RESPIRATORY THERAPY EXIT EXAM
QUESTIONS ANSWERS
during a chart review in the ICU, you notice that Mr. Smith's systolic BP has been
increasing gradually over the past 24 hours. What is the most likely cause of this
problem? - ANSWER-anxiety
Upon entering the ICU, you are alerted by a series of high pressure alarms. You would
check the patient and the ventilator for all the following except:
a. circuit disconnection
b. airway obstruction
c. endotracheal tube cuff herniation
d. airway bronchospasm - ANSWER-a
what are initial pressures used for IPPB therapy to achieve an exhaled VT? - ANSWER-
10-15 mL/kg
signs of a pneumothorax on a CXR may include: - ANSWER-hyperlucency and
flattened hemi-diaphragms
a patient has been diagnosed with a pneumonia in the right lung. How would you
position the bed? - ANSWER-on her left side
a tracheostomy tube is in place and is showing signs of severe airway obstruction. a
suction catheter will only pass a short distance into the tube, what should be done? -
ANSWER-remove the inner cannula
the use of a highly acidic or alkalotic solution to kill all organisms including spores -
ANSWER-glutaraldehyde
acid fast smears are done to detect - ANSWER-mycobacterium TB
end tidal carbon dioxide detection is best achieved with - ANSWER-infrared absorption
when using a high flow system, what will in increase in respiratory rate cause? -
ANSWER-no changes in FiO2
which of the following will appear radiopaque on a CXR? - ANSWER-atelectasis and
pneumonia
what obstructive disease is most likely to show an elevated FeNO? - ANSWER-asthma
What test is referred to as the Ziehl-Neilssen test? - ANSWER-acid fast stain
, a 40% reduction of airflow with a 6% decrease in Spo2 while sleeping best describes -
ANSWER-hypopnea
Find the patient's tidal volume: AC minute volumeL 6.0 L/m, Peak pressure = 30cmH20,
Plataeu pressure = 25 cmH20, FiO2 = .60, Rate = 20 bpm , flow = 45 lpm - ANSWER-
6000/20 = 300 mL
Which obstructive disease shows end on signet ring formation with tram tracks? -
ANSWER-Bronchiectasis
a 32 week neonate is brought from he delivery room to the NICU. The RT notes that the
patient is in extreme respiratory distress with unequal chest excursion and a scaphoid
abdomen. what is the diagnosis? - ANSWER-diaphragmatic hernia
you have a patient that was involved in a MVA experiencing severe chest pain and
dyspnea. CXR reveals multible rib fractures. the patient is representing with absent
breath sounds on the right side with flattened right hemi-diaphragm and tracheal
deviation. This would indicate the patient has - ANSWER-a tension pneumothorax
what CXR confirms the diagnosis of croup> - ANSWER-subglottic haziness
what is used to treat aystole? - ANSWER-epinephrine
if a patient has a VT of 525, what is their estimated alveolar volume - ANSWER-375 mL
what drug is a LAMA ? - ANSWER-Tiotropium (Spiriva)
a patient is in a hypertensive crisis. what drug could quickly decrease blood pressure? -
ANSWER-sodium nitroprusside
what indicates a positive patient response with inhaled SABA therapy? - ANSWER-post
FEV-1 is 12% greater than pre FEV!
what drug is the only depolarizing neuromuscular blocking agent? - ANSWER-
succinylcholine
the drug of choice for cerebral edema is - ANSWER-mannitol
what drug could decrease blood pressure by beta blockade? - ANSWER-propanolol
what device produces a mono-disperse particle and is used to deliver ribavirin? -
ANSWER-small particle aerosol generator (SPAG)
What best describe a sleep disorder where the patient falls asleep through out the day
and enters REM? - ANSWER-Narcolepsy
QUESTIONS ANSWERS
during a chart review in the ICU, you notice that Mr. Smith's systolic BP has been
increasing gradually over the past 24 hours. What is the most likely cause of this
problem? - ANSWER-anxiety
Upon entering the ICU, you are alerted by a series of high pressure alarms. You would
check the patient and the ventilator for all the following except:
a. circuit disconnection
b. airway obstruction
c. endotracheal tube cuff herniation
d. airway bronchospasm - ANSWER-a
what are initial pressures used for IPPB therapy to achieve an exhaled VT? - ANSWER-
10-15 mL/kg
signs of a pneumothorax on a CXR may include: - ANSWER-hyperlucency and
flattened hemi-diaphragms
a patient has been diagnosed with a pneumonia in the right lung. How would you
position the bed? - ANSWER-on her left side
a tracheostomy tube is in place and is showing signs of severe airway obstruction. a
suction catheter will only pass a short distance into the tube, what should be done? -
ANSWER-remove the inner cannula
the use of a highly acidic or alkalotic solution to kill all organisms including spores -
ANSWER-glutaraldehyde
acid fast smears are done to detect - ANSWER-mycobacterium TB
end tidal carbon dioxide detection is best achieved with - ANSWER-infrared absorption
when using a high flow system, what will in increase in respiratory rate cause? -
ANSWER-no changes in FiO2
which of the following will appear radiopaque on a CXR? - ANSWER-atelectasis and
pneumonia
what obstructive disease is most likely to show an elevated FeNO? - ANSWER-asthma
What test is referred to as the Ziehl-Neilssen test? - ANSWER-acid fast stain
, a 40% reduction of airflow with a 6% decrease in Spo2 while sleeping best describes -
ANSWER-hypopnea
Find the patient's tidal volume: AC minute volumeL 6.0 L/m, Peak pressure = 30cmH20,
Plataeu pressure = 25 cmH20, FiO2 = .60, Rate = 20 bpm , flow = 45 lpm - ANSWER-
6000/20 = 300 mL
Which obstructive disease shows end on signet ring formation with tram tracks? -
ANSWER-Bronchiectasis
a 32 week neonate is brought from he delivery room to the NICU. The RT notes that the
patient is in extreme respiratory distress with unequal chest excursion and a scaphoid
abdomen. what is the diagnosis? - ANSWER-diaphragmatic hernia
you have a patient that was involved in a MVA experiencing severe chest pain and
dyspnea. CXR reveals multible rib fractures. the patient is representing with absent
breath sounds on the right side with flattened right hemi-diaphragm and tracheal
deviation. This would indicate the patient has - ANSWER-a tension pneumothorax
what CXR confirms the diagnosis of croup> - ANSWER-subglottic haziness
what is used to treat aystole? - ANSWER-epinephrine
if a patient has a VT of 525, what is their estimated alveolar volume - ANSWER-375 mL
what drug is a LAMA ? - ANSWER-Tiotropium (Spiriva)
a patient is in a hypertensive crisis. what drug could quickly decrease blood pressure? -
ANSWER-sodium nitroprusside
what indicates a positive patient response with inhaled SABA therapy? - ANSWER-post
FEV-1 is 12% greater than pre FEV!
what drug is the only depolarizing neuromuscular blocking agent? - ANSWER-
succinylcholine
the drug of choice for cerebral edema is - ANSWER-mannitol
what drug could decrease blood pressure by beta blockade? - ANSWER-propanolol
what device produces a mono-disperse particle and is used to deliver ribavirin? -
ANSWER-small particle aerosol generator (SPAG)
What best describe a sleep disorder where the patient falls asleep through out the day
and enters REM? - ANSWER-Narcolepsy
