, TEST BANK FOR PILBEAM'S MECHANICAL VENTILATION: PHYSIOLOGICAL
AND CLINICAL APPLICATIONS 6TH EDITION BY J.M. CAIRO
This evidence-based test bank walks readers through the most fundamental and advanced
concepts surrounding mechanical ventilation and guides them in properly applying these
principles to patient care. This edition features a completely revised chapter on ventilator
graphics, additional case studies and clinical scenarios, plus all the reader-friendly features
that promote critical thinking and clinical application — like key points, AARC clinical
practice guidelines, and critical care concepts — that have helped make this test bank a
household name among respiratory care professionals.
TABLE OF CONTENT
Part I: Basic Concepts and Core Knowledge in Mechanical Ventilation
1. Oxygenation and Acid-Base Evaluation
2. Basic Terms and Concepts of Mechanical Ventilation
3. How Ventilators Work
4. How a Breath Is Delivered
Part II: Initiating Ventilation
5. Establishing the Need for Mechanical Ventilation
6. Selecting the Ventilator and the Mode
7. Initial Ventilator Settings
8. Final Considerations in Ventilator Setup
Part III: Monitoring in Mechanical Ventilation
9. Initial Patient Assessment
10. Ventilator Graphics
11. Noninvasive Monitoring of Mechanically-Ventilated Patients
,12. Hemodynamic Monitoring
Part IV: Therapeutic Interventions – Making Appropriate Changes
13. Methods to Improve Ventilation and Other Techniques in Patient-Ventilator Management
14. Improving Oxygenation, Review of ARDS, and Lung Recruitment Maneuvers
15. Frequently Used Pharmacologic Agents in Ventilated Patients: Sedatives, Analgesics and
Paralytics
Part V: Effects and Complications of Mechanical Ventilation
16. Cardiovascular and Organ System Effects and Complications of Mechanical Ventilation
17. Effects of Positive Pressure Ventilation on the Pulmonary System
18. Problem-Solving and Troubleshooting
Part VI: Noninvasive Positive Pressure Ventilation
19. Basic Concepts of Noninvasive Positive Pressure Ventilation
Part VII: Discontinuation from Ventilation and Long-Term Ventilation
20. Weaning and Discontinuation
21. Long-Term Ventilation!
Part VIII: Special Applications of Mechanical Ventilation
22. Neonatal and Pediatric Ventilation
23. Special Techniques in Ventilatory Support
, Chapter 1: Oxygenation
and Acid-Base Evaluation
Test Bank
MULTIPLE CHOICE
1. The structure that is responsible for returning oxygenated blood to the heart is the
a. Pulmonary artery.
b. Pulmonary vein.
c. Superior vena cava.
d. Inferior vena cava.
ANS: B
The pulmonary vein carries oxygenated blood to the heart. The pulmonary artery carries
deoxygenated blood from the heart to the lungs. Both venae cavae return blood to the right
atrium of the heart.
DIF: Remember REF: 823-824
OBJ: Describe the structure and function of the cardiopulmonary system.
TOP: Planning MSC: Physiological Integrity
2. Chemical receptors that stimulate inspiration are located in the
a. Brain.
b. Lungs.
c. Aorta.
d. Heart.
ANS: C
Chemical receptors in the aorta send signals to begin the inspiration process. The brain, lungs,
and heart all are affected by this chemical reaction.
DIF: Remember REF: 822
OBJ: State the process of the neural and chemical regulation of respiration.
TOP: Planning MSC: Physiological Integrity
3. The nurse knows that the primary function of the alveoli is to
a. Carry out gas exchange.
b. Store oxygen.
c. Regulate tidal volume.
d. Produce hemoglobin.
ANS: A
The alveolus is a capillary membrane that allows gas exchange of oxygen and carbon dioxide
during respiration. The alveoli do not store oxygen, regulate tidal volume, or produce
hemoglobin.
DIF: Remember REF: 822
OBJ: Describe the structure and function of the cardiopulmonary system.
TOP: Knowledge MSC: Physiological Integrity
4. The nurse knows that anemia will result in
a. Hypoxemia.
