CLINICAL SIMULATION EXAM 2026 ACTUAL
PAPER WITH VERIFIED SOLUTIONS
◉ If amplitude increases, what will increase while on HFOV?
Answer: Alveolar Ventilation
◉ If you decrease the frequency, what will happen to the Respiratory
Rate? Answer: It will decrease
◉ Neonate Desired PaO2? Answer: >60
◉ Neonate Desired PaCO2? Answer: <50
◉ What will increasing the MAP during HFOV do? Answer: Increase
the PaO2
◉ Normal RR for Neo? Answer: 30 - 60
◉ Normal BP for Neo? Answer: 60/40
◉ Normal HR for Neo? Answer: 110 - 160
,◉ Why is HBO (Hyperbaric Chamber) Used for? Answer: 1. CO
Poisoning
2. Decompression Sickness
3. Tissue Transplants
4. Anaerobic Infections
◉ What is the initial HBO pressure? Answer: 2 - 3 atm
◉ Babinski Reflex Answer: Used to test neurological functions of the
brainstem and spinal cord function.
◉ Helium Oxygen Therapy is indicated for what type of patient?
Answer: Increased Airway Resistance
◉ Oxygen Carbon Dioxide is used to treat conditions of? Answer:
Reduce cerebral blood flow
◉ What is the primary treatment for air embolism? Answer:
Hyperbaric Treatment
◉ What is the primary setting for the HBO, with a patient with air
embolism? Answer: 6 atm
,◉ HBO for CO poisoning initial setting is? Answer: 3 atm
◉ What is an adequate administration time for HBO? Answer: 90
min. at a time TID first day and BID for three consecutive days
◉ Silverman Score Answer: Evaluates the level of respiratory
distress in neonates, with the score being 0 - 10, 10 being the worst
◉ Dubowitz or Ballard Score Answer: Used to determine gestational
age
◉ L:S Ratio closer to 0, can represent what disease? Answer: Hyaline
Membrane Disease or Respiratory Distress Syndrome
◉ L:S Ratio normal? Answer: 2:1
◉ Normal Blood Glucose in Neonates? Answer: >30
◉ Brand Names for Surfactant Answer: 1. Survanta
2.Exosurf
◉ Recommended dosage for Survanta? Answer: 100 ml/kg given in
4 equal dosages with 30 sec. apart w/ patient in different positions.
, ◉ Recommended dosage for Exosurf? Answer: 5 ml/kg of birth
weight given in 2 equal doses, instilled directly to the trachea and
baby is ventilated for 30 sec.
◉ What type of patient is most likely to have bronchopulmonary
dysplasia? Answer: Infants with low birth weight and those who
receive prolonged mechanical ventilation to treat respiratory
distress syndrome
◉ Treatment for BDP (Bronchopulmonary dysplasia? Answer:
Oxygen (CPAP)
Lasix
SABA
Steroids
Chest Physiotherapy
◉ Normal WBC Answer: 5,000 - 10,000
◉ Normal RBC Answer: 4 - 6
◉ Normal CVP, Deals? Answer: 2 - 6, Right Heart
PAPER WITH VERIFIED SOLUTIONS
◉ If amplitude increases, what will increase while on HFOV?
Answer: Alveolar Ventilation
◉ If you decrease the frequency, what will happen to the Respiratory
Rate? Answer: It will decrease
◉ Neonate Desired PaO2? Answer: >60
◉ Neonate Desired PaCO2? Answer: <50
◉ What will increasing the MAP during HFOV do? Answer: Increase
the PaO2
◉ Normal RR for Neo? Answer: 30 - 60
◉ Normal BP for Neo? Answer: 60/40
◉ Normal HR for Neo? Answer: 110 - 160
,◉ Why is HBO (Hyperbaric Chamber) Used for? Answer: 1. CO
Poisoning
2. Decompression Sickness
3. Tissue Transplants
4. Anaerobic Infections
◉ What is the initial HBO pressure? Answer: 2 - 3 atm
◉ Babinski Reflex Answer: Used to test neurological functions of the
brainstem and spinal cord function.
◉ Helium Oxygen Therapy is indicated for what type of patient?
Answer: Increased Airway Resistance
◉ Oxygen Carbon Dioxide is used to treat conditions of? Answer:
Reduce cerebral blood flow
◉ What is the primary treatment for air embolism? Answer:
Hyperbaric Treatment
◉ What is the primary setting for the HBO, with a patient with air
embolism? Answer: 6 atm
,◉ HBO for CO poisoning initial setting is? Answer: 3 atm
◉ What is an adequate administration time for HBO? Answer: 90
min. at a time TID first day and BID for three consecutive days
◉ Silverman Score Answer: Evaluates the level of respiratory
distress in neonates, with the score being 0 - 10, 10 being the worst
◉ Dubowitz or Ballard Score Answer: Used to determine gestational
age
◉ L:S Ratio closer to 0, can represent what disease? Answer: Hyaline
Membrane Disease or Respiratory Distress Syndrome
◉ L:S Ratio normal? Answer: 2:1
◉ Normal Blood Glucose in Neonates? Answer: >30
◉ Brand Names for Surfactant Answer: 1. Survanta
2.Exosurf
◉ Recommended dosage for Survanta? Answer: 100 ml/kg given in
4 equal dosages with 30 sec. apart w/ patient in different positions.
, ◉ Recommended dosage for Exosurf? Answer: 5 ml/kg of birth
weight given in 2 equal doses, instilled directly to the trachea and
baby is ventilated for 30 sec.
◉ What type of patient is most likely to have bronchopulmonary
dysplasia? Answer: Infants with low birth weight and those who
receive prolonged mechanical ventilation to treat respiratory
distress syndrome
◉ Treatment for BDP (Bronchopulmonary dysplasia? Answer:
Oxygen (CPAP)
Lasix
SABA
Steroids
Chest Physiotherapy
◉ Normal WBC Answer: 5,000 - 10,000
◉ Normal RBC Answer: 4 - 6
◉ Normal CVP, Deals? Answer: 2 - 6, Right Heart
