Assessment for Ventilator Training – Nurses

assessment

“You are requested to attend all the Questionnaires in the two tabs”

Assessment Questionnaire 1
Assessment Questionnaire 2 - Case Study I

292

Created on February 02, 2022

Post Assessment Questionnaire of Nurses

Multiple choice questions.
Every question carries one marks.
No negative marking is there.

The number of attempts remaining is 2

1 / 20

What is the difference between a CPAP and BiPAP?

1. CPAP has EPAP and IPAP and BIPAP Constant Peep

2. CPAP is essentially a constant PEEP .BiPAP is CPAP plus pressure support

3. CPAP is invasive mode and BIPAP is non invasive mode

4. CPAP IS to be used in sedated patients and BIPAP in awake patients

2 / 20

One of the following mode of ventilation is used for comatose patients not responding to deep painful stimuli

1. Synchronous intermittent mandatory ventilation

2. Assist control mode

3. Pressure control mode

4. Controlled Mandatory ventilation

3 / 20

Why is CPAP contraindicated in the patient who is not spontaneously breathing?

1. There is a patient triggered set breath rate

2. There is no mandatory breath rate

3. There is no inspiratory pause

4. It does not have specific inspiratory and expiratory pressure

4 / 20

The low tidal volume alarm on a patient ventilator keeps sounding what is the Nurse’s first action?

1. Adjust minute ventilation

2. Check Oxygen connection

3. Manually ventilator the client

4. Check the ventilator Connections

5 / 20

The patient is on CPAP for weaning from a mechanical ventilator. Assessment reveals respiratory rate of 36/min, oxygen saturation of 87 percentage, and use of accessory muscles, what should the nurse anticipate will occur?

1. weaning will continue

2. Patient will be placed back on full ventilator support

3. Respiratory rate will be increased

4. The patient will be extubated

6 / 20

IPC protocol (entry & exit protocol) for COVID are

1. Emergency surgery

2. Essential elective surgery/screening

3. PPE

4. All of the above

7 / 20

One of the following models of ventilation reduces the work of breathing by overcoming the resistance created by ventilator tubing.

1. Synchronous intermitted mandatory ventilation

2. Assist control mode

3. Pressure support mode

4. Controlled mandatory ventilation

8 / 20

One of the following is risk of keeping high PEEP.

1. Hypotension

2. Hypothermia

3. Hypertension

4. Hyperthermia

9 / 20

What parameter gives us best idea of Endotracheal intubation?

1. Respiratory Rate

2. VTE(expired tidal volume)

3. END TIDAL Co2

4. VTI(inspired tidal volume)

10 / 20

Which of the following should be done assess to respiratory status after extubation

1. ABG

2. Monitor end Tidal Co2

3. Serum electrolyte

4. Bronchoscopy

11 / 20

Which of the following Condition require a higher PEEP to be applied in collapsed alveoli?

1. Emphysema

2. Asthma

3. Bronchiectasis

4. Acute Respiratory Distress Syndrome

12 / 20

The supportive management for the COVID are….

1. Close monitoring

2. Oxygen therapy

3. All of the above

4. Fluid management

13 / 20

CPAP & BiPAP mode are usually used.

1. All of the above

2. In Conjunction with bronchodilators and steroids

3. To delay Intubation

4. As a weaning protocol

14 / 20

Which are the ventilator parameters adjusted to maintain the optimum oxygenation?

1. Flow trigger and peak flow

2. Tidal volume and respiratory rate

3. Fio2 and PEEP

4. Inspiratory ramp and peak flow

15 / 20

The mode of ventilation which allows the patient to breathe spontaneously at his or her own respiratory rate and depth between the ventilator breaths int.

1. Synchronous intermittent mandatory ventilation

2. Pressure control mode

3. Controlled mandatory ventilation

4. Assist control mode

16 / 20

When using the T-Piece tube trails to wean, which of the following is true?

1. The patient has the benefit of the ventilator alarms while on T-piece

2. The T-piece gives a positive pressure “boost” to decrease the work of breathing

3. The number of ventilator breaths is gradually decreased

4. The patient alternates time on the ventilator with time breathing spontaneously

17 / 20

An artificial airways like an endotracheal tube is used in following type of ventilation .

1. Positive pressure

2. Negative Pressure

3. Both A and B

4. None of the above

18 / 20

Which one of the following modes of ventilation is triggered by time limited by pressure and affects inspiration only?

1. Pressure support mode

2. Controlled mandatory ventilation

3. Synchronous intermitted mandatory ventilation

4. Assist control mode

19 / 20

What is the ventilator associated phenomena (VAP)?

1. Infections may occur is germs enter through the tube and get into the patient’s lung who is on ventilator through mouth, nose or through a hole in front of the neck.

2. Infection that occurs when tubes are blocked.

3. Patient came with Pneumonia requiring ventilator

4. Infection in the mouth of patient on ventilator

20 / 20

Which one of the following is not a principle aim of CPAP and BiPAP?

1. Prevent worsening respiratory failure

2. Prevent respiratory distress

3. Allieviate patient’s discomfort

4. Prevent tachycardia

Your score is

284

Created on February 02, 2022

Case Study -1 Nurses

A 65 year old male, chronic smoker presents to the emergency department with increased breathlessness, high grade fever, drowsiness since 2 days. On examination he has blood saturation of 78%,

BP- 80/60mmHg, RR 36/min, RS- breath sounds reduced bilaterally. Arterial blood gases were performed in this patient which showed the following parameters

pH-7.199

pCO2 - 78.8 mmHg

pO2 - 48 mmHg

HCO3 - 23 mmol/L

SPO2 - 80%

The number of attempts remaining is 2

1 / 4

You see the peak inspiratory pressures are 70 cm of H2O, all could be the reason EXCEPT

1. Bronchospasm

2. Increased secretions

3. Pneumothorax

4. Normal compliance

5. Biting down on ventilation tubing

2 / 4

What will be the initial line of management?

1. Administer oxygen via non-rebreather mask

2. Administer continuous bronchodilator therapy

3. Administer continuous bronchodilator therapy

4. Intubate and mechanically ventilate

3 / 4

Which of the following parameter can cause a hindrance while weaning the above patient?

1. patient able to elicit cough reflex

2. Fio2 requirement 30%

3. No requirement of ionotropes

4. Spontaneous RR>35/min

4 / 4

What is the initial mode of ventilation in this patient?

1. Volume Assist Control

2. T piece

3. SIMV

4. CPAP

Your score is