C&S TMC Exam 3
An RT is asked to assess a pt with history of CO2 retention & air trapping. The pt
complains that he has become increasingly SOB and is having difficulty
coughing up secretions. Upon auscultation, the therapist notes scattered coarse
crackles and an occasional expiratory wheeze. Most appropriate? - CORRECT
ANSWER-Aerosol bronchodilator with PEP therapy
28 week gestation neonate is being manually ventilated following delivery. Chest
excursion is poor despite respiratory ventilation with high peak pressures. Most
appropriate action? - CORRECT ANSWER-Intubate the patient
Following a traumatic nasal intubation, the pt begins to bleed profusely from the
nasopharynx. The RT should: - CORRECT ANSWER-Keep the NT tubes cuff
inflated and suction pharynx as needed
A pt's PaO2 measured by ABG is 255 mmHg. The analyzer on which the sample
was analyzed is calibrated to a PaO2 of 150 mmHg. Most acceptable action? -
CORRECT ANSWER-Recalibrate the analyzer to accommodate this unusual value
An adult pt is orally intubated and receiving continuous MV. While performing a
routine cuff pressure measurement, the RT observes that the cuff pressure
monometer's indicator needle continuously reads zero. No vent alarms are
activated and the pt appears to be resting. The RT should do: - CORRECT
ANSWER-Replace cuff manometer
A pt in ICU requires aggressive fluid and electrolyte replacement therapy.
Implementation of which of the following would be most appropriate to evaluate
the effectiveness of therapy? - CORRECT ANSWER-ECG monitoring
Data obtained from an orally intubated, MV adult pt are as follows:
8:00 AM 10:00AM
Mode SIMV SIMV
VT 470mL 470mL
Rate 14/min 14/min
PetCO2 36mmHg 44mmHg
PaCO2 38 mmHg 46mmHg
Spo2 92% 91%
SaO2 95% 95%
Which of the following best explains these data: - CORRECT ANSWER-Alveolar
ventilation has decreased
, An orally intubated 18 yr old male was bought to the ED by EMS. A cuff pressure
reading of 4 cmH2O was recorded at the time of initial assessment. The most
likely finding of this cuff pressure is: - CORRECT ANSWER-The pt is at high risk
for aspiration
If the airway resistance of a pt who is being MV via a volume ventilator increases,
which of the following would also increase? - CORRECT ANSWER-Peak pressure
Following abdominal surgery, a pt has developed a productive cough and a temp
of 103.3 degrees F (39.6 degrees Celcius) Auscultation of the chest reveals fine
crackles throughout the left lower lung field. These findings are consistent with: -
CORRECT ANSWER-Pneumonia
Which of the following is true regarding the 4th heart sound (S4)? - CORRECT
ANSWER-May be a sign of diastolic heart failure
Which of the following pathological conditions would cause tracheal deviation
toward the diseased side: - CORRECT ANSWER-4. Yes, Yes, Yes, No
An RT has been asked to initiate O2 therapy for a 33 year old female pt. While
reviewing the physician's orders, the therapist notes that the physician ordered
oxygen via simple mask at 3 L/m. Which of the following should the therapist do?
- CORRECT ANSWER-Clarify the order with the physician
An RT is asked to evaluate and recommend care for a 79 yr old female who has
end-stage COPD and who has just been brought to the ED by her daughter.
Which of the following should the therapist consider first before recommending
aggressive care for this pt? - CORRECT ANSWER-DNR/DNI status
An RT is asked to assess a COPD pt is in a pulmonary rehab program. During the
interview, the pt tells the therapist that he has been working with a resistive
training device for 2 weeks and that he is able to tolerate the device for 15 mins.
What should the therapist do? - CORRECT ANSWER-Insert a smaller restrictive
orifice in the device
A physician has requested that the RT instruct an outpatient who is enrolled in a
pulmonary rehab program on the proper cleaning and disinfection of his RT
equipment. The therapist should explain to the pt that the primary purpose for -
CORRECT ANSWER-Reduce the spread of infection
A home care pt receiving continuous O2 via NC has become increasingly
noncompliant in her O2 therapy and states she is concerned about appearance.
