Question 1

What patient population is the only group currently accepted for the use of noninvasive positive-pressure ventilation (NPPV) in the hospital ward?

Accepted Answer

A) chronic obstructive pulmonary disease (COP
D)  patients with near normal pH 
B) postoperative patients without pneumonia 
C) no-code patients 
D) asthma patients with normal SpO2 
A) chronic obstructive pulmonary disease (COP
D)  patients with near normal pH 
B) postoperative patients without pneumonia 
C) no-code patients 
D) asthma patients with normal SpO2 A

Question 2

Which of the following statements is NOT true about the use of home care ventilators for delivering noninvasive positive-pressure ventilation (NPPV)?

Accepted Answer

A) They operate only with pressure triggering. 
B) They can operate on AC or DC power sources. 
C) They can have a single-limb ventilator circuit. 
D) Flow delivery pattern can be adjusted. 
A) They operate only with pressure triggering. 
B) They can operate on AC or DC power sources. 
C) They can have a single-limb ventilator circuit. 
D) Flow delivery pattern can be adjusted. D

Question 3

Which of the following are contraindications for the use of noninvasive positive-pressure ventilation (NPPV)?
I.nonsupportive family
II.lack of financial resources
III.copious amounts of secretions
IV.uncooperative behavior on the part of the patient

Accepted Answer

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

Question 4

Which of the following ventilators is not used for noninvasive positive-pressure ventilation (NPPV)?

Accepted Answer

A) critical care 
B) portable 
C) noninvasive 
D) negative pressure 
A) critical care 
B) portable 
C) noninvasive 
D) negative pressure

Question 5

Which of the following is the most important advantage of noninvasive ventilators over other types of ventilators?

Accepted Answer

A) cost 
B) ability to trigger and cycle appropriately when small to moderate air leaks are present 
C) ability to remove CO2 
D) ability to oxygenate 
A) cost 
B) ability to trigger and cycle appropriately when small to moderate air leaks are present 
C) ability to remove CO2 
D) ability to oxygenate

Question 6

Which of the following does not predict successful use of noninvasive positive-pressure ventilation (NPPV) in the respiratory failure patient?

Accepted Answer

A) minimal air leak 
B) low severity of illness 
C) improvement in gas exchange within 30 minutes 
D) pH = 7.20 
A) minimal air leak 
B) low severity of illness 
C) improvement in gas exchange within 30 minutes 
D) pH = 7.20

Question 7

Which of the following interfaces is most commonly used to apply noninvasive positive-pressure ventilation (NPPV) in the acute setting?
I.nasal or full face mask
II.mouthpiece
III.endotracheal tube
IV.nasal pillows

Accepted Answer

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

Question 8

What is the recommended initial setting for ventilating pressure when delivering noninvasive positive-pressure ventilation in the pressure triggered timed mode?

Accepted Answer

A) 2 to 5 cm H2O 
B) 5 to 8 cm H2O 
C) 8 to 12 cm H2O 
D) 12 to 20 cm H2O 
A) 2 to 5 cm H2O 
B) 5 to 8 cm H2O 
C) 8 to 12 cm H2O 
D) 12 to 20 cm H2O

Question 9

Your patient is being ventilated with a common critical care ventilator using pressure support ventilation (flow cycled) with a nasal mask. A leak is present that is preventing the appropriate termination of the inspiratory cycle. What is the best response?

Accepted Answer

A) Switch to volume control mode. 
B) Switch to time- cycled mode. 
C) Switch to nasal pillows. 
D) Switch to full face mask. 
A) Switch to volume control mode. 
B) Switch to time- cycled mode. 
C) Switch to nasal pillows. 
D) Switch to full face mask.

Question 10

Which of the following is required for noninvasive ventilators to work properly?

