VAP Quiz

Ver 12.04.25

Questions for VAP:

Select the best answer for the following questions:

  1. The mortality rate associated with VAPis approximately36,000 deaths per year.
  2. True
  3. False
  4. What is the estimated cost of VAP to the health care system per episode?
  5. $5000
  6. $15,000
  7. $23,000
  8. $32,000
  9. What percentage of ventilated patients develop VAP?
  10. 5%-10%
  11. 10%-20%
  12. 15%-25%
  13. 25% - 35%
  14. Which of the following are risk factors for acquiring VAP?
  15. Prolonged mechanical ventilation
  16. Suctioning using by a closed suctioning technique
  17. Recent hospitalization within last 45 days
  18. All of the above
  19. What kind of infection is VAP?
  20. Airway
  21. Internal
  22. Skin
  23. Yeast
  24. To reduce the risk of VAP, the head of the bed (HOB) should be placed at
  25. 5-10 degrees
  26. 10-15 degrees
  27. 20-25 degrees
  28. =30 degrees
  29. Which of the following is not a contraindication for the appropriate elevation of patient head of bed?
  30. Hypotension
  31. Lowerback Injury
  32. Open abdomen
  33. Intubation
  34. The Head of Bed elevation can be replaced with ReverseTrendelenburgposition?
  35. True
  36. False
  37. Which of the following interventions helps lower pulmonary aspiration of gastric contents?
  38. Head of Bed Elevation
  39. Subglottic Suctioning
  40. Oral Care with CHG
  41. Spontaneous Awakening and Breathing Trials
  42. a and b
  43. a and d
  1. What kind of endotrachel suctioning system should be used for patient expected to be mechanically ventilated?
  2. Standard
  3. Circular
  4. Open
  5. Closed
  1. How often should Oral Care with CHG be performed?
  2. Q2
  3. Q4
  4. Q6
  5. Q12
  6. How often should Oral Care alone be performed?
  7. Q2
  8. Q4
  9. Q6
  10. Q12
  11. a or b
  12. How often shouldthe ventilation circuitry be changed?
  13. Daily
  14. Weekly
  15. Only if damaged or soiled
  16. B and C
  17. How often should you change the HME?
  18. Daily
  19. Every 5-7 Days
  20. Clinically Indicated
  21. B and C
  22. How often should you attempt Spontaneous Awakening and Breathing Trial?
  23. Daily
  24. Weekly
  25. Monthly
  26. Never
  1. Which of the following safety criteria arenot contraindications for attempting the Spontaneous Awakening and Breathing Trials?
  2. Patient receives sedative infusion for active seizures or alcohol withdrawal
  3. Patient receiving escalating doses of sedative for agitation
  4. Patient receiving neuromuscular blockers
  5. Patient receiving antihistamine blockers
  1. What is the benefit of performing Spontaneous Awakening Trial & Spontaneous Breathing Trial?
  2. Reduces the number of days patients are on mechanical ventilation.
  3. Reduces the microbiological burden.
  4. Decreased the need for suctioning.
  5. None of the above.
  6. What is the benefit of performing Oral Care?
  7. Reduces microbiological burden.
  8. A good practicing of hygiene.
  9. Decreasing theneed for suctioning.
  10. Decrease gastric content aspiration.
  11. Sedation vacation and weaningprotocol can be performed with the use Spontaneous Awaking and Spontaneous Breathing Trials?
  12. True
  13. False
  14. During a Spontaneous Breathing Trial ventilator support is removed?
  15. True
  16. False
  17. What kind of endotrachealtubes are recommended for the prevention of VAP?
  18. Silver‐coated endotracheal tubes.
  19. Antiseptic‐impregnated endotrachealtubes.
  20. Cuffed endotracheal tube with in line dorsal lumen.
  21. All
  22. Which of the following policies should be used to help prevent colonization of the aerodigestivetract?
  23. A policy to encourage the use of orotracheal intubation over nasotracheal whenever orotracheal intubation is not contraindicated.
  24. A policy to encourage the use of open ETT suctioning systems, and remove closed systems from supplies.
  25. A policy touse selective digestive decontamination.
  26. A policy to promote the use of prophylactic systemic antimicrobials.

Answers

  1. A
  2. C
  3. C
  4. A
  5. A
  6. D
  7. D
  8. B
  9. E
  10. D
  11. D
  12. E
  13. C
  14. D
  15. A
  16. D
  17. A
  18. A
  19. A
  20. A
  21. C
  22. A

CSTS –Appendix N: Quiz Questions for VAP

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