LINDSEY JONES TMC A EXAM
QUESTIONS AND ANSWERS (GRADED
A)
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
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
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
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
QUESTIONS AND ANSWERS (GRADED
A)
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
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
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
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
