1|Page
NRNP 6566 FINAL EXAM LATEST FORM B
/NRNP6566 FINAL EXAM QUESTIONS |AGRADE
(WALDEN UNIVERSITY)
prior to seperation from the vent proceed with this ...... to determine if
pt is able to dc vent ......ANSWER......trial of spontaneous breathing
Volume targeted assist control (AC) mode ......ANSWER......the clinician
determines tidal volume and rate/ pt can still breath over the vent.
example: pt gets RR of 12 but has an additional 2 breaths on their
own, pt will still breathe 14 breaths/min. tidal volume is based on the
vent.
Synchronized intermittent mandatory ventilation SIMV
......ANSWER......clinician sets rate, and tidal volume, and peak inflation
pt can also have their own breaths. tidal volume is set based on the
patient. VENT doesn't specify tidal volume.
Pressure Control ......ANSWER......A mode of ventilation that is
normally patient or time triggered, pressure targeted and time cycled.
pg. 1
,2|Page
AC control vent settings how do you determine tidal volume?
......ANSWER......is based on ideal body weight. careful with obese
patients.
tidal volume ......ANSWER......Amount of air that moves in and out of
the lungs during a normal breath
peep ......ANSWER......positive end expiratory pressure
Static Pressure ......ANSWER......the pressure of air at rest, or that
portion in moving air, if the air stream were to stop
Plateau pressure ......ANSWER......Measures the compliance the entire
lung
End inspiratory pause button
Peak pressure ......ANSWER......Pressure required to get a volume of air
into the lungs, fighting resistance
increase in peak pressure is a complication from which patients?
......ANSWER......ARDS or restrictive airway patients.
pg. 2
,3|Page
high peak pressures with normal plateau pressures indicate....
......ANSWER......resistance, such as an ET obstruction or bronchospasm
Minimal sedation ......ANSWER......relief of anxiety, minimal affection
on sensorium, anti-anixety medications
moderate sedation ......ANSWER......-Depression of consciousness is
drug induced
-Patient is able to respond to verbal commands
-Cardiac and respiratory function not usually affected
Deep sedation ......ANSWER......client cannot be easily aroused, but can
respond after repeated stimulation. respiration may need to be
supported
general anesthesia ......ANSWER......the blockage of all body sensations,
causing un-consciousness and loss of reflexes. cardiac and respiratory
monitoring is essential
dissociation ......ANSWER......type of moderate sedation that occurs
when using meds such as ketamine. dissociation of the limbic system.
ICU delirium ......ANSWER......a serious problem encountered in the
ICU; patients have an increased length of stay & increased mortality
pg. 3
, 4|Page
treatment for ICU delirium ......ANSWER......day and night schedule,
reorientation, give the patient needed DME such as glasses or hearing
aids.
treatment for severe agitation and ICU delerium
......ANSWER......benzodiazepines
confusion assessment for ICU ......ANSWER......CAM-ICU, confusion
assessment method for the ICU
Rapid Sequence Intubation ......ANSWER......RSI; Procedure of emergent
patient intubation where the patient is quickly given sedatives,
paralytics and cricoid pressure. STEPS: prep, preoxygenate, pretreat,
paralysis with induction, positioning, placement and post intubation
mgmt.
Critical Care Pain Observation Tool (CPOT) ......ANSWER......for the non
communicative patient
-facial expression
-body movements
-muscle tension (eval by passive flexion extension and of upper
extremities)
-compliance with ventilator OR vocalization
0-8 scale - 0 being no movement 8 being most movement
pg. 4
NRNP 6566 FINAL EXAM LATEST FORM B
/NRNP6566 FINAL EXAM QUESTIONS |AGRADE
(WALDEN UNIVERSITY)
prior to seperation from the vent proceed with this ...... to determine if
pt is able to dc vent ......ANSWER......trial of spontaneous breathing
Volume targeted assist control (AC) mode ......ANSWER......the clinician
determines tidal volume and rate/ pt can still breath over the vent.
example: pt gets RR of 12 but has an additional 2 breaths on their
own, pt will still breathe 14 breaths/min. tidal volume is based on the
vent.
Synchronized intermittent mandatory ventilation SIMV
......ANSWER......clinician sets rate, and tidal volume, and peak inflation
pt can also have their own breaths. tidal volume is set based on the
patient. VENT doesn't specify tidal volume.
Pressure Control ......ANSWER......A mode of ventilation that is
normally patient or time triggered, pressure targeted and time cycled.
pg. 1
,2|Page
AC control vent settings how do you determine tidal volume?
......ANSWER......is based on ideal body weight. careful with obese
patients.
tidal volume ......ANSWER......Amount of air that moves in and out of
the lungs during a normal breath
peep ......ANSWER......positive end expiratory pressure
Static Pressure ......ANSWER......the pressure of air at rest, or that
portion in moving air, if the air stream were to stop
Plateau pressure ......ANSWER......Measures the compliance the entire
lung
End inspiratory pause button
Peak pressure ......ANSWER......Pressure required to get a volume of air
into the lungs, fighting resistance
increase in peak pressure is a complication from which patients?
......ANSWER......ARDS or restrictive airway patients.
pg. 2
,3|Page
high peak pressures with normal plateau pressures indicate....
......ANSWER......resistance, such as an ET obstruction or bronchospasm
Minimal sedation ......ANSWER......relief of anxiety, minimal affection
on sensorium, anti-anixety medications
moderate sedation ......ANSWER......-Depression of consciousness is
drug induced
-Patient is able to respond to verbal commands
-Cardiac and respiratory function not usually affected
Deep sedation ......ANSWER......client cannot be easily aroused, but can
respond after repeated stimulation. respiration may need to be
supported
general anesthesia ......ANSWER......the blockage of all body sensations,
causing un-consciousness and loss of reflexes. cardiac and respiratory
monitoring is essential
dissociation ......ANSWER......type of moderate sedation that occurs
when using meds such as ketamine. dissociation of the limbic system.
ICU delirium ......ANSWER......a serious problem encountered in the
ICU; patients have an increased length of stay & increased mortality
pg. 3
, 4|Page
treatment for ICU delirium ......ANSWER......day and night schedule,
reorientation, give the patient needed DME such as glasses or hearing
aids.
treatment for severe agitation and ICU delerium
......ANSWER......benzodiazepines
confusion assessment for ICU ......ANSWER......CAM-ICU, confusion
assessment method for the ICU
Rapid Sequence Intubation ......ANSWER......RSI; Procedure of emergent
patient intubation where the patient is quickly given sedatives,
paralytics and cricoid pressure. STEPS: prep, preoxygenate, pretreat,
paralysis with induction, positioning, placement and post intubation
mgmt.
Critical Care Pain Observation Tool (CPOT) ......ANSWER......for the non
communicative patient
-facial expression
-body movements
-muscle tension (eval by passive flexion extension and of upper
extremities)
-compliance with ventilator OR vocalization
0-8 scale - 0 being no movement 8 being most movement
pg. 4
