ACCS Airway Care Exam questions with
correct answers
Describe serial cough - CORRECT ANSWER-small breath & cough, large breath & cough, then deep
breath & hard cough
Describe huff cough and which patients is it most effective for? - CORRECT ANSWER-coughing with open
glottis.
More effective for patients with COPD and head trauma to prevent increased ICP
Name the top 2 diseases that may required bronchial hygiene such as postural drainage? - CORRECT
ANSWER-CF and Bronchiectasis
List 4 contraindications/hazards of bronchial hygiene therapy - CORRECT ANSWER-unstable
cardiovascular system
unstable pulmonary system
unstable post-op status
untreated TB
List at least 4 contraindications for chest percussion - CORRECT ANSWER-soft tissue trauma
Rib cage trauma/fractured ribs
hemoptysis / pulmonary hemorrhage
metastatic conditions
How is PEP therapy different that the flutter or acapella? - CORRECT ANSWER-It does not oscillate
When should PEP therapy be discontinued? - CORRECT ANSWER-If pt has sinusitis, epistaxis, middle ear
infection
ACCS Airway Care Exam questions with correct answers
, If CPT, cough, and postural drainage is not working, what therapy should be recommended next? -
CORRECT ANSWER-PEP therapy
What is the appropriate expiratory pressure for PEP therapy? How long should the treatment last? How
many times per day should it be scheduled? - CORRECT ANSWER-10-20 cmH20
15-20 minutes
3-4 times per day
What are the positive effects of PEP therapy? - CORRECT ANSWER-improve secretion clearance
reduce FRC
What is the technique for PEP therapy? - CORRECT ANSWER-Take a bigger than normal breath, exhale
(but not forcefully), exhalation should be 2-3 times longer than inspiration
How should the RT teach breathing techniques for autogenic drainage? - CORRECT ANSWER-breathe
smaller than normal breaths, increase to normal VT, then breathe bigger and higher volumes
What is the appropriate hertz, duration of therapy, and frequency for external percussive devices? -
CORRECT ANSWER-2-25 (300-1500 cycles/min)
30 minutes
1-6 times per day
IPV is more expensive, but describe the theory of operation. - CORRECT ANSWER-improves ventilation
past obstructions
delivers more aerosol to distal airways
coughing helps remove secretions
improves ventilation
What is the recommending starting psi for IPV? What does it regulate? - CORRECT ANSWER-30 psi
regulates velocity of percussive pulses
ACCS Airway Care Exam questions with correct answers
correct answers
Describe serial cough - CORRECT ANSWER-small breath & cough, large breath & cough, then deep
breath & hard cough
Describe huff cough and which patients is it most effective for? - CORRECT ANSWER-coughing with open
glottis.
More effective for patients with COPD and head trauma to prevent increased ICP
Name the top 2 diseases that may required bronchial hygiene such as postural drainage? - CORRECT
ANSWER-CF and Bronchiectasis
List 4 contraindications/hazards of bronchial hygiene therapy - CORRECT ANSWER-unstable
cardiovascular system
unstable pulmonary system
unstable post-op status
untreated TB
List at least 4 contraindications for chest percussion - CORRECT ANSWER-soft tissue trauma
Rib cage trauma/fractured ribs
hemoptysis / pulmonary hemorrhage
metastatic conditions
How is PEP therapy different that the flutter or acapella? - CORRECT ANSWER-It does not oscillate
When should PEP therapy be discontinued? - CORRECT ANSWER-If pt has sinusitis, epistaxis, middle ear
infection
ACCS Airway Care Exam questions with correct answers
, If CPT, cough, and postural drainage is not working, what therapy should be recommended next? -
CORRECT ANSWER-PEP therapy
What is the appropriate expiratory pressure for PEP therapy? How long should the treatment last? How
many times per day should it be scheduled? - CORRECT ANSWER-10-20 cmH20
15-20 minutes
3-4 times per day
What are the positive effects of PEP therapy? - CORRECT ANSWER-improve secretion clearance
reduce FRC
What is the technique for PEP therapy? - CORRECT ANSWER-Take a bigger than normal breath, exhale
(but not forcefully), exhalation should be 2-3 times longer than inspiration
How should the RT teach breathing techniques for autogenic drainage? - CORRECT ANSWER-breathe
smaller than normal breaths, increase to normal VT, then breathe bigger and higher volumes
What is the appropriate hertz, duration of therapy, and frequency for external percussive devices? -
CORRECT ANSWER-2-25 (300-1500 cycles/min)
30 minutes
1-6 times per day
IPV is more expensive, but describe the theory of operation. - CORRECT ANSWER-improves ventilation
past obstructions
delivers more aerosol to distal airways
coughing helps remove secretions
improves ventilation
What is the recommending starting psi for IPV? What does it regulate? - CORRECT ANSWER-30 psi
regulates velocity of percussive pulses
ACCS Airway Care Exam questions with correct answers
