C&S TMC Exam 3
Study online at https://quizlet.com/_h4c3hj
1. A 36 weeks gestation, 4 hour post-delivery neonate Maintain current therapy
has the following ABG results while on a 35% oxy- and continue to monitor
hood:
pH: 7.34
PaCO2: 47 mmHg
PaO2: 57 mmHg
HCO3: 25 mmHg
The RT should recommend:
2. A pt with AIDS is to be given treatment for the preven- Pentamidine (NebuPent)
tion of Pneumocystis carinii pneumonia. Which of the via Respigard once every 4
following is most appropriate therapy for this pt? weeks
3. An intubated pt is being mechanically ventilated via a 2 (A/C-NO, SIMV-YES,
volume neb. The physician has asked the RT to begin IRV-NO PSV-YES)
weaning the pt. Which of the following modes would
be appropriate?
4. An adult pt being treated in the ED is receiving O2 by decrease the O2 liter flow
NC at 5 L/m. Over the last hour, the pt's respirations
have become irregular and shallow. ABG's show:
pH: 7.24
PaCO2: 86 mmHg
PaO2: 89 mmHg
HCO3: 36
The most appropriate recommendation:
5. An RT is asked to assess a pt with history of CO2 Aerosol bronchodilator
retention & air trapping. The pt complains that he with PEP therapy
has become increasingly SOB and is having difficulty
coughing up secretions. Upon auscultation, the thera-
, C&S TMC Exam 3
Study online at https://quizlet.com/_h4c3hj
pist notes scattered coarse crackles and an occasional
expiratory wheeze. Most appropriate?
6. 28 week gestation neonate is being manually ventilat- Intubate the patient
ed following delivery. Chest excursion is poor despite
respiratory ventilation with high peak pressures. Most
appropriate action?
7. Following a traumatic nasal intubation, the pt be- Keep the NT tubes cuff in-
gins to bleed profusely from the nasopharynx. The RT flated and suction pharynx
should: as needed
8. A pt's PaO2 measured by ABG is 255 mmHg. The ana- Recalibrate the analyzer to
lyzer on which the sample was analyzed is calibrated accommodate this unusu-
to a PaO2 of 150 mmHg. Most acceptable action? al value
9. An adult pt is orally intubated and receiving con- Replace cuff monometer
tinuous MV. While performing a routine cuff pres-
sure measurement, the RT observes that the cuff
pressure monometer's indicator needle continuously
reads zero. No vent alarms are activated and the pt
appears to be resting. The RT should do:
10. A pt in ICU requires aggressive fluid and electrolyte ECG monitoring
replacement therapy. Implementation of which of the
following would be most appropriate to evaluate the
effectiveness of therapy?
11. Data obtained from an orally intubated, MV adult pt Alveolar ventilation has
are as follows: decreased
8:00 AM
10:00 AM
Mode
, C&S TMC Exam 3
Study online at https://quizlet.com/_h4c3hj
SIMV
SIMV
VT
470 mL
470 mL
Rate
14/min
14/min
PetCO2
36 mmHg
44 mmHg
PaCO2
38 mmHg
46 mmHg
Spo2
92%
91%
SaO2 95%
95%
Which of the following best explains these data:
12. An orally intubated 18 yr old male was bought to the The pt is at high risk for
ED by EMS. A cuff pressure reading of 4 cmH2O was aspiration
recorded at the time of initial assessment. The most
likely finding of this cuff pressure is:
13. If the airway resistance of a pt who is being MV via Peak pressure
a volume ventilator increases, which of the following
would also increase?
14. Following abdominal surgery, a pt has developed a Pneumonia
productive cough and a temp of 103.3 degrees F (39.6
Study online at https://quizlet.com/_h4c3hj
1. A 36 weeks gestation, 4 hour post-delivery neonate Maintain current therapy
has the following ABG results while on a 35% oxy- and continue to monitor
hood:
pH: 7.34
PaCO2: 47 mmHg
PaO2: 57 mmHg
HCO3: 25 mmHg
The RT should recommend:
2. A pt with AIDS is to be given treatment for the preven- Pentamidine (NebuPent)
tion of Pneumocystis carinii pneumonia. Which of the via Respigard once every 4
following is most appropriate therapy for this pt? weeks
3. An intubated pt is being mechanically ventilated via a 2 (A/C-NO, SIMV-YES,
volume neb. The physician has asked the RT to begin IRV-NO PSV-YES)
weaning the pt. Which of the following modes would
be appropriate?
4. An adult pt being treated in the ED is receiving O2 by decrease the O2 liter flow
NC at 5 L/m. Over the last hour, the pt's respirations
have become irregular and shallow. ABG's show:
pH: 7.24
PaCO2: 86 mmHg
PaO2: 89 mmHg
HCO3: 36
The most appropriate recommendation:
5. An RT is asked to assess a pt with history of CO2 Aerosol bronchodilator
retention & air trapping. The pt complains that he with PEP therapy
has become increasingly SOB and is having difficulty
coughing up secretions. Upon auscultation, the thera-
, C&S TMC Exam 3
Study online at https://quizlet.com/_h4c3hj
pist notes scattered coarse crackles and an occasional
expiratory wheeze. Most appropriate?
6. 28 week gestation neonate is being manually ventilat- Intubate the patient
ed following delivery. Chest excursion is poor despite
respiratory ventilation with high peak pressures. Most
appropriate action?
7. Following a traumatic nasal intubation, the pt be- Keep the NT tubes cuff in-
gins to bleed profusely from the nasopharynx. The RT flated and suction pharynx
should: as needed
8. A pt's PaO2 measured by ABG is 255 mmHg. The ana- Recalibrate the analyzer to
lyzer on which the sample was analyzed is calibrated accommodate this unusu-
to a PaO2 of 150 mmHg. Most acceptable action? al value
9. An adult pt is orally intubated and receiving con- Replace cuff monometer
tinuous MV. While performing a routine cuff pres-
sure measurement, the RT observes that the cuff
pressure monometer's indicator needle continuously
reads zero. No vent alarms are activated and the pt
appears to be resting. The RT should do:
10. A pt in ICU requires aggressive fluid and electrolyte ECG monitoring
replacement therapy. Implementation of which of the
following would be most appropriate to evaluate the
effectiveness of therapy?
11. Data obtained from an orally intubated, MV adult pt Alveolar ventilation has
are as follows: decreased
8:00 AM
10:00 AM
Mode
, C&S TMC Exam 3
Study online at https://quizlet.com/_h4c3hj
SIMV
SIMV
VT
470 mL
470 mL
Rate
14/min
14/min
PetCO2
36 mmHg
44 mmHg
PaCO2
38 mmHg
46 mmHg
Spo2
92%
91%
SaO2 95%
95%
Which of the following best explains these data:
12. An orally intubated 18 yr old male was bought to the The pt is at high risk for
ED by EMS. A cuff pressure reading of 4 cmH2O was aspiration
recorded at the time of initial assessment. The most
likely finding of this cuff pressure is:
13. If the airway resistance of a pt who is being MV via Peak pressure
a volume ventilator increases, which of the following
would also increase?
14. Following abdominal surgery, a pt has developed a Pneumonia
productive cough and a temp of 103.3 degrees F (39.6
