In a volume-targeted ventilator mode, what happens when the patient’s lung mechanics change?
6 Mechanical Ventilation Online Quiz Questions
Use this free practice quiz with 20 questions to review 6 Mechanical Ventilation, test your knowledge, and prepare for your next test or exam.
Which statement correctly distinguishes CPAP from bilevel noninvasive ventilation (NIV)?
- A
CPAP uses higher pressure during inspiration than expiration; bilevel NIV uses one continuous pressure.
- B
Both CPAP and bilevel NIV provide one continuous pressure.
- C
CPAP provides one continuous pressure; bilevel NIV uses higher pressure during inspiration than expiration.
- D
CPAP provides invasive support through an endotracheal tube; bilevel NIV is mask-based.
A ventilated patient’s high-pressure alarm sounds. What is the most appropriate initial response?
- A
Assess the patient, tubing, and airway for a cause such as coughing, kinking, secretions, or bronchospasm.
- B
Silence the alarm and wait to see whether it recurs.
- C
Disconnect the ventilator before checking the patient.
- D
Increase ventilator pressure until the alarm stops.
Which findings may make noninvasive ventilation unsafe or ineffective? Select all that apply.
- A
The patient cannot protect the airway.
- B
The patient’s consciousness is worsening.
- C
The patient is hemodynamically unstable.
- D
The patient cannot manage secretions.
- E
The patient is comfortable and managing secretions.
Which actions are part of assessing a patient and ventilator together? Select all that apply.
- A
Assess work of breathing, comfort, and mental status.
- B
Review delivered tidal volume, respiratory rate, and relevant waveforms.
- C
Check endotracheal-tube position and circuit connections.
- D
Rely on displayed values instead of assessing the patient.
- E
Silence alarms without investigating their cause.
True or false: Pressure support assists patient-triggered breaths without setting a mandatory rate.
- A
True
- B
False
True or false: A typical lung-protective approach bases tidal volume on predicted body weight rather than actual body weight.
- A
True
- B
False
What abbreviation names the ventilator setting that maintains pressure at the end of expiration to help keep alveoli open?
What pressure measurement, taken during an inspiratory hold in a passive patient, better reflects respiratory-system pressure when airflow has stopped?
Explain the difference between oxygenation and ventilation during mechanical support, and name the main factors that influence each.
Which waveform observation can be a clue that a patient has auto-PEEP?
- A
Inspiratory flow returns to baseline before expiration begins.
- B
Expiratory flow has not returned to baseline before the next breath.
- C
The patient’s oxygen saturation remains unchanged.
- D
Peak pressure is lower than plateau pressure.
Name one type of artificial airway through which invasive ventilation can deliver support.
A patient is receiving pressure-targeted ventilation. If airway resistance increases, which change is consistent with how this mode works?
- A
The ventilator keeps tidal volume fixed while airway pressure varies.
- B
The ventilator sets a mandatory rate and does not support patient-triggered breaths.
- C
The ventilator targets inspiratory pressure, so tidal volume can change as lung mechanics change.
- D
The ventilator provides one continuous pressure throughout inspiration and expiration.
A patient using mask-based noninvasive ventilation needs pressure support during inspiration as well as oxygenation. Which description best fits bilevel NIV?
- A
It uses higher pressure during inspiration than during expiration.
- B
It provides the same continuous pressure during inspiration and expiration.
- C
It requires an endotracheal tube to deliver positive pressure.
- D
It sets a mandatory respiratory rate without supporting spontaneous breaths.
A ventilator is set to deliver a target tidal volume. As the patient's lung mechanics change, what should be expected in a volume-targeted mode?
- A
Airway pressure is fixed, and tidal volume varies with lung mechanics.
- B
Tidal volume is targeted, and airway pressure varies with lung mechanics.
- C
Both tidal volume and airway pressure are fixed regardless of lung mechanics.
- D
The mode provides patient-triggered breaths without a target volume or pressure.
A patient is taking spontaneous breaths during a breathing trial. Which mode characteristic makes pressure support suitable for this situation?
- A
It sets a minimum rate and supports every patient-triggered breath.
- B
It targets a fixed tidal volume for every breath and sets a mandatory rate.
- C
It assists patient-triggered breaths without setting a mandatory rate.
- D
It delivers one continuous pressure regardless of whether the patient breathes.
True or false: Expiratory flow that has not returned to baseline before the next breath can be a clue to auto-PEEP.
- A
True
- B
False
A patient has a tidal volume of 0.4L and a respiratory rate of 15 breaths per minute. Using minute ventilation = VT× respiratory rate, calculate the minute ventilation. Enter your answer in L/min.
A patient becomes hypotensive after positive-pressure ventilation is increased. Increased pressure in the chest can reduce , contributing to the low blood pressure.
A patient on assist-control stops triggering breaths. The ventilator still delivers mandatory breaths because the mode provides a .