LINDSEY JONES TMC A QUESTIONS &
ANSWERS (GRADED A+)
A patient Who has mild strider following endotracheal extubation would benefit most
from which of the following? - ANSWERRacemic epinephrine
Which of the following is most indicative of a pulmonary embolism -
ANSWERIncrease PAP, decreased PCWP
A respiratory therapist is determining a VD/VT ratio. Which of the following is needed
to complete this analysis? - ANSWERPetCO2 and PaCO2
Which of the following is least likely to promote the spread of nosocomial infection in
a hospital? - ANSWERUse of unit dose medication
Which of the following can be used to estimate the level of hemoglobin? -
ANSWERRBC
Which of the following alarms would be most important for a patient receiving
positive pressure ventilation via pressure Cycled ventilator? - ANSWERLow volume
Patients with large next week experience frequent dislodging of the tracheostomy
tube need a - ANSWERLonger 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? - ANSWERConcha
heated Humidifier
Which of the following airway clearance therapy should be administered first in the
order of therapy? - ANSWERAerosolized Acetylcysteine (Mucomyst)
Which of the following best describes the function of digitalis? - ANSWERIncrease
strength of cardiac contractility
Which of the following is an important strategy when caring for a patient with COPD
receiving volume control mechanical ventilation? - ANSWERProlonged Expiratory
time
Which of the following is most indicative of pulmonary embolism? -
ANSWERIncrease PA P and decrease PCWP
After making the universal sign of choking a person collapses the observer should
first? - ANSWERPerform abdominal thrusts
, Which of the following should NOT be included in the goals of a pulmonary
rehabilitation program for a COPD patient? - ANSWERReturn the patient normal life
A patient with suspected myasthenia gravis in the emergency room should receive
which of the following to confirm a diagnosis? - ANSWEREdrophonium Bromide
Which of the following is an important action when joining an arterial blood gas
sample? - ANSWERChoose a radio site with adequate ulnar circulation
Which of the following would be most helpful for a patient with fixed upper airway
obstruction? - ANSWERHeliox therapy
Which of the following oxygen modalities would be appropriate for a 220 pound man
with diabetic ketoacidosis who requires 40% supplemental oxygen? - ANSWERAir
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 - ANSWERBegin mouth-to-mouth resuscitation
Prior to the removal of chest tubes, which of the following should be done -
ANSWERclamp the chest tube for 24 hours
Which of the following will help a patient to speak while intubatedwith a tracheostomy
tube? - ANSWERPassy-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 - ANSWERRecord an MEP of 36CMH20
What would occur on a time cycle ventilator with the fixed rate if the inspiratory flow
rate was increased? - ANSWERIncreased in tidal volume
Why should a respiratory therapist first open the airway of a patient who is apneic? -
ANSWERThe 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? - ANSWERHigh 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? - ANSWERBronchoscope
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? - ANSWERIncrease
suction pressure to 110 MMHG
ANSWERS (GRADED A+)
A patient Who has mild strider following endotracheal extubation would benefit most
from which of the following? - ANSWERRacemic epinephrine
Which of the following is most indicative of a pulmonary embolism -
ANSWERIncrease PAP, decreased PCWP
A respiratory therapist is determining a VD/VT ratio. Which of the following is needed
to complete this analysis? - ANSWERPetCO2 and PaCO2
Which of the following is least likely to promote the spread of nosocomial infection in
a hospital? - ANSWERUse of unit dose medication
Which of the following can be used to estimate the level of hemoglobin? -
ANSWERRBC
Which of the following alarms would be most important for a patient receiving
positive pressure ventilation via pressure Cycled ventilator? - ANSWERLow volume
Patients with large next week experience frequent dislodging of the tracheostomy
tube need a - ANSWERLonger 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? - ANSWERConcha
heated Humidifier
Which of the following airway clearance therapy should be administered first in the
order of therapy? - ANSWERAerosolized Acetylcysteine (Mucomyst)
Which of the following best describes the function of digitalis? - ANSWERIncrease
strength of cardiac contractility
Which of the following is an important strategy when caring for a patient with COPD
receiving volume control mechanical ventilation? - ANSWERProlonged Expiratory
time
Which of the following is most indicative of pulmonary embolism? -
ANSWERIncrease PA P and decrease PCWP
After making the universal sign of choking a person collapses the observer should
first? - ANSWERPerform abdominal thrusts
, Which of the following should NOT be included in the goals of a pulmonary
rehabilitation program for a COPD patient? - ANSWERReturn the patient normal life
A patient with suspected myasthenia gravis in the emergency room should receive
which of the following to confirm a diagnosis? - ANSWEREdrophonium Bromide
Which of the following is an important action when joining an arterial blood gas
sample? - ANSWERChoose a radio site with adequate ulnar circulation
Which of the following would be most helpful for a patient with fixed upper airway
obstruction? - ANSWERHeliox therapy
Which of the following oxygen modalities would be appropriate for a 220 pound man
with diabetic ketoacidosis who requires 40% supplemental oxygen? - ANSWERAir
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 - ANSWERBegin mouth-to-mouth resuscitation
Prior to the removal of chest tubes, which of the following should be done -
ANSWERclamp the chest tube for 24 hours
Which of the following will help a patient to speak while intubatedwith a tracheostomy
tube? - ANSWERPassy-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 - ANSWERRecord an MEP of 36CMH20
What would occur on a time cycle ventilator with the fixed rate if the inspiratory flow
rate was increased? - ANSWERIncreased in tidal volume
Why should a respiratory therapist first open the airway of a patient who is apneic? -
ANSWERThe 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? - ANSWERHigh 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? - ANSWERBronchoscope
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? - ANSWERIncrease
suction pressure to 110 MMHG
