for Critical Care and Patient Safety /
Respiratory and Critical Care Scenarios
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2026-2027 Includes Frequently Tested
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1. What is the initial treatment for a COPD patient with worsening shortness
of breath? - ANSWER Administer supplemental oxygen using a venti
mask.
2. What position should a COPD patient be in for medication deposition? -
ANSWER Fowler's position.
3. What is a common side effect of albuterol? - ANSWER Tremors.
4. What should be done after administering corticosteroids to a COPD patient?
- ANSWER Have the patient rinse their mouth to prevent thrush.
,5. What is the purpose of acetylcysteine in COPD treatment? - ANSWER It
acts as a mucolytic to help thin mucus.
6. What is the first step in treating a pneumonia patient with hypoxia? -
ANSWER Start with supplemental oxygen using a nasal cannula.
7. What device should be used for airway clearance in a pneumonia patient? -
ANSWER Acapella device.
8. What is the recommended flow rate for oxygen titration in a stable
pneumonia patient? - ANSWER Start at 5 LPM and titrate down as
needed.
9. What indicates a pneumothorax in a patient with chest pain? - ANSWER
Unilateral expansion and trachea deviation away from the affected side.
10.What is the treatment for a pneumothorax? - ANSWER Needle
decompression followed by chest tube insertion.
11.What is the percussion sound associated with a pneumothorax? - ANSWER
Hyperresonance on the affected side.
12.What is the initial treatment for a patient with atelectasis post-abdominal
surgery? - ANSWER Ambulation followed by the use of an incentive
spirometer (IS).
,13.What should the goal be for the incentive spirometer in a post-op patient? -
ANSWER Inhale into the device 10 times per hour with a target of 1000
cc.
14.What treatment is indicated for post-operative stridor? - ANSWER Set
aerosol mask with racemic epinephrine.
15.What should be monitored after administering medication to a patient? -
ANSWER Vitals and breath sounds.
16.What is the FiO2 approximation for 6 LPM of oxygen via nasal cannula? -
ANSWER Approximately 44%.
17.What should be done if a patient has thick secretions? - ANSWER Add a
mucolytic and use airway clearance techniques.
18.What is the significance of checking pulse oximetry in COPD patients? -
ANSWER To monitor oxygen saturation and adjust treatment
accordingly.
19.What is the recommended action if a patient is hypoxic with a SpO2 of
84%? - ANSWER Administer supplemental oxygen immediately.
20.What is the role of bronchodilators in treating bronchospasm? - ANSWER
They help to relax and open the airways.
, 21.COPD inspection - ANSWER Increased AP diameter, use of accessory
muscles, cyanotic
22.COPD palpation - ANSWER Reduced expansion caused by air trapping
23.COPD percussion - ANSWER Increased/hyperresonance
24.COPD auscultation - ANSWER Diminished breath sounds, inspiratory
crackles
25.COPD treatment - ANSWER pursed lip breathing, bronchodilator,
inhaled steroids, PEP, spirometry, pulmonary rehabilitation
26.Asthma inspection - ANSWER Use of accessory muscles
27.Asthma palpation - ANSWER reduced expansion
28.Asthma percussion - ANSWER Increased/hyperresonance
29.Asthma auscultation - ANSWER Expiratory wheezing
30.Asthma treatment - ANSWER Bronchodilator, inhaled steroids, peak
flow meter monitoring