Question 1

In low-perfusion patients, what site would be best for monitoring SpO2?

Accepted Answer

A)  Finger 
B)  Earlobe 
C)  Nose 
D)  Forehead 
A)  Finger 
B)  Earlobe 
C)  Nose 
D)  Forehead A

Question 2

Which of the following two parameters are most commonly used for bedside assessment of respiratory muscle strength?

Accepted Answer

A)  Vital capacity and maximum inspiratory pressure 
B)  Vital capacity and peak flow 
C)  Maximum inspiratory pressure and MVV 
D)  MVV and vital capacity 
A)  Vital capacity and maximum inspiratory pressure 
B)  Vital capacity and peak flow 
C)  Maximum inspiratory pressure and MVV 
D)  MVV and vital capacity A

Question 3

What is the normal range for mean arterial pressure?

Accepted Answer

A)  60 to 80 mm Hg 
B)  50 to 100 mm Hg 
C)  80 to 100 mm Hg 
D)  90 to 120 mm Hg 
A)  60 to 80 mm Hg 
B)  50 to 100 mm Hg 
C)  80 to 100 mm Hg 
D)  90 to 120 mm Hg C

Question 4

Which of the following are global monitoring indexes?
1) APACHE
2) APS
3) TISS
4) ATS

Accepted Answer

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

Question 5

Which of the following parameters are used in calculating the Murray lung injury score of a patient with acute lung injury?
1) Results of chest radiograph
2) PEEP setting
3) Lung compliance
4) Cardiac output

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

What is the upper limit for plateau airway pressure that is recommended during mechanical ventilation?

Accepted Answer

A)  Less than 28 cm H2O 
B)  30 to 40 cm H2O 
C)  40 to 50 cm H2O 
D)  Depends on the patient 
A)  Less than 28 cm H2O 
B)  30 to 40 cm H2O 
C)  40 to 50 cm H2O 
D)  Depends on the patient

Question 7

What hemodynamic parameter is best useful for estimated left ventricular end-diastolic pressure?

Accepted Answer

A)  CVP 
B)  PCWP 
C)  SVR 
D)  PVR 
A)  CVP 
B)  PCWP 
C)  SVR 
D)  PVR

Question 8

What is the average total work of breathing for healthy persons?

Accepted Answer

A)  0.31 to 0.2 J/L 
B)  0.3 to 0.5 J/L 
C)  0.5 to 0.8 J/L 
D)  0.8 to 1.5 J/L 
A)  0.31 to 0.2 J/L 
B)  0.3 to 0.5 J/L 
C)  0.5 to 0.8 J/L 
D)  0.8 to 1.5 J/L

Question 9

Which of the following are primary reasons to measure intracranial pressure (ICP)?
1) To monitor patients at risk of life-threatening intracranial hypertension
2) To monitor for evidence of infection
3) To assess the effects of therapy aimed at reducing ICP
4) To maintain the mean ICP greater than 20 mm Hg

Accepted Answer

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

Question 10

What is the normal range for the percent of O2 consumption consumed by the respiratory muscles?

Accepted Answer

A)  2% to 5% 
B)  5% to 10% 
C)  10% to 15% 
D)  20% to 25% 
A)  2% to 5% 
B)  5% to 10% 
C)  10% to 15% 
D)  20% to 25%

Question 11

What is the most common method of estimating GFR?

Accepted Answer

A)  Blood urea nitrogen 
B)  Blood urea nitrogen and creatinine 
C)  Plasma creatinine and creatinine clearance 
D)  Urine output 
A)  Blood urea nitrogen 
B)  Blood urea nitrogen and creatinine 
C)  Plasma creatinine and creatinine clearance 
D)  Urine output

Question 12

What is the normal mean pulmonary artery pressure?

Accepted Answer

A)  5 mm Hg 
B)  10 mm Hg 
C)  15 mm Hg 
D)  20 mm Hg 
A)  5 mm Hg 
B)  10 mm Hg 
C)  15 mm Hg 
D)  20 mm Hg

Question 13

Which of the following factors is/are associated with an increased risk for auto-PEEP?
1) Mechanical ventilation of a patient with obstructive lung disease
2) High-minute volume during mechanical ventilation
3) Acute respiratory distress syndrome (ARDS) patients
4) Pulmonary fibrosis

Accepted Answer

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

Question 14

Which of the following should be considered first if medical and mechanical problems have been excluded and the patient continues to fight the ventilator or exhibit high levels of agitation or distress?

Accepted Answer

A)  Paralytics 
B)  Sedatives 
C)  Narcotics 
D)  Anesthetics 
A)  Paralytics 
B)  Sedatives 
C)  Narcotics 
D)  Anesthetics

Question 15

Elevation of which of the following substances is consistent with hepatic inflammation?

