TnT II Final Exam Questions
You are administering PEP therapy to a patient at 10 cmH2O. Although coarse crackles are auscultated,
there is minimal secretion production. Which of the following would be the most appropriate
recommendation at this time?
a. increase the PEP level to 15 cmH2O
b. switch to IPPB therapy
c. Stop the treatment and suction the patient
d. decrease the PEP level to 5 cmH2O - ✔✔ correct answer A
While you are administering IPPB therapy the patient complains of dizziness. The most likely cause of
this is which of the following?
a. the patient is hyperventilating
b. the patient isn't receiving adequate peak inspiratory pressure
c. the patient is hypoventilating
d. the patient's PaO2 is decreasing - ✔✔ correct answer A
When coordinating the sequence of the following therapies relating to bronchopulmonary clearance,
which should the respiratory care practitioner do first?
a. percussion
b. deep breathing exercises
c. bronchodilator therapy
d. postural drainage - ✔✔ correct answer C
A 70 kg patient has a vital capacity of 3.2 L two days following abdominal surgery. In order to help
prevent postoperative atelectasis, which of the following therapies is most appropriate?
a. PEP therapy
b. intrapulmonary percussive ventilation
c. autogenic drainage
d. IPPB - ✔✔ correct answer A
When a patient is in the Fowler's position, which lung segment is most commonly involved with
atelectasis and pneumonia?
,TnT II Final Exam Questions
a. right lateral segment
b. posterior basilar segments of the lower lobes
c. posterior basilar segments of the middle lobe
d. apical segments of the upper lobes - ✔✔ correct answer D
A 52 year old alert, intubated patient who underwent abdominal surgery four hours ago is having
difficulty clearing his pulmonary secretions. Which of the following would you recommend at this time to
help increase secretion removal?
a. hand-held neb with normal saline
b. incentive spirometry
c. cool aerosol via t-piece
d. chest physiotherapy and suction ET tube prn - ✔✔ correct answer D
Pursed lip breathing exercises benefit patients by:
a. increasing inspiratory flows
b. providing a slight back pressure in the airway allowing for an increased expiratory time
c. increasing functional residual capacity
d. making expiratory time shorter - ✔✔ correct answer B
You are performing postural drainage and percussion on a 38 year old male patient whose chest film
indicates consolidation in the posterior segment of the left lower lobe. In what position should the
patient be placed to help drain this segment?
a. on the right side in Trendelenburg position
b. supine with head of bed elevated
c. on right side with the bed flat
d. prone position in Trendelenburg position - ✔✔ correct answer D
Upon initiation of PEP therapy via face mask, the respiratory therapist notices that the device is unable
to maintain a constant pressure during exhalation. To correct this problem, the therapist should evaluate
for which of the following?
a. inadequate inspiratory flow
,TnT II Final Exam Questions
b. leaks around the mask
c. inadequate system pressure
d. evidence of obstructive lung disease - ✔✔ correct answer B
The respiratory therapist receives an order for postural drainage and percussion on a 36 year old male
patient who has infiltrates in the lateral segment of his right lower lobe. Which of the following positions
should he be placed in to most effectively drain this segment?
a. lie on right side with head of bed in a downward position
b. place in prone position with the head of the bed in a downward position
c. lie on right side with head of bed elevated
d. lie on left side with head of the bed in a downward position - ✔✔ correct answer D
Which of the following statements regarding EzPAP are true?
1. The positive airway pressure achieved ranges from 5-20 cmH2O.
2. The device cannot be used with a mask
3. The device provides positive pressure on inspiration and expiration
4. Bronchodilators cannot be delivered using this device
a. 1 and 4 only
b. 2 and 3 only
c. 1 and 3 only
d. 1, 2, and 4 only - ✔✔ correct answer C
A patient with neuromuscular disease is having difficulty expectorating secretions. To help improve
secretion clearance, which of the following is the most appropriate recommendation?
a. PEP therapy
b. mechanical insufflation-exsufflation
c. postural drainage and percussion
d. IPV - ✔✔ correct answer B
, TnT II Final Exam Questions
Which of the following are hazards of IPPB?
1. Gastric distention
2. Decreased mean airway pressure
3. Increased venous return
a. 1 only
b. 2 only
c. 3 only
d. 1 and 2 only - ✔✔ correct answer A
A patient is receiving IPPB therapy with a peak inspiratory pressure of 22 cmH2O following abdominal
surgery. He has a vital capacity of 20 mL/kg of his IBW. The respiratory therapist should recommend
which of the following?
a. decrease the peak pressure to 18 cmH2O
b. discontinue IPPB and begin deep breathing and coughing exercises
c. continue IPPB as ordered
d. obtain an arterial blood gas - ✔✔ correct answer A
The respiratory therapist is administering PEP therapy to a patient with atelectasis. Which of the
following would indicate the atelectasis is improving?
a. decreased late inspiratory crackles
b. decreased inspiratory wheezes
c. reduced inspiratory stridor
d. coarse crackles that clear with coughing - ✔✔ correct answer A
Chest physiotherapy is indicated in all of the following except:
a. bronchiectasis
b. chronic bronchitis
c. cystic fibrosis
d. pulmonary edema - ✔✔ correct answer D
You are administering PEP therapy to a patient at 10 cmH2O. Although coarse crackles are auscultated,
there is minimal secretion production. Which of the following would be the most appropriate
recommendation at this time?
