Question 1

Common problems encountered when using adult nasal CPAP to treat sleep apnea include which of the following?
1) Nasal discomfort
2) Barotrauma
3) Conjunctivitis
4) Skin irritation

Accepted Answer

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

Question 2

In which of the following situations would you recommend that more than one ventilator be provided for a home care patient?
1) If the patient cannot maintain spontaneous ventilation for at least 1 hr
2) If the patient's care plan requires mechanical ventilation during mobility
3) If a replacement ventilator cannot be secured within 2 hr

Accepted Answer

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

Question 3

You have been asked to organize a patient and family education program as part of a discharge plan for a patient requiring home ventilatory support. Which of the following methods would be best for training the family in the operation of the ventilator chosen?

Accepted Answer

A)   Put the patient on the selected device while still hospitalized.
B)   Set up and review the ventilator after the patient gets home.
C)   Take the family into a back room and show them a ventilator.
D)   Give the family the operating manual for the ventilator. A

Question 4

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

Question 5

Where is most postacute respiratory care provided?

Accepted Answer

A)   Skilled nursing facilities
B)   The home
C)   Rehabilitation facilities
D)   Subacute care facilities

Question 6

Which of the following procedures can help to minimize skin irritation in home care patients using nasal CPAP?
1) Replace the mask every 3 months.
2) Adjust the mask straps.
3) Clean the mask daily.

Accepted Answer

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

Question 7

Advantages of home liquid O2 systems include which of the following?
1) Usually include a small refillable portable subsystem.
2) Do not require an O2 service delivery company.
3) Provide large-volume O2 storage in a small space.
4) Are useful for rehabilitation activities (e.g., walking).

Accepted Answer

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

Question 8

After making a home care visit, to whom should you forward copies of your written report?
1) Patient's physician
2) Patient's family
3) Home care agency

Accepted Answer

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

Question 9

Patient parameters that lay caregivers of home mechanical ventilation should assess regularly include which of the following?
1) Vital signs
2) Skin color or diaphoresis
3) Chest excursions
4) Breath sounds

Accepted Answer

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

Question 10

Which of the following are good candidates for home mechanical ventilation?
1) A patient who cannot maintain adequate ventilation at night
2) A patient who requires continuous ventilation to survive
3) A terminally ill patient who requires ventilatory support

Accepted Answer

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

Question 11

To determine if a home setting can support the equipment needs of a mechanically ventilated patient being considered for discharge, which of the following would you assess?
1) Available space for equipment
2) Amperage of power supply
3) Number and location of grounded outlets
4) Presence of hazardous appliances

Accepted Answer

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

Question 12

To determine the need for long-term home O2 therapy after initial justification, when should blood gas analysis be repeated?

Accepted Answer

A)   1 to 3 weeks after initiation
B)   1 to 3 days after initiation
C)   1 to 3 months after initiation
D)   1 to 3 years after initiation

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

Question 14

In order to control the cost of suction supplies for a home care patient, which of the following is an acceptable strategy?

Accepted Answer

A)   Wash catheters in detergent and hot water between uses.
B)   Use one catheter per day, and place it in disinfectant between uses.
C)   Save used catheters for resterilization through the autoclave.
D)   Wash catheters in soap and cold water when not in use.

Question 15

Respiratory home care contributes to achieving which of the following goals?
1) Improving patients' physical and social well-being
2) Ensuring cost-effective delivery of care
3) Supporting and maintaining patients' lives
4) Promoting patient and family self-sufficiency

Accepted Answer

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

Question 16

A home care patient receiving continuous noninvasive positive pressure ventilation through a nasal mask complains of pressure sores over the nasal bridge. Which of the following actions could help to alleviate this problem?
1) Artificial skin
2) Forehead spacer
3) Reduce strap tension
4) Try nasal pillows

Accepted Answer

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

Question 17

From where do standards for the delivery of subacute and home health care derive?
1) State licensing laws
2) Private-sector standards
3) Federal regulations

Accepted Answer

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

Question 18

Which of the following are prerequisites to successful home-based mechanical ventilation?
1) Presence of adequate professional support
2) Willingness of family to accept responsibility
3) Patient's condition, especially stability
4) Overall viability of the home care plan

Accepted Answer

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

Question 19

When not in use, vaporization in a home liquid O2 system maintains the pressure in the container at what range?

Accepted Answer

A)   10 to 15 psi
B)   45 to 55 psi
C)   80 to 90 psi
D)   20 to 25 psi

Question 20

Which of the following strategies would you recommend for a hemodynamically unstable patient with an intact upper airway who requires home ventilatory support?

Accepted Answer

A)   Invasive positive pressure ventilation
B)   Noninvasive positive pressure ventilation
C)   Abdominal displacement ventilation
D)   Negative pressure ventilation

Exam 56: Respiratory Care in Alternative Settings

Common problems encountered when using adult nasal CPAP to treat sleep apnea include which of the following? 1) Nasal discomfort 2) Barotrauma 3) Conjunctivitis 4) Skin irritation

You have been asked to organize a patient and family education program as part of a discharge plan for a patient requiring home ventilatory support. Which of the following methods would be best for training the family in the operation of the ventilator chosen?

