KETTERING CSE PRACTICE SCRIPT 2026 FULL
SOLUTION VIEW AHEAD GRADED A+
◉ You report your findings to the hospitalist, who asks for your
recommendation. Based on your assessment, which of the following
would you recommend? Answer: Administer oxygen by nasal cannula at
5 L/min
◉ The hospitalist asks what additional testing may be indicated. You
should recommend. Answer: Arterial blood gas/ Complete blood count/
chest radiograph/ 12-lead ECG/ Sputum culture/ Sputum acid-fast stain/
drug toxicology/ serum electrolytes/ urinalysis/
◉ An ELISA test confirms a diagnosis of HIV and a sputum acid fast
stain is negative. Sputum culture confirms the presence of Pneumocystis
jiroveci. What additional therapy would you recommend at this time?
Answer: Pentamidine
◉ Four hours later, arterial blood gas analysis on 40% oxygen reveals:
pH 7.20, PaCO2 60 torr, PaO2 64 torr, HCO3- 24 mEq/L, BE Zero,
SaO2 (calc) 91%. Breath sounds are diminished with bilateral wheezing.
Which of the following would you recommend? Answer: Initiate
mechanical ventilation
,◉ The physician asks you to recommend initial ventilator settings.
Which of the following would you suggest? Answer: VC/SIMV, VT 450
mL, f 12/min, FIO2 0.50, PEEP 3 cm H2O
◉ You are the respiratory therapist working at a 330-bed suburban
medical center. You are called to Labor and Delivery to assist in the care
of a 1500 g (3.3 lb) female neonate born at 30 weeks of gestation.The
neonate has been dried and placed on a radiant warmer. Her heart rate is
120/min, respiratory rate is 45/min, there is no activity or response to
suctioning, and she is cyanotic. You should now. Answer: Administer
oxygen
◉ Two hours later you are called to the NICU to evaluate the neonate.
She is currently receiving 50% oxygen via oxyhood. Vital signs are:
temperature 36.3° C (97.3° F), pulse 166/min, respirations 40/min, BP
75/59 mm Hg, SpO2 81%. Auscultation reveals diminished breath
sounds. Umbilical artery blood gas results are: pH 7.32, PaCO2 45 torr,
PaO2 49 torr, HCO3- 23 mEq/L, BE -1, SaO2 (calc) 79%. Which of the
following should you now recommend to the neonatologist? Answer:
Initiate nasal CPAP
◉ An A-P chest radiograph reveals a ground glass appearance with
diffuse bilateral radiopacities. Which of the following would you
recommend at this time? Answer: Surfactant replacement therapy
◉ Four hours later, you are asked to reassess the neonate. She is
currently receiving 4 cm H2O CPAP therapy via nasal prongs with 50%
, oxygen, Umbilical artery blood gas results are: pH 7.19, PaCO2 57 torr,
PaO2 41 torr, HCO3- 22 mEq/L, BE -2, SaO2 (calc) 73%. You should
now recommend. Answer: Initiate mechanical ventilation
◉ The neonatologist asks for your recommendation for initial ventilator
settings. You should now recommend. Answer: PC/SIMV, PIP 27 cm
H2O, rate 29/min, FIO2 0.50, PEEP 4 cm H2O
◉ You are the respiratory therapist working at a 350-bed suburban
hospital. You receive a call from the Emergency Department to assist in
the care of a 53 year-old female patient who drove herself to the ED
after completing a high intensity exercise class. The patient presents
with shortness of breath, nausea, lightheadedness and an uncomfortable
fullness in the center of her chest. She is 163 cm (5' 4") tall and weighs
70 kg (154 lb). The ED physician asks you to evaluate the patient and
report your findings. Answer: Level of consciousness/ Vital signs/
Electrolytes/ Pulse oximetry/ General appearance/ ECG monitor/ Breath
sounds/ ABG results/ Diagnostic chest percussion/ CBC/ Troponin/ CXR
◉ The ED physician asks for your recommendation. Which of the
following would you recommend? Answer: 40% O2 via air-entrainment
mask/ Continuous ECG monitor/ Aspirin therapy
◉ The patient has been transferred to the Cardiac Cath Lab where a
percutaneous cardiac catheterization has been performed. The result of
the catheterization indicated two blocked coronary vessels that have
been stented. During the procedure, the patient experienced a sudden
SOLUTION VIEW AHEAD GRADED A+
◉ You report your findings to the hospitalist, who asks for your
recommendation. Based on your assessment, which of the following
would you recommend? Answer: Administer oxygen by nasal cannula at
5 L/min
◉ The hospitalist asks what additional testing may be indicated. You
should recommend. Answer: Arterial blood gas/ Complete blood count/
chest radiograph/ 12-lead ECG/ Sputum culture/ Sputum acid-fast stain/
drug toxicology/ serum electrolytes/ urinalysis/
◉ An ELISA test confirms a diagnosis of HIV and a sputum acid fast
stain is negative. Sputum culture confirms the presence of Pneumocystis
jiroveci. What additional therapy would you recommend at this time?