Which of the following would be most appropriate for the RT to suggest? -
CORRECT ANSWER-Transtracheal oxygen catheter
An RT is asked to assess a pt with history of CO2 retention & air trapping. The pt
complains that he has become increasingly SOB and is having difficulty
coughing up secretions. Upon auscultation, the therapist notes scattered coarse
crackles and an occasional expiratory wheeze. Most appropriate? - CORRECT
ANSWER-Aerosol bronchodilator with PEP therapy
28 week gestation neonate is being manually ventilated following delivery. Chest
excursion is poor despite respiratory ventilation with high peak pressures. Most
appropriate action? - CORRECT ANSWER-Intubate the patient
Following a traumatic nasal intubation, the pt begins to bleed profusely from the
nasopharynx. The RT should: - CORRECT ANSWER-Keep the NT tubes cuff
inflated and suction pharynx as needed
A pt's PaO2 measured by ABG is 255 mmHg. The analyzer on which the sample
was analyzed is calibrated to a PaO2 of 150 mmHg. Most acceptable action? -
CORRECT ANSWER-Recalibrate the analyzer to accommodate this unusual value
An adult pt is orally intubated and receiving continuous MV. While performing a
routine cuff pressure measurement, the RT observes that the cuff pressure
monometer's indicator needle continuously reads zero. No vent alarms are
activated and the pt appears to be resting. The RT should do: - CORRECT
ANSWER-Replace cuff manometer
A pt in ICU requires aggressive fluid and electrolyte replacement therapy.
Implementation of which of the following would be most appropriate to evaluate
the effectiveness of therapy? - CORRECT ANSWER-ECG monitoring
Data obtained from an orally intubated, MV adult pt are as follows:
8:00 AM 10:00AM
Mode SIMV SIMV
VT 470mL 470mL
Rate 14/min 14/min
PetCO2 36mmHg 44mmHg
PaCO2 38 mmHg 46mmHg
Spo2 92% 91%
SaO2 95% 95%
Which of the following best explains these data: - CORRECT ANSWER-Alveolar
ventilation has decreased
, An orally intubated 18 yr old male was bought to the ED by EMS. A cuff pressure
reading of 4 cmH2O was recorded at the time of initial assessment. The most
likely finding of this cuff pressure is: - CORRECT ANSWER-The pt is at high risk
for aspiration
If the airway resistance of a pt who is being MV via a volume ventilator increases,
which of the following would also increase? - CORRECT ANSWER-Peak pressure
Following abdominal surgery, a pt has developed a productive cough and a temp
of 103.3 degrees F (39.6 degrees Celcius) Auscultation of the chest reveals fine
crackles throughout the left lower lung field. These findings are consistent with: -
CORRECT ANSWER-Pneumonia
Which of the following is true regarding the 4th heart sound (S4)? - CORRECT
ANSWER-May be a sign of diastolic heart failure
Which of the following pathological conditions would cause tracheal deviation
toward the diseased side: - CORRECT ANSWER-4. Yes, Yes, Yes, No
An RT has been asked to initiate O2 therapy for a 33 year old female pt. While
reviewing the physician's orders, the therapist notes that the physician ordered
oxygen via simple mask at 3 L/m. Which of the following should the therapist do?
- CORRECT ANSWER-Clarify the order with the physician
An RT is asked to evaluate and recommend care for a 79 yr old female who has
end-stage COPD and who has just been brought to the ED by her daughter.
Which of the following should the therapist consider first before recommending
aggressive care for this pt? - CORRECT ANSWER-DNR/DNI status
An RT is asked to assess a COPD pt is in a pulmonary rehab program. During the
interview, the pt tells the therapist that he has been working with a resistive
training device for 2 weeks and that he is able to tolerate the device for 15 mins.
What should the therapist do? - CORRECT ANSWER-Insert a smaller restrictive
orifice in the device
A physician has requested that the RT instruct an outpatient who is enrolled in a
pulmonary rehab program on the proper cleaning and disinfection of his RT
equipment. The therapist should explain to the pt that the primary purpose for -
CORRECT ANSWER-Reduce the spread of infection
A home care pt receiving continuous O2 via NC has become increasingly
noncompliant in her O2 therapy and states she is concerned about appearance.
Which of the following would be most appropriate for the RT to suggest? -
CORRECT ANSWER-Transtracheal oxygen catheter
