TMC Mechanical Ventilation Practice questions And Answers Verified 100% Correct

TMC Mechanical Ventilation Practice questions And Answers Verified 100% Correct The physician has requested the dynamic compliance measurement for an adult patient who is receiving mechanical ventilation. This value can be obtained by dividing the patient's tidal volume by which of the following: A. (Pplat - PEEP) B. (PIP - PEEP) C. (PIP - Paw) D. (Paw - Pplat) - ANSWER B An alert 59-year-old male patient is orally intubated with an endotracheal tube. During a weaning trial, the patient was switched to CPAP mode with an FiO2 of 40%. Within the first 5 minutes, the patient's respiratory rate has increased from 22 to 31 breaths/min with increased usage of accessory muscles while breathing. Which of the following would you recommend? A. Return the patient to full ventilatory support B. Increase the FiO2 to 50% C. Apply 5-10 cm H2O of pressure support D. Extubate the patient and reassess - ANSWER C? A.. A stable adult patient who is receiving mechanical ventilation displays the following results: pH 7.49 PaCO2 29 mm Hg HCO3 24 mEq/L BE +1 PaO2 87 mm Hg SaO2 96% Which of the following would you recommend? A. Add 10 cm H2O PEEP B. Increase the minute ventilation C. Decrease the tidal volume D. Maintain the current setting - ANSWER C A 68-year-old female patient in the ICU is receiving mechanical ventilation but appears to be breathing asynchronously with the ventilator. Which of the following medications would you recommend? A. Fluoxetine (Prozac) B. Lorazepam (Ativan) C. Dextroamphetamine (Dexedrine) D. Cisatracurium (Nimbex) - ANSWER B A 70-year-old male patient with COPD is receiving ventilatory support in a volumecontrolled mode. Upon assessment, the high pressure alarm suddenly begins to sound. Which of the following would recommend? A. Increase the flow setting B. Increase the pressure limit setting C. Suction the airway D. Remove air from the endotracheal tube cuff - ANSWER C A 69-year-old male patient is undergoing a spontaneous breathing trial for weaning from mechanical ventilation. Which of the following changes in the patient's status would be acceptable? A. A decrease in SpO2 from 91% to 81% B. An increased usage of the scalene muscles during breathing C. An increase in heart rate from 97 to 115/min D. A decrease in the systolic blood pressure from 115 to 76 mmHg - ANSWER D C! Hasnt gone over 20 A 60-year-old female patient is receiving assist-control mechanical ventilation. Which of the following is the most common problem associated with this ventilatory mode? A. Hypoventilation B. Hyperventilation C. The need for neuromuscular paralysis D. Increased work of breathing - ANSWER B? D? During the ventilator check of an adult patient who weighs 77 kg, you note the following settings: -Exhaled tidal volume 550 mL -PIP 35 cm H2O -High pressure limit 65 cm H2O -Low pressure alarm 25 cm H2O -Low tidal volume alarm 500 mL Which of the following changes should be made at this time? A. Increase the set tidal volume to 700 mL B. Increase the low tidal volume alarm to 600 mL C. Decrease the high pressure limit to 45-50 cmH2O D. Decrease the low pressure alarm to 10 cmH2O - ANSWER C Which of the following tidal volume settings for mechanical ventilation would be most appropriate for a 5'2" female patient with normal lungs? A. 200 mL B. 400 mL C. 600 mL D. 700 mL - ANSWER B The physician has chosen to use the SIMV mode of ventilation over the Assist/Control mode. Which of the following is an advantage of the SIMV mode? A. SIMV maintains respiratory muscle strength B. SIMV prevents hyperventilation C. SIMV increases pleural pressures D. SIMV increases the need for sedation - ANSWER A A 71-year-old female patient is intubated and receiving positive-pressure ventilation. In order to prevent barotrauma, you should strive to keep the plateau pressure below which of the following thresholds? A. 20 cm H2O B. 30 cm H2O C. 40 cm H2O D. 50 cm H2O - ANSWER B An adult patient with a tracheostomy in place is receiving ventilatory support in the volume-control SIMV mode with a set rate of 10/min. Upon assessment, the patient has started to use their accessory muscles during spontaneous breaths. Which of the following would you recommend? A. Increase the level of pressure support B. Decrease the SIMV rate to 8/min C. Switch to the patient to pressure-control SIMV D. Switch the patient to a pressure-limited mode - ANSWER A While selecting the initial ventilatory settings for a newly intubated patient, which of the following is most important? A. The type of device that is being used B. The quality and amount of nursing supervision C. The patient's size and clinical condition D. The amount of spontaneous ventilatory effort - ANSWER A C! A 60-year-old male patient is receiving ventilatory support in the SIMV mode. A blood gas sample was collected and analysis shows a PaCO2 of 60 mmHg. Which of the following would you recommend? A. Increase the frequency B. Increase the FiO2 C. Increase the mechanical deadspace in the ventilator circuit D. Decrease the tidal volume - ANSWER A The physician has ordered mechanical ventilation in the pressure control A/C mode for a 55 kg postoperative male patient. Which of the following initial settings would you choose? A. PIP = 25 cm H2O; Rate = 30/min; Inspiratory time = 1 second B. PIP = 32 cm H2O; Rate = 12/min; Inspiratory time = 2 seconds C. PIP = 40 cm H2O; Rate = 20/min; Inspiratory time = 1 second