Kettering TMC practice exam| 99 QUESTIONS| WITH COMPLETE SOLUTIONS

A respiratory therapist enters a patient's room during oxygen rounds. The patient has end - stage emphysema and appears to be sleeping. The patient doesn't respond to questions and his pulse is 20 bpm. The therapist should immediately. A. Confirm DNR status B. Go get help C. Begin rescue ventilation D. Begin chest compressions correct answer: Confirm DNR status Which of the following clinical observations is most commonly associated with right heart failure? A Peripheral edema B. Muscle wasting C. Tracheal deviation D. Skin flushing correct answer: Peripheral edema Which of the following is the definitive method of monitoring the effectiveness of equipment sterilization? A. Heat sensitive tape B. Chemical sensitive indicator C. Biologic indicator D. Time and temperature graph correct answer: Biologic indicator A patient who is receiving mechanical ventilation requires an FiO2 of 0.70 and 10 cm H2O PEEP to maintain an acceptable PaO2. The patient is restless and has become disconnected from the ventilator circuit several times, during which she experiences cardiac rhythm disturbances. A respiratory therapist should conclude that the patient with benefit from a: A. Sedative B. Mucolytic C. Neuromuscular blocker D. Pulmonary vasodilator correct answer: Sedative Lams and Pams What is signs? correct answer: What you see What is symptoms? correct answer: What the patient tells you What is the normal Urine output? correct answer: 40 ml What is Hypovolemia? What would you recommend? correct answer: low CVP Give fluids What is semicomatose? correct answer: Patient responds to pain only What is Lethargy/Somnolence? What would you recommend? correct answer: Sleepy Consider sleep apnea COPD patients is getting to much oxygen ADL are evaluated using the ___________________ system correct answer: Katz What is orthopnea? What patients would you see this in? correct answer: Cannot breathe laying flat Seen in CHF patients What is General Malaise? correct answer: Electrolyte imbalance What is dyspnea? correct answer: Shortness of breath What is dysphagia? correct answer: Having a hard time swallowing What is Peripheral Edema? What patients is it seen in? correct answer: Fluid in the arms and ankles Seen in CHF patients Seen in Renal failure What is Ascites? What patients is it seen in? correct answer: Fluid in the abdomen Seen in Liver failure patients What is clubbing? What patients is it seen it? correct answer: Chronic hypoxia Seen in COPD patients