Which O₂ delivery system would you recommend for an active home care patient with low FiO₂ needs who desires increased mobility?

Where is most postacute respiratory care provided?

Which of the following procedures can help to minimize skin irritation in home care patients using nasal CPAP? 1) Replace the mask every 3 months. 2) Adjust the mask straps. 3) Clean the mask daily.

Advantages of home liquid O₂ systems include which of the following? 1) Usually include a small refillable portable subsystem. 2) Do not require an O₂ service delivery company. 3) Provide large-volume O₂ storage in a small space. 4) Are useful for rehabilitation activities (e.g., walking) .

After making a home care visit, to whom should you forward copies of your written report? 1) Patient's physician 2) Patient's family 3) Home care agency

Patient parameters that lay caregivers of home mechanical ventilation should assess regularly include which of the following? 1) Vital signs 2) Skin color or diaphoresis 3) Chest excursions 4) Breath sounds

Which of the following are good candidates for home mechanical ventilation? 1) A patient who cannot maintain adequate ventilation at night 2) A patient who requires continuous ventilation to survive 3) A terminally ill patient who requires ventilatory support

To determine the need for long-term home O₂ therapy after initial justification, when should blood gas analysis be repeated?

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

In order to control the cost of suction supplies for a home care patient, which of the following is an acceptable strategy?

Respiratory home care contributes to achieving which of the following goals? 1) Improving patients' physical and social well-being 2) Ensuring cost-effective delivery of care 3) Supporting and maintaining patients' lives 4) Promoting patient and family self-sufficiency

From where do standards for the delivery of subacute and home health care derive? 1) State licensing laws 2) Private-sector standards 3) Federal regulations

Which of the following are prerequisites to successful home-based mechanical ventilation? 1) Presence of adequate professional support 2) Willingness of family to accept responsibility 3) Patient's condition, especially stability 4) Overall viability of the home care plan

When not in use, vaporization in a home liquid O₂ system maintains the pressure in the container at what range?

Which of the following strategies would you recommend for a hemodynamically unstable patient with an intact upper airway who requires home ventilatory support?

Exam 56: Respiratory Care in Alternative Settings

Common problems encountered when using adult nasal CPAP to treat sleep apnea include which of the following? 1) Nasal discomfort 2) Barotrauma 3) Conjunctivitis 4) Skin irritation

You have been asked to organize a patient and family education program as part of a discharge plan for a patient requiring home ventilatory support. Which of the following methods would be best for training the family in the operation of the ventilator chosen?

Which O2 delivery system would you recommend for an active home care patient with low FiO2 needs who desires increased mobility?

Where is most postacute respiratory care provided?

Which of the following procedures can help to minimize skin irritation in home care patients using nasal CPAP? 1) Replace the mask every 3 months. 2) Adjust the mask straps. 3) Clean the mask daily.

Advantages of home liquid O2 systems include which of the following? 1) Usually include a small refillable portable subsystem. 2) Do not require an O2 service delivery company. 3) Provide large-volume O2 storage in a small space. 4) Are useful for rehabilitation activities (e.g., walking) .

After making a home care visit, to whom should you forward copies of your written report? 1) Patient's physician 2) Patient's family 3) Home care agency

Patient parameters that lay caregivers of home mechanical ventilation should assess regularly include which of the following? 1) Vital signs 2) Skin color or diaphoresis 3) Chest excursions 4) Breath sounds

Which of the following are good candidates for home mechanical ventilation? 1) A patient who cannot maintain adequate ventilation at night 2) A patient who requires continuous ventilation to survive 3) A terminally ill patient who requires ventilatory support

To determine the need for long-term home O2 therapy after initial justification, when should blood gas analysis be repeated?

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

In order to control the cost of suction supplies for a home care patient, which of the following is an acceptable strategy?

Respiratory home care contributes to achieving which of the following goals? 1) Improving patients' physical and social well-being 2) Ensuring cost-effective delivery of care 3) Supporting and maintaining patients' lives 4) Promoting patient and family self-sufficiency

From where do standards for the delivery of subacute and home health care derive? 1) State licensing laws 2) Private-sector standards 3) Federal regulations

Which of the following are prerequisites to successful home-based mechanical ventilation? 1) Presence of adequate professional support 2) Willingness of family to accept responsibility 3) Patient's condition, especially stability 4) Overall viability of the home care plan

When not in use, vaporization in a home liquid O2 system maintains the pressure in the container at what range?

Which of the following strategies would you recommend for a hemodynamically unstable patient with an intact upper airway who requires home ventilatory support?

Which O₂ delivery system would you recommend for an active home care patient with low FiO₂ needs who desires increased mobility?

Advantages of home liquid O₂ systems include which of the following? 1) Usually include a small refillable portable subsystem. 2) Do not require an O₂ service delivery company. 3) Provide large-volume O₂ storage in a small space. 4) Are useful for rehabilitation activities (e.g., walking) .

To determine the need for long-term home O₂ therapy after initial justification, when should blood gas analysis be repeated?

When not in use, vaporization in a home liquid O₂ system maintains the pressure in the container at what range?