Kettering TMC - Practice Exam A
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1. 1. A 48 year-old female is admitted to the ED with C.
diaphoresis, jugular venous distension, and 3+ pitting
edema in the ankles. These findings are consistent
with
A. liver failure.
B. pulmonary embolism.
C. heart failure.
D. electrolyte imbalances.
2. 2. A patient is admitted to the ED following a motor C.
vehicle accident. On physical exam, the respiratory
therapist discovers that breath sounds are absent in
the left chest with a hyperresonant percussion note.
The trachea is shifted to the right. The patient's heart
rate is 45/min, respiratory rate is 30/min, and blood
pressure is 60/40 mm Hg. What action should the
therapist recommend first?
A. Call for a STAT chest x-ray.
B. Insert a chest tube into the left chest.
C. Needle aspirate the 2nd left intercostal space.
D. Activate the medical emergency team to intubate
the patient.
3. 3. All of the following strategies are likely to decrease C.
the likelihood of damage to the tracheal mucosa EX-
CEPT
A. maintaining cuff pressures between 20 and 25 mm
Hg.
B. using the minimal leak technique for inflation.
, Kettering TMC - Practice Exam A
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C. using a low-residual-volume, low-compliance cuff.
D. monitoring intracuff pressures.
4. 4. A 52 year-old post-operative cholecystectomy pa- D.
tient's breath sounds become more coarse upon com-
pletion of postural drainage with percussion. The res-
piratory therapist should recommend
A. continuing the therapy until breath sounds im-
prove.
B. administering dornase alpha.
C. administering albuterol therapy.
D. deep breathing and coughing to clear secretions.
5. 5. A 65 kg spinal cord injured patient has developed B.
atelectasis. His inspiratory capacity is 30% of his pre-
dicted value. What bronchial hygiene therapy would
be most appropriate initially?
A. IS / SMI
B. IPPB with normal saline
C. postural drainage and percussion
D. PEP therapy
6. 6. A healthy adult female can exhale what portion of C.
her forced vital capacity in the first second?
A. 50%
B. 60%
C. 70%
D. 80%
7. A.
, Kettering TMC - Practice Exam A
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7. A patient on VC ventilation has demonstrated
auto-PEEP on ventilator graphics. Which of the fol-
lowing controls, when adjusted independently, would
increase expiratory time?
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity
A. 1, 2, and 3 only
B. 1, 2, and 4 only
C. 1, 3, and 4 only
D. 2, 3, and 4 only
8. 8. Which of the following would be the most appropri- D.
ate therapy for a dyspneic patient who has crepitus
with tracheal deviation to the left and absent breath
sounds on the right?
A. Perform chest physiotherapy
B. Administer an IPPB treatment
C. Insert an endotracheal tube
D. Insert a chest tube
9. 9. A 55 year-old post cardiac surgery patient has the C.
following ABG results: pH 7.50, PaCO2 30 torr, PaO2
62 torr, HCO3 25 mEq/L, SaO2 92%, HB 14 g/dL, BE +2.
Venous blood gas results are pH 7.39, PvCO2 43 torr,
PvO2 37 torr, and SvO2 66%. Calculate the patient's
C(a-v)O2.
A. 2.5 vol%
, Kettering TMC - Practice Exam A
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B. 4.0 vol%
C. 5.0 vol%
D. 5.5 vol%
10. 10. A patient on VC, SIMV with a VT of 500 mL has a PIP D.
of 25 cm H2O, Pplat of 15 cm H2O and PEEP of 5 cm
H2O. What is the patient's static lung compliance?
A. 25 mL/cm H2O
B. 35 mL/cm H2O
C. 45 mL/cm H2O
D. 50 mL/cm H2O
11. 11. Immediately after extubation of a patient in the D.
ICU, the respiratory therapist observes increasing
respiratory distress with intercostal retractions and
marked stridor. The SpO2 on 40% oxygen is noted to
be 86%. Which of the following would be most appro-
priate at this time?
A. cool mist aerosol treatment
B. aerosolized racemic epinephrine
C. manual ventilation with resuscitation bag and
mask
D. reintubation
12. 12. Which of the following patients would most likely B.
benefit from pressure support ventilation?
A. An intubated patient with an absent respiratory
drive.
B. A patient on SIMV with a set rate of 12/min and total
rate of 24/min.
