Acute NIV – Case based exam

Case-based Exam

To assess competence in acute Non-Invasive Ventilation, candidates are required to complete a summative multiple choice exam. You will have 45 minutes to answer 25 questions . The pass mark is 80%. If you do not meet the assessment criteria, don’t panic! You can resit as many times as you need.

During this exam, you will be assessed against the following learning outcomes: 

    • Assess a patient who may require acute non-invasive ventilation; blood gas results, initial presentation and contraindications for NIV.


    • Initial management of a patient requiring acute non-invasive ventilation; oxygen therapy, physiotherapy


    • Categorise a patient into three groups to guide NIV treatment; COPD/ Check wall/ bronchiectasis, neuromuscular disease, or Obesity/ obesity other overlap


    • When to refer a patient to ITU following unsuccessful attempts to normalise their pH using acute NIV

The questions are presented through case studies, and each case study might span a series of questions. See below an example of how this Case Study and Question will sit on a page.

During this exam, you will be required to make clinical decisions against the All-Wales Acute NIV guidelines. Please download a copy of these guideline on your computer or smart device, or print a copy.

All-Wales Acute NIV Guidelines

National Delivery Plan, 2019

Click ‘Start quiz’ to get started. Your time limit will start immediately and will run continuously until 0:00. If you leave the page and return, the clock will not stop.

Once you have answered all the questions, you will be taken to an exam overview page where you will find your answers marked against the correct answers.

If you do not pass every question, you will be able to resit the exam.

© Institute of Clinical Science and Technology (ICST) 2020