Therapist Multiple-Choice Test Bank |
Updated Questions & Answers Review with
A+ Solutions
• A pt with CPOD has been admitted with possible pneumonia. The PT
has moderate amounts of thick yellow sputum and decrease BS in right
middle lobe. What treatment would you recommend?
CPT
Antibiotics
IS
IPPB . Answer: Antibiotics (YELLOW SPUTUM)
• a PT is suspected of having a pleural effusion. Before recommending a
thoracentesis what should you recommend?
lateral decubitus xray
ABG
VQ/VS scan
flexible bronchoscope . Answer: Lateral decubitus chest radiograph
(pleural effusion)
• ALL could cause a capnography reading to change from 36 torr to 30
torr EXCEPT:
ET tube right mainstream bronchus
Hyperventilation
Pulmonary emboli
Hypovolemia . Answer: ET tube right mainstream bronchus
,• A 16 yr old male pt involved in a motorcycle accident presents to the
ER with massive maxillary and nasal trauma. What is the best device for
maintaining pts airway?
Nasal ET tube
Fenestrated tracheostomy tube
Oral pharyngeal airway . Answer: Fenestrated tracheostomy tube
• a 70 kg male is receiving non-invasive positive pressure ventilation
(NPPV) with a BiPAP vent set to 15/5.
ABG:
PH: 7.33
PaCO2: 49
PaO2: 83
What IPAP/EPAP settings would best improve this condition?
10/2
15/10
20/10
20/5 . Answer: 20/5
• a 32 yr old women is 5'6 and weighs 100kg has chest trauma from a
motorcycle accident. The PT has been intubated and is being manually
ventilated by a rests bag. She has also received morphine and
pancuronium bromide. What would be an appropriate initial settings?
VC, A/C rate 10 vt 700
VC, SIMV rate 24 vt 400
VC, SIMV rate 14 vt 800
VC, A/C rate 12 vt 500 . Answer: VC, A/C rate 12 vt 500
• A 22yr old female pt with ARDS is on VC vent. Her RAW and
compliance has been improving through your shift. At the start of ur
, shift her peak pressure was 35 cmH2O, 8 hours later it is 24 cmH2O,
what alarm is important at this time?
Low O2
Low pressure
Low VT
Low VE . Answer: Low pressure
• Following Mitral valve replacement surgery a 29 yr old female pt is
combative on a VC vent in A/C mode. The peak pressure alarm sounds
with each breath, the nurse has called the cardiovascular surgeon and is
now asking you for an immediate recommendation;
increase the alarm limit
order chest X-ray STAT
change to SIMV and evaluate PT
ABG STAT . Answer: SIMV and evaluate pt
• a 59 yr old pt has been transferred to ICU following coronary artery
bypass surgery and is being ventilated in VC, A/C. He appears agitated
and is triggering the vent at a fast rate causing the high pressure alarm to
sound, you should;
Switch to SIMV
Initiate PS
Recommend morphine sulfate
Recommend rocuronium bromide . Answer: Recommend morphine
sulfate to calm PT
• Which of the following will decrease the mean airway pressure on a pt
receiving continuous VC ventilation?
Decrease the inspiratory time
Decrease the peak flow
Updated Questions & Answers Review with
A+ Solutions
• A pt with CPOD has been admitted with possible pneumonia. The PT
has moderate amounts of thick yellow sputum and decrease BS in right
middle lobe. What treatment would you recommend?
CPT
Antibiotics
IS
IPPB . Answer: Antibiotics (YELLOW SPUTUM)
• a PT is suspected of having a pleural effusion. Before recommending a
thoracentesis what should you recommend?
lateral decubitus xray
ABG
VQ/VS scan
flexible bronchoscope . Answer: Lateral decubitus chest radiograph
(pleural effusion)
• ALL could cause a capnography reading to change from 36 torr to 30
torr EXCEPT:
ET tube right mainstream bronchus
Hyperventilation
Pulmonary emboli
Hypovolemia . Answer: ET tube right mainstream bronchus
,• A 16 yr old male pt involved in a motorcycle accident presents to the
ER with massive maxillary and nasal trauma. What is the best device for
maintaining pts airway?
Nasal ET tube
Fenestrated tracheostomy tube
Oral pharyngeal airway . Answer: Fenestrated tracheostomy tube
• a 70 kg male is receiving non-invasive positive pressure ventilation
(NPPV) with a BiPAP vent set to 15/5.
ABG:
PH: 7.33
PaCO2: 49
PaO2: 83
What IPAP/EPAP settings would best improve this condition?
10/2
15/10
20/10
20/5 . Answer: 20/5
• a 32 yr old women is 5'6 and weighs 100kg has chest trauma from a
motorcycle accident. The PT has been intubated and is being manually
ventilated by a rests bag. She has also received morphine and
pancuronium bromide. What would be an appropriate initial settings?
VC, A/C rate 10 vt 700
VC, SIMV rate 24 vt 400
VC, SIMV rate 14 vt 800
VC, A/C rate 12 vt 500 . Answer: VC, A/C rate 12 vt 500
• A 22yr old female pt with ARDS is on VC vent. Her RAW and
compliance has been improving through your shift. At the start of ur
, shift her peak pressure was 35 cmH2O, 8 hours later it is 24 cmH2O,
what alarm is important at this time?
Low O2
Low pressure
Low VT
Low VE . Answer: Low pressure
• Following Mitral valve replacement surgery a 29 yr old female pt is
combative on a VC vent in A/C mode. The peak pressure alarm sounds
with each breath, the nurse has called the cardiovascular surgeon and is
now asking you for an immediate recommendation;
increase the alarm limit
order chest X-ray STAT
change to SIMV and evaluate PT
ABG STAT . Answer: SIMV and evaluate pt
• a 59 yr old pt has been transferred to ICU following coronary artery
bypass surgery and is being ventilated in VC, A/C. He appears agitated
and is triggering the vent at a fast rate causing the high pressure alarm to
sound, you should;
Switch to SIMV
Initiate PS
Recommend morphine sulfate
Recommend rocuronium bromide . Answer: Recommend morphine
sulfate to calm PT
• Which of the following will decrease the mean airway pressure on a pt
receiving continuous VC ventilation?
Decrease the inspiratory time
Decrease the peak flow
