Lindsey Jones TMC Practice Exam
Questions And Answers
After instructing a patient and demonstrating the proper use of a metered dose inhaler with a
valved holding chamber, the patient performs the maneuver by placing the chamber in his mouth,
actuating the cannister, and then exhaling prior to performing inhalation. The respiratory
therapist should
A. document that the education was effective.
B. re-instruct the patient to inhale immediately after actuation of the cannister.
C. instruct the patient to inhale while depressing the cannister.
D. remove the cannister and have the patient reattempt the dose delivery. B. re-instruct
the patient to inhale immediately after actuation of the cannister.
If the patient exhales through the chamber immediately after actuating the inhaler, the medication
may be ejected through the valve and out of the chamber. This would discard the medication.
After depressing the cannister, the first action should be to inhale through the chamber.
In response to an Asthma action plan, the patient has attempted to contact their physician after
determining peak flow measurement is less than 50% of the patient's usual baseline value. The
physician is not responding to the call. According to NAEP guidelines, the patient should NEXT
, Lindsey Jones TMC Practice Exam
Questions And Answers
A. take a short-term bronchodilator, check peak flow in 1 hour
B. take a corticosteroid inhaler and check again in 20 minutes
C. take a short-term bronchodilator and contact a different physician
D. report to the hospital or call an ambulance D. report to the hospital or call an
ambulance
According the national asthma guidelines, a self monitored peak flow of 50% of baseline is an
indication to contact one's physician. However, if one's physician is not available, the patient
should report to the hospital or to the emergency room or call an ambulance.
A patient is orally intubated with a 7.0-mm ET tube. Immediately following the procedure, the
respiratory therapist will FIRST do which of the following to check for proper positioning of the
airway?
A. observe the color of the CO2 detector
B. obtain a chest radiograph
C. auscultate breath sounds
D. palpate the trachea A. observe the color of the CO2 detector
, Lindsey Jones TMC Practice Exam
Questions And Answers
When asked in a question what to do first in any given situation, the most likely answer is that
which is quickest. In this case a patient has just been inutbated and the therapist is asked to
determine if the tube is in the proper position. Palpating the trachea will not be helpful but the
other three options are all legitimate ways to ensure proper positioning of the ET tube. But, the
quickest way is to do something visual. In this case, simply observing the color of the CO2
detector is quickest. The next best option is to auscultate breath sounds. This is also very quick
but takes a little longer than a simple visual assessment. Finally, the next best answer is to obtain
a chest radiograph. This will provide conclusive evidence, but it is time-consuming and is not the
best option when trying to determine the position of the tube quickly.
Which of the following indicate a patient is ready to wean from mechanical ventilation?
A. A-aDO2 of 380 mmHg
B. RSBI 138
C. MIP of -12 cmH2O
D. VT of 6 mL/kg D. VT of 6 mL/kg
In order to wean from the ventilator the MIP must be more than -28 cmH2O. Tidal volume must
be at least 5 mL per kilogram and RSBI must be less than 106. The alveoli-arterial oxygen
, Lindsey Jones TMC Practice Exam
Questions And Answers
difference (A-a gradient) must be less than 300 mmHg. In this case only the tidal volume of 6
mL per kilogram and the RSBI of 90 indicate the patient is ready to wean from mechanical
ventilatory support.
A patient is receiving ventilatory support with CPAP of 5 cm H2O and PS of 10 cm H2O. The
following data is observed:
Vt(spont) 180 mL RR 28/min HR 104/min
MIP -22 cm H2O SpO2 0.95
What should be recommended for this patient?
