GRADED A+ | 2025 LATEST UPDATE.
1. Ensure that the manual resuscitator is connected to an oxygen source.
ANS A RT is manually Ventilating a pt during a cardiopulmonary resuscitation
attempt. An ABG is drawn and the results are as follows
pH ANS 7.27
PaCO2 ANS 38 mmHg
HCO3 ANS 17 mEQ/L
PaO2 ANS 44 mmHG
Based on this info, the RT should do which of the following?
- Ensure that the manual resuscitator is connected to an o2 source
- perform endotracheal intubation
- use both hands to compress the bag
- increase the ventilatory rate
2. begin manual ventilation ANS A 16 year old female has just been admitted to the
ED following a bicycling accident. She is receiving supplemental O2 via non-
rebreathing mask. While standing at the bedside, the RT notes the onset of ataxic
breaething. Which of the following should the therapist do?
- begin manual ventilation
https://www.stuvia.com/user/Mboffin 1/
17
, - intubate and initiate mechanical ventilation
- continue to monitor and observe
- perform arterial blood gas analysis
3. lowers the diaphragm and reduces the possibility of its puncture ANS
While preparing a patient for a thoracentesis, the pt asks the RT why he must be
sitting upright. TheRT would explain to the patient that sitting upright ANS
- reduces the likelihood that the pt will experience discomfort
- makes it easier for the physician to aspirate fluid from the pleural space
- makes it more comfortable for the patient to breathe during the procedure
- lower the diaphragm adn reduces the possibility of its puncture
4. Increase the frequency of suctioning through the catheter ANS A patient
with chronic hypercapnia is receiving home oxygen therapy by transtracheal
cather at
1 LPM. He calls the respiratory clinic and informs the RT that he has had increasing
episodes of rice sized mucus balls lodging in the catheter. Which of the following
would NOT be appropriate advice for the therapist to give the patient?
- increase the frequency of suctioning through the catheter
-call his physician to prescribe a mucoevacuent
- increase his intake of systemic fluids
- increase the frequency of cleaning the catheter
5. insert a smaller restrictive orifice in the device ANS A RT is asked to assess
a COPD patient who is in a pulmonary rehabilitation program. During the interview,
the patient tells the therapist that he has been working with a resistive training
device
https://www.stuvia.com/user/Mboffin 2/
17
, for two weeks and taht he is able to tolerate the device for 15 minutes. What should
the therapist do?
- instruct the patient to exhale forecfully through the device
- instruct the patient to continue present therapy
- insert a smaller restrictive orifice in the device
- insert a larger restrictive orifice in the device
6. transtracheal oxygen catheter ANS A home care patient receiving continuous
oxy- gen therapy via nasal cannula has become increasingly noncompliant in her
oxygen therapy and states she is concerned about appearance. Which of the
following would be most appropriate for the RT to suggest?
- discontinue oxygen therapy
- nasal catheter
- transtracheal oxygen catheter
- oxygen conserving cannula
7. apply firm pressure to the puncture site for at least 5-10 minutes ANS
Immedi- ately after assisting with a transtracheal aspiration, the respiratory
therapist should ANS
- apply firm pressure to the puncture site for atleast 5-10 mins
- administer an anesthetic to the neck area
- instruct the patient to take slow deep breaths and cough
- nebulize 3cc of 1% methylene solution
8. proceed with chest tube placement ANS A RT is assisting the physician with
https://www.stuvia.com/user/Mboffin 3/
17