Question 1

Which medication may be administered with a bronchodilator because it can cause bronchospasms?

Accepted Answer

A)  ?2-Agonists 
B)  Mucloytics 
C)  Anticholinergic agents 
D)  Xanthines 
A)  ?2-Agonists 
B)  Mucloytics 
C)  Anticholinergic agents 
D)  Xanthines B

Question 2

A patient was admitted to the critical care unit with acute respiratory failure.The patient has been on a ventilator for 3 days and is being considered for weaning.The ventilator high-pressure alarm keeps going off.When you enter the room,the ventilator inoperative alarm sounds.What is the primary action the nurse would take?

Accepted Answer

A)  Troubleshoot the ventilator until the problem is found. 
B)  Take the patient off the ventilator and manually ventilate her. 
C)  Call the respiratory therapist for help. 
D)  Silence the ventilator alarms until the problem is resolved. 
A)  Troubleshoot the ventilator until the problem is found. 
B)  Take the patient off the ventilator and manually ventilate her. 
C)  Call the respiratory therapist for help. 
D)  Silence the ventilator alarms until the problem is resolved. B

Question 3

A patient was admitted to the critical care unit with acute respiratory failure.The patient has been on a ventilator for 3 days and is being considered for weaning.The ventilator high-pressure alarm keeps going off.When you enter the room,the ventilator inoperative alarm sounds.Which of the following criteria would indicate that the patient is not tolerating weaning?

Accepted Answer

A)  A decrease in heart rate from 92 to 80 beats/min 
B)  An SpO2 of 92% 
C)  An increase in respiratory rate from 22 to 38 breaths/min 
D)  Spontaneous tidal volumes of 300 to 350 mL 
A)  A decrease in heart rate from 92 to 80 beats/min 
B)  An SpO2 of 92% 
C)  An increase in respiratory rate from 22 to 38 breaths/min 
D)  Spontaneous tidal volumes of 300 to 350 mL C

Question 4

The most accurate and reliable control of FiO2 can be achieved through the use of a(n)

Accepted Answer

A)  simple mask. 
B)  nonrebreathing circuit (closed). 
C)  air-entrainment mask. 
D)  nonrebreathing mask. 
A)  simple mask. 
B)  nonrebreathing circuit (closed). 
C)  air-entrainment mask. 
D)  nonrebreathing mask.

Question 5

The Passy-Muir valve is contraindicated in patients

Accepted Answer

A)  who are trying to relearn normal breathing patterns. 
B)  who experience low secretions. 
C)  with laryngeal or pharyngeal dysfunction. 
D)  who want to speak while on the ventilator. 
A)  who are trying to relearn normal breathing patterns. 
B)  who experience low secretions. 
C)  with laryngeal or pharyngeal dysfunction. 
D)  who want to speak while on the ventilator.

Question 6

Which route for ETT placement is used in an emergency?

Accepted Answer

A)  Orotracheal 
B)  Nasotracheal 
C)  Nasopharyngeal 
D)  Trachea 
A)  Orotracheal 
B)  Nasotracheal 
C)  Nasopharyngeal 
D)  Trachea

Question 7

Which of the following statements are true regarding rotational therapy?

Accepted Answer

A)  Continuous lateral rotation therapy (CLRT) can be effective for improving oxygenation if used for at least 18 hours/day. 
B)  Kinetic therapy can decrease the incidence of ventilator-acquired pneumonia in neurologic and postoperative patients. 
C)  Use of rotational therapy eliminates the need for other pressure ulcer prevention strategies. 
D)  CLRT helps avoid hemodynamic instability secondary to the continuous, gentle turning of the patient. 
E)  CLRT has minimal pulmonary benefits for critically ill patients. 
A)  Continuous lateral rotation therapy (CLRT) can be effective for improving oxygenation if used for at least 18 hours/day. 
B)  Kinetic therapy can decrease the incidence of ventilator-acquired pneumonia in neurologic and postoperative patients. 
C)  Use of rotational therapy eliminates the need for other pressure ulcer prevention strategies. 
D)  CLRT helps avoid hemodynamic instability secondary to the continuous, gentle turning of the patient. 
E)  CLRT has minimal pulmonary benefits for critically ill patients.

Question 8

Preset positive pressure used to augment the patient's inspiratory effort is known as

Accepted Answer

A)  positive end-expiratory pressure (PEEP). 
B)  continuous positive airway pressure (CPAP). 
C)  pressure control ventilation (PCV). 
D)  pressure support ventilation (PSV). 
A)  positive end-expiratory pressure (PEEP). 
B)  continuous positive airway pressure (CPAP). 
C)  pressure control ventilation (PCV). 
D)  pressure support ventilation (PSV).

Question 9

Which of the following levels would be classified as a low-flow system of oxygen administration?

