KETTERING TMC
Exam Practice
300 Practice Qs & Ans
Exam Preparation
Main Features:
• Clinical scenarios and calculations
• Practice Questions, Images, and Answers
• Extensive collection of Review questions and answers
• Helpful for identifying knowledge gaps
• Covers high-yield concepts
• Supports structured study and final revision
1
,1. A patient with a size 8.5 mm oral endotracheal tube is transported from the ED to the
ICU. The respiratory therapist suspects that the endotracheal tube has changed
position during transport. Which of the following is the quickest way to assess the
position of the tube?
A. Chest radiograph
B. Auscultation of the chest
C. Observation of chest movement
D. Diagnostic chest percussion
C. Observation of chest movement
2. A nasopharyngeal airway is indicated for which of the following patients?
A. unconscious patient with a closed head injury
B. conscious patient with an ineffective cough
C. alert patient who is expectorating a large amount of secretions
D. uncooperative patient
B. conscious patient with an ineffective cough
3. A 43-week gestational age infant has just been delivered and is stained with
meconium. The physician has asked that the baby be intubated and suctioned
immediately. The respiratory therapist should recommend intubating the baby with
which of the following size endotracheal tubes?
A. 2.0 mm
B. 2.5 mm
C. 3.0 mm
D. 4.0 mm
C. 3.0 mm
4. An 8-month-old infant admitted to the pediatric unit is playing with marbles. The
infant suddenly develops violent coughing and is unable to cry. The respiratory
therapist administered series of back blows and chest thrusts, and the infant is now
unresponsive. The therapist should
A. continue back blow and chest thrusts.
B. initiate CPR.
C. perform a blind finger sweep.
D. prepare to intubate.
B. initiate CPR
2
,5. Which of the following is the most appropriate technique for insertion of a
nasopharyngeal airway?
A. insert the airway in the opposite direction of its shape and rotate 180 degrees
B. insert the airway in the opposite direction of its shape and rotate 90 degrees
C. insert the airway in the same direction of its shape into the airway and do not rotate
D. insert the airway in the same direction of its shape and rotate 180 degrees-
C. insert the airway in the same direction of its shape and into the airway and do not
rotate.
6. Which of the following describes the proper technique when using a stylet?
A. The distal end should be recessed at least 1 cm from the tip of the endotracheal tube
B. The distal end should be positioned at the level of the beveled end
C. The distal end should be proximal to the "Murphy's Eye"
D. The distal end should be positioned proximal to the cuff
A. The distal end should be recessed at least 1 cm from the tip of the endotracheal
tube
7. When using a flow-inflating resuscitation bag during manual ventilation of a neonate,
the FO2 received by the neonate is determined by
A. the FO2 of the gas delivered to the bag.
B. the size of the oxygen reservoir.
C. the oxygen flow rate.
D. how much the bag is compressed.
A. The F02 of the gas delivered to the bag.
3
, 8. patient being mechanically ventilated requires endotracheal suctioning. The patient
is on high levels of PEEP therapy and has periods of hypotension. The respiratory
therapist hyperoxygenates the patient before beginning the procedure. As the therapist
disconnects the patient from the ventilator circuit, the following pattern is seen on the
ECG monitor: Which of the following could be the cause of this patient's ECG pattern?
A. loss of PEEP
B. inadequate hyperoxygenation time
C. vagus nerve stimulation
D. normal response to suctioning
A. loss of PEEP
9. A patient is diagnosed with a necrotizing pulmonary fistula in the right lung. The
physician has requested that the right lung be ventilated at a pressure 10 cmH2O lower
than the left lung. The respiratory therapist should recommend providing this type of
ventilation via a:
A. Transtracheal catheter device
B. Double-lumen endobronchial tube
C. Cricothyroidotomy
D. 14 gauge endotracheal catheter
B. Double-lumen endobronchial tube
10. A patient has been intubated in order to receive volume control ventilation. To
inflate the endotracheal tube cuff, the respiratory therapist should add air to the cuff
A. until no leak is heard during inspiration.
B. and then remove it until a slight leak is heard at peak inspiration.
C. to establish a pressure of 20 mmHg.
D. to establish a pressure of 40 cmH20.
C. to establish a pressure of 20 mmHg
11. A 16-year-old male patient involved in a motorcycle accident presents to the ER
with massive maxillary and nasal trauma. Which of the following devices would be
most appropriate for maintaining the patient's airway?
