Mechanical Ventilation Solutions, Exams of Nursing

Comprehensive solutions to various questions related to mechanical ventilation, including types of ventilators, ventilation modes, pressure and volume calculations, and contraindications for noninvasive ventilation. It is a valuable resource for respiratory therapists, medical students, and anyone interested in understanding mechanical ventilation.

Typology: Exams

2023/2024

Available from 06/23/2024

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Mechanical Ventilation Exam with
complete solutions
Which type of ventilator mimics the normal mechanism of ventilation? - ANSWER: โœ”โœ”negative pressure
ventilation
The control panel where the respiratory therapist makes adjustments to the ventilator is also known as
the - ANSWER: โœ”โœ”user interface
The gas conducting tubes that carry gas from the ventilator to the patient are referred to as the -
ANSWER: โœ”โœ”patient circuit
Pneumatic ventilators are powered by - ANSWER: โœ”โœ”a 50 psi gas source
A ventilator system that simply delivers a set volume but cannot measure or change the volume actually
delivered to the patient is called a(n) _______________ system - ANSWER: โœ”โœ”open loop
A patient who is paralyzed from the neck down is likely to have which breath sequence during
mechanical ventilation? - ANSWER: โœ”โœ”CMV
In the equation Pmus+Pvent = (E x V) + (R x V) + Auto - PEEP, what does Pmus represent? - ANSWER:
โœ”โœ”The pressure from the muscles to expand the thoracic cage and lungs
The equation Pmus + Pvent = (E + V) + (R x V) + Auto - PEEP is known as - ANSWER: โœ”โœ”Equation of
motion
A respiratory therapist has chosen a mode of ventilation where mandatory breaths are delivered at a set
rate, and the spontaneous breaths are pressure-supported. This mode of ventilation is called - ANSWER:
โœ”โœ”Synchronized Intermittent Mandatory Ventilation (SIMV)
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Mechanical Ventilation Exam with

complete solutions

Which type of ventilator mimics the normal mechanism of ventilation? - ANSWER: โœ”โœ” negative pressure ventilation The control panel where the respiratory therapist makes adjustments to the ventilator is also known as the - ANSWER: โœ”โœ” user interface The gas conducting tubes that carry gas from the ventilator to the patient are referred to as the - ANSWER: โœ”โœ” patient circuit Pneumatic ventilators are powered by - ANSWER: โœ”โœ” a 50 psi gas source A ventilator system that simply delivers a set volume but cannot measure or change the volume actually delivered to the patient is called a(n) _______________ system - ANSWER: โœ”โœ” open loop A patient who is paralyzed from the neck down is likely to have which breath sequence during mechanical ventilation? - ANSWER: โœ”โœ” CMV In the equation Pmus+Pvent = (E x V) + (R x V) + Auto - PEEP, what does Pmus represent? - ANSWER: โœ”โœ” The pressure from the muscles to expand the thoracic cage and lungs The equation Pmus + Pvent = (E + V) + (R x V) + Auto - PEEP is known as - ANSWER: โœ”โœ” Equation of motion A respiratory therapist has chosen a mode of ventilation where mandatory breaths are delivered at a set rate, and the spontaneous breaths are pressure-supported. This mode of ventilation is called - ANSWER: โœ”โœ” Synchronized Intermittent Mandatory Ventilation (SIMV)

Another term for assist/control ventilation is - ANSWER: โœ”โœ” Continuous mandatory ventilation If the respiratory therapist is using volume controlled, which of the following will change if there is a change in resistance or compliance? - ANSWER: โœ”โœ” Pressure The patient's medical team wants to maintain a constant tidal volume in the patient with acute head injury. Which of the following types of mechanical ventilation should be used? - ANSWER: โœ”โœ” Volume control ventilation When using mechanical ventilation, a tidal volume should be chosen that maintains plateau pressure (Pplat) below which level, assuming a near-normal chest compliance? - ANSWER: โœ”โœ” 30 cmH Which of the following causes auto-PEEP? - ANSWER: โœ”โœ” High minute ventilation Which of the following are contraindications for noninvasive ventilation? - ANSWER: โœ”โœ” Respiratory Arrest Facial Surgery Which of the following initial responses to noninvasive ventilation are indicative of a successful outcome for the patient? - ANSWER: โœ”โœ” A decrease in PaCO Higher baseline pH The highest pressure recorded during inspiration on the ventilator is called the - ANSWER: โœ”โœ” Peak Inspiratory Pressure (PIP) The pressure difference between the airway opening and the alveolus is the - ANSWER: โœ”โœ” transairway pressure The normal compliance of a spontaneous breathing patient is - ANSWER: โœ”โœ” 50 to 170 ml/cmH2O What is the normal airway resistance for an intubated patient? - ANSWER: โœ”โœ” 6 cmH20/(L/s)

Calculate the static compliance, when the PIP is 47 cmH20, plateau pressure is 27 cmH20, PEEP is 10 cmH20 and exhaled tidal volume is 725 ml - ANSWER: โœ”โœ” 43 ml/cmH Calculate airway resistance for a ventilator patient with the following information: PIP 20 cmH20, Plat 15 cmH20, PEEP 5 cmH20, set flow rate 50 L/min - ANSWER: โœ”โœ” 6 cmH20 L/sec The pressure required to maintain alveolar inflation is known as which of the following - ANSWER: โœ”โœ” transpulmonary pressure Which of the following will increase the expiratory time for a patient who is not triggering the ventilator in A/C VCV? - ANSWER: โœ”โœ” increase peak flow Plateau pressure may be obtained on a volume ventilator by using a(n) - ANSWER: โœ”โœ” inspiratory pause An increase in PIP without an increase in Pplateau is associated with what change? - ANSWER: โœ”โœ” increase in airway resistance If a patient has a VT of 450 mL and her RR is 15 bpm, what is her minute ventilation? - ANSWER: โœ”โœ” 6.75 L/min Which of the following choices represents the normal and critical value, respectively, for maximum inspiratory pressure (MIP) expressed in cmH20? - ANSWER: โœ”โœ” -100 to -50 and -20 to 0