RESP 201 FINAL EXAM STUDY GUIDE.
What is the most common complication associated with NIV among
pediatric patients?
Ventilator-associated pneumonia
Gastric insufflation
Claustrophobia
Skin irritation caused by the interface
Skin irritation caused by the interface
What is the only absolute contraindication to a trial of NIV in pediatric
patients with acute respiratory distress?
Cardiovascular instability
Nasopharyngeal obstruction
Inability to handle oral secretions
Extreme agitation or anxiety
Cardiovascular instability
During volume-controlled ventilation, which of the following factors
influences the peak inspiratory pressure?
Pulmonary capillary perfusion
Ventilation-perfusion relationships
Pulmonary compliance
Volume compressed in the ventilatory circuit at end inspiration
Pulmonary compliance
The therapist is conducting a ventilator check for a neonate and makes the
following notations on the ventilator flow sheet:
• PEEP: 5 cm H2O
• Peak inspiratory pressure (PIP): 25 cm H20
• Mandatory rate: 15 breaths per minute
,• FiO2: 0.35
On the basis of these observations, what should the therapist recommend
for this neonate?
Shunt study
Weaning from mechanical ventilation
Inhaled nitric oxide
High-frequency ventilation
Weaning from mechanical ventilation
Which of the following is NOI considered a hazard of mechanical
ventilation?
Barotrauma
Infection
Diaphragmatic paralysis
Intracranial hemorrhage
Diaphragmatic paralysis
Included in the steps to perform prior to extubation is a leak test. If after
performing test you detect no air leak, you may extubate patient and no
further treatment post-extubation is needed.
True
False
False
What V range should be used for mechanical ventilation of a neonate?
5 to 7 ml/kg
6 to 8 ml/kg
8 to 10 ml/kg
10 to 12 ml/kg
5 to 7 ml/kg
,What V range should be used for mechanical ventilation of a child?
5 to 7 ml/kg
6 to 8 ml/kg
8 to 10 ml/kg
10 to 12 ml/kg
6 to 8 ml/kg
An infant is being ventilated in the PC/AC mode of ventilation. The most
recent arterial blood gas reveals a PaCO2 of 68 mmHg. Which of the
following ventilator adjustments could be used to correct this problem?
(Choose all that apply.)
Increase the tidal volume setting
Increase the rate setting
Increase the PEEP setting
Increase the PIP setting
increase the rate setting
Increase the PIP setting
Pressure-limiting modes on neonatal ventilators protect the newborn's
lungs from
Infection
Barotrauma
Hypercapnia
Airway obstruction
Barotrauma
A respiratory therapist is increasing the ventilator rate for a patient. How
should the inspiratory time (IT) be adjusted in order to prevent air trapping
, and to allow for sufficient exhalation of the delivered breath?
The IT should be decreased
The IT should be increased
The IT should remain the same
The ventilator rate should never be modified
The IT should be decreased
How can continuous positive airway pressure (CPAP) prevent the need for
continuous mechanical ventilation in infants experiencing respiratory
distress syndrome (RDS)?
CPAP decreases compliance.
CPAP decreases functional residual capacity (FRC).
CAP increases total airway resistance.
CPAP increases functional residual capacity (FRC).
CPAP increases functional residual capacity (FRC).
Clinical indications of a failure to wean from mechanical ventilation include
all of the following except:
Tachycardia
Pallor
Retractions
Hypoglycemia
Hypoglycemia
Which of the following are advantages of volume-controlled ventilation in
the neonatal population? (CHOOSE ALL THAT APPLY.)
Consistent minute ventilation
High mean airway pressure
Delivers a set tidal volume despite changes in compliance and resistance.
Better control of PaCO2
What is the most common complication associated with NIV among
pediatric patients?
Ventilator-associated pneumonia
Gastric insufflation
Claustrophobia
Skin irritation caused by the interface
Skin irritation caused by the interface
What is the only absolute contraindication to a trial of NIV in pediatric
patients with acute respiratory distress?
Cardiovascular instability
Nasopharyngeal obstruction
Inability to handle oral secretions
Extreme agitation or anxiety
Cardiovascular instability
During volume-controlled ventilation, which of the following factors
influences the peak inspiratory pressure?
Pulmonary capillary perfusion
Ventilation-perfusion relationships
Pulmonary compliance
Volume compressed in the ventilatory circuit at end inspiration
Pulmonary compliance
The therapist is conducting a ventilator check for a neonate and makes the
following notations on the ventilator flow sheet:
• PEEP: 5 cm H2O
• Peak inspiratory pressure (PIP): 25 cm H20
• Mandatory rate: 15 breaths per minute
,• FiO2: 0.35
On the basis of these observations, what should the therapist recommend
for this neonate?
Shunt study
Weaning from mechanical ventilation
Inhaled nitric oxide
High-frequency ventilation
Weaning from mechanical ventilation
Which of the following is NOI considered a hazard of mechanical
ventilation?
Barotrauma
Infection
Diaphragmatic paralysis
Intracranial hemorrhage
Diaphragmatic paralysis
Included in the steps to perform prior to extubation is a leak test. If after
performing test you detect no air leak, you may extubate patient and no
further treatment post-extubation is needed.
True
False
False
What V range should be used for mechanical ventilation of a neonate?
5 to 7 ml/kg
6 to 8 ml/kg
8 to 10 ml/kg
10 to 12 ml/kg
5 to 7 ml/kg
,What V range should be used for mechanical ventilation of a child?
5 to 7 ml/kg
6 to 8 ml/kg
8 to 10 ml/kg
10 to 12 ml/kg
6 to 8 ml/kg
An infant is being ventilated in the PC/AC mode of ventilation. The most
recent arterial blood gas reveals a PaCO2 of 68 mmHg. Which of the
following ventilator adjustments could be used to correct this problem?
(Choose all that apply.)
Increase the tidal volume setting
Increase the rate setting
Increase the PEEP setting
Increase the PIP setting
increase the rate setting
Increase the PIP setting
Pressure-limiting modes on neonatal ventilators protect the newborn's
lungs from
Infection
Barotrauma
Hypercapnia
Airway obstruction
Barotrauma
A respiratory therapist is increasing the ventilator rate for a patient. How
should the inspiratory time (IT) be adjusted in order to prevent air trapping
, and to allow for sufficient exhalation of the delivered breath?
The IT should be decreased
The IT should be increased
The IT should remain the same
The ventilator rate should never be modified
The IT should be decreased
How can continuous positive airway pressure (CPAP) prevent the need for
continuous mechanical ventilation in infants experiencing respiratory
distress syndrome (RDS)?
CPAP decreases compliance.
CPAP decreases functional residual capacity (FRC).
CAP increases total airway resistance.
CPAP increases functional residual capacity (FRC).
CPAP increases functional residual capacity (FRC).
Clinical indications of a failure to wean from mechanical ventilation include
all of the following except:
Tachycardia
Pallor
Retractions
Hypoglycemia
Hypoglycemia
Which of the following are advantages of volume-controlled ventilation in
the neonatal population? (CHOOSE ALL THAT APPLY.)
Consistent minute ventilation
High mean airway pressure
Delivers a set tidal volume despite changes in compliance and resistance.
Better control of PaCO2
