RCP 210 midterm | UPDATED Questions with 100% Verified Answers
Question:
After repeated nasotracheal suctioning over 2 days, a patient
with retained secretions develops minor bleeding through the
nose. Which of the following actions would you recommend?
Answer:
Stop the bleeding and use a nasopharyngeal airway for access
Question:
What is the maximum recommended range for tracheal tube
cuff pressures?
Answer:
20 to 30 cm H2O
Question:
An adult patient receiving cool mist therapy after extubation
begins to develop stridor. Which of the following actions
would you recommend?
Answer:
administer a racemic epinephrine treatment
Question:
To minimize the problems associated with pharyngeal
aspiration in intubated patients, which of the following could
you recommend?
1. Position patients in prone position.
2. Use of medications for stress ulcer prophylaxis, such as
sucralfate.
3. Positioning of patients with the head of the bed elevated 30
degrees.
4. Provide continuous aspiration of subglottic secretions.
Answer:
,- use of medications for stress ulcer prophylaxis, such as sucralfate
- positioning of patients with the head of the bed elevated 30 degrees
- provide continuous aspiration of subglottic secretions
Question:
Before the suctioning of a patient, auscultation reveals coarse
breath sounds during both inspiration and expiration. After
suctioning, the coarseness disappears, but expiratory
wheezing is heard over both lung fields. What is most likely
the problem?
Answer:
the patient has hyperactive airways and has developed bronchospasm
Question:
how often should patients be suctioned?
Answer:
When physical findings support the need
Question:
What is the most common sign associated with the transient
glottic edema or vocal cord inflammation that follows
extubation?
Answer:
hoarseness
Question:
To make oral intubation easier, how should the patient's head
and neck be positioned?
Answer:
neck flexed, with head supported by towel and tilted back
Question:
An adult man on ventilatory support has just been intubated
with a 7-mm oral endotracheal tube equipped with a high-
,residual-volume, low-pressure cuff. When sealing the cuff to
achieve a minimal occluding volume, you note a cuff pressure
of 45 cm H2O. What is most likely the problem?
Answer:
The tube chosen is too small for the patient
Question:
Ideally, the distal tip of a properly positioned endotracheal
tube (in an adult man) should be positioned approximately
how far above the carina?
Answer:
3 to 6 cm
Question:
After intubation of a cardiac arrest victim, you observe a slow
but steady rise in the expired CO2 levels as measured by a
bedside capnometer. Which of the following best explains this
observation?
Answer:
return of spontaneous circulation
Question:
To prevent hypoxemia when suctioning a patient, the
respiratory care practitioner should initially do which of the
following?
Answer:
preoxygenate the patient with 100% oxygen
Question:
Serious complications of oral intubation include which of the
following?1. Cardiac arrest
2. Acute hypoxemia
3. Bradycardia
, 4. Tongue lacerations
Answer:
- cardiac arrest
- acute hypoxemia
- bradycardia
Question:
A patient with a tracheal airway exhibits signs of tube
obstruction. Which of the following are possible causes of this
obstruction?1. The tube cuff has herniated over the tip of the
tube.
2. The tube is obstructed by a mucus plug or secretions.
3. The tube is kinked, or the patient is biting the tube.
4. The tube orifice is impinging on the tracheal wall.
Answer:
- the tube cuff has herniated over the tip of the tube
- the tube is obstructed by a mucus plug or secretions
- the tube is kinked, or the patient is biting the tube
- the tube orifice is impinging on the tracheal wall
Question:
What is the primary indication for tracheostomy?
Answer:
when a patient has a long-term need for an artificial airway
Question:
Soon after endotracheal tube extubation, an adult patient
exhibits a high-pitched inspiratory noise, heard without a
stethoscope. Which of the following actions would you
recommend?
Answer:
STAT racemic epinephrine aerosol treatment
Question:
After repeated nasotracheal suctioning over 2 days, a patient
with retained secretions develops minor bleeding through the
nose. Which of the following actions would you recommend?
Answer:
Stop the bleeding and use a nasopharyngeal airway for access
Question:
What is the maximum recommended range for tracheal tube
cuff pressures?
Answer:
20 to 30 cm H2O
Question:
An adult patient receiving cool mist therapy after extubation
begins to develop stridor. Which of the following actions
would you recommend?
Answer:
administer a racemic epinephrine treatment
Question:
To minimize the problems associated with pharyngeal
aspiration in intubated patients, which of the following could
you recommend?
1. Position patients in prone position.
2. Use of medications for stress ulcer prophylaxis, such as
sucralfate.
3. Positioning of patients with the head of the bed elevated 30
degrees.
4. Provide continuous aspiration of subglottic secretions.
Answer:
,- use of medications for stress ulcer prophylaxis, such as sucralfate
- positioning of patients with the head of the bed elevated 30 degrees
- provide continuous aspiration of subglottic secretions
Question:
Before the suctioning of a patient, auscultation reveals coarse
breath sounds during both inspiration and expiration. After
suctioning, the coarseness disappears, but expiratory
wheezing is heard over both lung fields. What is most likely
the problem?
Answer:
the patient has hyperactive airways and has developed bronchospasm
Question:
how often should patients be suctioned?
Answer:
When physical findings support the need
Question:
What is the most common sign associated with the transient
glottic edema or vocal cord inflammation that follows
extubation?
Answer:
hoarseness
Question:
To make oral intubation easier, how should the patient's head
and neck be positioned?
Answer:
neck flexed, with head supported by towel and tilted back
Question:
An adult man on ventilatory support has just been intubated
with a 7-mm oral endotracheal tube equipped with a high-
,residual-volume, low-pressure cuff. When sealing the cuff to
achieve a minimal occluding volume, you note a cuff pressure
of 45 cm H2O. What is most likely the problem?
Answer:
The tube chosen is too small for the patient
Question:
Ideally, the distal tip of a properly positioned endotracheal
tube (in an adult man) should be positioned approximately
how far above the carina?
Answer:
3 to 6 cm
Question:
After intubation of a cardiac arrest victim, you observe a slow
but steady rise in the expired CO2 levels as measured by a
bedside capnometer. Which of the following best explains this
observation?
Answer:
return of spontaneous circulation
Question:
To prevent hypoxemia when suctioning a patient, the
respiratory care practitioner should initially do which of the
following?
Answer:
preoxygenate the patient with 100% oxygen
Question:
Serious complications of oral intubation include which of the
following?1. Cardiac arrest
2. Acute hypoxemia
3. Bradycardia
, 4. Tongue lacerations
Answer:
- cardiac arrest
- acute hypoxemia
- bradycardia
Question:
A patient with a tracheal airway exhibits signs of tube
obstruction. Which of the following are possible causes of this
obstruction?1. The tube cuff has herniated over the tip of the
tube.
2. The tube is obstructed by a mucus plug or secretions.
3. The tube is kinked, or the patient is biting the tube.
4. The tube orifice is impinging on the tracheal wall.
Answer:
- the tube cuff has herniated over the tip of the tube
- the tube is obstructed by a mucus plug or secretions
- the tube is kinked, or the patient is biting the tube
- the tube orifice is impinging on the tracheal wall
Question:
What is the primary indication for tracheostomy?
Answer:
when a patient has a long-term need for an artificial airway
Question:
Soon after endotracheal tube extubation, an adult patient
exhibits a high-pitched inspiratory noise, heard without a
stethoscope. Which of the following actions would you
recommend?
Answer:
STAT racemic epinephrine aerosol treatment
