1. A. / 66-year-
old. / patient. / with. / tuberculosis. / treated. / with. / antibiotics. / is. / no. / longer./considere
d./contagious./and./is./ready./for./discharge./from./the./hospital../During./his. / hospital
ization,. / he. / received. / IPPB. / therapy. / using. / a. / Bird. / Mark. / VII. / ventilator../What. / w
ould. / be. / the. / most. / appropriate. / method. / of. / sterilizing. / the. / Bird. / Mark. / VII?
A. Steam./autoclave
B. Ethylene./oxide
C. Alkaline./glutaraldehyde
D. Pasteurization:. / B../ Ethylene./ oxide
If./submerged./for./a./long./enough./period,./alkaline./glutaraldehyde./could./sterilize../Ethylene./oxide./is./a./gas./and./although./ex
pensive,./would./not./harm./internal./components.
2. The./ ICU./ director. / wishes. / to. / implement. / a. / protocol. / to. / reduce. / the. / risk./ of. / ventila-
tor-
associated./pneumonia./(VAP)./for./patients./requiring./mechanical./ventilation../The./re
spiratory./therapist./should./recommend./that./the./protocol./include
A. placing. / the. / patient. / in. / the. / prone. / position.
B. changing./the./ventilator./circuit./each./day.
C. utilizing./ a./ closed-suction./ catheter./ system.
D. intubating. / the. / patient. / with. / a. / Carlens. / tube.:. / C../utilizing./a./closed-suction./catheter./system.
3. A. / 75-year-
old. / patient. / with. / COPD. / receives. / oxygen. / at. / home. / by. / nasal. / cannula./with./a./bu
bble./humidifier../How./should./the./respiratory./therapist./instruct./the./patient./to./
clean./his./humidifier?
A. Place. / it. / on. / the. / top. / shelf. / of. / the. / dishwasher.
B. Soak. / it. / in. / a. / white. / vinegar. / solution. / for. / 20. / minutes. / and. / rinse. / with. / water.
C. Rinse. / it. / with. / distilled. / water. / and. / allow. / to. / air. / dry.
D. Soak. / it. / in. / an. / alkaline. / glutaraldehyde. / solution. / for. / 30. / minutes. / and. / rinse. /
with./water.:./B../Soak./it./in./a./white./vinegar./solution./for./20./minutes./and./rinse./with./water.
4. In. / order. / to. / monitor. / compliance. / of. / hospital. / employees. / in. / a. / smoking. / ce
ssa-tion./program,./the./respiratory./therapist./should./monitor./the./employees':
A. PaO2.
,B. FECO.
C. PETCO2.
D. FENO.:./B../FECO.
, <3%./in./non-smokers
>12%./is./usual./in./smokers
FeNO./assesses./inflammation./in./airway./and./ettectiveness./of./corticosteroids
5. Routes. / of. / transmission. / of. / infections. / include.
/Airborne ./Contact./Respiratory
A. No./No./Yes
B. No./Yes./No
C. Yes./No./No
D. Yes./Yes./Yes.
/A.
B.
C.
D.:./D.
6. During. / a. / 6. / Minute. / Walk. / Test,. / the. / patient. / should. / be. / instructed. / to:
A. rest. / for. / six. / minutes. / every. / half. / hour.
B. record. / the. / distance. / he. / traveled. / in. / six. / minutes.
C. count. / how. / many. / steps. / he. / took. / in. / six. / minutes.
D. measure./his./heart./rate./every./six./minutes.:./B../record./the./distance./he./traveled./in./six./minutes.
7. A./patient./complains./of./shortness./of./breath./while./receiving./oxygen./via./tran
stracheal. / catheter.. / Her. / pulse. / oximeter. / reading. / has. / decreased. / from. / 92%./to.
/85%../The./respiratory ./therapist ./should ./first
A. increase. / the. / flow. / to. / the. / catheter.
B. remove. / the. / catheter. / and. / flush. / it. / with. / saline.
C. administer. / metaproterenol. / via. / small. / volume. / nebulizer.
D. replace./the./transtracheal./catheter./with./a./nasal./cannula.:./D../replace./the./transtracheal./
catheter./with./a./nasal./cannula.
