KETTERING TMC FINALS CORRECT QUESTIONS
AND ANSWERS SURE A+
✔✔A 72-year-old male patient who is 5' 10" tall and weighs 75 kg (165 lb) is receiving
mechanical ventilation. The respiratory therapist notes diminished breath sounds in the
bases of both lungs. The patient is on the following ventilator settings:
Mode VC, A/C
VT 600 mL
Set rate 10 br/min
PEEP 10 cm H2O
FIO2 0.50
Arterial blood gases show:
pH 7.42
PaO2 82 torr
PaCO2 38 torr
SaO2 97%
Based on this information, the respiratory therapist should
A. maintain the current settings.
B. increase the set rate to 12 br/min.
C. decrease the tidal volume to 500 mL.
D. increase the sigh volume to 1.0 L. - ✔✔A. Maintain the current settings
✔✔A patient in the intensive care unit has the following hemodynamic measurements:
CVP: 12 mm Hg
PAP: 48/16 mm Hg
PCWP: 15 mm Hg
MAP: 105 mm Hg
,Cardiac Output: 8.0 L/min.
Cardiac Index: 4.7 L/min/m2
Which of the following should the respiratory therapist recommend?
A. Oxygen
B. Dopamine
C. Lidocaine
D. Furosemide - ✔✔D. Furosemide
✔✔The following pulmonary function data was reported for a 45 year old pre-op patient:
TLC: 5.4L RV: 1.0L
IRV: 2.6L VC: 4.2L
ERV: 1.0L VT: 0.6L
FRC: 2.0L IC: 3.2L
Which of the above capacities is incorrect?
A. TLC
B. VC
C. FRC
D. IC - ✔✔A. TLC
✔✔A 16-year-old patient involved in a motorcycle accident has been admitted to the
emergency department. The paramedic indicates that the patient was not wearing a
helmet. To assess the patient's neurologic status the respiratory therapist would assess
the patient's
A. vital capacity.
B. pupillary response.
C. herring bruer reflex .
D. moro reflexes. - ✔✔B. pupillary response.
✔✔The peak inspiratory pressure on a pressure-cycled ventilator is 30 cm H2O. The
respiratory therapist decreases the inspiratory flow. This change would affect the
A. rate.
B. PEEP.
C. expiratory time.
D. I:E ratio. - ✔✔D. I:E ratio.
✔✔A patient recently underwent a coronary artery bypass and is now receiving
Incentive Spirometry QID. The patient's inspiratory capacity has diminished over the
past several days and the patient is becoming increasingly short of breath. Chest
, radiograph shows left lower lobe consolidation with air bronchograms. The respiratory
therapist would conclude that the patient has developed
A. pleural effusion.
B. atelectasis.
C. pneumothorax.
D. pneumonia. - ✔✔D. Pneumonia
✔✔A patient has a tracheostomy tube in place. The measured cuff pressure is 24 mm
Hg. Which of the following statements is true of this situation?
A. The pressure is appropriate for minimal tracheal occlusion.
B. This pressure will most likely cause arterial occlusion.
C. At this pressure, there is a significant risk of VAP.
D. The pressure will cause tracheal necrosis if maintained. - ✔✔A. The pressure is
appropriate for minimal tracheal occlusion
✔✔The respiratory therapist receives an order for postural drainage and vibration. With
the bed flat, the therapist places the patient in a prone position with pillows under his
hips. Which lung segments are being treated with this position?
A. Anterior segments of the upper lobes
B. Superior segments of the upper lobes
C. Posterior basal segments of the lower lobes
D. Superior segments of the lower lobes - ✔✔D. Superior segments of the lower lobes
✔✔A patient has been admitted to the emergency department via ambulance. The
cardiac monitor indicates sinus tachycardia. The patient is orally intubated with a size
7.5 mm ID endotracheal tube and is being manually ventilated. What other point of care
monitoring should the respiratory therapist recommend for this patient?
