TMC practice questions Guide With Explanations Of Answers Graded A+()

A 44 week old gestational age infant is delivered via C-section and is gasping, grunting and has tachycardia and tachypnea. At one minute his APgar score is 4 and at 5 minutes the score is at 5. The infant is most likely suffering from transient tachypnea of the newborn meconium aspiration bronchopulmonary dysplasia apnea of prematurity - correct answer meconium aspiration All of the following could cause a patient's right-hemidiaphragm to be elevated, Except... right lower lobe atelectasis right side hyperlucency, absent vascular markings hepatomegaly right lower lobe consolidation with air bronchograms - correct answer right side hyperlucency, absent vascular markings A 64 year old, 70 kg (154 lb) man with severe COPD receives independent (differential) lung ventilation following thoracotomy and right lower lobectomy. Which of the following setting combinations would be most appropriate for this patient? Right Lung 50 mL, left lung 459 mL Right lung 159 ml, left lung 359 ml Right lung 250, left lung 250 ml Right lung 350 ml, left lung 150 ml - correct answer Right lung 150, left lung 350 ml A 2 year old child with croup has been intubated for 4 days with a 4 mm ID uncuffed endotracheal tube. Heated aerosol at an FiO2 of 0.30 has been delivered to the patient. The physician asks the respiratory therapist to evaluate the patient for possible extubation. Which of the following would most likely indicate that the patient is ready for extubation? The patient is making normal quiet ventilatory efforts A negative sputum culture and sensitivity has been reported The patients ABG are within normal range Breath sounds are heard around the tube on auscultation - correct answer Breath sounds are heard around the tube on auscultation When instructing a patient prior to a vital capacity maneuver, the respiratory therapist should direct the patient to.... exhale to residual volume and inhale to inspiratory capacity inhale to total lung capacity then exhale to residual volume exhale normally then inhale to TLC inhale normally then exhale to FRC - correct answer inhale to TLC then exhale to RV A patient with end-stage pulmonary fibrosis receieves oxygen at 2 L/min via transtracheal oxygen catheter. The patient complains of increased work of breathing and shortness of breath. The RT should... Manually ventilate the patient with a resusitation bag increase the flow to the transtracheal catheter to 6 lpm evaluate the SpO2 with a pulse oximeter flush the transtracheal device with saline - correct answer flush the transtracheal device with saline During bedside monitoring the respiratory therapist notices a dampened waveform on the arterial line graphic. To restore the graphic to normal, the therapist should first A. verify the position of the transducer. B. check the transducer dome for air bubbles. C. flush the catheter with heparin solution. D. attempt to draw blood from the arterial line. - correct answer attempt to draw blood from the arterial line The RT is in charge of transporting a patient with multiple trauma to a regional trauma center in a fixed wing aircraft. Which of the following should the therapist be most concerned about during the transport? Tissue oxygenation pneumothorax pulmonary embolus humidification of the inspired gas - correct answer tissue oxygenation Transcutaneous monitoring of PO2 values will correlate well with arterial blood gas PO2 values in which of the following situations? 1. Hypotension 2. hypothermia 3. pneumonia 1 only 3 only 1 and 2 only 2 and 3 only - correct answer 3 only Following surgery to correct an abdominal aortic aneurysm, a 54 year old female patient suddenly develops intense substernal chest pain with severe dyspnea. The pain does not appear to be aggravated by her respirations. Auscultation reveals bilateral, basilar, moist, crepitant rales. The patient appears pale, cold, and clammy. Which of the following should the respiratory therapist recommend for initial assessment of this patient? Serum electrolytes chest x-ray CBC Electrocardiograph - correct answer Electrocardiograph Which of the following would be the most appropriate test to evaluate partial vocal cord paralysis in a patient complaining of difficulty swallowing?