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Vital Capacity (VC)


Which of the following is the best bedside measurement for assessing the
integrated function of the respiratory muscles and mechanical properties of the
lungs and thorax?

Sinus Tachycardia


While inspecting an EKG rhythm strip from an adult patient, you note the
following: rate of 148; regular rhythm; normal P waves, P-R intervals, and QRS
complexes. What is most likely the problem?


whether the patient is stable on low FiO2s and PEEP


Which of the following is a prerequisite for discharging a ventilator-dependent
patient to the homecare setting?


a large volume (3 L) calibration syringe


You would need which of the following equipment in order to calibrate a
portable bedside spirometer?

,Ventilator-associated pneumonia (VAP)


A physician orders a blind bronchoalveolar lavage procedure for a patient in
intensive care unit. What is the most likely potential diagnosis that the doctor
is trying to confirm with this procedure?


croup


An AP X-ray of a 4-year-old child with wheezing and stridor shows an area of
prominent subglottic edema, but the lateral neck X-ray appears normal. The most
likely problem is?

sternocleidomastoid muscles used at rest


If noted on inspiration, which of the following respiratory signs of an adult
patient would be considered abnormal?


between the 2nd and 4th thoracic vertebra


While reviewing the chest X-ray of a 30-year-old male receiving ventilatory
support via an oral endotracheal tube. To assure proper placement of the
tube, you would look for its tip to be positioned


pulseless ventricular tachycardia


Defibrillation should be done immediately in which of the following patient
situations?

variable flow control and adjustable I:E ratios


An intubated adult 65-year-old male patient with severe expiratory airway
obstruction requires ventilatory support. Which of the following capabilities
would be most
important in selecting a ventilator for this patient?

,the patient cannot sustain prolonged spontaneous ventilation


You are called to obtain a bedside vital capacity (VC) of 450 ml on a 122 lb female
patient receiving ventilatory support in the CMV mode. Which of the following
can you draw from this finding?


hyperventilation/hypocapnia


Which of the following is the most common problem encountered when applying
assist- control mode during ventilation?


flowmeter-humidifier connection for leaks


A bubble humidifier is not bubbling during oxygen therapy, despite the
flowmeter set and running at 5 L/min. Which of the following should you
check?

bronchospasm


Which of the following would cause an increase in a patient's peak airway
pressure while receiving volume control ventilation?


inspissated secretions


After review a patient's chart, you note that an admission diagnosis of fluid
depletion/dehydration. Which of the following findings would be most likely on
bedside assessment of this patient?

, it would underestimate the CVP


You are called to help a nurse in ICU measure a patient's central venous pressure
(CVP) with a strain-gauge pressure transducer. The pressure transducer appears
to be
positioned well above the middle of the patient's lateral chest wall. What
effect if any would this have on the measurement?

pneumothorax


Which of the following would cause a sudden increase in the peak pressure
during volume controlled ventilation?


heated wick humidifier


Which of the following humidifier devices would you select in order to
condition the inspired gas to 100% body humidity?

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