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Quality control material has published values for pH of 7.30, PO2 of 85 mm Hg. Documentation
indicates the range of pH is 0.5% and is 3% for PO2. Machine results are as follows:
pH PO2 (mmHg)
Run 1 7.33 83
Run 2 7.25 86
Run 3 7.29 80
Which quality control runs indicate the machine is out of control?
A. 2 and 3
B. 1, 2, and 3
C. 1 and 2
D. 1 and 3
The correct answer is : A
,Quality control data for an arterial blood gas analyzer is plotted on a graph that has a range of 4
standard deviations (2 SD up and 2 SD down). Points on the graph show a gradual rise from
below the mean to above the mean. All points are within 2 SD of the mean. The respiratory
supervisor should
A. remove this machine from service
B. call the medical director for direction
C. monitor this machine closely
D. replace the electrodes
The correct answer is : C
The sudden sounding of a high-pressure ventilator alarm is noted on a patient receiving volume
controlled mechanical ventilation. The respiratory therapist notes the endotracheal tube is at 27
cm at the teeth and that breath sounds are absent when auscultating the left hemithorax. The
therapist should immediately
A. withdraw the endotracheal tube until breath sounds are bilateral
B. advance the endotracheal tube until breath sounds can be auscultated over the left chest
C. prepare for insertion of chest tubes in the left thorax
D. check the air pressure of the tube cuff
The correct answer is : A
Which of the following ventilator circuit change frequencies is important to minimize
nosocomial infections among patients receiving mechanical ventilation?
,A. every 14 days
B. monthly
C. daily
D. when soiled
The correct answer is : D
In which of the following situations should an HME be replaced with heated humidity?
A. afebrile conditions
B. presence of thick secretions
C. patient has asthma
D. patient is hyperthermic
The correct answer is : B
Which of the following should be monitored for a ventilator-dependent newborn with IRDS?
A. urine specific gravity
B. fluid input and output
C. pH
D. gas distribution (SBN2) in the lungs
The correct answer is : B
, A written teaching plan for a pediatric patient with chronic asthma should include
5
A. PEFR monitoring and proper MDI use
B. determination of oxygen saturation
C. titration of oxygen
D. proper titration of bronchodilator dosage
The correct answer is : A
Which of the following is needed to calculate minute alveolar ventilation?
A. tidal volume, weight, respiratory rate
B. C(a-v)O2 and VT
C. PAO2 and tidal volume
D. VD/VT and PAO2
The correct answer is : A
A female patient who is morbidly obese has an 8.0 mm tracheostomy tube. She has been placed
on an ulcer prevention mattress in the Intensive Care Unit. Following transport to the new bed,
the nurse calls a respiratory therapist to assess her because she is complaining of air hunger.
Diffuse dry crackles are auscultated with crepitus noted upon palpation. These findings are most
closely associated with
A. secretions in the airway
B. pneumothorax
C. atelectasis