CCSH Exam Questions and Answers 100% Correct
Epworth Sleepiness Scale (ESS) - ANSWER-An evidenced based screening tool used in PCP care setting.
ASV - ANSWER-(Adaptive support ventilation) most effective therapy for Cheyne-
stokes respiration.
outcome measures - ANSWER-Measurement of impact of a service or intervention on health status.
A sleep navigator may want to be involved in what post-operative event? - ANSWER-
Unplanned re-intubation post operatively
Which patient would you screen for OSA based on their history? A) 75-year old male with BMI 27, chest pain, history of resistant hypertension.
B) 65-year old female, BMI 26, no witnessed apnea.
C) 38-year old male surgical patient with stop-bang of 0.
D) 15 year old female with recent tonsillectomy. - ANSWER-A) 75 year old male, BMI 27, chest pain, and history of hypertension.
Scenario 1: Hispanic female is at new patient consult. Risk factors include age, BMI>30,
diabetes. OSA is suspected. English is not first language and she is having difficulty in completing intake forms. What should sleep professional do? - ANSWER-Offer to assist
in completing the forms.
At end of visit patient is scheduling for an HST but seems distracted and is fidgeting with her crucifix, but keeps noting her head but does not seem to understand the procedure. What is your first step? - ANSWER-Ask permission to give her more information.
When doing and HST in hospital what might cause test to be inaccurate? - ANSWER-
Head of bed elevated while using O2 therapy.
The most effective therapy option for patients with restrictive disorders is? (Ex:paralyzed
diaphragm w/ O2 issues and in need of ventilator w/ volume) - ANSWER-AVAPS
Lower health literacy is found with what demographic? - ANSWER-Lower socioeconomic economic status.
Sencario 2: 20 year old white male student who lives and works on campus seems disheveled, hair uncombed, sleepy and is stressed about school and money. This is causing him to not be able to get a good night sleep. Pt is articulate and engaging. What
is the first thing the sleep professional would do? - ANSWER-Perform and initial assessment of patient.
In addition to a delayed circadian rhythm, the sleep professional knows that sleep hygiene is often a problem with students. The sleep specialist does not suspect pt has sleep disorder given pt history. What instructions should be give to improve sleep? - ANSWER-Limit light exposure in the evenings and turn off electronic devices 30 mins before bedtime.
Senario 3: 25 year old goes to bed early but complains of tossing and turning until 2 or 3
am. Ex gf states he used to snore and has trouble getting up for morning classes with grogginess first few hrs of the day. Uses 32-64 OZ of Chaffee before noon. Pt has no sleep issues on weekends. What would be the most helpful to evaluate prior to testing? - ANSWER-Sleep and temperature logs.
What evaluation is most helpful to address a pt pap therapy with on going concerns of dry mouth and daytime sleepiness? - ANSWER-Compliance report.
Sleep disturbances in children with autism have a prevalence rate of what? - ANSWER-
40-80%
Which insomnia is most difficult to treat? - ANSWER-Chronic
Technologists who work with sleep disorders pts should be aware of what? - ANSWER-
They may have more than one health condition.
Which type of insomnia lasts the shortest length of time? - ANSWER-Transient
Which condition is likely to contribute to episodes of hypo ventilation during sleep? - ANSWER-Morbid obesity
Surgery pt arrives at the hospital and has a stop-bang score of 7, history of hypertension and cardiac disease. What is the most appropriate course of action for this
patient? - ANSWER-Regional anesthesia should be considered (ex:spinal,epidural)
When analgesics are ordered for pt with OSA the nurse should be most concerned about what? - ANSWER-Opioids
What information found on an noc ox report is most useful to assess for risk of OSA? - ANSWER-Oxygen desaturation index (ODI)
Outcomes measured evaluate what? - ANSWER-The impact of care on pt quality of life.
Strategically timed bright light therapy, use of melatonin and modification of sleep schedule are useful to treat what? - ANSWER-Delayed sleep wake phase disorder.
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