a. increase the PEP level to 15 cmH2O
b. switch to IPPB therapy
c. Stop the treatment and suction the patient
d. decrease the PEP level to 5 cmH2O - ✔✔ correct answer A
While you are administering IPPB therapy the patient complains of dizziness. The most likely cause of
this is which of the following?
a. the patient is hyperventilating
b. the patient isn't receiving adequate peak inspiratory pressure
c. the patient is hypoventilating
d. the patient's PaO2 is decreasing - ✔✔ correct answer A
When coordinating the sequence of the following therapies relating to bronchopulmonary clearance,
which should the respiratory care practitioner do first?
a. percussion
b. deep breathing exercises
c. bronchodilator therapy
d. postural drainage - ✔✔ correct answer C
A 70 kg patient has a vital capacity of 3.2 L two days following abdominal surgery. In order to help
prevent postoperative atelectasis, which of the following therapies is most appropriate?
a. PEP therapy
b. intrapulmonary percussive ventilation
c. autogenic drainage
d. IPPB - ✔✔ correct answer A
When a patient is in the Fowler's position, which lung segment is most commonly involved with
atelectasis and pneumonia?
,TnT II Final Exam Questions
a. right lateral segment
b. posterior basilar segments of the lower lobes
c. posterior basilar segments of the middle lobe
d. apical segments of the upper lobes - ✔✔ correct answer D
A 52 year old alert, intubated patient who underwent abdominal surgery four hours ago is having
difficulty clearing his pulmonary secretions. Which of the following would you recommend at this time to
help increase secretion removal?
a. hand-held neb with normal saline
b. incentive spirometry
c. cool aerosol via t-piece
d. chest physiotherapy and suction ET tube prn - ✔✔ correct answer D
Pursed lip breathing exercises benefit patients by:
a. increasing inspiratory flows
b. providing a slight back pressure in the airway allowing for an increased expiratory time
c. increasing functional residual capacity
d. making expiratory time shorter - ✔✔ correct answer B
You are performing postural drainage and percussion on a 38 year old male patient whose chest film
indicates consolidation in the posterior segment of the left lower lobe. In what position should the
patient be placed to help drain this segment?
a. on the right side in Trendelenburg position
b. supine with head of bed elevated
c. on right side with the bed flat
d. prone position in Trendelenburg position - ✔✔ correct answer D
Upon initiation of PEP therapy via face mask, the respiratory therapist notices that the device is unable
to maintain a constant pressure during exhalation. To correct this problem, the therapist should evaluate
for which of the following?
a. inadequate inspiratory flow
,TnT II Final Exam Questions
b. leaks around the mask
c. inadequate system pressure
d. evidence of obstructive lung disease - ✔✔ correct answer B
The respiratory therapist receives an order for postural drainage and percussion on a 36 year old male
patient who has infiltrates in the lateral segment of his right lower lobe. Which of the following positions
should he be placed in to most effectively drain this segment?
a. lie on right side with head of bed in a downward position
b. place in prone position with the head of the bed in a downward position
c. lie on right side with head of bed elevated
d. lie on left side with head of the bed in a downward position - ✔✔ correct answer D
Which of the following statements regarding EzPAP are true?
1. The positive airway pressure achieved ranges from 5-20 cmH2O.
2. The device cannot be used with a mask
3. The device provides positive pressure on inspiration and expiration
4. Bronchodilators cannot be delivered using this device
a. 1 and 4 only
b. 2 and 3 only
c. 1 and 3 only
d. 1, 2, and 4 only - ✔✔ correct answer C
A patient with neuromuscular disease is having difficulty expectorating secretions. To help improve
secretion clearance, which of the following is the most appropriate recommendation?
a. PEP therapy
b. mechanical insufflation-exsufflation
c. postural drainage and percussion
d. IPV - ✔✔ correct answer B
, TnT II Final Exam Questions
Which of the following are hazards of IPPB?
1. Gastric distention
2. Decreased mean airway pressure
3. Increased venous return
a. 1 only
b. 2 only
c. 3 only
d. 1 and 2 only - ✔✔ correct answer A
A patient is receiving IPPB therapy with a peak inspiratory pressure of 22 cmH2O following abdominal
surgery. He has a vital capacity of 20 mL/kg of his IBW. The respiratory therapist should recommend
which of the following?
a. decrease the peak pressure to 18 cmH2O
b. discontinue IPPB and begin deep breathing and coughing exercises
c. continue IPPB as ordered
d. obtain an arterial blood gas - ✔✔ correct answer A
The respiratory therapist is administering PEP therapy to a patient with atelectasis. Which of the
following would indicate the atelectasis is improving?
a. decreased late inspiratory crackles
b. decreased inspiratory wheezes
c. reduced inspiratory stridor
d. coarse crackles that clear with coughing - ✔✔ correct answer A
Chest physiotherapy is indicated in all of the following except:
a. bronchiectasis
b. chronic bronchitis
c. cystic fibrosis
d. pulmonary edema - ✔✔ correct answer D