A. Arterial blood gas analysis
B. Transcutaneous monitoring
C. Pulse oximetry
D. Serum electrolyte analysis - ✔✔C. Pulse oximetry
✔✔A patient has 2 mediastinal chest tubes following a thoracotomy. The respiratory
therapist notes that there is continuous bubbling in the water seal chamber of the chest
drainage system. The therapist should
A. check for a leak in the system.
B. add water to the water seal chamber.
C. increase the amount of suction.
D. advance the chest tube 2 cm. - ✔✔A. Check for a leak in the system
AND ANSWERS SURE A+
✔✔A 72-year-old male patient who is 5' 10" tall and weighs 75 kg (165 lb) is receiving
mechanical ventilation. The respiratory therapist notes diminished breath sounds in the
bases of both lungs. The patient is on the following ventilator settings:
Mode VC, A/C
VT 600 mL
Set rate 10 br/min
PEEP 10 cm H2O
FIO2 0.50
Arterial blood gases show:
pH 7.42
PaO2 82 torr
PaCO2 38 torr
SaO2 97%
Based on this information, the respiratory therapist should
A. maintain the current settings.
B. increase the set rate to 12 br/min.
C. decrease the tidal volume to 500 mL.
D. increase the sigh volume to 1.0 L. - ✔✔A. Maintain the current settings
✔✔A patient in the intensive care unit has the following hemodynamic measurements:
CVP: 12 mm Hg
PAP: 48/16 mm Hg
PCWP: 15 mm Hg
MAP: 105 mm Hg
,Cardiac Output: 8.0 L/min.
Cardiac Index: 4.7 L/min/m2
Which of the following should the respiratory therapist recommend?
A. Oxygen
B. Dopamine
C. Lidocaine
D. Furosemide - ✔✔D. Furosemide
✔✔The following pulmonary function data was reported for a 45 year old pre-op patient:
TLC: 5.4L RV: 1.0L
IRV: 2.6L VC: 4.2L
ERV: 1.0L VT: 0.6L
FRC: 2.0L IC: 3.2L
Which of the above capacities is incorrect?
A. TLC
B. VC
C. FRC
D. IC - ✔✔A. TLC
✔✔A 16-year-old patient involved in a motorcycle accident has been admitted to the
emergency department. The paramedic indicates that the patient was not wearing a
helmet. To assess the patient's neurologic status the respiratory therapist would assess
the patient's
A. vital capacity.
B. pupillary response.
C. herring bruer reflex .
D. moro reflexes. - ✔✔B. pupillary response.
✔✔The peak inspiratory pressure on a pressure-cycled ventilator is 30 cm H2O. The
respiratory therapist decreases the inspiratory flow. This change would affect the
A. rate.
B. PEEP.
C. expiratory time.
D. I:E ratio. - ✔✔D. I:E ratio.
✔✔A patient recently underwent a coronary artery bypass and is now receiving
Incentive Spirometry QID. The patient's inspiratory capacity has diminished over the
past several days and the patient is becoming increasingly short of breath. Chest
, radiograph shows left lower lobe consolidation with air bronchograms. The respiratory
therapist would conclude that the patient has developed
A. pleural effusion.
B. atelectasis.
C. pneumothorax.
D. pneumonia. - ✔✔D. Pneumonia
✔✔A patient has a tracheostomy tube in place. The measured cuff pressure is 24 mm
Hg. Which of the following statements is true of this situation?
A. The pressure is appropriate for minimal tracheal occlusion.
B. This pressure will most likely cause arterial occlusion.
C. At this pressure, there is a significant risk of VAP.
D. The pressure will cause tracheal necrosis if maintained. - ✔✔A. The pressure is
appropriate for minimal tracheal occlusion
✔✔The respiratory therapist receives an order for postural drainage and vibration. With
the bed flat, the therapist places the patient in a prone position with pillows under his
hips. Which lung segments are being treated with this position?
A. Anterior segments of the upper lobes
B. Superior segments of the upper lobes
C. Posterior basal segments of the lower lobes
D. Superior segments of the lower lobes - ✔✔D. Superior segments of the lower lobes
✔✔A patient has been admitted to the emergency department via ambulance. The
cardiac monitor indicates sinus tachycardia. The patient is orally intubated with a size
7.5 mm ID endotracheal tube and is being manually ventilated. What other point of care
monitoring should the respiratory therapist recommend for this patient?
A. Arterial blood gas analysis
B. Transcutaneous monitoring
C. Pulse oximetry
D. Serum electrolyte analysis - ✔✔C. Pulse oximetry
✔✔A patient has 2 mediastinal chest tubes following a thoracotomy. The respiratory
therapist notes that there is continuous bubbling in the water seal chamber of the chest
drainage system. The therapist should
A. check for a leak in the system.
B. add water to the water seal chamber.
C. increase the amount of suction.
D. advance the chest tube 2 cm. - ✔✔A. Check for a leak in the system
