Jones & Bartlett Learning (JBL) Module 2 Practice Exam 2026 - Free JBL Practice Questions and Study Guide

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While providing CPAP to a patient in severe respiratory distress, you note that his heart rate has increased by 20 beats/min and he is no longer following verbal commands. What should you do?

Remove the CPAP device and ventilate him with a bag-valve mask.

When a patient on noninvasive ventilation deteriorates and can no longer protect their airway, you must discontinue the CPAP and secure ventilation with a bag-valve mask. The key here is airway protection: altered mental status and loss of command-following indicate a compromised airway and a risk of apnea or aspiration, so continuing CPAP, which does not guarantee airway protection, is unsafe. Switching to bag-valve mask ventilation allows you to provide controlled breaths, assess chest rise, and ensure adequate ventilation while you prepare for a definitive airway if needed. Decreasing or increasing CPAP wouldn’t address the airway protection issue, and a nonrebreathing mask can’t deliver breaths.

Decrease the amount of pressure that the CPAP device is delivering.

Increase the amount of pressure that the CPAP device is delivering.

Remove the CPAP device and apply oxygen by nonrebreathing mask.