Secure Comprehensive Clinical Simulation SAE (Form 2020) Exam Questions and Answers

Secure Comprehensive Clinical Simulation SAE (Form
2020) Exam Questions and Answers


Questionz1:zAzmedicalzstudentziszassignedztozcarezforzazpatientzwithzazsmokingzhistoryzandzwhoziszsuspect
edzofzhavingzemphysema.zShezaskszforzrecommendationszonzwhatztestszmightzbezusedztozhelpzdeterminez
thezdiagnosis.zYouzwouldzrecommendzallzofzthezfollowingzEXCEPT:

a.zPulmonaryzfunctionztesting

b.zChestzradiograph

c.zChestzultrasound

d.zArterialzbloodzgasz-zCORRECTzANSWER-C.zChestzUltrasound



Questionz2:zAzpatientziszperformingzazstressztest.zWhichzofzthezfollowingzrespiratoryzexchangezratiozvalues
zwouldzconfirmzthatzthezpatientzhaszreachedzthezanaerobiczthreshold?


0.8

0.9

1.0

1.1z-zCORRECTzANSWER-c.z1.0



Questionz3:zAzpatientziszreferredzforzazsleepzstudy.zThezattendingzphysicianzwantsztozknowzwhichzparamet
erszarezmeasuredzduringzthezstudy.zYouzwouldzmeasurezallzofzthezfollowingzEXCEPT:

SpO2

ECG

Inspiratoryzandzexpiratoryzbreathingzefforts

ABGzvaluesz-zCORRECTzANSWER-CzandzD



Questionz4:zWhenzpreparingztozassistzthezphysicianzwithzthezcardioversionzofzazpatient,zyouzmustzcheckzth
ezfollowing:

A.zAzstrongzRzwavezshouldzbezseenzonzthezECGzmonitor

B.zThezchargezlevelzshouldzbezsetzaszordered

C.zThezelectriczpaddleszshouldzbezkeptzcleanzforzthezbestzpossiblezconduction

,D.zEnsurezthatzthezECGzelectrodeszarezattachedzproperlyz-zCORRECTzANSWER-A,B,D



Questionz5:zYourzmechanicallyzventilatedzpatientziszgoingztozhavezazflexiblezfiberopticzbronchoscopyzperfo
rmed.zOfzwhatzkindszofzconsiderationszmustzyouzbezaware?

a.zThezVTzmustzbezmonitoredzforzazleak

b.zThezinspiratoryzflowzresistancezwillzincrease

c.zThezinspiratoryzpressurezwillzdecrease

d.zThezinspiratoryzpressurezwillzincreasez-zCORRECTzANSWER-A,zB,zandzD



Questionz6:Afterzazsleepzstudyzhaszbeenzperformed,zyourzpatientziszgivenzazdiagnosiszofzobstructivezsleepz
apnea.zHiszphysicianzaskszforzyourzadvicezonzthezbestzmethodzofzmanagement.zYouzwouldzrecommendzth
at

a.zThezpatientzshouldzuseznasalzCPAPzwhenzsleeping.

b.zThezpatientzshouldzsleepzwithzanzoropharyngealzairwayztozkeepztheztonguezforwardzinzthezmouth.

c.zThezpatientzshouldzalwayszsleepzonzhiszback.

d.zAztracheostomyzshouldzbezperformed,zandzthezpatientzshouldzbezplacedzonzazvolume-
cycledzventilatorztozsleep.z-zCORRECTzANSWER-A



Questionz7:zYourzpatientziszbeingzmechanicallyzventilatedzwhenztheznursezcallszyouztozevaluatezthezpatient
'szcondition.zYouzdiscoverzthatzherzbreathzsoundszarezabsentzoverzthezleftzlungzfield,zthezleft-
sidedzpercussionznoteziszhyperresonant,zandzpeakzairwayzpressureszhavezincreasedzfromz40ztoz65zcmzH2O
.zWhatzwouldzyouzrecommend?

a.zPlacezazpleuralzchestztubezintozthezrightzside.

b.zIncreasezthezVTztozbetterzinflatezthezatelectaticzleftzlung.

c.zChangezthezmodeztozsynchronouszintermittentzmechanicalzventilationzfromzassist/control.

d.zPlacezazpleuralzchestztubezintozthezleftzside.z-zCORRECTzANSWER-D



Questionz8:zAfterzinstructingzazhomezcarezpatientzonzthezusezofzherzsmallzvolumeznebulizer,zyouzwantztozb
ezsurezthatzshezunderstandszhowztozfillzandzcleanzit.zHowzcouldzyouzconfirmzthis?

a.zHavezthezpatientzdemonstratezusezofztheznebulizerztozyou

b.zHavezthezpatient'szboyfriendzdemonstratezusezofztheznebulizerztozyou.

c.zHavezthezpatientzanswerzyourzquestionszaboutztheznebulizer

, d.zHavezthezpatientztellzyouzhowzthezequipmentziszassembledzandzcleaned.z-zCORRECTzANSWER-a,c,d



Questionz9:zYourzpatientzwithzchroniczobstructivezpulmonaryzdiseasez(COPD)ziszstartingzazpulmonaryzreha
bilitationzprogramzandztakingzherzfirstz6MWztest.zIfzshezshouldzdesaturate,zatzwhatzpulsezoximeterzreadin
gzwouldzsupplementalzoxygenzbezindicated?

a.z<96%

b.z<90%

c.z<88%

d.z<84%z-zCORRECTzANSWER-c



Questionz10:zAzhomezcarezpatientztellszyouzthatzshezcannotzfeelzO2zcomingztozherznasalzcannulazfromzthez
O2zconcentrator.zYouzwouldzdozallzofzthezfollowingzEXCEPT:

a.zrefillzthezhumidifierzbottlezwithzsterilezwater

b.zplacezthezcannulazprongszunderwaterztozseezifzthereziszanyzbubblingzofzgas

c.ztightenzallzthezequipmentzconnection

d.zswitchzthezpatientztozherztankzofzO2z-zCORRECTzANSWER-A



Questionz11:zOnzsurveyingzazpatient'szhome,zyouznoticezthatzfourzstepszleadztozthezfrontzdoor.zThezpatient
'szbedroomziszupstairs,zandzhiszwifezsmokeszaboutzonezpackzofzcigaretteszazday.zYouzwouldzrecommendzallz
ofzthezfollowingzEXCEPT:

a.zthezpatient'szwifezshouldzstopzsmoking

b.zthezpatientzshouldzusezazcanezwhenzclimbingzstairs

c.zthezpatient'szbedroomzshouldzbezmovedzdownstairs

d.zazrampzshouldzbezaddedztozfacilitatezenteringzthroughzthezfrontzdoorz-zCORRECTzANSWER-B



Questionz12:zWhenzfirstzvisitingzazhomezcarezpatient'szhouse,ztheztherapistzshouldzevaluatezallzofzthezfollo
wingztozattemptztozeliminatezriskszassociatedzwithzthezpatient'szperformancezofzdailyzactivities:

1.zBathroomzfacilities,zincludingzanzassessmentzofzeasezofzgettingzintozandzoutzofzthezshowerzorzbathtub

2.zTelevisionzandzremotezcontrolzforzoperation

3.zKitchenzfacilities,zincludingzallzcookingzandzeatingzutensilszplacedzwithinzarm'szreac

4.zProperlyzcleanedzHEPAzfiltrationzsystem