Question 1

Before the patient is discharged home,who needs to meet and assess the needs of both the child and family?

Accepted Answer

A) The family and the physician 
B) The nurse and the family 
C) The physician and nurse 
D) The family and the health care team 
A) The family and the physician 
B) The nurse and the family 
C) The physician and nurse 
D) The family and the health care team D

Question 2

What effect does an extended hospital stay tend to have on the discharge planning process for a child expected to receive mechanical ventilation at home?

Accepted Answer

A) It helps the family become more familiar with providing health care at home. 
B) It provides the family with the opportunity to earn more income to facilitate the discharge process. 
C) It affords the family more time to recruit additional health care providers to be used in the home. 
D) It often results in a negative change in the family dynamics. 
A) It helps the family become more familiar with providing health care at home. 
B) It provides the family with the opportunity to earn more income to facilitate the discharge process. 
C) It affords the family more time to recruit additional health care providers to be used in the home. 
D) It often results in a negative change in the family dynamics. D

Question 3

Which of the following infants may benefit from using an apnea monitor at home?
I.Infants who were born preterm
II.Infants who have experienced a life-threatening event
III.Infants who have been diagnosed with gastroesophageal reflux disease
IV.Infants who have experienced an apneic episode for any reason in the hospital

Accepted Answer

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

Question 4

What are the goals of discharge planning?
I.To reduce the number of hospitalizations
II.To have the patient resume activities of daily living
III.To reduce the number of emergency room visits
IV.To reduce the patient's length of stay

Accepted Answer

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

Question 5

Before a ventilator-dependent child can be discharged home,which of the following criteria must be met?

Accepted Answer

A) The ventilator setting must be stable for at least 3 weeks. 
B) Arterial blood gas measurements must be stable and within normal limits. 
C) The patient's Fio₂ must be 0.80 or less. 
D) If PEEP is used,it must be no more than 10 cm H₂O. 
A) The ventilator setting must be stable for at least 3 weeks. 
B) Arterial blood gas measurements must be stable and within normal limits. 
C) The patient's Fio₂ must be 0.80 or less. 
D) If PEEP is used,it must be no more than 10 cm H₂O.

Question 6

What is the utility of downloading information from an apnea monitor?

Accepted Answer

A) It facilitates billing the patient for services. 
B) It helps monitor oxygen use. 
C) It enables differentiating among different types of apnea. 
D) It helps decide the next laboratory evaluation. 
A) It facilitates billing the patient for services. 
B) It helps monitor oxygen use. 
C) It enables differentiating among different types of apnea. 
D) It helps decide the next laboratory evaluation.

Question 7

Which of the following circumstances constitute obstacles to discharging a child who requires home mechanical ventilation?
I.Lack of family access to public transportation
II.Large number of siblings
III.Delays in approval for home care funding
IV.Unsuitable home environment

Accepted Answer

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

Question 8

Why are compressed gas cylinders of oxygen becoming more commonplace for patient transport in the home care setting?

Accepted Answer

A) Because patients generally cannot afford liquid oxygen 
B) Because compressed gas cylinders are being made smaller and lighter 
C) Because they are being made safer and people can smoke near them 
D) Because the grade of oxygen in compressed gas cylinders is higher than in liquid systems 
A) Because patients generally cannot afford liquid oxygen 
B) Because compressed gas cylinders are being made smaller and lighter 
C) Because they are being made safer and people can smoke near them 
D) Because the grade of oxygen in compressed gas cylinders is higher than in liquid systems

Question 9

What considerations need to be taken into account when applying external positive end-expiratory pressure (PEEP)to a home ventilator?
I.The ventilator circuit must be able to accommodate the weight of the PEEP valve.
II.The PEEP valve must be able to function at any angle.
III.Thoracostomy tubes need to be available to treat a pneumothorax.
IV.The exhalation ports must be free from obstructions.

Accepted Answer

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

Question 10

Which of the following is the most important disadvantage of a liquid oxygen system?

Accepted Answer

A) It is very heavy. 
B) It requires a power source. 
C) It requires filling every 6 months. 
D) It vents regardless of whether the flow is on or off. 
A) It is very heavy. 
B) It requires a power source. 
C) It requires filling every 6 months. 
D) It vents regardless of whether the flow is on or off.

Question 11

What is the outcome when delays in funding for the home care services occur?

Accepted Answer

A) The process continues because eventually the funding will materialize. 
B) Only the essential components of the discharge plan are initially implanted. 
C) The discharge process is delayed until the caregivers receive education to perform additional services. 
D) The discharge is delayed indefinitely. 
A) The process continues because eventually the funding will materialize. 
B) Only the essential components of the discharge plan are initially implanted. 
C) The discharge process is delayed until the caregivers receive education to perform additional services. 
D) The discharge is delayed indefinitely.

Question 12

What are the advantages of an oxygen concentrator?

