Lindsey Jones TMC A Exam Questions & Answer Latest Updated for 2024

A patient Who has mild strider following endotracheal extubation would benefit most from which of the following? - Answer Racemic epinephrine Which of the following is most indicative of a pulmonary embolism - Answer Increase PAP, decreased PCWP A patient receiving mechanical ventilation has receive Halcion in the last 20 minutes. The physician orders the institution of spontaneous breathing trial to commence immediately. Which of the following medications would be helpful to the patients? - Answer Romazicon (Flumazenil) A patient with an ideal body weight of 80 kg (176 lbs) Is being evaluated for sensation of mechanical ventilation. The following weaning parameters and clinical data are available. Vital capacity- 2.2L RSBI-134 Spont VT- 200ml Resp Rate- 33/min Which of the parameters is the most reliable indicator that the patient is ready for ventilator liberation? - Answer Vital capacity In preparation for pulmonary function testing the respiratory therapist interviews the patient to investigate the use of tobacco products. The patient reports smoking five packs a day for 10 years and 1.5 packs a day for 20 years. What is the pack year history of smoking for these patients.? - Answer 80 During the difficult intubation, the emergency room physician request an endotracheal tube that is smaller than recommended for the patient's height and ideal body weight. As a result, the respiratory therapist should anticipate? - Answer An increase in RAW In preparation for ventilator weaning the physician request a VD/VT ratio assessment. Which of the following is needed to determine the dead space tidal volume ratio? - Answer Arterial blood gases and capnographic data A respiratory therapist is determining a VD/VT ratio. Which of the following is needed to complete this analysis? - Answer PetCO2 and PaCO2 Which of the following is least likely to promote the spread of nosocomial infection in a hospital? - Answer Use of unit dose medication Which of the following can be used to estimate the level of hemoglobin? - Answer RBC Which of the following alarms would be most important for a patient receiving positive pressure ventilation via pressure Cycled ventilator? - Answer Low volume Patients with large next week experience frequent dislodging of the tracheostomy tube need a - Answer Longer tracheostomy tube Which of the following would be most effective at resolving a humidity Deficits for a patient who is into baited with an 8.0 mm endotracheal tube? - Answer Concha heated Humidifier A patient with suspected myasthenia gravis in the emergency room should receive which of the following to confirm a diagnosis? - Answer Edrophonium Bromide Which of the following is an important action when joining an arterial blood gas sample? - Answer Choose a radio site with adequate ulnar circulation Which of the following would be most helpful for a patient with fixed upper airway obstruction? - Answer Heliox therapy Which of the following oxygen modalities would be appropriate for a 220 pound man with diabetic ketoacidosis who requires 40% supplemental oxygen? - Answer Air entrainment mask While administering a treatment with albuterol to a patient with COPD the therapist notes a sudden change in a patient's color to mark cyanosis. The patient appears apneic and the heart rate on the pulse oximeter indicates 30/min. The therapist should first - Answer Begin mouth-to-mouth resuscitation Prior to the removal of chest tubes, which of the following should be done - Answer clamp the chest tube for 24 hours Which of the following will help a patient to speak while intubatedwith a tracheostomy tube? - Answer Passy-Muir valve Prior to obtaining an MEP value with a pressure manometer, the respiratory therapist notes the needle is pointing at a positive pressure of -4 cmH2O prior to the maneuver. During the MEP maneuver, the needle reaches 32 cmH2O. The therapist should - Answer Record an MEP of 36CMH20 What would occur on a time cycle ventilator with the fixed rate if the inspiratory flow rate was increased? - Answer Increased in tidal volume Why should a respiratory therapist first open the airway of a patient who is apneic? - Answer The patient may be experiencing upper airway occlusion Which of the following is a strategy that may help reduce or prevent auto peep in a patient with ARDS? - Answer High flow rates A pediatric patient has a nonproductive cough. A chest radiograph reveals a foreign body in the right mainstem Bronchi. Which of the following should be used to alleviate the problem? - Answer Bronchoscope An adult male is being section through an 8.0 MM ET tube with a 12 FR. Suction catheter at a pressure of 90 MMHG. Secretions removal have been ineffective. Which of the following modification should be recommended? - Answer Increase suction pressure to 110 MMHG Which of the following is the most significant Complication of bronchoscopy? - Answer Laryngospasms Which of the following can be instructed to a COPD patient to help reduce FRC? - Answer Pursed lip breathing A bronchogram would be most helpful in evaluating and diagnosing which of the following? - Answer Bronchiectasis An infant who is 35 weeks of gestation require supplemental oxygen at 40%. Which of the following modalities is most appropriate? - Answer Oxygen hood with an air/oxygen blender What is the respiratory therapist Observing if monitoring the total amount of gas exhaled in 60 seconds after excluding dead space? - Answer Alveolar minute ventilation Which of the following instruction should be given to a patient in preparation for incentive spirometry with a volume type device? - Answer Inhale as deeply as possible In providing a patient with education and direction for the performance of positive Expiratory pressure therapy the respiratory therapist will include which of the following directives? - Answer Inhale deeply and exhale actively Which of the following equations would help determine cardiac output? - Answer Fick