Critical Care Respiratory Exam ACTUAL
QUESTIONS AND CORRECT ANSWERS
What qualifies as restraints in the ICU? - Correct answers✔✔Leather straps
Soft straps
Paralytics
Not mittens
In order to determine respiratory function, what should you monitor on a patient? - Correct
answers✔✔PaCo2
Diffusion - Correct answers✔✔The exchange of gas across a membrane and occurs in the
alveoli.
Perfusion - Correct answers✔✔Moving blood flow through the pulmonary circulation. Also the
amount of blood reaching the alveoli.
In order to assess an airway obstruction of the lower airway, what would you monitor the patient
for? - Correct answers✔✔Wheezes
Ronchi
Crackles
If you hear nothing- the airway is completely obstructed
Which assessment is priority for a patient who is on supplemental oxygen? - Correct
answers✔✔Assess respiratory effort and their amount of FiO2/Oxygen
,If a patients PTT is 100, what do you do? - Correct answers✔✔Stop the heparin infusion
(Normal is 25-35)
Ejection Fraction - Correct answers✔✔Ejection fraction % tells you how well the heart is
working.
Normal ejection fraction - Correct answers✔✔60%
Normal Hgb - Correct answers✔✔12-18
BNP determines: - Correct answers✔✔Severity of heart failure
Normal BNP - Correct answers✔✔less than 100
Mild BNP levels - Correct answers✔✔100-300
Moderate BNP levels - Correct answers✔✔300-600
Severe BNP levels - Correct answers✔✔600-900
If a patient comes to the hospital after falling in a river, what is the first thing you should do? -
Correct answers✔✔Sputum culture (do not give abx before a sputum culture)
, Pneumonia is the leading cause of death of infectious diseases in the US. Treatment includes: -
Correct answers✔✔Early abx. Usually within 6 hours of admission to the hospital
What is the #1 cause of ventilator acquired pneumonia? - Correct answers✔✔Insufficient Oral
care in intubated patients
Must give oral care q2h and PRN
How often must intubated patients have oral care? - Correct answers✔✔Q2H and PRN
symptoms of penumonia - Correct answers✔✔tachypnea/tachycardia
chills, fever, flushing
productive cough (yellow/green sputum)
crackles
Increased WBC
Decreased O2
It will show up as a pleural effusion on a chest xray
How do you diagnose pneumonia? - Correct answers✔✔Chest xray
Sputum culture
O2 Sat
I:E ratio - Correct answers✔✔inspiratory/expiratory ratio
1:2
QUESTIONS AND CORRECT ANSWERS
What qualifies as restraints in the ICU? - Correct answers✔✔Leather straps
Soft straps
Paralytics
Not mittens
In order to determine respiratory function, what should you monitor on a patient? - Correct
answers✔✔PaCo2
Diffusion - Correct answers✔✔The exchange of gas across a membrane and occurs in the
alveoli.
Perfusion - Correct answers✔✔Moving blood flow through the pulmonary circulation. Also the
amount of blood reaching the alveoli.
In order to assess an airway obstruction of the lower airway, what would you monitor the patient
for? - Correct answers✔✔Wheezes
Ronchi
Crackles
If you hear nothing- the airway is completely obstructed
Which assessment is priority for a patient who is on supplemental oxygen? - Correct
answers✔✔Assess respiratory effort and their amount of FiO2/Oxygen
,If a patients PTT is 100, what do you do? - Correct answers✔✔Stop the heparin infusion
(Normal is 25-35)
Ejection Fraction - Correct answers✔✔Ejection fraction % tells you how well the heart is
working.
Normal ejection fraction - Correct answers✔✔60%
Normal Hgb - Correct answers✔✔12-18
BNP determines: - Correct answers✔✔Severity of heart failure
Normal BNP - Correct answers✔✔less than 100
Mild BNP levels - Correct answers✔✔100-300
Moderate BNP levels - Correct answers✔✔300-600
Severe BNP levels - Correct answers✔✔600-900
If a patient comes to the hospital after falling in a river, what is the first thing you should do? -
Correct answers✔✔Sputum culture (do not give abx before a sputum culture)
, Pneumonia is the leading cause of death of infectious diseases in the US. Treatment includes: -
Correct answers✔✔Early abx. Usually within 6 hours of admission to the hospital
What is the #1 cause of ventilator acquired pneumonia? - Correct answers✔✔Insufficient Oral
care in intubated patients
Must give oral care q2h and PRN
How often must intubated patients have oral care? - Correct answers✔✔Q2H and PRN
symptoms of penumonia - Correct answers✔✔tachypnea/tachycardia
chills, fever, flushing
productive cough (yellow/green sputum)
crackles
Increased WBC
Decreased O2
It will show up as a pleural effusion on a chest xray
How do you diagnose pneumonia? - Correct answers✔✔Chest xray
Sputum culture
O2 Sat
I:E ratio - Correct answers✔✔inspiratory/expiratory ratio
1:2
