Secure Comprehensive Therapist Multiple-Choice Self-Assessment Exam (Form 2020A)

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Secure Comprehensive Therapist Multiple-Choice Self-Assessment Exam (Form 2020A)

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Secure Comprehensive Therapist Multiple-Choice Self-Assessment Exam (Form 2020A) A respiratory therapist is assisting a physician with endotracheal intubation. Which of the following should be used INITIALLY to confirm tracheal intubation? A 58-year-old female was diagnosed with bronchiectasis 3 years ago. She reports increased cough and difficulty clearing secretions for the past 4 weeks. A chest radiograph shows no significant changes. Which of the following should the respiratory therapist recommend FIRST? A respiratory therapist is evaluating a 75-kg (165-lb), 180-cm (5-ft 11-in) male who is receiving VC, SIMV. The following patient data are obtained: FIO2 0.40 Mandatory rate 8 Total rate 8 VT 550 mL PEEP 8 cm H2O pH 7.27 PaCO2 55 mm Hg PaO2 94 mm Hg HCO3- 25 mEq/L BE -3 mEq/L SaO2 (calc) 97% Which of the following should the therapist recommend? While counseling a patient during a smoking cessation session, the patient expresses concern about weight gain. A respiratory therapist should address the patient's concern by explaining that this is partially the result A 58-year-old male presents to the ED with a chief complaint of acute chest pain. Which of the following diagnostic tests should be done FIRST?

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Secure Comprehensive Therapist Multiple-Choice
Self-Assessment Exam (Form 2020A)

Azrespiratoryztherapistziszassistingzazphysicianzwithzendotrachealzintubation.zWhichzofzthezfollowingzshoul
dzbezusedzINITIALLYztozconfirmztrachealzintubation?

A.cmzmarkingzofzthezendotrachealztube

B.observablezcondensationzinztheztube

C.pulsezoximetry

D.colorimetriczcapnographyz-zCORRECTzANSWER-D.zcolorimetriczcapnography

Azrespiratoryztherapistziszaskedztozreviewzaznewborn'szhistory.zThezfollowingzinformationziszavailablezabou
tzthezfirstzfewzminuteszafterzbirth:

1zminute5zminutesAppearancezacrocyanosiszpinkHeartzratez70/minz110/minReflexcoughzcoughMusclezto
neweakzactivezmotionRespiratoryzratez20/minz40/min

WhichzofzthezfollowingzAPGARzscoreszshouldztheztherapistzexpectztozseezforzthiszinfant?

1-minutez5-minute1.z4z82.z5z83.z6z104.z7z10

A.1

B.2

C.3

D.4z-zCORRECTzANSWER-C.z3

Az58-year-
oldzfemalezwaszdiagnosedzwithzbronchiectasisz3zyearszago.zShezreportszincreasedzcoughzandzdifficultyzclea
ringzsecretionszforzthezpastz4zweeks.zAzchestzradiographzshowsznozsignificantzchanges.zWhichzofzthezfollo
wingzshouldzthezrespiratoryztherapistzrecommendzFIRST?

,A.transtrachealzaspiration

B.airwayzclearanceztherapy

C.bronchodilatorztreatments

D.respiratoryzisolationz-zCORRECTzANSWER-B.zairwayzclearanceztherapy

Az24-year-oldzfemaleziszdiagnosedzwithzexercise-
inducedzasthmazandzalbuterolzprnziszordered.zAzrespiratoryztherapistzshouldzNEXT

A.referzthezpatientzforzallergyzskinztesting.

B.educatezthezpatientzonzobtainingzdailyzpeakzflowzmeasurements.

C.instructzthezpatientztozusezalbuterolz15zminuteszbeforezexercising.

D.suggestzthezpatientzusezpursedzlipzbreathingzwhilezexercising.z-zCORRECTzANSWER-
C.zinstructzthezpatientztozusezalbuterolz15zminuteszbeforezexercising

Inzwhichzofzthezfollowingzcircumstanceszwillztrachealzsecretionsztendztozdryzinzanzintubatedzpatient?