C. A patient with acute lung injury.
Study online at https://quizlet.com/_h2ylcn
1. 1. A 48 year-old female is admitted to the ED with C.
diaphoresis, jugular venous distension, and 3+ pitting
edema in the ankles. These findings are consistent
with
A. liver failure.
B. pulmonary embolism.
C. heart failure.
D. electrolyte imbalances.
2. 2. A patient is admitted to the ED following a motor C.
vehicle accident. On physical exam, the respiratory
therapist discovers that breath sounds are absent in
the left chest with a hyperresonant percussion note.
The trachea is shifted to the right. The patient's heart
rate is 45/min, respiratory rate is 30/min, and blood
pressure is 60/40 mm Hg. What action should the
therapist recommend first?
A. Call for a STAT chest x-ray.
B. Insert a chest tube into the left chest.
C. Needle aspirate the 2nd left intercostal space.
D. Activate the medical emergency team to intubate
the patient.
3. 3. All of the following strategies are likely to decrease C.
the likelihood of damage to the tracheal mucosa EX-
CEPT
A. maintaining cuff pressures between 20 and 25 mm
Hg.
B. using the minimal leak technique for inflation.
, Kettering TMC - Practice Exam A
Study online at https://quizlet.com/_h2ylcn
C. using a low-residual-volume, low-compliance cuff.
D. monitoring intracuff pressures.
4. 4. A 52 year-old post-operative cholecystectomy pa- D.
tient's breath sounds become more coarse upon com-
pletion of postural drainage with percussion. The res-
piratory therapist should recommend
A. continuing the therapy until breath sounds im-
prove.
B. administering dornase alpha.
C. administering albuterol therapy.
D. deep breathing and coughing to clear secretions.
5. 5. A 65 kg spinal cord injured patient has developed B.
atelectasis. His inspiratory capacity is 30% of his pre-
dicted value. What bronchial hygiene therapy would
be most appropriate initially?
A. IS / SMI
B. IPPB with normal saline
C. postural drainage and percussion
D. PEP therapy
6. 6. A healthy adult female can exhale what portion of C.
her forced vital capacity in the first second?
A. 50%
B. 60%
C. 70%
D. 80%
7. A.
, Kettering TMC - Practice Exam A
Study online at https://quizlet.com/_h2ylcn
7. A patient on VC ventilation has demonstrated
auto-PEEP on ventilator graphics. Which of the fol-
lowing controls, when adjusted independently, would
increase expiratory time?
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity
A. 1, 2, and 3 only
B. 1, 2, and 4 only
C. 1, 3, and 4 only
D. 2, 3, and 4 only
8. 8. Which of the following would be the most appropri- D.
ate therapy for a dyspneic patient who has crepitus
with tracheal deviation to the left and absent breath
sounds on the right?
A. Perform chest physiotherapy
B. Administer an IPPB treatment
C. Insert an endotracheal tube
D. Insert a chest tube
9. 9. A 55 year-old post cardiac surgery patient has the C.
following ABG results: pH 7.50, PaCO2 30 torr, PaO2
62 torr, HCO3 25 mEq/L, SaO2 92%, HB 14 g/dL, BE +2.
Venous blood gas results are pH 7.39, PvCO2 43 torr,
PvO2 37 torr, and SvO2 66%. Calculate the patient's
C(a-v)O2.
A. 2.5 vol%
, Kettering TMC - Practice Exam A
Study online at https://quizlet.com/_h2ylcn
B. 4.0 vol%
C. 5.0 vol%
D. 5.5 vol%
10. 10. A patient on VC, SIMV with a VT of 500 mL has a PIP D.
of 25 cm H2O, Pplat of 15 cm H2O and PEEP of 5 cm
H2O. What is the patient's static lung compliance?
A. 25 mL/cm H2O
B. 35 mL/cm H2O
C. 45 mL/cm H2O
D. 50 mL/cm H2O
11. 11. Immediately after extubation of a patient in the D.
ICU, the respiratory therapist observes increasing
respiratory distress with intercostal retractions and
marked stridor. The SpO2 on 40% oxygen is noted to
be 86%. Which of the following would be most appro-
priate at this time?
A. cool mist aerosol treatment
B. aerosolized racemic epinephrine
C. manual ventilation with resuscitation bag and
mask
D. reintubation
12. 12. Which of the following patients would most likely B.
benefit from pressure support ventilation?
A. An intubated patient with an absent respiratory
drive.
B. A patient on SIMV with a set rate of 12/min and total
rate of 24/min.
C. A patient with acute lung injury.
