TMC self assessment examination A Anotherr
Study online at https://quizlet.com/_h94syx
1. A respiratory therapist is as- D. Colorimetric Capnography
sisting a physician with endo-
tracheal intubation. Which of Explanation: calormetric capnography asseses the presence
the following should be used of co2 and provides confirmation of tracheal intubation when
initially to confirm tracheal in- co2 is detected
tubation?
A. Cm marking of the endotra-
cheal tube
B. Observable condensation in
the tube
C. Pulse oximetry
D. Colorimetric capnography
2. A respiratory therapist is C. 3
asked to review a newborn's
history. The following informa- explanation: score for 1 minute is 6: acrocyanosis= 1, heart
tion is available about the first rate 70/min =1, cough= 2, weak activity = 1, RR 20 = 1
few minutes after birth: Score for 5 mins is 10: pink= 2 HR 110= 2, cough = 2 active
Appearance 1 min- acro- motion = 2 respiratory rate of 40=2
cyanosis 5 min pink
Heart rate 70/min 110/min
Reflex cough Cough
Muscle tone weak active mo-
tion
Respiratory rate 20/min.
40/min
Which of the following APGAR
scores should the therapist ex-
pect to see for this infant?
1 min / 5 min
1.
, TMC self assessment examination A Anotherr
Study online at https://quizlet.com/_h94syx
2. 5/ 8
3.
4.
A. 1
B. 2
C. 3
D. 4
3. A 58 year old female was di- B. Airway clearance therapy
agnosed with bronchiectasis
3 years ago. She reports in- Explanations:
creased cough and difficul- A. While a sputum sample may be requesting, transtrscheal
ty clearing secretions for the aspiration would be unnecessarily invasive as the patient is
past 4 weeks. A chest radi- able to produce sputum samples on her own.
ograph shows no significant B. The history, clinical presentation, and chest radiograph
changes. Which of the fol- findings suggest worsening bronchiectasis. The treatment of
lowing should the respiratory bronchiectasis includes techniques to loosen and mobilize
therapist recommend first? Viscid secretions. Postural drainage enhances sputum clear-
A. Transtracheal aspiration ance.
B. Airway clearance therapy
C. Bronchodilator therapy alone will not aid in secretion re-
C. Bronchodilator treatments
moval
D. Respiratory isolation
D. There is no indication of this patient having a communica-
ble disease. The diagnosis of bronchiectasis was established
3 years ago.
4. A 24 year old female is diag- C. Instruct the patient to use albuterol 15 mins before exer-
nosed with excercise induced cising
asthma and albuterol prn is or-
dered. A respiratory therapist Explanation: patient understanding their disease process and
should next: triggers is important part of patient education, as well as
A. Refer the patient for allergy knowing when and which medication should be taken
, TMC self assessment examination A Anotherr
Study online at https://quizlet.com/_h94syx
skin testing
B. Educate the patient on ob-
taining daily peak flow mea-
surements
C. Instruct the patient to use
albuterol 15 mins before exer-
cising
D. Suggest the patient use
pursed lip breathing while ex-
ercising
5. In which of the following cir- B. A relative humidity of 100% at 22•C
cumstances will tracheal se-
cretions tend to dry in an intu- Explanations:
bated patient? A. Water vapor pressure of 47 mmHg provides 100% humidity
A. A water vapor pressure of at body temperature
47 mm hg B. The absolute humidity at this temperature is inadequate
B. A relative humidity of 100% C. A dew point of 37•C indicates the gas is completely satu-
at 22•C rated at that temperature
C. Dew point of 37•C D. The absolute tracheal humidity must be greater than or
D. An absolute humidity of 44 equal to 30mg/L
mg/L
6. Prior to suctioning the endo- B. Hyperoxygenate the patient
tracheal tube of an adult pa-
tient who is receiving ventila- Explanation:
tion with an FiO2 of .4 a respi- A. Lubricating the catheter is not necessary unless nasotra-
ratory therapist should first cheal suctioning will be performed
A. Lubricate the catheter B. The FiO2 should be increased prior to each suctioning
B. Hyperoxygenate the pa- attempt to minimize hypoxemia
tient C. Sterile suction catheters do not need to be cleansed prior
C. Cleanse the catheter with to use
, TMC self assessment examination A Anotherr
Study online at https://quizlet.com/_h94syx
water D. Administration of the same FiO2 without positive pressure
D. Administer an FiO2 of .4 by will compromise the patients oxygenation and ventilation
t-piece
7. A 25-year-old patient with ap- A. Set inspiratory pressure
nea is receiving PC ventilation.
ABG analysis results are as fol-
EXPLANATIONS:
lows:
A. In PC ventilation, increasing the inspiratory pressure will
pH 7.20
result in an increased tidal volume and minute ventilation,
PCO2 65 mm Hg
potentially causing a decrease in the PCO2.
PO2 70 mm Hg
HCO3- 25 mEq/L B. Increasing expiratory time will decrease tidal volume and
BE -4 mEq/L minute ventilation, potentially causing an increase in PCO2
SO2 (calc) 94% and a further decrease in pH.
A respiratory therapist should C. Increasing sensitivity will not increase ventilation in this
recommend increasing the patient.
A. set inspiratory pressure. D. Peak flow cannot be set in PC ventilation.
B. expiratory time.
C. sensitivity.
D. peak flow.
8. A 68-year-old patient who is D. Chest radiograph
post-CABG was extubated 4
hours ago and complains of in-
creasing shortness of breath.
