Question 1

High-frequency ventilation improves pulmonary air leaks by:

Options :

A : Decreasing the pressure differential between the airway and the intrapleural space

B : Decreasing minute ventilation

C : Increasing the mean airway pressure

D : Increasing the pressure differential between the airway and the intrapleural space

Answer: A

Question 2

What is the best method to ensure parents of a child with a new tracheostomy are adequately prepared for home care?

Options :

A : Provide the parents a video to watch and include them in ADL care

B : Demonstrate tracheostomy care daily and address the parent’s concerns and questions thoroughly

C : Give the parents written instructions and answer their questions

D : Use the parents' preferred method of learning and evaluate as they perform care

Answer: D

Question 3

Which of the following is contraindicated when caring for a child with asthma who is intubated and receiving mechanical ventilation?

Options :

A : Turning and repositioning

B : Endotracheal suctioning

C : Chest physiotherapy

D : Inhaled steroids

Answer: C

Question 4

A 3-year-old near-drowning child who is intubated and mechanically ventilated exhibits increased peak inspiratory pressures and decreased O# saturation. Stat chest x-ray reveals diffuse pulmonary infiltrates. No improvement is exhibited after an increase in FiO#. The nurse should suspect:

Options :

A : Respiratory distress syndrome (RDS)

B : ET tube displacement

C : Aspiration pneumonitis

D : Pneumothorax

Answer: A

Question 5

A 14-year-old post-MVC receives massive transfusion. Later, the abdomen is rigid. Which finding suggests abdominal compartment syndrome?

Options :

A : Decreased PIP

B : Oliguria

C : Decreased RA pressure

D : Polyuria

Answer: B

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