Accepted Answer

A)  O2 via nasal cannula at 4 L/min 
B)  O2 via nasal catheter at a FiO2 range of 60% to 75% 
C)  O2 via transtracheal catheter at 10 L/min 
D)  O2 via simple mask at 12 L/min. 
A)  O2 via nasal cannula at 4 L/min 
B)  O2 via nasal catheter at a FiO2 range of 60% to 75% 
C)  O2 via transtracheal catheter at 10 L/min 
D)  O2 via simple mask at 12 L/min.

Question 10

Nursing management of the patient receiving a neuromuscular blocking agent should include

Accepted Answer

A)  withholding all sedation and narcotics. 
B)  protecting the patient from the environment. 
C)  keeping the patient supine. 
D)  speaking to the patient only when necessary. 
A)  withholding all sedation and narcotics. 
B)  protecting the patient from the environment. 
C)  keeping the patient supine. 
D)  speaking to the patient only when necessary.

Question 11

Which of the following should be used when suctioning a mechanically ventilated patient?

Accepted Answer

A)  Three hyperoxygenation breaths (breaths at 100% FiO2) 
B)  Hyperinflation (breaths at 150% tidal volume) 
C)  Limit the number of passes to three. 
D)  Instill 5 to 10 mL of normal saline to facilitate secretion removal. 
E)  Use intermittent suction to avoid damaging tracheal tissue. 
A)  Three hyperoxygenation breaths (breaths at 100% FiO2) 
B)  Hyperinflation (breaths at 150% tidal volume) 
C)  Limit the number of passes to three. 
D)  Instill 5 to 10 mL of normal saline to facilitate secretion removal. 
E)  Use intermittent suction to avoid damaging tracheal tissue.

Question 12

Which of the following statements best describes the effects of positive-pressure ventilation on cardiac output?

Accepted Answer

A)  Positive-pressure ventilation increases intrathoracic pressure, which increases venous return and cardiac output. 
B)  Positive-pressure ventilation decreases venous return, which increases preload and cardiac output. 
C)  Positive-pressure ventilation increases venous return, which decreases preload and cardiac output. 
D)  Positive-pressure ventilation increases intrathoracic pressure, which decreases venous return and cardiac output. 
A)  Positive-pressure ventilation increases intrathoracic pressure, which increases venous return and cardiac output. 
B)  Positive-pressure ventilation decreases venous return, which increases preload and cardiac output. 
C)  Positive-pressure ventilation increases venous return, which decreases preload and cardiac output. 
D)  Positive-pressure ventilation increases intrathoracic pressure, which decreases venous return and cardiac output.

Question 13

Which of the following statements is correct concerning endotracheal tube cuff management?

Accepted Answer

A)  The cuff should be deflated every hour to minimize pressure on the trachea. 
B)  A small leak should be heard on inspiration if the cuff has been inflated using the minimal leak technique. 
C)  Cuff pressures should be kept between 40 to 50 mm Hg to ensure an adequate seal. 
D)  Cuff pressure monitoring should be done once every 24 hours. 
A)  The cuff should be deflated every hour to minimize pressure on the trachea. 
B)  A small leak should be heard on inspiration if the cuff has been inflated using the minimal leak technique. 
C)  Cuff pressures should be kept between 40 to 50 mm Hg to ensure an adequate seal. 
D)  Cuff pressure monitoring should be done once every 24 hours.

Question 14

The assist-control mode of ventilation functions in which of the following manners?

Accepted Answer

A)  It delivers gas at preset volume, at a set rate, and in response to the patient's inspiratory efforts. 
B)  It delivers gas at a preset volume, allowing the patient to breathe spontaneously at his or her own volume. 
C)  It applies positive pressure during both ventilator breaths and spontaneous breaths. 
D)  It delivers gas at preset rate and tidal volume regardless of the patient's inspiratory efforts. 
A)  It delivers gas at preset volume, at a set rate, and in response to the patient's inspiratory efforts. 
B)  It delivers gas at a preset volume, allowing the patient to breathe spontaneously at his or her own volume. 
C)  It applies positive pressure during both ventilator breaths and spontaneous breaths. 
D)  It delivers gas at preset rate and tidal volume regardless of the patient's inspiratory efforts.

Question 15

Indications to support a pneumonectomy are

Accepted Answer

A)  lesions confined to a single lobe. 
B)  bronchiectasis. 
C)  unilateral tuberculosis. 
D)  lung abscesses or cyst. 
A)  lesions confined to a single lobe. 
B)  bronchiectasis. 
C)  unilateral tuberculosis. 
D)  lung abscesses or cyst.

