PNP-AC | Pulmonary Pediatric Nurse
Practitioner - Acute Care 2024 Exam Review
Questions and Answers 100% Pass
obstructive sleep apnea (OSA) symptoms - Answer>> Daytime sleepiness
Decreased energy Decreased attention
Snoring
Diagnostic Evaluation for OSA - Answer>> Polysomnography
+/- ECG or echo
Process in Central Sleep Apnea - Answer>> Disruption of afterward or efferent signals of central respiratory center
Polysonography provides what information? - Answer>> Degree
of apnea or hypopnea episodes
Initial management strategies for OSA - Answer>> Weight management Non-obstruction ventilation
+/- tonsillectomy if hypertrophy notes
Diagnostic Criteria for ARDS - Answer>> Acute onset
Bilateral infiltrates on chest x-ray
PaO2/FiO2 ratio <200
Noncardiogenic
Difference between ARDS and ALI diagnostic criteria - Answer>> PaO2/ FiO2 of 200-300 for ALI; <200 for ARDS
Both acute onset
Both bilateral lung infiltrates on CXR
Both noncardiogenic Goal ventilator tidal volumes in management of ARDS include - Answer>> 7-8 mL/ kg
A benefit of high-frequency ventilation after trial of conventional ventilation in a patient with ARDS will allow for what? - Answer>> Limiting peak inspiration pressure by providing constant distending pressure (MAP)
The following is suspicious for what?
Skiing accident
Shortness of breath
Unilateral breath sounds
Hypotension - Answer>> Tension pneumothorax
CXR findings in tension pneumothorax include: - Answer>> Mediastinal shift to the ipsilateral side
Ipsilateral is defined as: - Answer>> Same side
What happens to intrathoracic pressure change process during tension pneumothorax? - Answer>> Remains negative, equal to
atmospheric pressure, drawing air into intrathoracic space
URI symptoms (runny nose, congestion) followed by lower respiratory symptoms (cough, increased work of breathing) and low grade fever is consistent with which diagnosis in a 16 month old? - Answer>> Bronchiolitis
Most common organism for bronchiolitis in infants? - Answer>> RSV
Common pathophysiologic changes in bronchiolitis include? - Answer>> Increased mucus production
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