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

299

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

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

1. There is a patient triggered set breath rate

2. It does not have specific inspiratory and expiratory pressure

3. There is no mandatory breath rate

4. There is no inspiratory pause

2 / 20

One of the following is risk of keeping high PEEP.

1. Hypertension

2. Hyperthermia

3. Hypotension

4. Hypothermia

3 / 20

CPAP & BiPAP mode are usually used.

1. As a weaning protocol

2. All of the above

3. In Conjunction with bronchodilators and steroids

4. To delay Intubation

4 / 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

5 / 20

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

1. Bronchiectasis

2. Emphysema

3. Acute Respiratory Distress Syndrome

4. Asthma

6 / 20

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

1. Fio2 and PEEP

2. Tidal volume and respiratory rate

3. Inspiratory ramp and peak flow

4. Flow trigger and peak flow

7 / 20

IPC protocol (entry & exit protocol) for COVID are

1. PPE

2. Emergency surgery

3. All of the above

4. Essential elective surgery/screening

8 / 20

What parameter gives us best idea of Endotracheal intubation?

1. VTE(expired tidal volume)

2. VTI(inspired tidal volume)

3. END TIDAL Co2

4. Respiratory Rate

9 / 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. Patient will be placed back on full ventilator support

2. The patient will be extubated

3. Respiratory rate will be increased

4. weaning will continue

10 / 20

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

1. Manually ventilator the client

2. Adjust minute ventilation

3. Check Oxygen connection

4. Check the ventilator Connections

11 / 20

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

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

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

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

4. The number of ventilator breaths is gradually decreased

12 / 20

What is the ventilator associated phenomena (VAP)?

1. Infection in the mouth of patient on ventilator

2. Patient came with Pneumonia requiring ventilator

3. 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.

4. Infection that occurs when tubes are blocked.

13 / 20

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

1. Bronchoscopy

2. Monitor end Tidal Co2

3. Serum electrolyte

4. ABG

14 / 20

The supportive management for the COVID are….

1. Oxygen therapy

2. Close monitoring

3. Fluid management

4. All of the above

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. Controlled mandatory ventilation

2. Pressure control mode

3. Synchronous intermittent mandatory ventilation

4. Assist control mode

16 / 20

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

1. Allieviate patient’s discomfort

2. Prevent worsening respiratory failure

3. Prevent respiratory distress

4. Prevent tachycardia

17 / 20

What is the difference between a CPAP and BiPAP?

1. CPAP has EPAP and IPAP and BIPAP Constant Peep

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

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

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

18 / 20

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

1. Pressure control mode

2. Controlled Mandatory ventilation

3. Assist control mode

4. Synchronous intermittent mandatory ventilation

19 / 20

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

1. Controlled mandatory ventilation

2. Pressure support mode

3. Assist control mode

4. Synchronous intermitted mandatory ventilation

20 / 20

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

1. Controlled mandatory ventilation

2. Pressure support mode

3. Assist control mode

4. Synchronous intermitted mandatory ventilation

Your score is

293

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

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

1. Fio2 requirement 30%

2. Spontaneous RR>35/min

3. No requirement of ionotropes

4. patient able to elicit cough reflex

2 / 4

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

1. Normal compliance

2. Increased secretions

3. Pneumothorax

4. Biting down on ventilation tubing

5. Bronchospasm

3 / 4

What is the initial mode of ventilation in this patient?

1. SIMV

2. Volume Assist Control

3. CPAP

4. T piece

4 / 4

What will be the initial line of management?

1. Administer continuous bronchodilator therapy

2. Intubate and mechanically ventilate

3. Administer continuous bronchodilator therapy

4. Administer oxygen via non-rebreather mask

Your score is