NBRC Practice TMC Examination /
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Graded A+
A patient shows a right sided pleural effusion. Which of the following
should the respiratory therapist recommend?
A. sputum culture and gram stain
B. diagnostic bronchoscopy
C. pleurodesis
D. thoracentesis
D. Thoracentesis
Thoracentesis - a medical procedure that involves inserting a needle
or catheter into the chest wall to remove fluid or air from the pleural
space, the space between the lungs and chest wall.
A pt with exacerbation of COPD is receiving NPPV in spontaneous
mode with a nasal mask. The following data are available:
FiO2 : 0.24 RR : 28/min IPAP : 12 cmH2O EPAP: 6 cmH2O
One hour later, the following data are available:
pH : 7.27 PaCO2 : 76 mmHg PaO2 : 62 mmHg HCO3- : 35 mEq/L BE :
+5 mEq/L SaO2(calc) : 90%
, The inspiratory phase is prolonged and dyssynchrony is noted.
Which of the following should a RT do FIRST?
A. Increase the FiO2 to 0.28
B. Increase to EPAP 8 cmH2O
C. Change to a full-face mask
D. Change the ventilator circuit
C. Change to a full-face mask
A pt who is 6'2" tall and weighs 98kg is receiving VC ventilation with
Vt 600mL. A RT observes the low exhaled volume and low pressure
alarms activating with each breath. The following data are available:
Vte: 340-390mL; ETT size: 8.5mm; ETT cuff pressure: 19cmH2O; ETT
position: 18cm@incisor; HR 98; RR 32; SpO2 83%
Which of the following should the RT do?
A. advance the ETT @22cm
B. adjust the cuff pressure to 30cmH2O
C. increase the Vt to 700mL
D. reintubate with a larger ETT
A. advance the ETT @22cm
Advance ETT before adjusting cuff pressure
A RT is assisting a physician with insertion of a chest tube in a pt with
a pleural effusion. After the tube is place and the chest drainage
system is functioning properly, which of the following should be
observed in the water-seal chamber?
A. Continuous bubbling
B. Water level functioning with breathing
C. The water becoming cloudy
D. No visible liquid
B. Water level functioning with breathing
Newest Version with Well-Detailed
Questions and Reliable Answers from
Verified Study Resources / Already
Graded A+
A patient shows a right sided pleural effusion. Which of the following
should the respiratory therapist recommend?
A. sputum culture and gram stain
B. diagnostic bronchoscopy
C. pleurodesis
D. thoracentesis
D. Thoracentesis
Thoracentesis - a medical procedure that involves inserting a needle
or catheter into the chest wall to remove fluid or air from the pleural
space, the space between the lungs and chest wall.
A pt with exacerbation of COPD is receiving NPPV in spontaneous
mode with a nasal mask. The following data are available:
FiO2 : 0.24 RR : 28/min IPAP : 12 cmH2O EPAP: 6 cmH2O
One hour later, the following data are available:
pH : 7.27 PaCO2 : 76 mmHg PaO2 : 62 mmHg HCO3- : 35 mEq/L BE :
+5 mEq/L SaO2(calc) : 90%
, The inspiratory phase is prolonged and dyssynchrony is noted.
Which of the following should a RT do FIRST?
A. Increase the FiO2 to 0.28
B. Increase to EPAP 8 cmH2O
C. Change to a full-face mask
D. Change the ventilator circuit
C. Change to a full-face mask
A pt who is 6'2" tall and weighs 98kg is receiving VC ventilation with
Vt 600mL. A RT observes the low exhaled volume and low pressure
alarms activating with each breath. The following data are available:
Vte: 340-390mL; ETT size: 8.5mm; ETT cuff pressure: 19cmH2O; ETT
position: 18cm@incisor; HR 98; RR 32; SpO2 83%
Which of the following should the RT do?
A. advance the ETT @22cm
B. adjust the cuff pressure to 30cmH2O
C. increase the Vt to 700mL
D. reintubate with a larger ETT
A. advance the ETT @22cm
Advance ETT before adjusting cuff pressure
A RT is assisting a physician with insertion of a chest tube in a pt with
a pleural effusion. After the tube is place and the chest drainage
system is functioning properly, which of the following should be
observed in the water-seal chamber?
A. Continuous bubbling
B. Water level functioning with breathing
C. The water becoming cloudy
D. No visible liquid
B. Water level functioning with breathing