Question 1

What is the recommended initial setting for positive end-expiratory pressure (PEEP) when delivering noninvasive 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 2

Which of the following is a potential risk of overtightening the straps of the mask?

Accepted Answer

A)  Absence of an air leak 
B)  Tissue necrosis 
C)  Eye irritation 
D)  Claustrophobia 
A)  Absence of an air leak 
B)  Tissue necrosis 
C)  Eye irritation 
D)  Claustrophobia

Question 3

Which of the following is the current recommendation for adding humidity while using noninvasive ventilation (NIV)?

Accepted Answer

A)  It is never recommended. 
B)  It is recommended for short-term application (1 day). 
D)  It is always recommended. 
A)  It is never recommended. 
B)  It is recommended for short-term application (1 day). 
D)  It is always recommended.

Question 4

Which of the following are a required ventilator alarm for noninvasive ventilation (NIV)?
1) Loss of power
2) Circuit disconnect
3) Battery failure
4) Blender alarm

Accepted Answer

A) 1 and 3 only 
B) 1, 2, and 3 only 
C) 3 and 4 only 
D) 2, 3, and 4 only 
A) 1 and 3 only 
B) 1, 2, and 3 only 
C) 3 and 4 only 
D) 2, 3, and 4 only

Question 5

Which of the following techniques are useful to avoid claustrophobia in the patient being ventilated by face mask?
1) Allow patient to hold the mask.
2) Increase the inspiratory flow.
3) Use sedation.
4) Use a larger mask.

Accepted Answer

A) 1 and 3 only 
B) 1, 2, and 3 only 
C) 3 and 4 only 
D) 2, 3, and 4 only 
A) 1 and 3 only 
B) 1, 2, and 3 only 
C) 3 and 4 only 
D) 2, 3, and 4 only

Question 6

The use of noninvasive ventilation (NIV) in the long-term care of patients with chronic obstructive pulmonary disease (COPD) will benefit the patient in which the following ways except:
1) better gas exchange.
2) improved sleep quality.
3) resetting the respiratory center to better respond to hypoxemia.
4) unloading the respiratory muscles.

Accepted Answer

A) 1 and 3 only 
B) 1, 2, and 4 only 
C) 2 and 4 only 
D) 2, 3, and 4 only 
A) 1 and 3 only 
B) 1, 2, and 4 only 
C) 2 and 4 only 
D) 2, 3, and 4 only

Question 7

Which of the following are factors associated with pressure and flow-related complications during noninvasive ventilation?
1) Sinus and ear pain
2) Nasal congestion
3) Upper airway dryness
4) Gastric insufflations

Accepted Answer

A) 1 and 2 only 
B) 2 and 2 only 
C) 1, 2, and 3 only 
D) 1, 2, 3, and 4 
A) 1 and 2 only 
B) 2 and 2 only 
C) 1, 2, and 3 only 
D) 1, 2, 3, and 4

Question 8

Which of the following statements are true about the use of home care ventilators for delivering noninvasive ventilation (NIV)?
1) They operate only with pressure triggering.
2) They can operate on AC or DC power sources.
3) They can have a single-limb ventilator circuit.
4) Flow delivery pattern can be adjusted.

Accepted Answer

A) 1 and 3 only 
B) 1, 2, and 3 only 
C) 3 and 4 only 
D) 2, 3, and 4 only 
A) 1 and 3 only 
B) 1, 2, and 3 only 
C) 3 and 4 only 
D) 2, 3, and 4 only

Question 9

What complication associated with noninvasive ventilation (NIV) is most common?

Accepted Answer

A)  Aspiration 
B)  Hypotension 
C)  Nasal congestion 
D)  Air leaks 
A)  Aspiration 
B)  Hypotension 
C)  Nasal congestion 
D)  Air leaks

Question 10

Which of the following interfaces that improve ventilation appears to be more tolerated?

Accepted Answer

A)  Nasal pillows 
B)  Full-face mask 
C)  Nasal mask 
D)  Oral mask 
A)  Nasal pillows 
B)  Full-face mask 
C)  Nasal mask 
D)  Oral mask

Question 11

Why did the use of intermittent positive-pressure breathing decline in the 1980s?

Accepted Answer

A)  Due to a lack of scientific evidence to support its use for delivering aerosolized medication 
B)  Due to its cost of implementation 
C)  Due to its complexity 
D)  Replaced by newer technology 
A)  Due to a lack of scientific evidence to support its use for delivering aerosolized medication 
B)  Due to its cost of implementation 
C)  Due to its complexity 
D)  Replaced by newer technology

Exam 49: Noninvasive Ventilation

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

Which of the following is a potential risk of overtightening the straps of the mask?

Which of the following is the current recommendation for adding humidity while using noninvasive ventilation (NIV)?

Which of the following are a required ventilator alarm for noninvasive ventilation (NIV)? 1) Loss of power 2) Circuit disconnect 3) Battery failure 4) Blender alarm

Which of the following techniques are useful to avoid claustrophobia in the patient being ventilated by face mask? 1) Allow patient to hold the mask. 2) Increase the inspiratory flow. 3) Use sedation. 4) Use a larger mask.

Which of the following are factors associated with pressure and flow-related complications during noninvasive ventilation? 1) Sinus and ear pain 2) Nasal congestion 3) Upper airway dryness 4) Gastric insufflations

What complication associated with noninvasive ventilation (NIV) is most common?

Which of the following interfaces that improve ventilation appears to be more tolerated?

Why did the use of intermittent positive-pressure breathing decline in the 1980s?

History of Respiratory Care

Delivering Evidence-Based Respiratory Care

Quality, Patient Safety, and Communication, and Recordkeeping

Principles of Infection Prevention and Control

Ethical and Legal Implications of Practice

Physical Principles of Respiratory Care

E-Medicine in Respiratory Care

Fundamentals of Respiratory Care Research

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

Interpreting Clinical and Laboratory Data

Interpreting the Electrocardiogram

Analysis and Monitoring of Gas Exchange

Pulmonary Function Testing

Review of Thoracic Imaging

Flexible Bronchoscopy and the Respiratory Therapist

Nutrition Assessment

Pulmonary Infections

Obstructive Lung Disease: Chronic Obstructive Pulmonary Disease Copd, Asthma, and Related Diseases

Interstitial Lung Disease

Pleural Diseases

Pulmonary Vascular Disease

Acute Respiratory Distress Syndrome

Trauma, Burns and Near Drowning

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

Airway Clearance Therapy Act

Respiratory Failure and the Need for Ventilatory Support

Mechanical Ventilators

Physiology of Ventilatory Support

Patient Ventilator Interaction

Initiating and Adjusting Invasive Ventilatory Support

Extracorporeal Life Support Ecls

Monitoring 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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