Question 1

Which of the following indications for noninvasive positive-pressure ventilation (NPPV) is where the greatest controversy exists?

Accepted Answer

A) chronic obstructive pulmonary disease 
B) pneumonia 
C) hypoxemic respiratory failure 
D) nocturnal hypoventilation 
A) chronic obstructive pulmonary disease 
B) pneumonia 
C) hypoxemic respiratory failure 
D) nocturnal hypoventilation

Question 2

How does noninvasive positive-pressure ventilation (NPPV) benefit the patient with restrictive thoracic disease?
I.rests the respiratory muscles
II.lowers the PaCO2
III.improves lung compliance
IV.improves pulmonary function testing

Accepted Answer

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

Question 3

Which of the following is NOT a required ventilator alarm for noninvasive positive-pressure ventilation (NPPV)?

Accepted Answer

A) loss of power 
B) circuit disconnect 
C) battery failure 
D) blender alarm 
A) loss of power 
B) circuit disconnect 
C) battery failure 
D) blender alarm

Question 4

Which of the following is NOT a goal of noninvasive positive-pressure ventilation (NPPV) in the acute care setting?

Accepted Answer

A) avoid intubation 
B) decrease incidence of ventilation-associated pneumonia 
C) decrease length of stay 
D) improve mobility 
A) avoid intubation 
B) decrease incidence of ventilation-associated pneumonia 
C) decrease length of stay 
D) improve mobility

Question 5

Which of the following interfaces appear to be more efficient to improve ventilation?
I.nasal pillows
II.full face mask
III.nasal mask
IV.oral mask

Accepted Answer

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

Question 6

Initiating noninvasive positive-pressure ventilation (NPPV) can be done in the following settings, except:

Accepted Answer

A) emergency department 
B) intensive care unit 
C) hospital ward 
D) nursing home 
A) emergency department 
B) intensive care unit 
C) hospital ward 
D) nursing home

Question 7

Which of the following noninvasive positive-pressure ventilation (NPPV) settings are adequate for a patient with cardiogenic pulmonary edema?

Accepted Answer

A) continuous positive airway pressure (CPAP) at 10 to 15 cm H2O with 100% oxygen 
B) CPAP at 10 to 15 cm H2O with 50% oxygen 
C) CPAP at 8 to 12 cm H2O with 100% oxygen 
D) CPAP at 8 to 12 cm H2O with 50% oxygen 
A) continuous positive airway pressure (CPAP) at 10 to 15 cm H2O with 100% oxygen 
B) CPAP at 10 to 15 cm H2O with 50% oxygen 
C) CPAP at 8 to 12 cm H2O with 100% oxygen 
D) CPAP at 8 to 12 cm H2O with 50% oxygen

Question 8

All of the following are potential benefits of using noninvasive positive-pressure ventilation (NPPV) during weaning except reduced:

Accepted Answer

A) length of intensive care unit (ICU) stay 
B) incidence of nosocomial pneumonia 
C) mortality rate 
D) incidence of pulmonary embolism 
A) length of intensive care unit (ICU) stay 
B) incidence of nosocomial pneumonia 
C) mortality rate 
D) incidence of pulmonary embolism

Question 9

Which of the following is likely to occur when decreasing the expiratory positive airway pressure in the patient being ventilated using noninvasive positive-pressure ventilation?

Accepted Answer

A) improved PaO2 
B) increased functional residual capacity 
C) increased tidal volume 
D) increased inspiratory positive airway pressure 
A) improved PaO2 
B) increased functional residual capacity 
C) increased tidal volume 
D) increased inspiratory positive airway pressure

Question 10

Which of the following are indications to use noninvasive positive-pressure ventilation (NPPV) in patients who have chronic obstructive pulmonary disease (COPD) with nocturnal hypoventilation?
I.PaCO2 greater than 55 mm Hg
II.more than two hospitalizations related to hypercapnic respiratory failure
III.PaCO2 greater than 65 mm Hg
IV.PaCO2 between 50 and 54 mm Hg with nocturnal desaturation

Accepted Answer

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

Exam 45: Noninvasive Positive Pressure Ventilation

Which of the following indications for noninvasive positive-pressure ventilation (NPPV) is where the greatest controversy exists?

How does noninvasive positive-pressure ventilation (NPPV) benefit the patient with restrictive thoracic disease? I.rests the respiratory muscles II.lowers the PaCO2 III.improves lung compliance IV.improves pulmonary function testing

Which of the following is NOT a required ventilator alarm for noninvasive positive-pressure ventilation (NPPV)?

Which of the following is NOT a goal of noninvasive positive-pressure ventilation (NPPV) in the acute care setting?

Which of the following interfaces appear to be more efficient to improve ventilation? I.nasal pillows II.full face mask III.nasal mask IV.oral mask

Initiating noninvasive positive-pressure ventilation (NPPV) can be done in the following settings, except:

Which of the following noninvasive positive-pressure ventilation (NPPV) settings are adequate for a patient with cardiogenic pulmonary edema?

All of the following are potential benefits of using noninvasive positive-pressure ventilation (NPPV) during weaning except reduced:

Which of the following is likely to occur when decreasing the expiratory positive airway pressure in the patient being ventilated using noninvasive positive-pressure ventilation?

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

Filters

How does noninvasive positive-pressure ventilation (NPPV) benefit the patient with restrictive thoracic disease? I.rests the respiratory muscles II.lowers the PaCO₂ III.improves lung compliance IV.improves pulmonary function testing