FCCS FCCS Respiratory Management 3

Question 1

Non-invasive positive pressure ventilation (NIPPV) is CONTRAINDICATED in which condition?

Accepted Answer

Unprotected airway with inability to protect from aspiration

Answer

Acute exacerbation of COPD

Answer

Cardiogenic pulmonary edema

Answer

Hypoxemic respiratory failure in immunocompromised patients

Question 2

What ventilator alarm setting most directly protects against accidental extubation or circuit disconnect?

Accepted Answer

Low minute ventilation alarm

Answer

High pressure alarm

Answer

High respiratory rate alarm

Answer

High FiO2 alarm

Question 3

In obstructive lung disease, which ventilator adjustment reduces auto-PEEP (air trapping)?

Accepted Answer

Decrease inspiratory time / increase expiratory time

Answer

Increase respiratory rate

Answer

Increase tidal volume

Answer

Add more PEEP

Question 4

A patient's SpO2 drops from 96% to 88% after suctioning. What is the best immediate action?

Accepted Answer

Reconnect to ventilator and increase FiO2 temporarily

Answer

Increase PEEP by 5 cmH2O

Answer

Order a chest X-ray

Answer

Administer a bronchodilator

Question 5

Which drug class is first-line for bronchospasm in a mechanically ventilated patient?

Accepted Answer

Inhaled short-acting beta-2 agonists

Answer

Corticosteroids

Answer

IV magnesium sulfate

Answer

IV theophylline

Question 6

What does an increasing PaCO2 with rising respiratory rate in a ventilated patient suggest?

Accepted Answer

Increasing dead space ventilation or worsening respiratory failure

Answer

Improving lung compliance

Answer

Metabolic alkalosis compensation

Answer

Successful weaning readiness