Acute Respiratory Failure And ARDS N180 Stokke

17 Questions | Total Attempts: 857

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Respiratory Quizzes & Trivia

Acute respiratory failure when it occurs can be either hypoxemic or hypersonic. As we just covered acute respiratory failure in class today there will be a text in some time. The quiz below is designed to check what we have covered and help you note areas to polish up on. Give it a try and all the best!


Questions and Answers
  • 1. 
    Acute Respiratory Failure can be defined as _____________________________.
    • A. 

      Sudden life-threatening deterioration of gas exchange in the lungs

    • B. 

      Non-cardiac pulmonary edema with increasing hypoxemia despite treatment with O2

    • C. 

      Sudden life-threatening pulmonary edema that causes a deterioration of gas exchange despite treatment with O2

  • 2. 
    Which of the following is NOT a type of ARF?
    • A. 

      Ventilatory failure

    • B. 

      Atelectasis

    • C. 

      Oxygenation failure

    • D. 

      None of the above

  • 3. 
    In ventilatory failure, all of the following are true EXCEPT:
    • A. 

      Perfusion is normal, but ventilation is inadequate

    • B. 

      Air morvement in/out of the lungs is the problem

    • C. 

      Less oxygen in the alveoli

    • D. 

      Low CO2 levels in blood

    • E. 

      None of the above

    • F. 

      All of the above

  • 4. 
    All of the following are possible causes of Ventilatory failure EXCEPT:
    • A. 

      Pulmonary embolism

    • B. 

      Pneumo/hemothorax

    • C. 

      Kyphoscoliosis

    • D. 

      Damage to the respiratory control center in the brain

    • E. 

      Decreased function of respiratory muscles

    • F. 

      None of the above

  • 5. 
    All of the following are true of oxygenation failure ARF EXCEPT:
    • A. 

      Movement of air is adequate

    • B. 

      It can be caused by a PE

    • C. 

      Perfusion is inadequate

    • D. 

      None of the above

  • 6. 
    CHECK ALL THAT APPLY: Which of the following are EARLY signs and symptoms of ARF?
    • A. 

      Confusion

    • B. 

      Lethargy

    • C. 

      Dyspnea

    • D. 

      Anxiety

    • E. 

      Diaphoresis

    • F. 

      Accessory muscle use

    • G. 

      Restlessness

    • H. 

      Tachycardia

    • I. 

      Decreased breath sounds

    • J. 

      Elevated BP

    • K. 

      Cyanosis

    • L. 

      Respiratory arrest/failure

  • 7. 
    CHECK ALL THAT APPLY: Which of the following are ADVANCED signs and symptoms of ARF?
    • A. 

      Confusion

    • B. 

      Lethargy

    • C. 

      Dyspnea

    • D. 

      Anxiety

    • E. 

      Diaphoresis

    • F. 

      Accessory muscle use

    • G. 

      Restlessness

    • H. 

      Tachycardia

    • I. 

      Decreased breath sounds

    • J. 

      Elevated BP

    • K. 

      Cyanosis

    • L. 

      Respiratory arrest/failure

  • 8. 
    Acute Respiratory Distress Syndrome (ARDS) can be defined as _____________________________.
    • A. 

      Sudden life-threatening deterioration of gas exchange in the lungs

    • B. 

      Non-cardiac pulmonary edema with increasing hypoxemia despite treatment with O2

    • C. 

      Sudden life-threatening pulmonary edema that causes a deterioration of gas exchange despite treatment with O2

  • 9. 
    CHECK ALL THAT APPLY: Which of the following are the 5 characteristics of ARDS?
    • A. 

      Dyspnea

    • B. 

      Myasthenia Gravis

    • C. 

      Refractory hypoxemia

    • D. 

      Cyanosis

    • E. 

      Dense pulmonary infiltrates on CXR

    • F. 

      Decreased pulmonary compliance

    • G. 

      Non-cardiac pulmonary edema

    • H. 

      Chest pain

  • 10. 
    During the Acute Exudate Phase of ARDS, ____________________ .
    • A. 

      Fluids shift into the alveoli, the alveoli and bronchii collapse, and lose lung compliance

    • B. 

      The lung starts to repair itself; this is where the patient starts to get better or the condition deteriorates.

    • C. 

      Fibrous tissue forms and lungs don't expand well; the effort to breathe increases O2 demand which causes more effort to breathe.

  • 11. 
    During the Proliferative Phase of ARDS, ____________________ .
    • A. 

      Fluids shift into the alveoli, the alveoli and bronchii collapse, and lose lung compliance

    • B. 

      The lung starts to repair itself; this is where the patient starts to get better or the condition deteriorates.

    • C. 

      Fibrous tissue forms and lungs don't expand well; the effort to breathe increases O2 demand which causes more effort to breathe.

  • 12. 
    During the Fibrotic Phase of ARDS, ____________________ .
    • A. 

      Fluids shift into the alveoli, the alveoli and bronchii collapse, and lose lung compliance

    • B. 

      The lung starts to repair itself; this is where the patient starts to get better or the condition deteriorates.

    • C. 

      Fibrous tissue forms and lungs don't expand well; the effort to breathe increases O2 demand which causes more effort to breathe.

  • 13. 
    CHECK ALL THAT APPLY: Which of the following are early s/sx of ARDS?
    • A. 

      Retractions - not always (tissues between ribs and above sternum pull in)

    • B. 

      Dyspneic

    • C. 

      Non-productive cough

    • D. 

      Accessory muscle used

    • E. 

      Pallor or cyanosis

    • F. 

      Significant CXR changes; pulmonary infiltrates

    • G. 

      Restlessness

    • H. 

      CXR clear

    • I. 

      Respiratory alkalosis

    • J. 

      Respiratory acidosis

  • 14. 
    CHECK ALL THAT APPLY: Which of the following are advanced s/sx of ARDS?
    • A. 

      Retractions - though not always (tissues between ribs and above sternum pull in)

    • B. 

      Dyspneic

    • C. 

      Non-productive cough

    • D. 

      Accessory muscle used

    • E. 

      Pallor or cyanosis

    • F. 

      Significant CXR changes; pulmonary infiltrates

    • G. 

      Restlessness

    • H. 

      CXR clear

    • I. 

      Respiratory alkalosis

    • J. 

      Respiratory acidosis

  • 15. 
    CHECK ALL THAT APPLY: Which of the following are appropriate management interventions for ARDS?
    • A. 

      O2 therapy

    • B. 

      Maintain IV volume and IV access

    • C. 

      Ambulation

    • D. 

      Treat cause

    • E. 

      Conserve energy

    • F. 

      ABGs

    • G. 

      Monitor vitals

    • H. 

      Glucocorticoids

    • I. 

      Antibiotics

    • J. 

      Pulse Ox

    • K. 

      Turn regularly

  • 16. 
    Which of the following describes the condition when partial pressure of oxygen in the blood keeps decreasing despite treatment?
    • A. 

      Treatment-resistant hypoxemia

    • B. 

      Refractory hypoxemia

    • C. 

      Refractory Hemo-deoxygenation

  • 17. 
    True or False: Management of ARDS are usually only supportive, there is little we can do to reverse the process.
    • A. 

      True

    • B. 

      False