TMC Practice Exam E
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A patient with a history of chronic d. Instruction on deep breathing and coughing
bronchitis is post-operative for an techniques
exploratory laparotomy. Review of
the medical record suggests the
physician has concern about
difficulty clearing secretions after the
procedure. To assist the patient with
mobilization and removal of
secretions, the respiratory therapist
should recommend
a. MDI therapy with an anti-
inflammatory corticosteroid
b. Administer tetracycline
c. Administer cromolyn sodium
d. Instruction on deep breathing and
coughing techniques
,Which of the following conditions a. Untreated pneumothorax
would be a contraindication for
IPPB?
a. Untreated pneumothorax
b. Pulmonary edema
c. A patient requiring
bronchodilation AND lung expansion
d. Fractured ribs
The respiratory therapist has an b. The inner cannula is removed and the cuff
order to cap a patient with a deflated
fenestrated tracheostomy tube in
preparation for speech therapy. Prior
to applying the cap on the end of
the tube, the therapist should also
ensure
a. The inner cannula is removed and
the cuff inflated
b. The inner cannula is removed and
the cuff deflated
c. The inner cannula is in place and
the cuff deflated
d. The inner cannula is in placed and
the cuff inflated
,A 75-kg (165-lbs) male is in acute a. Size 7.0 mm ET tube with a large volume, low
ventilatory failure. In preparation for pressure cuff
mechanical ventilatory support, the
patient is to be orally intubated.
Which of the following artificial
airways would be most appropriate
for this patient?
a. Size 7.0 mm ET tube with a large
volume, low pressure cuff
b. Size 7.5 mm fenestrated
tracheostomy tube
c. Size 8.0 mm ET tube with a small
volume, high pressure cuff
d. Jackson tracheostomy tube
Which of the following devices is c. Body box
needed to determine a patient's
airway resistance?
a. Turbine pneumotachometer
b. Wheatstone bridge helium
analyzer
c. Body box
d. Geissler tube nitrogen analyzer
, A patient is receiving manual d. Examine chest rise and auscultate breath sounds
ventilatory support with a bag-valve
connected to a size 8.0 mm ET tube.
While transporting the patient from
CT scan back to the intensive care
unit, the respiratory therapist notices
oxygen saturation has dropped to
88% and that the bag-valve is easier
to squeeze than normal. Suspecting
mal-positioning of the ET tube, the
respiratory therapist should first
a. Perform diagnostic chest
percussion
b. Obtain an arterial blood gas
c. Call for a chest radiograph
d. Examine chest rise and auscultate
breath sounds
A 48-year-old patient has just been d. Obtain a chest radiograph
orally intubated prior to being
placed on volume-controlled
ventilation. The respiratory therapist
should do which of the following to
best confirm proper placement of
the endotracheal tube?
a. Auscultate breath sounds
b. Assess chest rise symmetry
c. Examine tube markings near the
lips
d. Obtain a chest radiograph
Leave the first rating
Save
Terms in this set (140) Hide definitions
A patient with a history of chronic d. Instruction on deep breathing and coughing
bronchitis is post-operative for an techniques
exploratory laparotomy. Review of
the medical record suggests the
physician has concern about
difficulty clearing secretions after the
procedure. To assist the patient with
mobilization and removal of
secretions, the respiratory therapist
should recommend
a. MDI therapy with an anti-
inflammatory corticosteroid
b. Administer tetracycline
c. Administer cromolyn sodium
d. Instruction on deep breathing and
coughing techniques
,Which of the following conditions a. Untreated pneumothorax
would be a contraindication for
IPPB?
a. Untreated pneumothorax
b. Pulmonary edema
c. A patient requiring
bronchodilation AND lung expansion
d. Fractured ribs
The respiratory therapist has an b. The inner cannula is removed and the cuff
order to cap a patient with a deflated
fenestrated tracheostomy tube in
preparation for speech therapy. Prior
to applying the cap on the end of
the tube, the therapist should also
ensure
a. The inner cannula is removed and
the cuff inflated
b. The inner cannula is removed and
the cuff deflated
c. The inner cannula is in place and
the cuff deflated
d. The inner cannula is in placed and
the cuff inflated
,A 75-kg (165-lbs) male is in acute a. Size 7.0 mm ET tube with a large volume, low
ventilatory failure. In preparation for pressure cuff
mechanical ventilatory support, the
patient is to be orally intubated.
Which of the following artificial
airways would be most appropriate
for this patient?
a. Size 7.0 mm ET tube with a large
volume, low pressure cuff
b. Size 7.5 mm fenestrated
tracheostomy tube
c. Size 8.0 mm ET tube with a small
volume, high pressure cuff
d. Jackson tracheostomy tube
Which of the following devices is c. Body box
needed to determine a patient's
airway resistance?
a. Turbine pneumotachometer
b. Wheatstone bridge helium
analyzer
c. Body box
d. Geissler tube nitrogen analyzer
, A patient is receiving manual d. Examine chest rise and auscultate breath sounds
ventilatory support with a bag-valve
connected to a size 8.0 mm ET tube.
While transporting the patient from
CT scan back to the intensive care
unit, the respiratory therapist notices
oxygen saturation has dropped to
88% and that the bag-valve is easier
to squeeze than normal. Suspecting
mal-positioning of the ET tube, the
respiratory therapist should first
a. Perform diagnostic chest
percussion
b. Obtain an arterial blood gas
c. Call for a chest radiograph
d. Examine chest rise and auscultate
breath sounds
A 48-year-old patient has just been d. Obtain a chest radiograph
orally intubated prior to being
placed on volume-controlled
ventilation. The respiratory therapist
should do which of the following to
best confirm proper placement of
the endotracheal tube?
a. Auscultate breath sounds
b. Assess chest rise symmetry
c. Examine tube markings near the
lips
d. Obtain a chest radiograph