Accepted Answer

A) It provides an unlimited supply of oxygen. 
B) It does not require a power source. 
C) It does not require gas analysis. 
D) It is ideal for transport situations. 
A) It provides an unlimited supply of oxygen. 
B) It does not require a power source. 
C) It does not require gas analysis. 
D) It is ideal for transport situations.

Question 13

At what point during the patient's admission to the hospital should discharge planning begin?

Accepted Answer

A) On admission 
B) Once the patient gets situated in a private or semiprivate room 
C) Once the patient stabilizes 
D) When the patient stabilizes and after all resources have been evaluated 
A) On admission 
B) Once the patient gets situated in a private or semiprivate room 
C) Once the patient stabilizes 
D) When the patient stabilizes and after all resources have been evaluated

Question 14

What is a major advantage of using a portable ventilator?

Accepted Answer

A) It is easy to analyze the inspired fraction of oxygen (Fio₂). 
B) No humidification is necessary. 
C) It provides a variety of ventilation modes. 
D) A variety of power sources can be used. 
A) It is easy to analyze the inspired fraction of oxygen (Fio₂). 
B) No humidification is necessary. 
C) It provides a variety of ventilation modes. 
D) A variety of power sources can be used.

Question 15

Which of the following backup equipment needs to be provided for a home-ventilated infant who (1)lacks the ability to breathe spontaneously for at least 4 successive hours,(2)lives 2 hours away by automobile from medical assistance,and (3)requires mechanical ventilation for mobility?

Accepted Answer

A) Point-of-care blood gas analyzer 
B) Second oxygen concentrator 
C) Additional source of oxygen 
D) Additional ventilator and ventilator circuits 
A) Point-of-care blood gas analyzer 
B) Second oxygen concentrator 
C) Additional source of oxygen 
D) Additional ventilator and ventilator circuits

Question 16

Who is responsible for deciding the type of oxygen delivery system that will be used in the home?

Accepted Answer

A) Physician 
B) Patient 
C) Durable medical equipment (DM
E) company 
D) Discharge planner 
A) Physician 
B) Patient 
C) Durable medical equipment (DM
E) company 
D) Discharge planner

Exam 35: Home Care

Before the patient is discharged home,who needs to meet and assess the needs of both the child and family?

What effect does an extended hospital stay tend to have on the discharge planning process for a child expected to receive mechanical ventilation at home?

What are the goals of discharge planning? I.To reduce the number of hospitalizations II.To have the patient resume activities of daily living III.To reduce the number of emergency room visits IV.To reduce the patient's length of stay

Before a ventilator-dependent child can be discharged home,which of the following criteria must be met?

What is the utility of downloading information from an apnea monitor?

Which of the following circumstances constitute obstacles to discharging a child who requires home mechanical ventilation? I.Lack of family access to public transportation II.Large number of siblings III.Delays in approval for home care funding IV.Unsuitable home environment

Why are compressed gas cylinders of oxygen becoming more commonplace for patient transport in the home care setting?

Which of the following is the most important disadvantage of a liquid oxygen system?

What is the outcome when delays in funding for the home care services occur?

What are the advantages of an oxygen concentrator?

At what point during the patient's admission to the hospital should discharge planning begin?

What is a major advantage of using a portable ventilator?

Which of the following backup equipment needs to be provided for a home-ventilated infant who (1)lacks the ability to breathe spontaneously for at least 4 successive hours,(2)lives 2 hours away by automobile from medical assistance,and (3)requires mechanical ventilation for mobility?

Who is responsible for deciding the type of oxygen delivery system that will be used in the home?

Fetal Lung Development

Fetal Gas Exchange and Circulation

Antenatal Assessment and High Risk Delivery

Exam and Assessment of the Neonatal and Pediatric Patient

Pulmonary Function Testing and Bedside Pulmonary Mechanics

Radiographic Assessment

Bronchoscopy

Invasive Blood Gas Analysis and Monitoring

Noninvasive Monitoring in Neonatal and Pediatric Care

Oxygen Administration

Aerosols and Administration of Medication

Airway Clearance Techniques and Lung Volume Expansion

Airway Management

Surfactant Replacement

Non-Invasive Mechanical Ventilation and Continuous Positive Pressure of the Neonate

Noninvasive Mechanical Ventilation of the Child

Mechanical Ventilation of the Neonate and Pediatric Patient

Administration of Gas Mixtures

Extracorporeal Life Support

Pharmacology

Thoracic Organ Transplantation

Neonatal Complications and Pulmonary Disorders

Congenital and Surgical Disorders That Affect Respiratory Care

Congenital Cardiac Defects

Sudden Infant Death Syndrome Sleep Disorders

Pediatric Airway Disorders and Pulmonary Infections

Asthma

Cystic Fibrosis

Acute Respiratory Distress Syndrome

Shock, Sepsis and Anaphylaxis

Pediatric Trauma

Disorders of the Pleura

Neurologic and Neuromuscular Disorders

Transport of Infants and Children

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