ACCS OAKES EXAM 2026 | CRITICAL CARE RESPIRATORY|
VERIFIED QUESTIONS WITH ACCURATE ANSWERS
1. If a hospital is preparing for a potential disaster and has limited
resources, which ventilator feature should they prioritize to ensure
effective patient care?
Portability
Ability to provide active humidification
Advanced monitoring capabilities
Presence of internal gas blender
2. What is the recommended method to confirm the placement of an OG
tube before starting enteral feeding?
Confirm placement by x-ray of chest and abdomen
Dopplered the area for proper placement
Auscultate over lung fields and abdomen
Start feeding and monitor for tube-feed colored secretions
3. A difficult intubation is anticipated with an obese pt. The decision is
made to intubate by video laryngoscopy. Which of the following is
LEAST likely to be needed:
Rigid Stylet
Video-enabled Laryngoscope
Cook's Exchanger
Cuffed Endotracheal Tube
4. What is the recommended action for a patient with a Respiratory
Quotient of 1.5 receiving enteral feed?
, Increase rate to 16
Recommend increase in Enteral Feed
Recommend decrease in Enteral Feed
Decrease set rate to 10
5. Interpret the significance of the ABG results showing a pH of 7.16 and a
PaCO2 of 49 in the context of respiratory therapy.
The ABG results show metabolic alkalosis due to
hyperventilation.
The ABG results indicate metabolic acidosis due to renal failure.
The ABG results indicate respiratory acidosis, suggesting
inadequate ventilation.
The ABG results are normal and indicate stable respiratory
function.
6. A patient is requiring transport to a different health care facility to
undergo complex diagnostic imaging and testing. The adult critical care
specialist must assist in the transport. The patient is being
hemodynamically monitored by a quadruple lumen, balloon-tipped
pulmonary artery catheter. Which of the following should the specialist
monitor continuously during patient movement and throughout the
transport?
PAP
PCWP
SVO2
CI
7. What is the primary goal of adjusting the Phigh setting in APRV for a
patient with ARDS?
, To decrease sedation requirements
To reduce airway resistance
To increase carbon dioxide elimination
To improve oxygenation
8. Interpret the significance of the ABG results (Ph 7.29, PaCO2 66, PaO2
56) in relation to the patient's respiratory status.
The ABG results indicate hypercapnia without hypoxemia,
suggesting oxygen therapy alone.
The ABG results indicate respiratory acidosis with hypoxemia,
suggesting the need for non-invasive ventilation.
The ABG results suggest metabolic alkalosis, requiring intubation.
The ABG results show normal respiratory function, indicating no
immediate intervention is needed.
9. Describe the significance of a Brain Perfusion Study in the context of
diagnosing brain death.
A Brain Perfusion Study measures electrical activity in the brain.
A Brain Perfusion Study evaluates cardiac output in patients with
MI.
A Brain Perfusion Study helps determine the absence of blood
flow to the brain, which is critical for confirming brain death.
A Brain Perfusion Study assesses lung function in critical care
patients.
10. Which of the following pharmacologic agents is MOST indicated in a
patient who has been intubated for several weeks, who becomes
tachypneic and tachycardic during every attempt to wean from
ventilator?
VERIFIED QUESTIONS WITH ACCURATE ANSWERS
1. If a hospital is preparing for a potential disaster and has limited
resources, which ventilator feature should they prioritize to ensure
effective patient care?
Portability
Ability to provide active humidification
Advanced monitoring capabilities
Presence of internal gas blender
2. What is the recommended method to confirm the placement of an OG
tube before starting enteral feeding?
Confirm placement by x-ray of chest and abdomen
Dopplered the area for proper placement
Auscultate over lung fields and abdomen
Start feeding and monitor for tube-feed colored secretions
3. A difficult intubation is anticipated with an obese pt. The decision is
made to intubate by video laryngoscopy. Which of the following is
LEAST likely to be needed:
Rigid Stylet
Video-enabled Laryngoscope
Cook's Exchanger
Cuffed Endotracheal Tube
4. What is the recommended action for a patient with a Respiratory
Quotient of 1.5 receiving enteral feed?
, Increase rate to 16
Recommend increase in Enteral Feed
Recommend decrease in Enteral Feed
Decrease set rate to 10
5. Interpret the significance of the ABG results showing a pH of 7.16 and a
PaCO2 of 49 in the context of respiratory therapy.
The ABG results show metabolic alkalosis due to
hyperventilation.
The ABG results indicate metabolic acidosis due to renal failure.
The ABG results indicate respiratory acidosis, suggesting
inadequate ventilation.
The ABG results are normal and indicate stable respiratory
function.
6. A patient is requiring transport to a different health care facility to
undergo complex diagnostic imaging and testing. The adult critical care
specialist must assist in the transport. The patient is being
hemodynamically monitored by a quadruple lumen, balloon-tipped
pulmonary artery catheter. Which of the following should the specialist
monitor continuously during patient movement and throughout the
transport?
PAP
PCWP
SVO2
CI
7. What is the primary goal of adjusting the Phigh setting in APRV for a
patient with ARDS?
, To decrease sedation requirements
To reduce airway resistance
To increase carbon dioxide elimination
To improve oxygenation
8. Interpret the significance of the ABG results (Ph 7.29, PaCO2 66, PaO2
56) in relation to the patient's respiratory status.
The ABG results indicate hypercapnia without hypoxemia,
suggesting oxygen therapy alone.
The ABG results indicate respiratory acidosis with hypoxemia,
suggesting the need for non-invasive ventilation.
The ABG results suggest metabolic alkalosis, requiring intubation.
The ABG results show normal respiratory function, indicating no
immediate intervention is needed.
9. Describe the significance of a Brain Perfusion Study in the context of
diagnosing brain death.
A Brain Perfusion Study measures electrical activity in the brain.
A Brain Perfusion Study evaluates cardiac output in patients with
MI.
A Brain Perfusion Study helps determine the absence of blood
flow to the brain, which is critical for confirming brain death.
A Brain Perfusion Study assesses lung function in critical care
patients.
10. Which of the following pharmacologic agents is MOST indicated in a
patient who has been intubated for several weeks, who becomes
tachypneic and tachycardic during every attempt to wean from
ventilator?
