)  Barotrauma 
B)  Retinopathy of prematurity 
C)  Reduced intracranial pressure 
D)  Subcutaneous emphysema

Question 6

According to the retired AARC Clinical Practice Guidelines on time-triggered,pressure- limited,time-cycled neonatal ventilation,which is true of the use of PEEP?
I.Used to decrease FRC
II.Used to improve oxygenation
III.Typically set between 4-7 cm H2O
IV.Above 7 cm H2O can result in hyperinflation

Accepted Answer

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

Question 7

According to the retired AARC Clinical Practice Guidelines,which of the following is a hazard associated with use of time-triggered,pressure-limited,time-cycled neonatal ventilation?

Accepted Answer

A)  Overinflation and/or barotrauma causing air leak syndrome 
B)  Failure to thrive syndrome 
C)  Cystic fibrosis 
D)  Apnea 
A)  Overinflation and/or barotrauma causing air leak syndrome 
B)  Failure to thrive syndrome 
C)  Cystic fibrosis 
D)  Apnea

Question 8

Which of the following are goals for mechanical ventilation?
I.Adequate alveolar gas exchange
II.Prevent ventilator induced lung injury
III.Reduce patient's work of breathing

Accepted Answer

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

Question 9

Which of the following indicates poor ventilatory status?

Accepted Answer

A)  PaO₂ less than 50 mmHg 
B)  SpO₂ below 60% 
C)  PaCO₂ greater than 55 mmHg 
D)  pH greater than 7.35 
A)  PaO₂ less than 50 mmHg 
B)  SpO₂ below 60% 
C)  PaCO₂ greater than 55 mmHg 
D)  pH greater than 7.35

Question 10

Potential adverse problems that can occur with positive-pressure neonatal ventilation include which of the following?
I.Reduced cardiac output
II.Reduced venous return
III.Increased intracranial pressure
IV.Barotrauma to lungs and mediastinum

Accepted Answer

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

Question 11

When using time-cycled,pressure-limited,IMV,the respiratory care practitioner will set the length of inspiratory time and pressure.What will happen if the pressure is reached before inspiratory time ends?

Accepted Answer

A)  Pressure limiting will end inspiration 
B)  Pressure limiting will result in loss of tidal volume 
C)  The ventilator pressure alarm will sound 
D)  Pressure limiting will result in inspiratory plateau 
A)  Pressure limiting will end inspiration 
B)  Pressure limiting will result in loss of tidal volume 
C)  The ventilator pressure alarm will sound 
D)  Pressure limiting will result in inspiratory plateau

Question 12

According to the AARC Clinical Practice Guidelines for application of CPAP to neonates which of the following are true?
I.CPAP maintains inspiratory and expiratory pressure above ambient
II.CPAP improves static lung compliance
III.CPAP can decrease airway resistance
IV CPAP increases mean airway pressure

Accepted Answer

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

Question 13

Describe the 5 characteristics of the Apgar scoring system.

Accepted Answer

The Apgar scoring system assigns points

Question 14

According to the retired AARC Clinical Practice Guidelines the indication for time-triggered,pressure-limited,time-cycled neonatal ventilation is which of the following?
I.On CPAP and FIO₂ of 0.6 or more
II.pH greater than 7.45
III.PaO₂ less than 50 mmHg
IV.Apnea

Accepted Answer

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

Exam 29: Neonatal Mechanical Ventilation

The respiratory care practitioner is placing a Drager Babylog 8000 plus on a patient.What mode can she use to insure a steady tidal volume?

The respiratory care practitioner wants to use a spontaneous mode of ventilation that will provide a continuous flow of oxygenated gas at a pressure slightly above ambient pressure on both inspiration and expiration.The practitioner wants to use ________________

When mechanically ventilating a neonate,traditionally how is inspiration terminated?

Transillumination is which of the following?

Which of the following is a complication due to high PaO₂ levels?

According to the retired AARC Clinical Practice Guidelines on time-triggered,pressure- limited,time-cycled neonatal ventilation,which is true of the use of PEEP? I.Used to decrease FRC II.Used to improve oxygenation III.Typically set between 4-7 cm H2O IV.Above 7 cm H2O can result in hyperinflation

According to the retired AARC Clinical Practice Guidelines,which of the following is a hazard associated with use of time-triggered,pressure-limited,time-cycled neonatal ventilation?

Which of the following are goals for mechanical ventilation? I.Adequate alveolar gas exchange II.Prevent ventilator induced lung injury III.Reduce patient's work of breathing

Which of the following indicates poor ventilatory status?

Potential adverse problems that can occur with positive-pressure neonatal ventilation include which of the following? I.Reduced cardiac output II.Reduced venous return III.Increased intracranial pressure IV.Barotrauma to lungs and mediastinum

When using time-cycled,pressure-limited,IMV,the respiratory care practitioner will set the length of inspiratory time and pressure.What will happen if the pressure is reached before inspiratory time ends?

Describe the 5 characteristics of the Apgar scoring system.

According to the retired AARC Clinical Practice Guidelines the indication for time-triggered,pressure-limited,time-cycled neonatal ventilation is which of the following? I.On CPAP and FIO₂ of 0.6 or more II.pH greater than 7.45 III.PaO₂ less than 50 mmHg IV.Apnea

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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