TMC LINDSEY JONES M QUESTIONS
AND ANSWERS
a Rt is helping a patient with COPD prepared to be discharged home. The RT is
reviewing alernative activities of daily living with the patient. Which of the following is
considered ADLs? - ANSWER-2 and 3
shaving and grocery shopping
during a preoperative test of a mechanical ventilator, the RT notices the ventilator is not
delivering sufficient VT to the test lung compared to the set VT volume. The following
settings are being used
mand rate- 20
VT- 800
FiO2- 30%
PEEP- 5
flow 40
which is the following is most likely the problem? - ANSWER-insufficient flow
which of the following drugs can be administered through an endotracheal tube for
purpose of treating bradycardia? - ANSWER-Atropine
which of the following emergency airway clearance techniques should be used on a
female who is 7 months pregnant and who has complete airway obstruction by
aspirated food? - ANSWER-chest thrusts
a patient who has chest tubes in place for the treatment of pneumothroax does not
breathe deeply despite active coaching by the RT. the patient indicates he is unable to
do so. RT should assess? - ANSWER-Pain level
when auscultating the heart of a newborn, delivered by C-section at 34 wks the RT
observes a murmur. what following exam should be ordered? - ANSWER-
echocardiogram
while performing routine check of a patient receiving MV support, the RT makes a small
adjustment to the ET tube cuff pressure by injecting 2.0cc of air into the cuff.
Immediately after, the high pressure alarm on the ventilator is activated the RT should?
- ANSWER-attempt to pass a suction catheter through ET tube
a patient in NICU is being monitored for ICP. the average pressure over the last several
hours is 15mmHg, ICP has risen to 25mmHg this is most likely due to - ANSWER-over-
stimulation of the patient
,a patient has the following chest radiograph, the radiology report suggest the presence
of concave superior interface. which diagnosis is most likely? - ANSWER-pleural
effusion
a physician suspects a patient is transitioning into ARDS. which of the following
calculations and or data would be helpful in evaluating the patient for this suspicion? -
ANSWER-PF ratio and oxygen index
a 6 minute walk test is used to evaluate? - ANSWER-a patient's physical stamina and
aerobic endurance.
the purpose of the holding chamber used in conjunction with MDI is to? - ANSWER-
facilitate delivery of optimally sized particles
prior to performing PFT on several patients a RT is conducting quality control on the
pneumotachometer, the RT notes a measurement of 2.86L based on this result the RT
should? - ANSWER-commence testing on patients
a COPD patient who is receiving 1 L by NC becomes shory of breath after ambulating to
the bathroom and back, the patient indicates she is having a difficultly catching her
breath more than usual. the RR is 22 the RT should do which of the following to help the
patient return to her normal breathing status - ANSWER-increase oxygen flow rate to
3Lpm
how many millimeters of a medication whose strength is 5% is needed to deliver 25mg
of that medication - ANSWER-0.50mL
done by multiplying the drug strength by 10
A RT has orders to perform a 12 lead ECG on a patient who has chest pain when
placing the chest leads what best describes the proper placement for chest lead V4? -
ANSWER-5th interspace, mid-clavicular line
while ventilating a patient with a VC ventilator the RT notices that the ventilator is not
delivering the set VT the RT should? - ANSWER-remove the ventilator from service,
perform preoperative test
which of the following would be most helpful in reducing the risk for nosocomial infection
in hospital - ANSWER-handwashing with soap and water
Into which interspace should a chest tube be inserted for the purpose of draining
serosanguinous fluid from the pleural space and for the re-expansion of lung tissue? -
ANSWER-5th interspace
The following volume-pressure graphic is observed on a patient who is receiving VC
A/C ventilation. The respiratory therapist should - ANSWER-change the scale volume
axis of the graph
, to facilitate drainage of secretions consolidated in the bases of the lungs the RT should
anticipate placing the patient in which of the following conditions? - ANSWER-head of
bed down 30 degree
a patient who requires continuous mechanical ventilatory support is suspected for
having a perforation in the lung tissue of the left lower base, a chest radiograph
confirms this suspicion which form of vent support would minimize the chance of further
perforation? - ANSWER-HFJV
which of the following PaO2 ranges is acceptable for a patient with ARDS according to
the ARDSnet protocol - ANSWER-55 to 88mmhg
Extensive testing has proven no brain activity in a patient who is completely ventilator-
dependent. The family decides to discontinue life support. The physician orders
extubation and implementation of non-invasive ventilation. For what purpose is NIV
being used in this case? - ANSWER-to provide comfort to the patient and family
which of the following PFT would be most helpful in determining the presence of
restrictive lung disease - ANSWER-SVC
which of the following is a cardiac enzyme that can be used to detect the presence of
recent myocardial infarction - ANSWER-troponin
A patient medical record indicates the physician recently documented auscultation of
cardiac murmur. for which of the following possible examination results should the RT
search in the record - ANSWER-echocardiogram
which of the following conditions could cause a tracheal shift to the right? - ANSWER-2
and 4
sputum consolidation on the right and lobectomy on the right
a RT is observing a patient in ICU during an exacerbation of CHF. the doctor orders
close monitoring of hemodynamic status of the patient the RT should recommend? -
ANSWER-insertion of pulmonary catheter
which of the following exams can be used to quantify pulmonary residual volume (RV)
on a patient? - ANSWER-nitrogen washout
a physician suspects a patient has a pleural effusion what should RT recommend to
further investigate the suspicion? - ANSWER-lateral decubitus radiograph
a patient in ER has multiple fractured ribs bilaterally after a motor vechicle accident
ABG show
pH- 7.51
AND ANSWERS
a Rt is helping a patient with COPD prepared to be discharged home. The RT is
reviewing alernative activities of daily living with the patient. Which of the following is
considered ADLs? - ANSWER-2 and 3
shaving and grocery shopping
during a preoperative test of a mechanical ventilator, the RT notices the ventilator is not
delivering sufficient VT to the test lung compared to the set VT volume. The following
settings are being used
mand rate- 20
VT- 800
FiO2- 30%
PEEP- 5
flow 40
which is the following is most likely the problem? - ANSWER-insufficient flow
which of the following drugs can be administered through an endotracheal tube for
purpose of treating bradycardia? - ANSWER-Atropine
which of the following emergency airway clearance techniques should be used on a
female who is 7 months pregnant and who has complete airway obstruction by
aspirated food? - ANSWER-chest thrusts
a patient who has chest tubes in place for the treatment of pneumothroax does not
breathe deeply despite active coaching by the RT. the patient indicates he is unable to
do so. RT should assess? - ANSWER-Pain level
when auscultating the heart of a newborn, delivered by C-section at 34 wks the RT
observes a murmur. what following exam should be ordered? - ANSWER-
echocardiogram
while performing routine check of a patient receiving MV support, the RT makes a small
adjustment to the ET tube cuff pressure by injecting 2.0cc of air into the cuff.