8. The./pulmonologist./orders./portable./oxygen./therapy./at./home./for./a./patient./b
eing./discharged./from./the./hospital../The./patient./has./been./instructed./to./use./the. / ox
ygen. / at. / 1-
2. / L/min. / during. / the. / day. / and. / PRN. / at. / night.. / Which. / of. / the. / following./should./t
old. / patient. / with. / tuberculosis. / treated. / with. / antibiotics. / is. / no. / longer./considere
d./contagious./and./is./ready./for./discharge./from./the./hospital../During./his. / hospital
ization,. / he. / received. / IPPB. / therapy. / using. / a. / Bird. / Mark. / VII. / ventilator../What. / w
ould. / be. / the. / most. / appropriate. / method. / of. / sterilizing. / the. / Bird. / Mark. / VII?
A. Steam./autoclave
B. Ethylene./oxide
C. Alkaline./glutaraldehyde
D. Pasteurization:. / B../ Ethylene./ oxide
If./submerged./for./a./long./enough./period,./alkaline./glutaraldehyde./could./sterilize../Ethylene./oxide./is./a./gas./and./although./ex
pensive,./would./not./harm./internal./components.
2. The./ ICU./ director. / wishes. / to. / implement. / a. / protocol. / to. / reduce. / the. / risk./ of. / ventila-
tor-
associated./pneumonia./(VAP)./for./patients./requiring./mechanical./ventilation../The./re
spiratory./therapist./should./recommend./that./the./protocol./include
A. placing. / the. / patient. / in. / the. / prone. / position.
B. changing./the./ventilator./circuit./each./day.
C. utilizing./ a./ closed-suction./ catheter./ system.
D. intubating. / the. / patient. / with. / a. / Carlens. / tube.:. / C../utilizing./a./closed-suction./catheter./system.
3. A. / 75-year-
old. / patient. / with. / COPD. / receives. / oxygen. / at. / home. / by. / nasal. / cannula./with./a./bu
bble./humidifier../How./should./the./respiratory./therapist./instruct./the./patient./to./
clean./his./humidifier?
A. Place. / it. / on. / the. / top. / shelf. / of. / the. / dishwasher.
B. Soak. / it. / in. / a. / white. / vinegar. / solution. / for. / 20. / minutes. / and. / rinse. / with. / water.
C. Rinse. / it. / with. / distilled. / water. / and. / allow. / to. / air. / dry.
D. Soak. / it. / in. / an. / alkaline. / glutaraldehyde. / solution. / for. / 30. / minutes. / and. / rinse. /
with./water.:./B../Soak./it./in./a./white./vinegar./solution./for./20./minutes./and./rinse./with./water.
4. In. / order. / to. / monitor. / compliance. / of. / hospital. / employees. / in. / a. / smoking. / ce
ssa-tion./program,./the./respiratory./therapist./should./monitor./the./employees':
A. PaO2.
,B. FECO.
C. PETCO2.
D. FENO.:./B../FECO.
, <3%./in./non-smokers
>12%./is./usual./in./smokers
FeNO./assesses./inflammation./in./airway./and./ettectiveness./of./corticosteroids
5. Routes. / of. / transmission. / of. / infections. / include.
/Airborne ./Contact./Respiratory
A. No./No./Yes
B. No./Yes./No
C. Yes./No./No
D. Yes./Yes./Yes.
/A.
B.
C.
D.:./D.
6. During. / a. / 6. / Minute. / Walk. / Test,. / the. / patient. / should. / be. / instructed. / to:
A. rest. / for. / six. / minutes. / every. / half. / hour.
B. record. / the. / distance. / he. / traveled. / in. / six. / minutes.
C. count. / how. / many. / steps. / he. / took. / in. / six. / minutes.
D. measure./his./heart./rate./every./six./minutes.:./B../record./the./distance./he./traveled./in./six./minutes.
7. A./patient./complains./of./shortness./of./breath./while./receiving./oxygen./via./tran
stracheal. / catheter.. / Her. / pulse. / oximeter. / reading. / has. / decreased. / from. / 92%./to.
/85%../The./respiratory ./therapist ./should ./first
A. increase. / the. / flow. / to. / the. / catheter.
B. remove. / the. / catheter. / and. / flush. / it. / with. / saline.
C. administer. / metaproterenol. / via. / small. / volume. / nebulizer.
D. replace./the./transtracheal./catheter./with./a./nasal./cannula.:./D../replace./the./transtracheal./
catheter./with./a./nasal./cannula.
8. The./pulmonologist./orders./portable./oxygen./therapy./at./home./for./a./patient./b
eing./discharged./from./the./hospital../The./patient./has./been./instructed./to./use./the. / ox
ygen. / at. / 1-
2. / L/min. / during. / the. / day. / and. / PRN. / at. / night.. / Which. / of. / the. / following./should./t
