NBRC exam ACCS study information. Exam
Questions With Verified Answers
In difficult intubation, when traditional intubation with laryngoscope has failed and patient is
starting to have low saturations, why is video laryngoscopy preferred over fiberoptic
bronchoscopy to intubate? - answer✔Fiberoptic bronchoscopy is an alternative method, but is
technically difficult and requires specialized equipment
Patient is on a ventilator with a chest tube in place. What is the cause of the low minute alarm
and increased peak pressures (leak)? And what is your action to look for? - answer✔This is a
bronchopleural fistula, air leak causing low minute ventilation alarm. Action is to look at water
seal chamber.
Succinocholine is contraindicated in what type of patients, what pathology? - answer✔Burn
patients (high potassium, need fluids)
How can high flow nasal cannula help with a patient having pulmonary contusion (bruised lungs)
from MVA, and atelectasis on x ray with desaturation? - answer✔HFNC can improve atelectasis
by providing CPAP (PEEP) to recruit alveoli while lungs heal, and this will increase saturation
as well.
Brain dead patients, have an increase of sugar in their blood leading to what condition? -
answer✔Polyuria, increased urination leading to the body trying to excrete sugar
Normal Troponin level, even though troponin is at .2, what does this NOT suggest? -
answer✔0.0 - 0.10 ng/mL, (less than .001 mg/ml) myocardial infaction.
Since transudate suggest an effusion from a non malignant not infected source, what is not
indicated? When is a chest tube insertion recommended for transudate? - answer✔Invasive more
aggressive options. Can just monitor patient.
If pleural effusion reaccumulates
If a recruitment maneuver works in patient, even in prone positioning or supine, what is your
next step to maintain this increased saturation of patient? - answer✔Increase PEEP level
Vital capacity normal value is 10 mg/ml, a value of 7 indicates what? - answer✔Weakness!
Place on ventilator! Intubate!
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