A patient in SIMV who is not breathing has varying tidal volumes and the low pressure alarm is activated.

1. Change the vent
2. Change to AC mode
3. Increase the Vt
4. Decrease the alarm

A. Change the vent

59 year old male w/ history of poor dental hygiene now has dark brown, smelly, purulent secretions.

1. TB
2. Abscess
3. CF
4. Bronchiectasis

B. Abscess

A patient w/ persistent RLL atelectasis following aggressive PD and PEP.

1. Chest wall oscillator
2. IS
3. Neb
4. Bronchodilator

Pt. on O2/CO2 TC has erythema at the site.

1. DC
2. Continue
3. Decrease Temp
4. Increase site change f

24 yo receiving IPPB at PIP of 20. Has 3.5L VC

1. Change to breathing exercises
2. Add neb
3. Inc. PIP to 25
4. Albuterol MDI

A pt on BiPAP via mask has eye irritation.

1. DC
2. Reposition mask
3. Decrease IPAP
4. Intubate

Patient on a vent with decreased urine output. Decrease PIP to?

1. Increase CI
2. Inc. Serum osmolarity
3. Inc. CVP
4. Inc. PCWP

Patient receiving IPPB, can’t get to set pressure. Patient cannot seal lips.

1. Change to mask
2. Nose clips
3. Decrease flow
4. Decrease PIP

80 kg patient started on weaning protocol. On PS-20, Vt=200, RR=28

1. Increase PS
2. DC protocol
3. Continue protocol
4. Decrease pain meds

Pt. on simple O2 mask w/ upper airway tumor s/p surgery who is tachypenic, tachycardic, and agitated.

1. Change to aerosol mask
2. Heliox
3. Non-rebreather
4. 100% O2

B. Heliox

Obese pt. with OSA on IPAP=14 and EPAP=6. SpO2=86%

1. Decrease IPAP
2. Increase EPAP
3. Add O2
4. Change rise to 10%

An ARDS patient w/ 7.0 ETT and a cuff pressure of 42 to seal.

1. Minimum leak
2. Increase tube size
3. Record
4. Decrease cuff pressure

The action that is most correlated with smoking cessation at 4 pk/day is?

1. Lose weight
2. Motivation
3. Rehab
4. Neb

Pressure control ventilation. (Graph w/return to baseline at end of inspiration). Best way to increase tidal volume?

1. Decrease ITime
2. Decrease ETime
3. Increase pause
4. Increase pressure

Initial Hz rate for HFO?

1. 1-2
2. 3-5
3. 10-15
4. 20-30

6 ft,79 kg ARDS patient: VC-14, IPL=25, FiO2=90, PEEP=10. 7.46, 36, 65

1. Increase PEEP
2. Increase Vt
3. Increase FiO2
4. Increase RR

How to facilitate suctioning in a conscious patient?

1. ETT
2. Oropharyngeal airway
3. LMA
4. Nasal airway

During an oral intubation what can an RT do to assist the MD in visualizing the cords?

1. ?
2. ?
3. ?
4. ?

Vent waveform where the expiratory flow does not reach baseline. How to confirm Auto-PEEP?

1. Insp. Pause
2. Exp. Pause
3. Insp. Pressure
4. Exp. Pressure

22 yo asthmatic gets BD. Inc. BS, Inc. HR 10%, Inc pitch to wheezing, Inc. PEF 15%.

1. DC BD tx
2. Continue BD tx
3. Add saline
4. Add cromolyn

Titrate PEEP:
  8=SpO2 of 88%, CO=5.5L
10=SpO2 of 92%, CO=5.4L

1. ??

PFT test. VC repeated 4 times. 4.5, 4.42, 4.48, 4.41

1. Submaximal
2. Bad signal
3. Accept
4. Does not meet standards

Ventilator pt with increased deadspace. Minute ventilation is stable. Expect increase in?

1. PaO2
2. PaCO2
3. Vt
4. Minute ventilation

TC monitor exhibits sudden increase in PO2 and drop in PCO2?

1. Air leak
2. L-R shunt
3. Overheated
4. Pneumothorax

A. Air leak

Pt w/ bronchiectasis received PD for 24 hr without improvement in secretion mobilization. Add?

1. IS
2. Mucomyst
3. P&V
4. NPPV

ARDS pt PEEP increased from 10-15. CI drops, minimal increase in SpO2.

1. Vasopressor
2. Drop FiO2 to 90
3. Drop PEEP to 10
4. Inc RR to 18

ABG on room air:
7.50, 30, 125 (Pb=735)

1. Document
2. Re-test sample
3. Add deadspace
4. Flush analyzer

What is the benefit of teaching purse-lipped breathing in COPD?

1. Bronchial hygiene
2. Decrease obstruction
3. Decrease SOB
4. Decrease FiO2 need

Passover humidifier with a cloudy chamber.

1. OK
2. Change water
3. Change chamber
4. Change vent.