Question When Should Explained for Students (Easy Guide)

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Original Question

QUESTION 1 When should a chest x-ray film be exposed to produce good alveolar inflation and avoid diaphragmatic displacement of the heart Deep Expiration Deep inspiration In the middle of a inspiration In the middle of a expiration QUESTION 2 A 44-year-old male is admitted to the ICU following a motor vehicle collision. He has extensive facial and abdominal injuries. He develops dyspnea and respiratory difficulties. What is the best initial respiratory aid for this patient? Bag-mask ventilation Laryngeal mask airway (LMA) Endotracheal intubation Cricothyrotomy QUESTION 3 A 54-year-old female who is 5 foot 5 inches tall and 150 pounds has been intubated and is being placed on mechanical ventilation. What initial ventilator settings would be appropriate for this patient? Assist control: RR 16/TV 700/Peep 10/ FiO2 100% SIMV: RR 25/TV 700/Peep 10/ FiO2 100% Assist control: RR 15/TV 400/Peep 5/ FiO2 100% Assist control: RR 15/TV 600/Peep 18/ FiO2 100% QUESTION 4 A patient currently intubated in the ICU and sedated on the ventilator. You are called to the bedside because peak airway pressure is now 60 from 32, respiratory rate of 30 and a high alarm is sounding. You suction him and there is no mucus blocking his airway. What should you do? Decrease the Tidal Volume Remove the patient from the ventilator and attempt to bag him Decrease the Peep Increase the FiO2 QUESTION 5 The nurse calls you about Mr. Ray’s ventilator alarming. When you arrive at the room, you notice the peak airway pressure is 60 and rising. As the NP you know that a high peak airway pressure left untreated could lead to: More secretions Increased PCO2 levels Pneumothorax Kinked ventilatory tubing QUESTION 6 Mrs. Slick came to the ER with complaints of increased shortness of breath with a known history of COPD. You placed her on 2 liters nasal cannula for an oxygen saturation of 89%. An Abg is ordered which results as pH = 7.20, PaCO2 = 40, HCO3 = 12 PO2 =85 PaO2=95% Uncompensated Metabolic Acidosis Compensated Respiratory Alkalosis Uncompensated Respiratory Acidosis Compensated Metabolic Alkalosis QUESTION 7 When evaluating a normal chest x-ray, you would expect to see the costophrenic angles: Dull Blunted Sharp Diminished QUESTION 8 After intubating a patient for airway protection, which of the following is used to determine tidal volume settings on the ventilator? Actual body weight Body mass index Lean body mass Ideal body weight QUESTION 9 A patient was intubated for ventilatory failure. The patient was placed on a mode with a set rate and a set pressure in which tidal volume will vary with each breath. Which mode of ventilation is this? Volume control Pressure control Pressure support Bipap QUESTION 10 What is your interpretation of this abg? Ph = 7.52, PaCO2 = 48, HCO3 = 32 PO2 80 PaO2 98% Metabolic Acidosis Compensated Compensated Respiratory Alkalosis Uncompensated Metabolic Alkalosis Uncompensated Metabolic Alkalosis

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