Question 1

Advantages of home liquid O2 systems include all of the following except they:

Accepted Answer

A) usually include a small refillable portable subsystem 
B) do not require an O2 service delivery company 
C) provide large-volume O2 storage in a small space 
D) are useful for rehabilitation activities (e.g., walking) 
A) usually include a small refillable portable subsystem 
B) do not require an O2 service delivery company 
C) provide large-volume O2 storage in a small space 
D) are useful for rehabilitation activities (e.g., walking)

Question 2

The O2 in the inner reservoir of a home liquid O2 system is maintained at what temperature?

Accepted Answer

A) -300° F 
B) 212° F 
C) 0° F 
D) -150° F 
A) -300° F 
B) 212° F 
C) 0° F 
D) -150° F

Question 3

Which of the following methods can eliminate the need for conducting a separate sleep study to adjust a patient's CPAP level?
I.Use an auto-adjusting CPAP system.
II.Use SpO2 values to titrate the CPAP level.
III.Use a patient sleep log or diary.

Accepted Answer

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

Question 4

Mechanical ventilation in the home setting can be provided by all of the following methods except:

Accepted Answer

A) positive pressure through an oral endotracheal tube 
B) positive pressure through an intact upper airway 
C) intermittent abdominal displacement methods 
D) negative pressure through an intact upper airway 
A) positive pressure through an oral endotracheal tube 
B) positive pressure through an intact upper airway 
C) intermittent abdominal displacement methods 
D) negative pressure through an intact upper airway

Question 5

A home care patient using a reservoir cannula for long-term low-flow O2 therapy objects to the cosmetic appearance of the device. Which of the following alternatives would you recommend to this patient's physician as capable of addressing the patient's concerns?
I.transtracheal catheter
II.entrainment mask
III.pendant reservoir

Accepted Answer

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

Question 6

A home care patient on transtracheal O2 therapy at 0.5 L/min frantically calls you, unable to reinsert the catheter after cleaning. What would you recommend?

Accepted Answer

A) Use a clean, pointed instrument to guide catheter reinsertion. 
B) Put on a nasal cannula at 1 L/min and call the physician. 
C) Insert the catheter into the nasal cavity about 3 to 4 inches. 
D) Insert the catheter into the oral cavity. 
A) Use a clean, pointed instrument to guide catheter reinsertion. 
B) Put on a nasal cannula at 1 L/min and call the physician. 
C) Insert the catheter into the nasal cavity about 3 to 4 inches. 
D) Insert the catheter into the oral cavity.

Question 7

Which O2 delivery system would you recommend for an active home care patient with low FIO2 needs who desires increased mobility?

Accepted Answer

A) traditional low-flow nasal cannula supplied by O2 concentrator 
B) compressor-driven humidifier with supplemental O2 through a concentrator 
C) conserving device used in conjunction with a portable liquid O2 system 
D) air entrainment mask driven by a large (H/K) compressed gas cylinder 
A) traditional low-flow nasal cannula supplied by O2 concentrator 
B) compressor-driven humidifier with supplemental O2 through a concentrator 
C) conserving device used in conjunction with a portable liquid O2 system 
D) air entrainment mask driven by a large (H/K) compressed gas cylinder

Question 8

What is the most common respiratory home care modality?

Accepted Answer

A) aerosol therapy 
B) mechanical ventilation 
C) O2 therapy 
D) nasal continuous positive airway pressure (CPAP) 
A) aerosol therapy 
B) mechanical ventilation 
C) O2 therapy 
D) nasal continuous positive airway pressure (CPAP)

Question 9

Components of a typical adult home nasal CPAP apparatus include all of the following except:

Accepted Answer

A) CPAP pressure valve 
B) flow-generating device 
C) high-pressure gas source 
D) form-fitting nasal mask 
A) CPAP pressure valve 
B) flow-generating device 
C) high-pressure gas source 
D) form-fitting nasal mask

Question 10

Basic principles of infection control in the home care setting include which of the following?
I.Avoid visits by friends with respiratory infections.
II.Have caregivers follow proper handwashing techniques.
III.Incinerate all disposable equipment and supplies.

Accepted Answer

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

Question 11

Routine removing and cleaning of a transtracheal O2 catheter should be performed by whom?

Accepted Answer

A) visiting nurse 
B) respiratory care practitioner 
C) physician 
D) patient 
A) visiting nurse 
B) respiratory care practitioner 
C) physician 
D) patient

Question 12

To avoid product failure, transtracheal catheters and their tubing should be replaced every how often?

Accepted Answer

A) every week 
B) every 3 months 
C) every month 
D) every 6 months 
A) every week 
B) every 3 months 
C) every month 
D) every 6 months

Question 13

Which of the following groups of hospitalized infants are frequently set up on apnea monitors?

Accepted Answer

A) those at risk for respiratory syncytial virus 
B) those at risk for sudden infant death syndrome (SIDS) 
C) those at risk for epiglottitis 
D) those at risk for pneumonia 
A) those at risk for respiratory syncytial virus 
B) those at risk for sudden infant death syndrome (SIDS) 
C) those at risk for epiglottitis 
D) those at risk for pneumonia

Question 14

At 3 to 5 L/min output, a typical molecular sieve O2 concentrator provides O2 concentrations at what level?