A.azwaterzvaporzpressurezofz47zmmzHg

B.azrelativezhumidityzofz100%zatz22°zCz(71.6°zF)

C.azdewzpointzofz37°zCz(98.6°zF)

D.anzabsolutezhumidityzofz44zmg/Lz-zCORRECTzANSWER-B.zazrelativezhumidityzofz100%zatz22Cz(71.6F)

PriorztozsuctioningzthezendotrachealztubezofzanzadultzpatientzwhoziszreceivingzventilationzwithzanzFIO2zofz
0.40,zazrespiratoryztherapistzshouldzFIRST

A.lubricatezthezcatheter.

B.hyperoxygenatezthezpatient.

C.cleansezthezcatheterzwithzwater.

D.administerzanzFIO2zofz0.40zbyzT-piece.z-zCORRECTzANSWER-B.zhyperoxygenatezthezpatient

Az25-year-oldzpatientzwithzapneaziszreceivingzPCzventilation.zABGzanalysiszresultszarezaszfollows:

,z

pHz7.20

PCO2z65zmmzHg

PO2z70zmmzHg

HCO3-z25zmEq/L

BEz-4zmEq/L

SO2z(calc)z94%
z

Azrespiratoryztherapistzshouldzrecommendzincreasingzthe
z

A.setzinspiratoryzpressure.

B.expiratoryztime.

C.sensitivity.

D.peakzflow.z-zCORRECTzANSWER-A.zsetzinspiratoryzpressure

Az68-year-oldzpatientzwhoziszpost-
CABGzwaszextubatedz4zhourszagozandzcomplainszofzincreasingzshortnesszofzbreath.zBreathzsoundszarezdec
reasedzoverzthezrightzlungzfield.zThezfollowingzdatazarezavailablezwhilezthezpatientzreceivesz4-
Lzoxygenzbyznasalzcannula:
z

HRz103/min

RRz27/min

BPz155/90zmmzHg

SpO2z90%
z

WhichzofzthezfollowingzstudieszshouldzazrespiratoryztherapistzrecommendzFIRST?
z

A.bedsidezspirometry

B.chestzCTzwithzcontrast

C.ventilation/perfusionzscan

D.chestzradiographz-zCORRECTzANSWER-D.zchestzradiograph

, Whichzofzthezfollowingzmedicationszshouldzazrespiratoryztherapistzuseztozanesthetizezazpatient'szairwayzpr
iorztozazflexiblezbronchoscopyzprocedure?
z

A.lidocainezHCl

B.midazolamzHClz(Versed)

C.ketaminez(Ketalar)

D.vecuroniumzbromidez(Norcuron)z-zCORRECTzANSWER-A.zlidocainezHCI

Azrespiratoryztherapistziszevaluatingzaz75-kgz(165-lb),z180-cmz(5-ftz11-
in)zmalezwhoziszreceivingzVC,zSIMV.zThezfollowingzpatientzdatazarezobtained:
z

FIO2z0.40

Mandatoryzratez8

Totalzratez8

VTz550zmL

PEEPz8zcmzH2O
z

pHz7.27

PaCO2z55zmmzHg

PaO2z94zmmzHg

HCO3-z25zmEq/L

BEz-3zmEq/L

SaO2z(calc)z

z 97%
z

Whichzofzthezfollowingzshouldztheztherapistzrecommend?
z

A.Maintainzcurrentzsettings.

B.Increasezthezmandatoryzrateztoz12.

C.DecreasezthezFIO2ztoz0.30.

D.Decreaseztheztidalzvolumeztoz450zmL.z-zCORRECTzANSWER-B.zincreasezthezmandatoryzrateztoz12

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Number of pages: 50
Written in: 2024/2025
Type: Exam (elaborations)
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