EXPLANATIONS:
Breath sounds are decreased
over the right lung field. The A. While spirometry may be performed prior to surgery to
following data are available determine the presence of pulmonary abnormalities, it will
while the patient receives 4-L not provide useful diagnostic information this soon following
Study online at https://quizlet.com/_h94syx
1. A respiratory therapist is as- D. Colorimetric Capnography
sisting a physician with endo-
tracheal intubation. Which of Explanation: calormetric capnography asseses the presence
the following should be used of co2 and provides confirmation of tracheal intubation when
initially to confirm tracheal in- co2 is detected
tubation?
A. Cm marking of the endotra-
cheal tube
B. Observable condensation in
the tube
C. Pulse oximetry
D. Colorimetric capnography
2. A respiratory therapist is C. 3
asked to review a newborn's
history. The following informa- explanation: score for 1 minute is 6: acrocyanosis= 1, heart
tion is available about the first rate 70/min =1, cough= 2, weak activity = 1, RR 20 = 1
few minutes after birth: Score for 5 mins is 10: pink= 2 HR 110= 2, cough = 2 active
Appearance 1 min- acro- motion = 2 respiratory rate of 40=2
cyanosis 5 min pink
Heart rate 70/min 110/min
Reflex cough Cough
Muscle tone weak active mo-
tion
Respiratory rate 20/min.
40/min
Which of the following APGAR
scores should the therapist ex-
pect to see for this infant?
1 min / 5 min
1.
, TMC self assessment examination A Anotherr
Study online at https://quizlet.com/_h94syx
2. 5/ 8
3.
4.
A. 1
B. 2
C. 3
D. 4
3. A 58 year old female was di- B. Airway clearance therapy
agnosed with bronchiectasis
3 years ago. She reports in- Explanations:
creased cough and difficul- A. While a sputum sample may be requesting, transtrscheal
ty clearing secretions for the aspiration would be unnecessarily invasive as the patient is
past 4 weeks. A chest radi- able to produce sputum samples on her own.
ograph shows no significant B. The history, clinical presentation, and chest radiograph
changes. Which of the fol- findings suggest worsening bronchiectasis. The treatment of
lowing should the respiratory bronchiectasis includes techniques to loosen and mobilize
therapist recommend first? Viscid secretions. Postural drainage enhances sputum clear-
A. Transtracheal aspiration ance.
B. Airway clearance therapy
C. Bronchodilator therapy alone will not aid in secretion re-
C. Bronchodilator treatments
moval
D. Respiratory isolation
D. There is no indication of this patient having a communica-
ble disease. The diagnosis of bronchiectasis was established
3 years ago.
4. A 24 year old female is diag- C. Instruct the patient to use albuterol 15 mins before exer-
nosed with excercise induced cising
asthma and albuterol prn is or-
dered. A respiratory therapist Explanation: patient understanding their disease process and
should next: triggers is important part of patient education, as well as
A. Refer the patient for allergy knowing when and which medication should be taken
, TMC self assessment examination A Anotherr
Study online at https://quizlet.com/_h94syx
skin testing
B. Educate the patient on ob-
taining daily peak flow mea-
surements
C. Instruct the patient to use
albuterol 15 mins before exer-
cising
D. Suggest the patient use
pursed lip breathing while ex-
ercising
5. In which of the following cir- B. A relative humidity of 100% at 22•C
cumstances will tracheal se-
cretions tend to dry in an intu- Explanations:
bated patient? A. Water vapor pressure of 47 mmHg provides 100% humidity
A. A water vapor pressure of at body temperature
47 mm hg B. The absolute humidity at this temperature is inadequate
B. A relative humidity of 100% C. A dew point of 37•C indicates the gas is completely satu-
at 22•C rated at that temperature
C. Dew point of 37•C D. The absolute tracheal humidity must be greater than or
D. An absolute humidity of 44 equal to 30mg/L
mg/L
6. Prior to suctioning the endo- B. Hyperoxygenate the patient
tracheal tube of an adult pa-
tient who is receiving ventila- Explanation:
tion with an FiO2 of .4 a respi- A. Lubricating the catheter is not necessary unless nasotra-
ratory therapist should first cheal suctioning will be performed
A. Lubricate the catheter B. The FiO2 should be increased prior to each suctioning
B. Hyperoxygenate the pa- attempt to minimize hypoxemia
tient C. Sterile suction catheters do not need to be cleansed prior
C. Cleanse the catheter with to use
, TMC self assessment examination A Anotherr
Study online at https://quizlet.com/_h94syx
water D. Administration of the same FiO2 without positive pressure
D. Administer an FiO2 of .4 by will compromise the patients oxygenation and ventilation
t-piece
7. A 25-year-old patient with ap- A. Set inspiratory pressure
nea is receiving PC ventilation.
ABG analysis results are as fol-
EXPLANATIONS:
lows:
A. In PC ventilation, increasing the inspiratory pressure will
pH 7.20
result in an increased tidal volume and minute ventilation,
PCO2 65 mm Hg
potentially causing a decrease in the PCO2.
PO2 70 mm Hg
HCO3- 25 mEq/L B. Increasing expiratory time will decrease tidal volume and
BE -4 mEq/L minute ventilation, potentially causing an increase in PCO2
SO2 (calc) 94% and a further decrease in pH.
A respiratory therapist should C. Increasing sensitivity will not increase ventilation in this
recommend increasing the patient.
A. set inspiratory pressure. D. Peak flow cannot be set in PC ventilation.
B. expiratory time.
C. sensitivity.
D. peak flow.
8. A 68-year-old patient who is D. Chest radiograph
post-CABG was extubated 4
hours ago and complains of in-
creasing shortness of breath.
EXPLANATIONS:
Breath sounds are decreased
over the right lung field. The A. While spirometry may be performed prior to surgery to
following data are available determine the presence of pulmonary abnormalities, it will
while the patient receives 4-L not provide useful diagnostic information this soon following
