RRT exam final questions & answers
when assessing a patient with cystic fibrosis (CF), a respiratory therapist notices a decrease in
sputum production but increased rhonchi. which of the following should the therapist
recommend ? - ANSWERSthera vest therapy and aerosolized dornase aplha (pulmozyme)
a 59 year old patient with poor dental hygiene becomes acutely ill with fever, hemoptysis and
chest pain. the patient cough up a large quanity of dark brown, malodurous and mucopurlent
sputum. these charactersistics is most consistent with - ANSWERSlung abscess
a respiratory therapist is helping to stabilize a 28 week gestational age neonate. after clearing
the airway, drying and stimulating the infant, the therapist notes heart rate of 76, the therapist
should - ANSWERSinitiate ventilation with bag mask
a patient us begin treated for persistent right lower lobe atelectasis. the patient has recieved
aggressive postural drainage, percussion, PEP and bronchodilator therapy for 24 hr and with no
improvements. which of the following is now indicated? - ANSWERSfiberoptic bronchoscopy
after changing the site of transcutaneous 0s/c0s electrode, a respiratory therapist notices a
blister at the prevoius placement site. which of the following should the therapist do? -
ANSWERSincrease the frequency of the site changes
an adult patient reciving volume control ventilation has developed atelectasis due to mucus
plugging and has been started on airway clearance protocol. twenty four hours later a
respiratory therapist notes the patients peak and plateau presssure have decresead. which of
the following has most likely occured? - ANSWERSthe actelectasis is resolving
positive pressure ventilation has caused decreased urine output. decreasing mean airways
pressure should result in an increase in - ANSWERScardiac index
, a patient who is recieving contionous mask CPAP complains of eye irritation. which of the
following should a respiratory therapist do ? - ANSWERSrepostion the mask
while administering the IPPB treatment a therapist notes the system presssure dails to rise
during inspiration and the patient has difficulty keeping her ips around the mask piece. the
therapist should - ANSWERSuse a mask
RSBI for weaning normal is - ANSWERSbelow 105
a respiratory therapist views a chest radiograph which the clavicales are asymmetrically spaced
around the sternum. the therapist should immediately consider. - ANSWERSa body rotation
a patient is recieving oxygen therapy with a simple mask while awaiting surgery for a laryngeal
mass, the respiratory therapist assesing the patient notes tachypnea, tachycardia and agitation.
which of the following should the therapist recommend? - ANSWERSnonrebreathing mask and
100% oxygen therapy
a respiratory therapist implements minimal occulding volume technique and confirms cuff
presssure of 42 cm H20. the adult patient with ARDS is intubated with a 7.0mm endotracheal
tube. which of the follwing should the therapist do? - ANSWERSrecommend re intubation with a
larger tube
which of the follwing is MOST appropiate initial frequecny range for high frequency oscillation
ventilation (HFOV) of a neonate? - ANSWERS10 to 15 hz
a patient who is conscious and breathing spontaneously is having difficulty managing secretions.
which of the following devices would fascilitate sunctions? - ANSWERSnasopharyngeal airway
when assessing a patient with cystic fibrosis (CF), a respiratory therapist notices a decrease in
sputum production but increased rhonchi. which of the following should the therapist
recommend ? - ANSWERSthera vest therapy and aerosolized dornase aplha (pulmozyme)
a 59 year old patient with poor dental hygiene becomes acutely ill with fever, hemoptysis and
chest pain. the patient cough up a large quanity of dark brown, malodurous and mucopurlent
sputum. these charactersistics is most consistent with - ANSWERSlung abscess
a respiratory therapist is helping to stabilize a 28 week gestational age neonate. after clearing
the airway, drying and stimulating the infant, the therapist notes heart rate of 76, the therapist
should - ANSWERSinitiate ventilation with bag mask
a patient us begin treated for persistent right lower lobe atelectasis. the patient has recieved
aggressive postural drainage, percussion, PEP and bronchodilator therapy for 24 hr and with no
improvements. which of the following is now indicated? - ANSWERSfiberoptic bronchoscopy
after changing the site of transcutaneous 0s/c0s electrode, a respiratory therapist notices a
blister at the prevoius placement site. which of the following should the therapist do? -
ANSWERSincrease the frequency of the site changes
an adult patient reciving volume control ventilation has developed atelectasis due to mucus
plugging and has been started on airway clearance protocol. twenty four hours later a
respiratory therapist notes the patients peak and plateau presssure have decresead. which of
the following has most likely occured? - ANSWERSthe actelectasis is resolving
positive pressure ventilation has caused decreased urine output. decreasing mean airways
pressure should result in an increase in - ANSWERScardiac index
, a patient who is recieving contionous mask CPAP complains of eye irritation. which of the
following should a respiratory therapist do ? - ANSWERSrepostion the mask
while administering the IPPB treatment a therapist notes the system presssure dails to rise
during inspiration and the patient has difficulty keeping her ips around the mask piece. the
therapist should - ANSWERSuse a mask
RSBI for weaning normal is - ANSWERSbelow 105
a respiratory therapist views a chest radiograph which the clavicales are asymmetrically spaced
around the sternum. the therapist should immediately consider. - ANSWERSa body rotation
a patient is recieving oxygen therapy with a simple mask while awaiting surgery for a laryngeal
mass, the respiratory therapist assesing the patient notes tachypnea, tachycardia and agitation.
which of the following should the therapist recommend? - ANSWERSnonrebreathing mask and
100% oxygen therapy
a respiratory therapist implements minimal occulding volume technique and confirms cuff
presssure of 42 cm H20. the adult patient with ARDS is intubated with a 7.0mm endotracheal
tube. which of the follwing should the therapist do? - ANSWERSrecommend re intubation with a
larger tube
which of the follwing is MOST appropiate initial frequecny range for high frequency oscillation
ventilation (HFOV) of a neonate? - ANSWERS10 to 15 hz
a patient who is conscious and breathing spontaneously is having difficulty managing secretions.
which of the following devices would fascilitate sunctions? - ANSWERSnasopharyngeal airway