Question 16

A patient was admitted to the critical care unit with acute respiratory failure.The patient has been on a ventilator for 3 days and is being considered for weaning.The ventilator high-pressure alarm keeps going off.When you enter the room,the ventilator inoperative alarm sounds.All of the following conditions would set off the high-pressure alarm except

Accepted Answer

A)  a leak in the patient's ET tube cuff 
B)  a kink in the ET tubing 
C)  coughing 
D)  increased secretions in the patient's airway 
A)  a leak in the patient's ET tube cuff 
B)  a kink in the ET tubing 
C)  coughing 
D)  increased secretions in the patient's airway

Question 17

A patient was taken to surgery for a left lung resection earlier today.The patient has been in the postoperative care unit for 30 minutes.When you are completing your assessment,you notice that the chest tube has drained 125 cc of red fluid in the past 30 minutes.The nurse contacts the physician and suspects that the patient has developed

Accepted Answer

A)  pulmonary edema. 
B)  hemorrhage. 
C)  acute lung failure. 
D)  bronchopleural fistula. 
A)  pulmonary edema. 
B)  hemorrhage. 
C)  acute lung failure. 
D)  bronchopleural fistula.

Question 18

The ventilator variable that causes inspiration is called the

Accepted Answer

A)  cycle. 
B)  trigger. 
C)  flow. 
D)  pressure. 
A)  cycle. 
B)  trigger. 
C)  flow. 
D)  pressure.

Question 19

Patient safety precautions when working with oxygen involve

Accepted Answer

A)  observation for signs of oxygen-introduced hyperventilation. 
B)  restriction of smoking. 
C)  removal of all oxygen devices when eating to prevent aspiration. 
D)  administration of oxygen at the nurse's discretion. 
A)  observation for signs of oxygen-introduced hyperventilation. 
B)  restriction of smoking. 
C)  removal of all oxygen devices when eating to prevent aspiration. 
D)  administration of oxygen at the nurse's discretion.

Question 20

The finding of normal breath sounds on the right side of the chest and absent breath sounds on the left side of the chest in a newly intubated patient is probably caused by a

Accepted Answer

A)  right mainstem intubation. 
B)  left pneumothorax. 
C)  right hemothorax. 
D)  gastric intubation. 
A)  right mainstem intubation. 
B)  left pneumothorax. 
C)  right hemothorax. 
D)  gastric intubation.

Exam 21: Pulmonary Therapeutic Management

Which medication may be administered with a bronchodilator because it can cause bronchospasms?

The most accurate and reliable control of FiO2 can be achieved through the use of a(n)

The Passy-Muir valve is contraindicated in patients

Which route for ETT placement is used in an emergency?

Which of the following statements are true regarding rotational therapy?

Preset positive pressure used to augment the patient's inspiratory effort is known as

Which of the following levels would be classified as a low-flow system of oxygen administration?

Nursing management of the patient receiving a neuromuscular blocking agent should include

Which of the following should be used when suctioning a mechanically ventilated patient?

Which of the following statements best describes the effects of positive-pressure ventilation on cardiac output?

Which of the following statements is correct concerning endotracheal tube cuff management?

The assist-control mode of ventilation functions in which of the following manners?

Indications to support a pneumonectomy are

The ventilator variable that causes inspiration is called the

Patient safety precautions when working with oxygen involve

The finding of normal breath sounds on the right side of the chest and absent breath sounds on the left side of the chest in a newly intubated patient is probably caused by a

Critical Care Nursing Practice

Ethical Issues

Legal Issues

Genetics and Genomics in Critical Care

Patient and Family Education

Psychosocial and Spiritual Alterations and Management

Sleep Alterations and Management

Nutrition Alterations and Management

Pain and Pain Management

Sedation,Agitation,Delirium: Assessment and Management

End-Of-Life Issues

Cardiovascular Anatomy and Physiology

Cardiovascular Clinical Assessment

Cardiovascular Diagnostic Procedures

Cardiovascular Disorders

Cardiovascular Therapeutic Management

Pulmonary Anatomy and Physiology

Pulmonary Clinical Assessment

Pulmonary Diagnostic Procedures

Pulmonary Disorders

Neurologic Anatomy and Physiology

Neurologic Clinical Assessment and Diagnostic Procedures

Neurologic Disorders and Therapeutic Management

Kidney Anatomy and Physiology

Kidney Clinical Assessment and Diagnostic Procedures

Kidney Disorders and Therapeutic Management

Gastrointestinal Anatomy and Physiology

Gastrointestinal Clinical Assessment and Diagnostic Procedures

Gastrointestinal Disorders and Therapeutic Management

Endocrine Anatomy and Physiology

Endocrine Clinical Assessment and Diagnostic Procedures

Endocrine Disorders and Therapeutic Management

Trauma

Shock,sepsis,and Multiple Organ Dysfunction Syndrome

Burns

Organ Donation and Transplantation

Hematologic Disorders and Oncologic Emergencies

The Obstetric Patient

The Pediatric Patient

The Older Adult Patient

The Perianesthesia Patient

Filters

The most accurate and reliable control of FiO₂ can be achieved through the use of a(n)