AND CLINICAL APPLICATIONS 6TH EDITION BY J.M. CAIRO
This evidence-based test bank walks readers through the most fundamental and advanced
concepts surrounding mechanical ventilation and guides them in properly applying these
principles to patient care. This edition features a completely revised chapter on ventilator
graphics, additional case studies and clinical scenarios, plus all the reader-friendly features
that promote critical thinking and clinical application — like key points, AARC clinical
practice guidelines, and critical care concepts — that have helped make this test bank a
household name among respiratory care professionals.
TABLE OF CONTENT
Part I: Basic Concepts and Core Knowledge in Mechanical Ventilation
1. Oxygenation and Acid-Base Evaluation
2. Basic Terms and Concepts of Mechanical Ventilation
3. How Ventilators Work
4. How a Breath Is Delivered
Part II: Initiating Ventilation
5. Establishing the Need for Mechanical Ventilation
6. Selecting the Ventilator and the Mode
7. Initial Ventilator Settings
8. Final Considerations in Ventilator Setup
Part III: Monitoring in Mechanical Ventilation
9. Initial Patient Assessment
10. Ventilator Graphics
11. Noninvasive Monitoring of Mechanically-Ventilated Patients
,12. Hemodynamic Monitoring
Part IV: Therapeutic Interventions – Making Appropriate Changes
13. Methods to Improve Ventilation and Other Techniques in Patient-Ventilator Management
14. Improving Oxygenation, Review of ARDS, and Lung Recruitment Maneuvers
15. Frequently Used Pharmacologic Agents in Ventilated Patients: Sedatives, Analgesics and
Paralytics
Part V: Effects and Complications of Mechanical Ventilation
16. Cardiovascular and Organ System Effects and Complications of Mechanical Ventilation
17. Effects of Positive Pressure Ventilation on the Pulmonary System
18. Problem-Solving and Troubleshooting
Part VI: Noninvasive Positive Pressure Ventilation
19. Basic Concepts of Noninvasive Positive Pressure Ventilation
Part VII: Discontinuation from Ventilation and Long-Term Ventilation
20. Weaning and Discontinuation
21. Long-Term Ventilation!
Part VIII: Special Applications of Mechanical Ventilation
22. Neonatal and Pediatric Ventilation
23. Special Techniques in Ventilatory Support
, Chapter 1: Oxygenation
and Acid-Base Evaluation
Test Bank
MULTIPLE CHOICE
1. The structure that is responsible for returning oxygenated blood to the heart is the
a. Pulmonary artery.
b. Pulmonary vein.
c. Superior vena cava.
d. Inferior vena cava.
ANS: B
The pulmonary vein carries oxygenated blood to the heart. The pulmonary artery carries
deoxygenated blood from the heart to the lungs. Both venae cavae return blood to the right
atrium of the heart.
DIF: Remember REF: 823-824
OBJ: Describe the structure and function of the cardiopulmonary system.
TOP: Planning MSC: Physiological Integrity
2. Chemical receptors that stimulate inspiration are located in the
a. Brain.
b. Lungs.
c. Aorta.
d. Heart.
ANS: C
Chemical receptors in the aorta send signals to begin the inspiration process. The brain, lungs,
and heart all are affected by this chemical reaction.
DIF: Remember REF: 822
OBJ: State the process of the neural and chemical regulation of respiration.
TOP: Planning MSC: Physiological Integrity
3. The nurse knows that the primary function of the alveoli is to
a. Carry out gas exchange.
b. Store oxygen.
c. Regulate tidal volume.
d. Produce hemoglobin.
ANS: A
The alveolus is a capillary membrane that allows gas exchange of oxygen and carbon dioxide
during respiration. The alveoli do not store oxygen, regulate tidal volume, or produce
hemoglobin.
DIF: Remember REF: 822
OBJ: Describe the structure and function of the cardiopulmonary system.
TOP: Knowledge MSC: Physiological Integrity
4. The nurse knows that anemia will result in
a. Hypoxemia.
