KETTERING CSE PRACTICE EXAM VERIFIED
QUESTIONS AND SOLUTIONS COMPLETE
STUDY GUIDE
◉ One hour later, an arterial blood sample is obtained and the
results are: pH 7.45, PaCO2 38 torr, PaO2 145 torr, HCO3- 26 mEq/L,
BE +2, SaO2 (calc) 99%. Based on this information, you should now
recommend
Answer: Decrease the FIO2
◉ You are the respiratory therapist working at a suburban
pulmonary clinic. You are asked to assist in the care of a 70 year-old
man who was brought to the clinic by his wife. The patient
complains of difficulty with his breathing and a persistent cough for
the past few days. He presents as conscious, alert, thin, pale,
tachypneic, and has a barrel chest. The patient is 178 cm (5' 10") tall
and weighs 60 kg (132 lb).
Answer: General appearance/ Diagnostic chest percussion/ current
medications/ vital signs/ hx of present illness/ pulse oximetry/
chest auscultation/ respiratory pattern/ past medical hx/ sputum
production/ current home therapy
◉ You report your findings to the clinic physician who asks for your
recommendation. You should recommend:
Answer: Administer oxygen by nasal cannula at 2 L/min
,◉ The physician asks what further information would be
appropriate at this time. Which of the following should you
evaluate?
Answer: ABG/ CBC/ Chest radiograph/ 12-lead ECG/ Slow vital
capacity/ serum electrolytes/ FEV2/FVC%
◉ You report your additional findings to the physician who asks for
your recommendation. You should now recommend:
Answer: Administer albuterol aerosol
◉ One hour later, SpO2 is 94% on a nasal cannula at 2 L/min and the
wheezing has diminished. You report your findings to the physician
who asks for your recommendation. You should now recommend:
Answer: arrange for home respiratory care
◉ The physician asks for your recommendation regarding home
care for the patient. Which of the following should be included in the
home care plan?
Answer: Home oxygen therapy/ inhaled beta-2 agonist/ inhaled
corticosteroids/ follow-up with primary care physician/ referral for
pulmonary rehabilitation
◉ You are the respiratory therapist assigned to the Asthma Clinic at
a 450-bed community hospital. A 22 year-old patient reports for his
, semi-annual visit and you are asked to conduct an assessment of the
patient. He is 182 cm (6' 0') tall and weighs 74 kg (163 lb).
Answer: diagnostic chest percussion/ past medical hx/ vital signs/
chest auscultation/ respiratory pattern/ sensorium/ peak flow diary
◉ What diagnostic procedures would you recommend at this time?
Answer: pre- post bronchodilator spirometry/ pulse oximetry
◉ Based on your findings, what is the most appropriate description
of his lung function?
Answer: mild obstructive lung disease, responsive to
bronchodilator/ mild obstructive lung disease, no response to
bronchodilator
◉ You provide the patient with a peak flow meter. Which of the
following are appropriate in order to identify his personal best peak
flow?
Answer: perform the procedure three times at each session/
measure peak flow in the morning and afternoon/ stand up or sit up
straight
◉ Which of the following should you include in the patient's Asthma
Action Plan?
QUESTIONS AND SOLUTIONS COMPLETE
STUDY GUIDE
◉ One hour later, an arterial blood sample is obtained and the
results are: pH 7.45, PaCO2 38 torr, PaO2 145 torr, HCO3- 26 mEq/L,
BE +2, SaO2 (calc) 99%. Based on this information, you should now
recommend
Answer: Decrease the FIO2
◉ You are the respiratory therapist working at a suburban
pulmonary clinic. You are asked to assist in the care of a 70 year-old
man who was brought to the clinic by his wife. The patient
complains of difficulty with his breathing and a persistent cough for
the past few days. He presents as conscious, alert, thin, pale,
tachypneic, and has a barrel chest. The patient is 178 cm (5' 10") tall
and weighs 60 kg (132 lb).
Answer: General appearance/ Diagnostic chest percussion/ current
medications/ vital signs/ hx of present illness/ pulse oximetry/
chest auscultation/ respiratory pattern/ past medical hx/ sputum
production/ current home therapy
◉ You report your findings to the clinic physician who asks for your
recommendation. You should recommend:
Answer: Administer oxygen by nasal cannula at 2 L/min
,◉ The physician asks what further information would be
appropriate at this time. Which of the following should you
evaluate?
Answer: ABG/ CBC/ Chest radiograph/ 12-lead ECG/ Slow vital
capacity/ serum electrolytes/ FEV2/FVC%
◉ You report your additional findings to the physician who asks for
your recommendation. You should now recommend:
Answer: Administer albuterol aerosol
◉ One hour later, SpO2 is 94% on a nasal cannula at 2 L/min and the
wheezing has diminished. You report your findings to the physician
who asks for your recommendation. You should now recommend:
Answer: arrange for home respiratory care
◉ The physician asks for your recommendation regarding home
care for the patient. Which of the following should be included in the
home care plan?
Answer: Home oxygen therapy/ inhaled beta-2 agonist/ inhaled
corticosteroids/ follow-up with primary care physician/ referral for
pulmonary rehabilitation
◉ You are the respiratory therapist assigned to the Asthma Clinic at
a 450-bed community hospital. A 22 year-old patient reports for his
, semi-annual visit and you are asked to conduct an assessment of the
patient. He is 182 cm (6' 0') tall and weighs 74 kg (163 lb).
Answer: diagnostic chest percussion/ past medical hx/ vital signs/
chest auscultation/ respiratory pattern/ sensorium/ peak flow diary
◉ What diagnostic procedures would you recommend at this time?
Answer: pre- post bronchodilator spirometry/ pulse oximetry
◉ Based on your findings, what is the most appropriate description
of his lung function?
Answer: mild obstructive lung disease, responsive to
bronchodilator/ mild obstructive lung disease, no response to
bronchodilator
◉ You provide the patient with a peak flow meter. Which of the
following are appropriate in order to identify his personal best peak
flow?
Answer: perform the procedure three times at each session/
measure peak flow in the morning and afternoon/ stand up or sit up
straight
◉ Which of the following should you include in the patient's Asthma
Action Plan?
