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Question 1: A medical student is C. Chest Ultrasound
assigned to care for a patient with a
smoking history and who is suspected
of having emphysema. She asks for
recommendations on what tests might
be used to help determine the
diagnosis. You would recommend all
of the following EXCEPT:
a. Pulmonary function testing
b. Chest radiograph
c. Chest ultrasound
d. Arterial blood gas
Question 2: A patient is performing a c. 1.0
stress test. Which of the following
respiratory exchange ratio values
would confirm that the patient has
reached the anaerobic threshold?
0.8
0.9
1.0
1.1
,Question 3: A patient is referred for a C and D
sleep study. The attending physician
wants to know which parameters are
measured during the study. You would
measure all of the following EXCEPT:
SpO2
ECG
Inspiratory and expiratory breathing
efforts
ABG values
Question 4: When preparing to assist A,B,D
the physician with the cardioversion of
a patient, you must check the
following:
A. A strong R wave should be seen on
the ECG monitor
B. The charge level should be set as
ordered
C. The electric paddles should be
kept clean for the best possible
conduction
D. Ensure that the ECG electrodes are
attached properly
Question 5: Your mechanically A, B, and D
ventilated patient is going to have a
flexible fiberoptic bronchoscopy
performed. Of what kinds of
considerations must you be aware?
a. The VT must be monitored for a leak
b. The inspiratory flow resistance will
increase
c. The inspiratory pressure will
decrease
d. The inspiratory pressure will
increase
,Question 6:After a sleep study has A
been performed, your patient is given
a diagnosis of obstructive sleep
apnea. His physician asks for your
advice on the best method of
management. You would recommend
that
a. The patient should use nasal CPAP
when sleeping.
b. The patient should sleep with an
oropharyngeal airway to keep the
tongue forward in the mouth.
c. The patient should always sleep on
his back.
d. A tracheostomy should be
performed, and the patient should be
placed on a volume-cycled ventilator
to sleep.
Question 7: Your patient is being D
mechanically ventilated when the
nurse calls you to evaluate the
patient's condition. You discover that
her breath sounds are absent over the
left lung field, the left-sided
percussion note is hyperresonant, and
peak airway pressures have increased
from 40 to 65 cm H2O. What would
you recommend?
a. Place a pleural chest tube into the
right side.
b. Increase the VT to better inflate the
atelectatic left lung.
c. Change the mode to synchronous
intermittent mechanical ventilation
from assist/control.
d. Place a pleural chest tube into the
left side.
, Question 8: After instructing a home a,c,d
care patient on the use of her small
volume nebulizer, you want to be sure
that she understands how to fill and
clean it. How could you confirm this?
a. Have the patient demonstrate use
of the nebulizer to you
b. Have the patient's boyfriend
demonstrate use of the nebulizer to
you.
c. Have the patient answer your
questions about the nebulizer
d. Have the patient tell you how the
equipment is assembled and cleaned.
Question 9: Your patient with chronic c
obstructive pulmonary disease
(COPD) is starting a pulmonary
rehabilitation program and taking her
first 6MW test. If she should
desaturate, at what pulse oximeter
reading would supplemental oxygen
be indicated?
a. <96%
b. <90%
c. <88%
d. <84%
Question 10: A home care patient tells A
you that she cannot feel O2 coming to
her nasal cannula from the O2
concentrator. You would do all of the
following EXCEPT:
a. refill the humidifier bottle with
sterile water
b. place the cannula prongs
underwater to see if there is any
bubbling of gas
c. tighten all the equipment
connection
d. switch the patient to her tank of O2