Exchange Fluid & Electrolytes LATEST ACTUAL
EXAM TEST 2025 WITH LATEST UPDATED
(QUESTIONS AND ANSWERS) /ALREADY
GRADED A+
Assist Control (AC) (aka Volume Control) Ventilation
Ans: The ventilator delivers a preset volume at a preset frequency in synchrony with the patients
spontaneous breathing.
Qiz Synchronized Intermittent Mandatory Ventilation (SIMV)
Ans: The ventilator delivers a preset volume at a preset frequency. The patient can breathe faster
than the preset rate but not slower.
Qiz Pressure Controlled Ventilation (PCV) Mode
Ans: Used when compliance is decreased and the patient has a continuous oxygenation problem
despite a high FiO2
Qiz Pressure -Support Ventilation (PSV)
,Ans: Positive pressure is applied only during inspiration and is used in conjunction with the
patient's spontaneous respiration.
Qiz Continuous Mandatory Ventilation
Ans: Breaths are delivered at a set rate per minute and a set tidal volume.
Characterized by a ventilator that makes no effort to sense patient effort. Patient must be sedated.
The ventilator controls everything.
Qiz Pressure Support
Ans: augments or assists spontaneous breathing efforts by delivering a high flow of gas to a
selected pressure level early in inspiration and maintaining that level throughout the inspiratory
phase. The patient's effort determines the rate, inspiratory flow, and tidal volume.
Qiz Noninvasive Bilateral Positive-Pressure Ventilation Mode
Ans: A non-invasive form of mechanical ventilation, provided by means of nasal masks, prongs,
or full face mask. Used in the treatment of patients with chronic insufficiency to manage acute or
chronic respiratory failure.
Qiz Tidal Volume
Ans: The number of ML of air to be delivered with each breath
Qiz If the patient is able to clear secretions with a cough, what action should the nurse take?
,Ans: Suction the patient only if needed.
Qiz All of the following signs and symptoms indicate to the nurse that a patient with an artificial
airway needs suctioning except?
Ans: Sustained coughing
Correct Answer: *Gradual increase in PaO2*
Suspected aspiration of secretions
Rhonchi auscultated over bronchi
Qiz Patients requiring long term ventilation are converted to a tracheostomy to prevent the
complications of long term intubation with an ETT. The advantages of converting to a
tracheostomy all of the following except?
Ans: Decreased problems of airway resistance and occlusion
Enhanced patient comfort
Correct Answer * Tracheal stenosis*
Faster weaning
Qiz All of the following strategies help prevent Ventilator Acquired Pneumonia except?
Ans: Meticulous handwashing
Correct Answer: *Sedating the patient*
HOB at 30 degrees unless contraindicated
Use of gloves when suctioning
, Qiz During suctioning the suction time will be limited to:
Ans: 20 seconds
Correct Answer: *10 seconds*
15 seconds
5 seconds
Qiz What is the most accurate assessment of the patient's oxygenation status?
Ans: Respiratory rate
Correct Answer: *PaO2*
Presency of cyanosis
Breath Sounds
Qiz Breathing is controlled by
Ans: Chemical Regulation and the Nervous System
Qiz To prevent movement of the endotracheal tube (ETT) or extubation, the tube must be
securely anchored. When should the tube should be readjusted and anchored?
Ans: Correct Answer: *Every 1- 2 days or when soiled or secured*
As tolerated
Once a week
Every 8 hours