Accepted Answer

A)  Aspartate aminotransferase 
B)  Bilirubin 
C)  Alkaline phosphatase 
D)  Blood urea nitrogen 
A)  Aspartate aminotransferase 
B)  Bilirubin 
C)  Alkaline phosphatase 
D)  Blood urea nitrogen

Question 16

At what level of intracranial pressure will venous drainage be impeded and cerebral edema develop in uninjured tissue?

Accepted Answer

A)  10 to 15 mm Hg 
B)  20 to 30 mm Hg 
C)  30 to 35 mm Hg 
D)  40 to 45 mm Hg 
A)  10 to 15 mm Hg 
B)  20 to 30 mm Hg 
C)  30 to 35 mm Hg 
D)  40 to 45 mm Hg

Question 17

Which of the following are used to determine a patient's neurologic status?
1) Measuring VD/VT ratio
2) Pupillary response and eye movement
3) Corneal and gag reflex
4) Respiratory rate and pattern

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 18

What medication is associated with dilated and fixed pupils in the intensive care unit patient?

Accepted Answer

A)  Atropine 
B)  Lidocaine 
C)  Vanceril 
D)  Aminophylline 
A)  Atropine 
B)  Lidocaine 
C)  Vanceril 
D)  Aminophylline

Question 19

What is the value of determining the lower inflection point during measurement of the pressure-volume curve?

Accepted Answer

A)  Best tidal volume 
B)  Best PEEP level 
C)  To determine best airway size 
D)  To determine type of ventilator inspiratory flow pattern 
A)  Best tidal volume 
B)  Best PEEP level 
C)  To determine best airway size 
D)  To determine type of ventilator inspiratory flow pattern

Question 20

Which of the following are common purposes of using ventilator graphics?
1) To detect auto-PEEP
2) To assess effects of bronchodilators
3) To determine patient ventilator synchrony
4) To determine best FiO2

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

Exam 51: Monitoring the Patient in the Intensive Care Unit

In low-perfusion patients, what site would be best for monitoring SpO2?

Which of the following two parameters are most commonly used for bedside assessment of respiratory muscle strength?

What is the normal range for mean arterial pressure?

Which of the following are global monitoring indexes? 1) APACHE 2) APS 3) TISS 4) ATS

Which of the following parameters are used in calculating the Murray lung injury score of a patient with acute lung injury? 1) Results of chest radiograph 2) PEEP setting 3) Lung compliance 4) Cardiac output

What is the upper limit for plateau airway pressure that is recommended during mechanical ventilation?

What hemodynamic parameter is best useful for estimated left ventricular end-diastolic pressure?

What is the average total work of breathing for healthy persons?

What is the normal range for the percent of O2 consumption consumed by the respiratory muscles?

What is the most common method of estimating GFR?

What is the normal mean pulmonary artery pressure?

Which of the following factors is/are associated with an increased risk for auto-PEEP? 1) Mechanical ventilation of a patient with obstructive lung disease 2) High-minute volume during mechanical ventilation 3) Acute respiratory distress syndrome (ARDS) patients 4) Pulmonary fibrosis

Which of the following should be considered first if medical and mechanical problems have been excluded and the patient continues to fight the ventilator or exhibit high levels of agitation or distress?

Elevation of which of the following substances is consistent with hepatic inflammation?

At what level of intracranial pressure will venous drainage be impeded and cerebral edema develop in uninjured tissue?

Which of the following are used to determine a patient's neurologic status? 1) Measuring VD/VT ratio 2) Pupillary response and eye movement 3) Corneal and gag reflex 4) Respiratory rate and pattern

What medication is associated with dilated and fixed pupils in the intensive care unit patient?

What is the value of determining the lower inflection point during measurement of the pressure-volume curve?

Which of the following are common purposes of using ventilator graphics? 1) To detect auto-PEEP 2) To assess effects of bronchodilators 3) To determine patient ventilator synchrony 4) To determine best FiO2

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

Noninvasive Ventilation

Extracorporeal Life Support Ecls

Discontinuing Ventilatory Support

Neonatal and Pediatric Respiratory Care

Patient Education and Health Promotion

Cardiopulmonary Rehabilitation

Respiratory Care in Alternative Settings

Filters

In low-perfusion patients, what site would be best for monitoring SpO₂?

What is the normal range for the percent of O₂ consumption consumed by the respiratory muscles?

Which of the following are used to determine a patient's neurologic status? 1) Measuring V_D/V_T ratio 2) Pupillary response and eye movement 3) Corneal and gag reflex 4) Respiratory rate and pattern

Which of the following are common purposes of using ventilator graphics? 1) To detect auto-PEEP 2) To assess effects of bronchodilators 3) To determine patient ventilator synchrony 4) To determine best FiO₂