Accepted Answer

A) exhalation valve 
B) pressure alarm 
C) leak 
D) blender 
A) exhalation valve 
B) pressure alarm 
C) leak 
D) blender

Question 11

The use of noninvasive positive-pressure ventilation (NPPV) in the long-term care of patients with chronic obstructive pulmonary disease (COPD) will benefit the patient in all the following ways except:

Accepted Answer

A) better gas exchange 
B) improved sleep quality 
C) resetting the respiratory center to better respond to hypoxemia 
D) unloading the respiratory muscles 
A) better gas exchange 
B) improved sleep quality 
C) resetting the respiratory center to better respond to hypoxemia 
D) unloading the respiratory muscles

Question 12

Which of the following restrictive thoracic diseases are successfully managed with noninvasive positive-pressure ventilation (NPPV)?
I.postpolio syndrome
II.neuromuscular disease
III.spinal cord injuries
IV.severe kyphoscoliosis

Accepted Answer

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

Question 13

What is the recommended initial setting for positive end-expiratory pressure (PEEP) when delivering noninvasive positive-pressure ventilation in the pressure triggered timed mode?

Accepted Answer

A) 2 to 5 cm H2O 
B) 5 to 8 cm H2O 
C) 8 to 12 cm H2O 
D) 12 to 20 cm H2O 
A) 2 to 5 cm H2O 
B) 5 to 8 cm H2O 
C) 8 to 12 cm H2O 
D) 12 to 20 cm H2O

Question 14

Which of the following techniques is NOT useful to avoid claustrophobia in the patient being ventilated by face mask?

Accepted Answer

A) Allow patient to hold the mask. 
B) Increase the inspiratory flow. 
C) Use sedation. 
D) Use a larger mask. 
A) Allow patient to hold the mask. 
B) Increase the inspiratory flow. 
C) Use sedation. 
D) Use a larger mask.

Question 15

Which of the following therapies should be considered as first line of therapy in patients with exacerbation of chronic obstructive pulmonary disease (COPD)?

Accepted Answer

A) noninvasive positive-pressure ventilation (NPPV) 
B) mechanical ventilation 
C) high-flow nasal cannula 
D) systemic steroids 
A) noninvasive positive-pressure ventilation (NPPV) 
B) mechanical ventilation 
C) high-flow nasal cannula 
D) systemic steroids

Question 16

Which of the following is least likely to indicate the need for noninvasive positive-pressure ventilation (NPPV) in the acute care setting?

Accepted Answer

A) paradoxical breathing 
B) jugular venous distention 
C) respiratory rate more than 25/min 
D) use of accessory muscles 
A) paradoxical breathing 
B) jugular venous distention 
C) respiratory rate more than 25/min 
D) use of accessory muscles

Question 17

Which of the following is NOT a benefit of continuous positive airway pressure (CPAP) in postoperative major abdominal surgery?

Accepted Answer

A) lower mortality 
B) lower intubation rate 
C) lower incidence of pneumonia 
D) lower rate of sepsis 
A) lower mortality 
B) lower intubation rate 
C) lower incidence of pneumonia 
D) lower rate of sepsis

Question 18

Which of the following are characteristics of most noninvasive ventilators?
I.electrically powered
II.blower driven
III.microprocessor controlled
IV.double-circuit design

Accepted Answer

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

Question 19

What is the best option for the patient in respiratory failure who continues to deteriorate 30 minutes after the initiation of noninvasive positive-pressure ventilation?

Accepted Answer

A) Wait another 30 minutes and monitor the patient. 
B) Begin continuous positive airway pressure. 
C) Intubate and begin mechanical ventilation. 
D) Ventilate the patient using a bag-valve-mask. 
A) Wait another 30 minutes and monitor the patient. 
B) Begin continuous positive airway pressure. 
C) Intubate and begin mechanical ventilation. 
D) Ventilate the patient using a bag-valve-mask.

Question 20

Your patient has acute pulmonary edema from left heart failure. Which therapy should be tried first?

Accepted Answer

A) noninvasive positive-pressure ventilation (NPPV) 
B) continuous positive airway pressure (CPAP) 
C) mechanical ventilation 
D) positive end-expiratory pressure 
A) noninvasive positive-pressure ventilation (NPPV) 
B) continuous positive airway pressure (CPAP) 
C) mechanical ventilation 
D) positive end-expiratory pressure

Exam 45: Noninvasive Positive Pressure Ventilation

What patient population is the only group currently accepted for the use of noninvasive positive-pressure ventilation (NPPV) in the hospital ward?

Which of the following statements is NOT true about the use of home care ventilators for delivering noninvasive positive-pressure ventilation (NPPV)?

