Solutions (2025-2026) – Complete Exam Preparation
Material
INTRODUCTION:
This document contains a comprehensive set of Secure Clinical
Simulation Exam (CSE) questions with correct, verified, and
detailed solutions for the 2025–2026 period. It covers key topics
such as asthma management, neonatal ventilation, bubble CPAP,
oxygen therapy, ventilator troubleshooting, extubation and SBT
criteria, trauma assessment, cardiac arrhythmias, and advanced
therapeutic interventions. Additionally, it includes an extended
section on therapist competencies, ethical practice, cultural
competence, CBT, trauma-informed care, and therapeutic alliances,
making it a complete preparation resource for both clinical and
therapeutic aspects of the exam.
EXAM QUESTIONS AND ANSWERS:
An Asthma pt should not be given spirometry if in --- correct
answer ---exacerbation
,Control medications for asthma pts include (4 things) --- correct
answer ----LABA
-ICS
-mast cell stabilizers
-leukotriene inhibitors
Initial vent mode for Neonates, along with PEEP and FiO2 (3 things)
--- correct answer ----mode: PC SIMV (Vt 4-6 cc/kg)
-PEEP: 0-4 or match previous, dont exceed 8 cmH2O
-FiO2: 30-60% or match previous
Initial vent settings for Neonates (4 things) --- correct answer ----
PIP: 20-30 (can be as low as 18)
-RR: 20-30 bpm
-Flow: 5-6 LPM
-i-time: 0.5-0.6 sec
When changing vent settings for neonates, based on ABGs, you need
to (3 things) --- correct answer ----keep PO2 between 60-80 torr
-manipulate the PIP 1st, not the rate for PaCO2
-inc FiO2 in small increments (1-5% at a time)
, For neonates on a vent, once the inc in PIP ____________________,
then we can ____________________ --- correct answer ----impede
hemodynamics
-adjust RR
Initiate bubble CPAP when an infant is (2 things) --- correct answer
----not responding appropriately to inc in FiO2
-grunting is also a good indicator
For managing infants on bubble CPAP (3 things) --- correct answer
----once FiO2 raches 50-60%, initiate CPAP
-start pressure 2-5 cmH2O
-do not exceed 8cmH2O
What does A-VOCP-U stand for (in order of priority) --- correct
answer ----airway
-ventilation
-oxygenation
-circulation
-perfusion
-underlying issue / disease process / symptoms