LINDSEY JONES EXAM 1 QUESTIONS
AND ANSWERS (GRADED A+)
Romazicon (flumazenil) - ANSWER-A patient receiving mechanical ventilation has
received Halcion in the last 20 minutes. The physician orders the institution of SBT's to
commence immediately. What medication would be most helpful to the patient?
Atropine Sulfate - ANSWER-A pt w/ a history of myasthenia gravis receives
Endrophonium for the purpose of diagnosis of a suspected myasthenic crisis. Moments
after administration, the patient's ventilatory drive becomes markedly diminished. What
medication would be most helpful to the patient at this time?
Diamox (Acetazolamide) - ANSWER-A patient who suffers from head trauma has an
ICP of 25 mmHg and is receiving mechanical ventilatory support in control mode. The
patient is sedated and paralyzed. To best manage his ICP, what medication would be
most helpful?
Manual dexterity and language skills - ANSWER-The respiratory therapist should
evaluate what, to develop a teaching plan for a patient who will be using an MDI at
home?
Disease history - ANSWER-What should be excluded in an evaluation of a patient's
ability to learn to self-administer medication by MDI?
Ipratropium bromide 0.5mg and a theophylline level check - ANSWER-A 33 y/o femal
with a history of asthma presents to the ER w/ inspiratory and expiratory wheezing. She
take aminophylline routinely and has self-administered 8 puffs of albuterol via MDI over
the past two hours. What should the RT recommend?
Atrovent MDI 2 puffs - ANSWER-A pt in the ED w/ asthma has been on continuous
albuterol treatments for 1 hour at 10mg/hr. Aeration has improved slightly upon
auscultation. Peak flow is currently less than 50% of normal baseline. The RT is asked
to recommend additional bronchodilator therapy to be combined w/ Albuterol. What
should the RT recommend?
Bronchoscopy - ANSWER-What would be most beneficial in resolving microatelectasis?
A wasted appearance - ANSWER-A RT notes the word cachetic used in the medical
documentation to describe a patient. This is most consistent with what?
Cachexia - ANSWER-What would most closely describe the physical attribute of being
wasted in appearance?
, Change to an 8.5 ETT and 12 Fr. Catheter - ANSWER-A 90-kg male is receiving
mechanical ventilation through a 7.5 ETT. Bronchial hygiene has been difficult due to
thick secretions. The patient is being suctioned w/a 10fr catheter at a pressure of
110mmHg. What can be done to increase the effectiveness of suctioning?
6.4 L/min - ANSWER-A 36-kg (79-lb) pediatric patient is receiving volume-cycled
mechanical ventilation w/ a PB 840 using an adult circuit. The minute ventilation is 8.0
L/min, RR 20, and FiO2 0.40. What is the patient's alveolar minute ventilation
550 mL - ANSWER-A 90-kg (198-lb), 175cm (5'9") male patient receiving mechanical
ventilation has the following data:
Mode- SIMV
Total VE- 8.8
RR- 10
Total RR- 16
pH- 7.36
PaCO2- 45
PO2- 68
HCO3- 26
BE- 1.2
FiO2- 0.60
PEEP- 10
PB- 727
What is the patient's mean tidal volume?
Examine the ventilator circuit for proper connections - ANSWER-During a properational
test of the ventilator w/ a test lung, the RT notes a return tidal volume of 600cc. Vent
settings are:
Mode- A/C
FiO2- 0.50
RR- 10
VT- 750
What action should the therapist take?
Increase suction catheter diameter - ANSWER-A patient has thick and tenacious
secretions. What may aide in suctioning?
Fail to cycle into exhalation - ANSWER-A long-term care patient who experienced a
stroke has left-sided paralysis about the face and mouth. The patient is unable to
produce a seal w/ her lips while performing IPPB treatments. How would a RT expected
the IPPB machine to respond in this situation?
Increase sensitivity - ANSWER-A post-operative patient is receiving positive-pressure
ventilation w/ an IPPB while recovering from anesthesia. The mandatory rate is 10/min.
