Kettering TMC practice exam
A respiratory therapist enters a patient's room during oxygen rounds. The patient has
end - stage emphysema and appears to be sleeping. The patient doesn't respond to
questions and his pulse is 20 bpm. The therapist should immediately.
A. Confirm DNR status
B. Go get help
C. Begin rescue ventilation
D. Begin chest compressions - ANSWER Confirm DNR status
Which of the following clinical observations is most commonly associated with right
heart failure?
A Peripheral edema
B. Muscle wasting
C. Tracheal deviation
D. Skin flushing - ANSWER Peripheral edema
Which of the following is the definitive method of monitoring the effectiveness of
equipment sterilization?
A. Heat sensitive tape
B. Chemical sensitive indicator
C. Biologic indicator
D. Time and temperature graph - ANSWER Biologic indicator
A patient who is receiving mechanical ventilation requires an FiO2 of 0.70 and 10 cm
H2O PEEP to maintain an acceptable PaO2. The patient is restless and has become
disconnected from the ventilator circuit several times, during which she experiences
cardiac rhythm disturbances. A respiratory therapist should conclude that the patient
with benefit from a:
A. Sedative
B. Mucolytic
C. Neuromuscular blocker
D. Pulmonary vasodilator - ANSWER Sedative
Lams and Pams
What is signs? - ANSWER What you see
What is symptoms? - ANSWER What the patient tells you
What is the normal Urine output? - ANSWER 40 ml
, What is Hypovolemia?
What would you recommend? - ANSWER low CVP
Give fluids
What is semicomatose? - ANSWER Patient responds to pain only
What is Lethargy/Somnolence?
What would you recommend? - ANSWER Sleepy
Consider sleep apnea
COPD patients is getting to much oxygen
ADL are evaluated using the ___________________ system - ANSWER Katz
What is orthopnea?
What patients would you see this in? - ANSWER Cannot breathe laying flat
Seen in CHF patients
What is General Malaise? - ANSWER Electrolyte imbalance
What is dyspnea? - ANSWER Shortness of breath
What is dysphagia? - ANSWER Having a hard time swallowing
What is Peripheral Edema?
What patients is it seen in? - ANSWER Fluid in the arms and ankles
Seen in CHF patients
Seen in Renal failure
What is Ascites?
What patients is it seen in? - ANSWER Fluid in the abdomen
Seen in Liver failure patients
What is clubbing?
What patients is it seen it? - ANSWER Chronic hypoxia
Seen in COPD patients
What patients will you see JVD in? - ANSWER CHF patients
What is Capillary Refill? - ANSWER Color returns within 3 seconds
What is diaphoresis? - ANSWER Heavy sweating
Seen in CHF patients
Seen with Fever and infections
Seen with Anxiety and Nervousness
A respiratory therapist enters a patient's room during oxygen rounds. The patient has
end - stage emphysema and appears to be sleeping. The patient doesn't respond to
questions and his pulse is 20 bpm. The therapist should immediately.
A. Confirm DNR status
B. Go get help
C. Begin rescue ventilation
D. Begin chest compressions - ANSWER Confirm DNR status
Which of the following clinical observations is most commonly associated with right
heart failure?
A Peripheral edema
B. Muscle wasting
C. Tracheal deviation
D. Skin flushing - ANSWER Peripheral edema
Which of the following is the definitive method of monitoring the effectiveness of
equipment sterilization?
A. Heat sensitive tape
B. Chemical sensitive indicator
C. Biologic indicator
D. Time and temperature graph - ANSWER Biologic indicator
A patient who is receiving mechanical ventilation requires an FiO2 of 0.70 and 10 cm
H2O PEEP to maintain an acceptable PaO2. The patient is restless and has become
disconnected from the ventilator circuit several times, during which she experiences
cardiac rhythm disturbances. A respiratory therapist should conclude that the patient
with benefit from a:
A. Sedative
B. Mucolytic
C. Neuromuscular blocker
D. Pulmonary vasodilator - ANSWER Sedative
Lams and Pams
What is signs? - ANSWER What you see
What is symptoms? - ANSWER What the patient tells you
What is the normal Urine output? - ANSWER 40 ml
, What is Hypovolemia?
What would you recommend? - ANSWER low CVP
Give fluids
What is semicomatose? - ANSWER Patient responds to pain only
What is Lethargy/Somnolence?
What would you recommend? - ANSWER Sleepy
Consider sleep apnea
COPD patients is getting to much oxygen
ADL are evaluated using the ___________________ system - ANSWER Katz
What is orthopnea?
What patients would you see this in? - ANSWER Cannot breathe laying flat
Seen in CHF patients
What is General Malaise? - ANSWER Electrolyte imbalance
What is dyspnea? - ANSWER Shortness of breath
What is dysphagia? - ANSWER Having a hard time swallowing
What is Peripheral Edema?
What patients is it seen in? - ANSWER Fluid in the arms and ankles
Seen in CHF patients
Seen in Renal failure
What is Ascites?
What patients is it seen in? - ANSWER Fluid in the abdomen
Seen in Liver failure patients
What is clubbing?
What patients is it seen it? - ANSWER Chronic hypoxia
Seen in COPD patients
What patients will you see JVD in? - ANSWER CHF patients
What is Capillary Refill? - ANSWER Color returns within 3 seconds
What is diaphoresis? - ANSWER Heavy sweating
Seen in CHF patients
Seen with Fever and infections
Seen with Anxiety and Nervousness
