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, NBRC TMC EXAM
1. A patient with ARDS is receiving mechanical ventilatory support. An
end-tidal CO2 monitor shows a PetCO2 of 59 torr. The therapist should
A. increase minute ventilation
B. obtain an arterial blood gas
C. recalibrate the capnography
D. continue current therapy and ventilator settings
- ANSWER: The correct answer is : A
2. Which of following parameters indicate a patient is ready to wean?
A. A-aDO2 of 410 mm Hg
B. PEEP of 10 cm H2O
C. pulmonary shunt of 16%
D. MIP of -18 cm H2O
- ANSWER: The correct answer is : C
3. Which of the following data is needed to calculate minute alveolar
ventilation?
A. IBW, VD/VT
B. PECO2, VT
C. RR, VT, weight in lbs
D. RSBI, VD/VT
- ANSWER: The correct answer is : C
A respiratory therapist notes a pressure-volume loop on a patient
receiving mechanical ventilation has a pronounced beak. What strategy is
useful in this case?
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A. increasing PEEP
B. decreasing tidal volume
C. decreasing flow
D. increasing flow
- ANSWER: The correct answer is : B
4. The respiratory therapist is making a plan of care for a patient with
mycoplasma pneumonia who needs assistance with airway clearance of
secretions. In which order should therapy be performed?
A. percussion, postural drainage, bronchodilator, coach coughing
B. bronchodilator, percussion, postural drainage, coach coughing
C. coach coughing, bronchodilator, percussion, postural drainage
D. postural drainage, percussion, bronchodilator, coach coughing
E. - ANSWER:
The correct answer is : B
5. Which of the following is an appropriate strategy when caring for a
patient with ARDS who is receiving mechanical ventilation?
A. strive for C.I. values less than 2.0 L/min/m2
B. keep the patient in reverse trendelenburg position
C. keep PEEP as high as possible
D. keep FIO2 at 60% or below if possible
- ANSWER: The correct answer is : D
6. Which of the following is an important strategy when caring for a
patient with adult respiratory distress syndrome?
A. ventilate in Control mode with paralytics
B. promote AutoPEEP
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, C. keep mean airway pressures as low as possible
D. keep FIO2 higher than 0.60
- ANSWER: The correct answer is : C
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