A patient on mechanical ventilation shows an increase in PIP from 20 to 40 cmH₂O while static compliance remains relatively unchanged. Which of the following is most likely to be the cause?

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Question 1 of 5

A patient on mechanical ventilation shows an increase in PIP from 20 to 40 cmH₂O while static compliance remains relatively unchanged. Which of the following is most likely to be the cause?

Correct Answer: B

Rationale: Increased PIP with unchanged static compliance suggests increased airway resistance (e.g., bronchospasm or mucus), as compliance reflects lung stiffness, not airflow obstruction.

Question 2 of 5

What changes are consistent with a COPD exacerbation?

Correct Answer: A

Rationale: Increased mucus production is a hallmark of COPD exacerbation, while domed diaphragms (chronic) and vesicular sounds (normal) are not specific to exacerbations.

Question 3 of 5

Pulse pressure is considered the:

Correct Answer: D

Rationale: Pulse pressure is the difference between systolic and diastolic pressures, reflecting arterial stiffness and stroke volume.

Question 4 of 5

Which of the following strategies would be best to open a newborns airway to provide bag mask ventilation?

Correct Answer: D

Rationale: A small roll under the shoulders aligns the newborn's airway (sniffing position) for effective bag-mask ventilation.

Question 5 of 5

While reading a physicians progress notes, a student notes that an assigned patient is having hypoxia. What abnormal assessments would the student expect to find?

Correct Answer: D

Rationale: Hypoxia leads to shortness of breath (dyspnea), increased heart rate (tachycardia), and bluish skin (cyanosis) due to low oxygen levels.

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