Immediately after, the high pressure alarm on the ventilator is activated the RT should?
- ANSWER-attempt to pass a suction catheter through ET tube
a patient in NICU is being monitored for ICP. the average pressure over the last several
hours is 15mmHg, ICP has risen to 25mmHg this is most likely due to - ANSWER-over-
stimulation of the patient
,a patient has the following chest radiograph, the radiology report suggest the presence
of concave superior interface. which diagnosis is most likely? - ANSWER-pleural
effusion
a physician suspects a patient is transitioning into ARDS. which of the following
calculations and or data would be helpful in evaluating the patient for this suspicion? -
ANSWER-PF ratio and oxygen index
a 6 minute walk test is used to evaluate? - ANSWER-a patient's physical stamina and
aerobic endurance.
the purpose of the holding chamber used in conjunction with MDI is to? - ANSWER-
facilitate delivery of optimally sized particles
prior to performing PFT on several patients a RT is conducting quality control on the
pneumotachometer, the RT notes a measurement of 2.86L based on this result the RT
should? - ANSWER-commence testing on patients
a COPD patient who is receiving 1 L by NC becomes shory of breath after ambulating to
the bathroom and back, the patient indicates she is having a difficultly catching her
breath more than usual. the RR is 22 the RT should do which of the following to help the
patient return to her normal breathing status - ANSWER-increase oxygen flow rate to
3Lpm
how many millimeters of a medication whose strength is 5% is needed to deliver 25mg
of that medication - ANSWER-0.50mL
done by multiplying the drug strength by 10
A RT has orders to perform a 12 lead ECG on a patient who has chest pain when
placing the chest leads what best describes the proper placement for chest lead V4? -
ANSWER-5th interspace, mid-clavicular line
while ventilating a patient with a VC ventilator the RT notices that the ventilator is not
delivering the set VT the RT should? - ANSWER-remove the ventilator from service,
perform preoperative test
which of the following would be most helpful in reducing the risk for nosocomial infection
in hospital - ANSWER-handwashing with soap and water
Into which interspace should a chest tube be inserted for the purpose of draining
serosanguinous fluid from the pleural space and for the re-expansion of lung tissue? -
ANSWER-5th interspace
The following volume-pressure graphic is observed on a patient who is receiving VC
A/C ventilation. The respiratory therapist should - ANSWER-change the scale volume
axis of the graph
, to facilitate drainage of secretions consolidated in the bases of the lungs the RT should
anticipate placing the patient in which of the following conditions? - ANSWER-head of
bed down 30 degree
a patient who requires continuous mechanical ventilatory support is suspected for
having a perforation in the lung tissue of the left lower base, a chest radiograph
confirms this suspicion which form of vent support would minimize the chance of further
perforation? - ANSWER-HFJV
which of the following PaO2 ranges is acceptable for a patient with ARDS according to
the ARDSnet protocol - ANSWER-55 to 88mmhg
Extensive testing has proven no brain activity in a patient who is completely ventilator-
dependent. The family decides to discontinue life support. The physician orders
extubation and implementation of non-invasive ventilation. For what purpose is NIV
being used in this case? - ANSWER-to provide comfort to the patient and family
which of the following PFT would be most helpful in determining the presence of
restrictive lung disease - ANSWER-SVC
which of the following is a cardiac enzyme that can be used to detect the presence of
recent myocardial infarction - ANSWER-troponin
A patient medical record indicates the physician recently documented auscultation of
cardiac murmur. for which of the following possible examination results should the RT
search in the record - ANSWER-echocardiogram
which of the following conditions could cause a tracheal shift to the right? - ANSWER-2
and 4
sputum consolidation on the right and lobectomy on the right
a RT is observing a patient in ICU during an exacerbation of CHF. the doctor orders
close monitoring of hemodynamic status of the patient the RT should recommend? -
ANSWER-insertion of pulmonary catheter
which of the following exams can be used to quantify pulmonary residual volume (RV)
on a patient? - ANSWER-nitrogen washout
a physician suspects a patient has a pleural effusion what should RT recommend to
further investigate the suspicion? - ANSWER-lateral decubitus radiograph
a patient in ER has multiple fractured ribs bilaterally after a motor vechicle accident
ABG show
pH- 7.51