Inspiratory pressure is set to 18 cmH2O. Gradually the rate increases to 16/min while
the monometer needle is showing a significant negative deflection before inhalation
AND ANSWERS (GRADED A+)
Romazicon (flumazenil) - ANSWER-A patient receiving mechanical ventilation has
received Halcion in the last 20 minutes. The physician orders the institution of SBT's to
commence immediately. What medication would be most helpful to the patient?
Atropine Sulfate - ANSWER-A pt w/ a history of myasthenia gravis receives
Endrophonium for the purpose of diagnosis of a suspected myasthenic crisis. Moments
after administration, the patient's ventilatory drive becomes markedly diminished. What
medication would be most helpful to the patient at this time?
Diamox (Acetazolamide) - ANSWER-A patient who suffers from head trauma has an
ICP of 25 mmHg and is receiving mechanical ventilatory support in control mode. The
patient is sedated and paralyzed. To best manage his ICP, what medication would be
most helpful?
Manual dexterity and language skills - ANSWER-The respiratory therapist should
evaluate what, to develop a teaching plan for a patient who will be using an MDI at
home?
Disease history - ANSWER-What should be excluded in an evaluation of a patient's
ability to learn to self-administer medication by MDI?
Ipratropium bromide 0.5mg and a theophylline level check - ANSWER-A 33 y/o femal
with a history of asthma presents to the ER w/ inspiratory and expiratory wheezing. She
take aminophylline routinely and has self-administered 8 puffs of albuterol via MDI over
the past two hours. What should the RT recommend?
Atrovent MDI 2 puffs - ANSWER-A pt in the ED w/ asthma has been on continuous
albuterol treatments for 1 hour at 10mg/hr. Aeration has improved slightly upon
auscultation. Peak flow is currently less than 50% of normal baseline. The RT is asked
to recommend additional bronchodilator therapy to be combined w/ Albuterol. What
should the RT recommend?
Bronchoscopy - ANSWER-What would be most beneficial in resolving microatelectasis?
A wasted appearance - ANSWER-A RT notes the word cachetic used in the medical
documentation to describe a patient. This is most consistent with what?
Cachexia - ANSWER-What would most closely describe the physical attribute of being
wasted in appearance?
, Change to an 8.5 ETT and 12 Fr. Catheter - ANSWER-A 90-kg male is receiving
mechanical ventilation through a 7.5 ETT. Bronchial hygiene has been difficult due to
thick secretions. The patient is being suctioned w/a 10fr catheter at a pressure of
110mmHg. What can be done to increase the effectiveness of suctioning?
6.4 L/min - ANSWER-A 36-kg (79-lb) pediatric patient is receiving volume-cycled
mechanical ventilation w/ a PB 840 using an adult circuit. The minute ventilation is 8.0
L/min, RR 20, and FiO2 0.40. What is the patient's alveolar minute ventilation
550 mL - ANSWER-A 90-kg (198-lb), 175cm (5'9") male patient receiving mechanical
ventilation has the following data:
Mode- SIMV
Total VE- 8.8
RR- 10
Total RR- 16
pH- 7.36
PaCO2- 45
PO2- 68
HCO3- 26
BE- 1.2
FiO2- 0.60
PEEP- 10
PB- 727
What is the patient's mean tidal volume?
Examine the ventilator circuit for proper connections - ANSWER-During a properational
test of the ventilator w/ a test lung, the RT notes a return tidal volume of 600cc. Vent
settings are:
Mode- A/C
FiO2- 0.50
RR- 10
VT- 750
What action should the therapist take?
Increase suction catheter diameter - ANSWER-A patient has thick and tenacious
secretions. What may aide in suctioning?
Fail to cycle into exhalation - ANSWER-A long-term care patient who experienced a
stroke has left-sided paralysis about the face and mouth. The patient is unable to
produce a seal w/ her lips while performing IPPB treatments. How would a RT expected
the IPPB machine to respond in this situation?
Increase sensitivity - ANSWER-A post-operative patient is receiving positive-pressure
ventilation w/ an IPPB while recovering from anesthesia. The mandatory rate is 10/min.
Inspiratory pressure is set to 18 cmH2O. Gradually the rate increases to 16/min while
the monometer needle is showing a significant negative deflection before inhalation
