TMC ACTUAL EXAM 1 TO 3 TEST BANK
QUESTIONS AND VERIFIED ANSWERS
1.Within one second after initiating a forced vital capacity (FVC)
maneuver, a patient with normal lungs should be able exhale
what percent of the FVC?
A. 35-50% of the FVC
B. 50-70% of the FVC
C. 70-83% of the FVC
D. 84-93% of the FVC
ANS 70 to 83% of the FVC
2.Simple spirometry CANNOT be used to measure the
A. vital capacity
B. residual volume
C. tidal volume
D. inspiratory reserve volume
ANS residual volume
3.Which of the following approaches can be used to obtain a
medication history from a patient with a depressed level of
consciousness or who is severely agitated?
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,A. obtain and review the patient's past medical history
B. ask the patient's nurse about the patient's prescriptions
C. request that the lab run a comprehensive blood drug screen
D. obtain the patient's current prescription vials from the
family
ANS obtain the patient's current prescription vials from the family
4.Which of the following thoracic ultrasound findings is
consistent with the presence of a pneumothorax?
A. presence of gliding sign
B. absence of A-lines
C. presence of barcode sign
D. presence of seashore sign
ANS presence of barcode sign
5.Which of the following would tend to increase insensible water
loss?
A. hypothermia
B. bypassed upper airway
C. hypoventilation
D. diuretic administration
ANS bypassed upper airway
6.Which of the following would tend to decrease a patient's
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,energy expendi- ture?
A. hypothermia
B. inflammation
C. major trauma
D. agitation/pain
ANS hypothermia
7.A patient has acute respiratory acidosis. You would expect
the base excess (BE) to range between
A. + 6 mEq/L
B. - 6 mEq/L
C. +/- 2 mEq/L
D. +/- 8 mEq/L
ANS +/- 2 mEq/L
8.The APGAR score for a normal newborn infant ranges between
A. 1-4
B. 4-7
C. 7-10
D. 10-13
ANS 7 to 10
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, 9.Which of the following arterial blood gas results would
most likely be reported for a patient who is having a mild
asthma attack?
A. pH = 7.31 PCO2 = 50 torr PO2 = 60 torr
B. pH = 7.40 PCO2 = 50 torr PO2 = 50 torr
C. pH = 7.47 PCO2 = 32 torr PO2 = 60 torr
D. pH = 7.47 PCO2 = 40 torr PO2 = 50 torr
ANS pH = 7.47 PCO2 = 32 torr PO2 = 60
torr
Asthma is respiratory alkalosis
10.On inspection of a patient's ECG strip, you note no
identifiable P waves; rapid irregular undulations of the
isoelectric line; and an irregular ventricular rhythm. In addition,
the precordial cardiac rate is greater than the peripheral pulse
rate. The most likely problem is
A. 2nd degree (Wenckebach) heart block
B. ventricular fibrillation
C. atrial fibrillation
D. ventricular tachycardia
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QUESTIONS AND VERIFIED ANSWERS
1.Within one second after initiating a forced vital capacity (FVC)
maneuver, a patient with normal lungs should be able exhale
what percent of the FVC?
A. 35-50% of the FVC
B. 50-70% of the FVC
C. 70-83% of the FVC
D. 84-93% of the FVC
ANS 70 to 83% of the FVC
2.Simple spirometry CANNOT be used to measure the
A. vital capacity
B. residual volume
C. tidal volume
D. inspiratory reserve volume
ANS residual volume
3.Which of the following approaches can be used to obtain a
medication history from a patient with a depressed level of
consciousness or who is severely agitated?
1/
132
,A. obtain and review the patient's past medical history
B. ask the patient's nurse about the patient's prescriptions
C. request that the lab run a comprehensive blood drug screen
D. obtain the patient's current prescription vials from the
family
ANS obtain the patient's current prescription vials from the family
4.Which of the following thoracic ultrasound findings is
consistent with the presence of a pneumothorax?
A. presence of gliding sign
B. absence of A-lines
C. presence of barcode sign
D. presence of seashore sign
ANS presence of barcode sign
5.Which of the following would tend to increase insensible water
loss?
A. hypothermia
B. bypassed upper airway
C. hypoventilation
D. diuretic administration
ANS bypassed upper airway
6.Which of the following would tend to decrease a patient's
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132
,energy expendi- ture?
A. hypothermia
B. inflammation
C. major trauma
D. agitation/pain
ANS hypothermia
7.A patient has acute respiratory acidosis. You would expect
the base excess (BE) to range between
A. + 6 mEq/L
B. - 6 mEq/L
C. +/- 2 mEq/L
D. +/- 8 mEq/L
ANS +/- 2 mEq/L
8.The APGAR score for a normal newborn infant ranges between
A. 1-4
B. 4-7
C. 7-10
D. 10-13
ANS 7 to 10
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, 9.Which of the following arterial blood gas results would
most likely be reported for a patient who is having a mild
asthma attack?
A. pH = 7.31 PCO2 = 50 torr PO2 = 60 torr
B. pH = 7.40 PCO2 = 50 torr PO2 = 50 torr
C. pH = 7.47 PCO2 = 32 torr PO2 = 60 torr
D. pH = 7.47 PCO2 = 40 torr PO2 = 50 torr
ANS pH = 7.47 PCO2 = 32 torr PO2 = 60
torr
Asthma is respiratory alkalosis
10.On inspection of a patient's ECG strip, you note no
identifiable P waves; rapid irregular undulations of the
isoelectric line; and an irregular ventricular rhythm. In addition,
the precordial cardiac rate is greater than the peripheral pulse
rate. The most likely problem is
A. 2nd degree (Wenckebach) heart block
B. ventricular fibrillation
C. atrial fibrillation
D. ventricular tachycardia
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