A. increase CPAP to 7 cm H2O
B. obtain ABGs, STAT
C. implement invasive ventilation
D. increase PS to 15 cm H2O D. increase PS to 15 cm H2O
A 12-year-old male patient easily accomplishes the volume on an incentive spirometer that he
was able to reach prior to surgery. The respiratory therapist should
A. increase the set volume.
Questions And Answers
After instructing a patient and demonstrating the proper use of a metered dose inhaler with a
valved holding chamber, the patient performs the maneuver by placing the chamber in his mouth,
actuating the cannister, and then exhaling prior to performing inhalation. The respiratory
therapist should
A. document that the education was effective.
B. re-instruct the patient to inhale immediately after actuation of the cannister.
C. instruct the patient to inhale while depressing the cannister.
D. remove the cannister and have the patient reattempt the dose delivery. B. re-instruct
the patient to inhale immediately after actuation of the cannister.
If the patient exhales through the chamber immediately after actuating the inhaler, the medication
may be ejected through the valve and out of the chamber. This would discard the medication.
After depressing the cannister, the first action should be to inhale through the chamber.
In response to an Asthma action plan, the patient has attempted to contact their physician after
determining peak flow measurement is less than 50% of the patient's usual baseline value. The
physician is not responding to the call. According to NAEP guidelines, the patient should NEXT
, Lindsey Jones TMC Practice Exam
Questions And Answers
A. take a short-term bronchodilator, check peak flow in 1 hour
B. take a corticosteroid inhaler and check again in 20 minutes
C. take a short-term bronchodilator and contact a different physician
D. report to the hospital or call an ambulance D. report to the hospital or call an
ambulance
According the national asthma guidelines, a self monitored peak flow of 50% of baseline is an
indication to contact one's physician. However, if one's physician is not available, the patient
should report to the hospital or to the emergency room or call an ambulance.
A patient is orally intubated with a 7.0-mm ET tube. Immediately following the procedure, the
respiratory therapist will FIRST do which of the following to check for proper positioning of the
airway?
A. observe the color of the CO2 detector
B. obtain a chest radiograph
C. auscultate breath sounds
D. palpate the trachea A. observe the color of the CO2 detector
, Lindsey Jones TMC Practice Exam
Questions And Answers
When asked in a question what to do first in any given situation, the most likely answer is that
which is quickest. In this case a patient has just been inutbated and the therapist is asked to
determine if the tube is in the proper position. Palpating the trachea will not be helpful but the
other three options are all legitimate ways to ensure proper positioning of the ET tube. But, the
quickest way is to do something visual. In this case, simply observing the color of the CO2
detector is quickest. The next best option is to auscultate breath sounds. This is also very quick
but takes a little longer than a simple visual assessment. Finally, the next best answer is to obtain
a chest radiograph. This will provide conclusive evidence, but it is time-consuming and is not the
best option when trying to determine the position of the tube quickly.
Which of the following indicate a patient is ready to wean from mechanical ventilation?
A. A-aDO2 of 380 mmHg
B. RSBI 138
C. MIP of -12 cmH2O
D. VT of 6 mL/kg D. VT of 6 mL/kg
In order to wean from the ventilator the MIP must be more than -28 cmH2O. Tidal volume must
be at least 5 mL per kilogram and RSBI must be less than 106. The alveoli-arterial oxygen
, Lindsey Jones TMC Practice Exam
Questions And Answers
difference (A-a gradient) must be less than 300 mmHg. In this case only the tidal volume of 6
mL per kilogram and the RSBI of 90 indicate the patient is ready to wean from mechanical
ventilatory support.
A patient is receiving ventilatory support with CPAP of 5 cm H2O and PS of 10 cm H2O. The
following data is observed:
Vt(spont) 180 mL RR 28/min HR 104/min
MIP -22 cm H2O SpO2 0.95
What should be recommended for this patient?
A. increase CPAP to 7 cm H2O
B. obtain ABGs, STAT
C. implement invasive ventilation
D. increase PS to 15 cm H2O D. increase PS to 15 cm H2O
A 12-year-old male patient easily accomplishes the volume on an incentive spirometer that he
was able to reach prior to surgery. The respiratory therapist should
A. increase the set volume.