A. nasal endotracheal tube
4
Exam Practice
300 Practice Qs & Ans
Exam Preparation
Main Features:
• Clinical scenarios and calculations
• Practice Questions, Images, and Answers
• Extensive collection of Review questions and answers
• Helpful for identifying knowledge gaps
• Covers high-yield concepts
• Supports structured study and final revision
1
,1. A patient with a size 8.5 mm oral endotracheal tube is transported from the ED to the
ICU. The respiratory therapist suspects that the endotracheal tube has changed
position during transport. Which of the following is the quickest way to assess the
position of the tube?
A. Chest radiograph
B. Auscultation of the chest
C. Observation of chest movement
D. Diagnostic chest percussion
C. Observation of chest movement
2. A nasopharyngeal airway is indicated for which of the following patients?
A. unconscious patient with a closed head injury
B. conscious patient with an ineffective cough
C. alert patient who is expectorating a large amount of secretions
D. uncooperative patient
B. conscious patient with an ineffective cough
3. A 43-week gestational age infant has just been delivered and is stained with
meconium. The physician has asked that the baby be intubated and suctioned
immediately. The respiratory therapist should recommend intubating the baby with
which of the following size endotracheal tubes?
A. 2.0 mm
B. 2.5 mm
C. 3.0 mm
D. 4.0 mm
C. 3.0 mm
4. An 8-month-old infant admitted to the pediatric unit is playing with marbles. The
infant suddenly develops violent coughing and is unable to cry. The respiratory
therapist administered series of back blows and chest thrusts, and the infant is now
unresponsive. The therapist should
A. continue back blow and chest thrusts.
B. initiate CPR.
C. perform a blind finger sweep.
D. prepare to intubate.
B. initiate CPR
2
,5. Which of the following is the most appropriate technique for insertion of a
nasopharyngeal airway?
A. insert the airway in the opposite direction of its shape and rotate 180 degrees
B. insert the airway in the opposite direction of its shape and rotate 90 degrees
C. insert the airway in the same direction of its shape into the airway and do not rotate
D. insert the airway in the same direction of its shape and rotate 180 degrees-
C. insert the airway in the same direction of its shape and into the airway and do not
rotate.
6. Which of the following describes the proper technique when using a stylet?
A. The distal end should be recessed at least 1 cm from the tip of the endotracheal tube
B. The distal end should be positioned at the level of the beveled end
C. The distal end should be proximal to the "Murphy's Eye"
D. The distal end should be positioned proximal to the cuff
A. The distal end should be recessed at least 1 cm from the tip of the endotracheal
tube
7. When using a flow-inflating resuscitation bag during manual ventilation of a neonate,
the FO2 received by the neonate is determined by
A. the FO2 of the gas delivered to the bag.
B. the size of the oxygen reservoir.
C. the oxygen flow rate.
D. how much the bag is compressed.
A. The F02 of the gas delivered to the bag.
3
, 8. patient being mechanically ventilated requires endotracheal suctioning. The patient
is on high levels of PEEP therapy and has periods of hypotension. The respiratory
therapist hyperoxygenates the patient before beginning the procedure. As the therapist
disconnects the patient from the ventilator circuit, the following pattern is seen on the
ECG monitor: Which of the following could be the cause of this patient's ECG pattern?
A. loss of PEEP
B. inadequate hyperoxygenation time
C. vagus nerve stimulation
D. normal response to suctioning
A. loss of PEEP
9. A patient is diagnosed with a necrotizing pulmonary fistula in the right lung. The
physician has requested that the right lung be ventilated at a pressure 10 cmH2O lower
than the left lung. The respiratory therapist should recommend providing this type of
ventilation via a:
A. Transtracheal catheter device
B. Double-lumen endobronchial tube
C. Cricothyroidotomy
D. 14 gauge endotracheal catheter
B. Double-lumen endobronchial tube
10. A patient has been intubated in order to receive volume control ventilation. To
inflate the endotracheal tube cuff, the respiratory therapist should add air to the cuff
A. until no leak is heard during inspiration.
B. and then remove it until a slight leak is heard at peak inspiration.
C. to establish a pressure of 20 mmHg.
D. to establish a pressure of 40 cmH20.
C. to establish a pressure of 20 mmHg
11. A 16-year-old male patient involved in a motorcycle accident presents to the ER
with massive maxillary and nasal trauma. Which of the following devices would be
most appropriate for maintaining the patient's airway?
A. nasal endotracheal tube
4
