SECURE COMPREHENSIVE CLINICAL SIMULATION SAE (FORM
2020)VERIFIED AND GRADED A+.100% PASS RATE
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,Question 1: A medical student is assigned to care for a patient with a smoking history and who
is suspected of having emphysema. She asks for recommendations on what tests might be
used to help determine the diagnosis. You would recommend all of the following EXCEPT:
a. Pulmonary function testing
b. Chest radiograph
c. Chest ultrasound
d. Arterial blood gas
C. Chest Ultrasound
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Question 2: A patient is performing a stress test. Which of the following respiratory exchange
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ratio values would confirm that the patient has reached the anaerobic threshold?
0.8
0.9
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1.0
1.1
c. 1.0
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Question 3: A patient is referred for a sleep study. The attending physician wants to know which
parameters are measured during the study. You would measure all of the following EXCEPT:
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SpO2
ECG
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Inspiratory and expiratory breathing efforts
ABG values
C and D
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Question 4: When preparing to assist the physician with the cardioversion of a patient, you must
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check the following:
A. A strong R wave should be seen on the ECG monitor
B. The charge level should be set as ordered
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C. The electric paddles should be kept clean for the best possible conduction
D. Ensure that the ECG electrodes are attached properly
A,B,D
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Question 5: Your mechanically ventilated patient is going to have a flexible fiberoptic
bronchoscopy performed. Of what kinds of considerations must you be aware?
a. The VT must be monitored for a leak
b. The inspiratory flow resistance will increase
c. The inspiratory pressure will decrease
d. The inspiratory pressure will increase
A, B, and D
, Question 6:After a sleep study has been performed, your patient is given a diagnosis of
obstructive sleep apnea. His physician asks for your advice on the best method of management.
You would recommend that
a. The patient should use nasal CPAP when sleeping.
b. The patient should sleep with an oropharyngeal airway to keep the tongue forward in the
mouth.
c. The patient should always sleep on his back.
d. A tracheostomy should be performed, and the patient should be placed on a volume-cycled
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ventilator to sleep.
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A
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Question 7: Your patient is being mechanically ventilated when the nurse calls you to evaluate
the patient's condition. You discover that her breath sounds are absent over the left lung field,
the left-sided percussion note is hyperresonant, and peak airway pressures have increased
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from 40 to 65 cm H2O. What would you recommend?
a. Place a pleural chest tube into the right side.
b. Increase the VT to better inflate the atelectatic left lung.
c. Change the mode to synchronous intermittent mechanical ventilation from assist/control.
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d. Place a pleural chest tube into the left side.
D
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Question 8: After instructing a home care patient on the use of her small volume nebulizer, you
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want to be sure that she understands how to fill and clean it. How could you confirm this?
a. Have the patient demonstrate use of the nebulizer to you
b. Have the patient's boyfriend demonstrate use of the nebulizer to you.
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c. Have the patient answer your questions about the nebulizer
d. Have the patient tell you how the equipment is assembled and cleaned.
a,c,d
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Question 9: Your patient with chronic obstructive pulmonary disease (COPD) is starting a
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pulmonary rehabilitation program and taking her first 6MW test. If she should desaturate, at
what pulse oximeter reading would supplemental oxygen be indicated?
a. <96%
b. <90%
c. <88%
d. <84%
c
2020)VERIFIED AND GRADED A+.100% PASS RATE
r
te
as
M
n
io
at
du
ra
G
,Question 1: A medical student is assigned to care for a patient with a smoking history and who
is suspected of having emphysema. She asks for recommendations on what tests might be
used to help determine the diagnosis. You would recommend all of the following EXCEPT:
a. Pulmonary function testing
b. Chest radiograph
c. Chest ultrasound
d. Arterial blood gas
C. Chest Ultrasound
r
Question 2: A patient is performing a stress test. Which of the following respiratory exchange
te
ratio values would confirm that the patient has reached the anaerobic threshold?
0.8
0.9
as
1.0
1.1
c. 1.0
M
Question 3: A patient is referred for a sleep study. The attending physician wants to know which
parameters are measured during the study. You would measure all of the following EXCEPT:
n
SpO2
ECG
io
Inspiratory and expiratory breathing efforts
ABG values
C and D
at
Question 4: When preparing to assist the physician with the cardioversion of a patient, you must
du
check the following:
A. A strong R wave should be seen on the ECG monitor
B. The charge level should be set as ordered
ra
C. The electric paddles should be kept clean for the best possible conduction
D. Ensure that the ECG electrodes are attached properly
A,B,D
G
Question 5: Your mechanically ventilated patient is going to have a flexible fiberoptic
bronchoscopy performed. Of what kinds of considerations must you be aware?
a. The VT must be monitored for a leak
b. The inspiratory flow resistance will increase
c. The inspiratory pressure will decrease
d. The inspiratory pressure will increase
A, B, and D
, Question 6:After a sleep study has been performed, your patient is given a diagnosis of
obstructive sleep apnea. His physician asks for your advice on the best method of management.
You would recommend that
a. The patient should use nasal CPAP when sleeping.
b. The patient should sleep with an oropharyngeal airway to keep the tongue forward in the
mouth.
c. The patient should always sleep on his back.
d. A tracheostomy should be performed, and the patient should be placed on a volume-cycled
r
ventilator to sleep.
te
A
as
Question 7: Your patient is being mechanically ventilated when the nurse calls you to evaluate
the patient's condition. You discover that her breath sounds are absent over the left lung field,
the left-sided percussion note is hyperresonant, and peak airway pressures have increased
M
from 40 to 65 cm H2O. What would you recommend?
a. Place a pleural chest tube into the right side.
b. Increase the VT to better inflate the atelectatic left lung.
c. Change the mode to synchronous intermittent mechanical ventilation from assist/control.
n
d. Place a pleural chest tube into the left side.
D
io
Question 8: After instructing a home care patient on the use of her small volume nebulizer, you
at
want to be sure that she understands how to fill and clean it. How could you confirm this?
a. Have the patient demonstrate use of the nebulizer to you
b. Have the patient's boyfriend demonstrate use of the nebulizer to you.
du
c. Have the patient answer your questions about the nebulizer
d. Have the patient tell you how the equipment is assembled and cleaned.
a,c,d
ra
Question 9: Your patient with chronic obstructive pulmonary disease (COPD) is starting a
G
pulmonary rehabilitation program and taking her first 6MW test. If she should desaturate, at
what pulse oximeter reading would supplemental oxygen be indicated?
a. <96%
b. <90%
c. <88%
d. <84%
c