Which of the following are contraindications for the use of noninvasive positive-pressure ventilation (NPPV)? I.nonsupportive family II.lack of financial resources III.copious amounts of secretions IV.uncooperative behavior on the part of the patient

Which of the following ventilators is not used for noninvasive positive-pressure ventilation (NPPV)?

Which of the following is the most important advantage of noninvasive ventilators over other types of ventilators?

Which of the following does not predict successful use of noninvasive positive-pressure ventilation (NPPV) in the respiratory failure patient?

Which of the following interfaces is most commonly used to apply noninvasive positive-pressure ventilation (NPPV) in the acute setting? I.nasal or full face mask II.mouthpiece III.endotracheal tube IV.nasal pillows

What is the recommended initial setting for ventilating pressure when delivering noninvasive positive-pressure ventilation in the pressure triggered timed mode?

Your patient is being ventilated with a common critical care ventilator using pressure support ventilation (flow cycled) with a nasal mask. A leak is present that is preventing the appropriate termination of the inspiratory cycle. What is the best response?

Which of the following is required for noninvasive ventilators to work properly?

The use of noninvasive positive-pressure ventilation (NPPV) in the long-term care of patients with chronic obstructive pulmonary disease (COPD) will benefit the patient in all the following ways except:

Which of the following restrictive thoracic diseases are successfully managed with noninvasive positive-pressure ventilation (NPPV)? I.postpolio syndrome II.neuromuscular disease III.spinal cord injuries IV.severe kyphoscoliosis

What is the recommended initial setting for positive end-expiratory pressure (PEEP) when delivering noninvasive positive-pressure ventilation in the pressure triggered timed mode?

Which of the following techniques is NOT useful to avoid claustrophobia in the patient being ventilated by face mask?

Which of the following therapies should be considered as first line of therapy in patients with exacerbation of chronic obstructive pulmonary disease (COPD)?

Which of the following is least likely to indicate the need for noninvasive positive-pressure ventilation (NPPV) in the acute care setting?

Which of the following is NOT a benefit of continuous positive airway pressure (CPAP) in postoperative major abdominal surgery?

Which of the following are characteristics of most noninvasive ventilators? I.electrically powered II.blower driven III.microprocessor controlled IV.double-circuit design

What is the best option for the patient in respiratory failure who continues to deteriorate 30 minutes after the initiation of noninvasive positive-pressure ventilation?

Your patient has acute pulmonary edema from left heart failure. Which therapy should be tried first?

History of Respiratory Care

Quality and Evidence-Based Respiratory Care

Patient Safety, Communication, and Record Keeping

Principles of Infection Control

Ethical and Legal Implications of Practice

Physical Principles of Respiratory Care

Computer Applications in Respiratory Care

The Respiratory System

The Cardiovascular System

Ventilation

Gas Exchange and Transport

Solutions, Body Fluids, and Electrolytes

Acid-Base Balance

Regulation of Breathing

Bedside Assessment of the Patient

Interpretation of Clinical Laboratory Data

Interpreting the Electrocardiogram

Analysis and Monitoring of Gas Exchange

Pulmonary Function Testing

A Review of Thoracic Imaging

Nutrition Assessment

Pulmonary Infections

Obstructive Lung Disease: Copd, Asthma, and Related Diseases

Interstitial Lung Disease

Pleural Diseases

Pulmonary Vascular Disease

Acute Lung Injury, Pulmonary Edema, and Multiple System Organ

Lung Cancer

Neuromuscular and Other Diseases of the Chest Wall

Disorders of Sleep

Neonatal and Pediatric Respiratory Disorders

Airway Pharmacology

Airway Management

Emergency Cardiovascular Life Support

Humidity and Bland Aerosol Therapy

Aerosol Drug Therapy

Storage and Delivery of Medical Gases

Medical Gas Therapy

Lung Expansion Therapy

Bronchial Hygiene Therapy

Respiratory Failure and the Need for Ventilatory Support

Mechanical Ventilators

Physiology of Ventilatory Support

Initiating and Adjusting Ventilatory Support

Monitoring and Management of the Patient in the Intensive Care Unit

Discontinuing Ventilatory Support

Neonatal and Pediatric Respiratory Care

Patient Education and Health Promotion

Cardiopulmonary Rehabilitation

Respiratory Care in Alternative Settings

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