Answer: Pentamidine
◉ Four hours later, arterial blood gas analysis on 40% oxygen reveals:
pH 7.20, PaCO2 60 torr, PaO2 64 torr, HCO3- 24 mEq/L, BE Zero,
SaO2 (calc) 91%. Breath sounds are diminished with bilateral wheezing.
Which of the following would you recommend? Answer: Initiate
mechanical ventilation
,◉ The physician asks you to recommend initial ventilator settings.
Which of the following would you suggest? Answer: VC/SIMV, VT 450
mL, f 12/min, FIO2 0.50, PEEP 3 cm H2O
◉ You are the respiratory therapist working at a 330-bed suburban
medical center. You are called to Labor and Delivery to assist in the care
of a 1500 g (3.3 lb) female neonate born at 30 weeks of gestation.The
neonate has been dried and placed on a radiant warmer. Her heart rate is
120/min, respiratory rate is 45/min, there is no activity or response to
suctioning, and she is cyanotic. You should now. Answer: Administer
oxygen
◉ Two hours later you are called to the NICU to evaluate the neonate.
She is currently receiving 50% oxygen via oxyhood. Vital signs are:
temperature 36.3° C (97.3° F), pulse 166/min, respirations 40/min, BP
75/59 mm Hg, SpO2 81%. Auscultation reveals diminished breath
sounds. Umbilical artery blood gas results are: pH 7.32, PaCO2 45 torr,
PaO2 49 torr, HCO3- 23 mEq/L, BE -1, SaO2 (calc) 79%. Which of the
following should you now recommend to the neonatologist? Answer:
Initiate nasal CPAP
◉ An A-P chest radiograph reveals a ground glass appearance with
diffuse bilateral radiopacities. Which of the following would you
recommend at this time? Answer: Surfactant replacement therapy
◉ Four hours later, you are asked to reassess the neonate. She is
currently receiving 4 cm H2O CPAP therapy via nasal prongs with 50%
, oxygen, Umbilical artery blood gas results are: pH 7.19, PaCO2 57 torr,
PaO2 41 torr, HCO3- 22 mEq/L, BE -2, SaO2 (calc) 73%. You should
now recommend. Answer: Initiate mechanical ventilation
◉ The neonatologist asks for your recommendation for initial ventilator
settings. You should now recommend. Answer: PC/SIMV, PIP 27 cm
H2O, rate 29/min, FIO2 0.50, PEEP 4 cm H2O
◉ You are the respiratory therapist working at a 350-bed suburban
hospital. You receive a call from the Emergency Department to assist in
the care of a 53 year-old female patient who drove herself to the ED
after completing a high intensity exercise class. The patient presents
with shortness of breath, nausea, lightheadedness and an uncomfortable
fullness in the center of her chest. She is 163 cm (5' 4") tall and weighs
70 kg (154 lb). The ED physician asks you to evaluate the patient and
report your findings. Answer: Level of consciousness/ Vital signs/
Electrolytes/ Pulse oximetry/ General appearance/ ECG monitor/ Breath
sounds/ ABG results/ Diagnostic chest percussion/ CBC/ Troponin/ CXR
◉ The ED physician asks for your recommendation. Which of the
following would you recommend? Answer: 40% O2 via air-entrainment
mask/ Continuous ECG monitor/ Aspirin therapy
◉ The patient has been transferred to the Cardiac Cath Lab where a
percutaneous cardiac catheterization has been performed. The result of
the catheterization indicated two blocked coronary vessels that have
been stented. During the procedure, the patient experienced a sudden