Accepted Answer

A) 65% to 78% 
B) 78% to 85% 
C) 85% to 93% 
D) >93% 
A) 65% to 78% 
B) 78% to 85% 
C) 85% to 93% 
D) >93%

Question 15

For patients receiving home respiratory care, follow-up evaluation by a home care team member should occur at least how often?

Accepted Answer

A) daily 
B) biweekly 
C) monthly 
D) as needed 
A) daily 
B) biweekly 
C) monthly 
D) as needed

Question 16

Which of the following is FALSE about home O2 therapy?

Accepted Answer

A) A PRN (as needed) prescription for O2 is acceptable. 
B) Hypoxemia can be confirmed by arterial blood gas (ABG) or oximetry. 
C) A PaO2 at or below 55 mm Hg documents need. 
D) An SaO2 below 88% is clinical evidence of need. 
A) A PRN (as needed) prescription for O2 is acceptable. 
B) Hypoxemia can be confirmed by arterial blood gas (ABG) or oximetry. 
C) A PaO2 at or below 55 mm Hg documents need. 
D) An SaO2 below 88% is clinical evidence of need.

Question 17

Which of the following are first-line aerosol drug delivery systems for home care patients?
I.small-volume nebulizer
II.dry powder inhaler
III.metered-dose inhaler

Accepted Answer

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

Question 18

Which of the following agents is recommended by the American Respiratory Care Foundation for disinfection of respiratory home care equipment?

Accepted Answer

A) activated glutaraldehyde 
B) 70% ethyl alcohol solution 
C) sodium hypochlorite solution 
D) quaternary ammonium compound 
A) activated glutaraldehyde 
B) 70% ethyl alcohol solution 
C) sodium hypochlorite solution 
D) quaternary ammonium compound

Question 19

Emergency situations that home mechanical ventilation caregivers must be trained to recognize and manage include all of the following except:

Accepted Answer

A) ventilator or power failure 
B) tension pneumothorax 
C) artificial airway obstruction 
D) ventilator circuit problems 
A) ventilator or power failure 
B) tension pneumothorax 
C) artificial airway obstruction 
D) ventilator circuit problems

Question 20

One cubic foot (1 cu/ft) of liquid O2 equals how many cu/ft of gaseous O2?

Accepted Answer

A) 22.80 
B) 7.48 
C) 860.00 
D) 3.14 
A) 22.80 
B) 7.48 
C) 860.00 
D) 3.14

Exam 51: Respiratory Care in Alternative Settings

Advantages of home liquid O2 systems include all of the following except they:

The O2 in the inner reservoir of a home liquid O2 system is maintained at what temperature?

Which of the following methods can eliminate the need for conducting a separate sleep study to adjust a patient's CPAP level? I.Use an auto-adjusting CPAP system. II.Use SpO2 values to titrate the CPAP level. III.Use a patient sleep log or diary.

Mechanical ventilation in the home setting can be provided by all of the following methods except:

A home care patient on transtracheal O2 therapy at 0.5 L/min frantically calls you, unable to reinsert the catheter after cleaning. What would you recommend?

Which O2 delivery system would you recommend for an active home care patient with low FIO2 needs who desires increased mobility?

What is the most common respiratory home care modality?

Components of a typical adult home nasal CPAP apparatus include all of the following except:

Basic principles of infection control in the home care setting include which of the following? I.Avoid visits by friends with respiratory infections. II.Have caregivers follow proper handwashing techniques. III.Incinerate all disposable equipment and supplies.

Routine removing and cleaning of a transtracheal O2 catheter should be performed by whom?

To avoid product failure, transtracheal catheters and their tubing should be replaced every how often?

Which of the following groups of hospitalized infants are frequently set up on apnea monitors?

At 3 to 5 L/min output, a typical molecular sieve O2 concentrator provides O2 concentrations at what level?

For patients receiving home respiratory care, follow-up evaluation by a home care team member should occur at least how often?

Which of the following is FALSE about home O2 therapy?

Which of the following are first-line aerosol drug delivery systems for home care patients? I.small-volume nebulizer II.dry powder inhaler III.metered-dose inhaler

Which of the following agents is recommended by the American Respiratory Care Foundation for disinfection of respiratory home care equipment?

Emergency situations that home mechanical ventilation caregivers must be trained to recognize and manage include all of the following except:

One cubic foot (1 cu/ft) of liquid O2 equals how many cu/ft of gaseous O2?

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

Noninvasive Positive Pressure Ventilation

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

Filters

Advantages of home liquid O₂ systems include all of the following except they:

The O₂ in the inner reservoir of a home liquid O₂ system is maintained at what temperature?

Which of the following methods can eliminate the need for conducting a separate sleep study to adjust a patient's CPAP level? I.Use an auto-adjusting CPAP system. II.Use SpO₂ values to titrate the CPAP level. III.Use a patient sleep log or diary.

A home care patient on transtracheal O₂ therapy at 0.5 L/min frantically calls you, unable to reinsert the catheter after cleaning. What would you recommend?

Which O₂ delivery system would you recommend for an active home care patient with low FIO₂ needs who desires increased mobility?

Routine removing and cleaning of a transtracheal O₂ catheter should be performed by whom?

At 3 to 5 L/min output, a typical molecular sieve O₂concentrator provides O₂ concentrations at what level?

Which of the following is FALSE about home O₂ therapy?

One cubic foot (1 cu/ft) of liquid O₂ equals how many cu/ft of gaseous O₂?