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CSE 1 QUESTIONS AND ANSWERS
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CSE 1 QUESTIONS AND ANSWERS
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CSE 1 QUESTIONS AND ANSWERS1. various oxygen administration devices
2. intubation equipment
3. suction equipment
4. chest tube placement equipment
5. Bag-valve device with various sizes of mask
6. medications for pain and agitation
7. fluids for vascular support
8. Venous and arterial line equipment
9. cardiac monitor and defibrillator - Answers-clinical simulation 1
A respiratory therapist assigned to the ED is asked to assist in the evaluation of a 24
year old male victim of a motorcycle accident who will be arriving in 5 minutes. Which of
the following should be available for the arrival of this patient?
1. Vital signs (TPR) and blood pressure
2. general appearance
3. breath sounds
4. chest inspection
5. SpO2
6. skin color
7. ECG via cardiac monitor
8. pupillary response - Answers-When the patient arrives at the ED, he is awake, but
agitated. He has a cervical collar on and is moving all extremities while breathing room
air. During the initial evaluation of this patient, which of the following should be
assessed?
oxygen via nonrebreathing mask at 12L/min - Answers-Which of the following should be
recommended?
,Arterial blood gas analysis
12-lead ECG
Chest x-ray
CBC
Chemistry and toxicology
Electrolytes - Answers-The ED physician requests recommendations of diagnostic
studies and laboratory data that would help to further assess the patients condition.
Which of the following should be evaluated?
Endotracheal intubation and manual ventilation - Answers-Which of the following should
be recommended to the ED physician?
Continue manual ventilation and begin chest compressions - Answers-clinical simulation
2
An evening shift respiratory therapist on call for labor and delivery (L&D) receives a
page to report immediately to the L&D to assist in the management of an infant female
who was delivered limp and cyanotic. The infant is manually ventilated via mask and
resuscitator bag. There are no efforts at spontaneous respirations and the heart rate is
approximately 50 breaths/min. The infant is 36 weeks gestation and weighs 2622
grams. Which of the following should be recommended?
3.0-mm internal diameter; uncuffed endotracheal tube - Answers-One minute later, the
infant remains unresponsive and with minimal improvement in color. The physician now
requests assistance in performing endotracheal intubation. Which of the following
endotracheal tubes should be selected for this infant?
Heart rate
Spontaneous respirations
Chest excursion
Breath sounds - Answers-The infant is intubated and manual ventilation is resumed.
Which of the following should now be assessed?
Reposition the endotracheal tube - Answers-Which of the following should be
recommended?
Stop chest compression; continue to manually ventilate; transfer the infant to the NICU -
Answers-Five minutes later, the infants color has significantly improved. The heart rate
, is now 136/minute. No detectable spontaneous respirations are observed. Which of the
following should be recommended?
VC- SIMV; FIO2 0.40, PS 10 cmH2O; mandatory rate 14; Tidal volume 575mL; PEEP 5
cmH20
OR
VC-AC; FIO2 0.40; mandatory rate 14; tidal volume 575 mL; PEEP 5 cmH2O - Answers-
clinical simulation 3
A respiratory therapist assigned to the cardiac intensive care unit (CICU) will be
managing the ventilator care of a coronary artery bypass (CABG) patient who will be
admitted to the unit after surgery.
When the patient arrives in the unit, the anesthesiologist states that the patients PaO2
normalizes with an FIO2 of 0.40. The patient is 178 cm (5ft, 10 in) tall and weighs 83 kg
(183lbs). Which of the following initial ventilator settings should be recommended?
ECG via cardiac monitor
General appearance
Ventilator settings
Ventilator alarms
Breath Sounds
SpO2
Vital signs (TPR) and blood pressure - Answers-Which of the following should be
assessed immediately after connecting the patient to the ventilator?
Maintain the present ventilator settings - Answers-Thirty minutes later, arterial blood
gases are obtained and the results are pH 7.39, PaCO2 43 mmHg, HCO3 26 mEq/L,
PaO2 96 mmHg, and SaO2 97%. Which of the following should be recommended?
stop suctioning and continue to closely observe - Answers-One hour later, the patient
requires suctioning. While suctioning the patient with an FIO2 of 1.0 and via a closed
suction system, the following ECG rhythm is noted on the patients cardiac monitor.
Which of the following should be recommended?
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