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Secure Comprehensive Therapist Multiple-Choice SAE Practice Test (Form B)

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Secure Comprehensive Therapist Multiple-Choice SAE Practice Test (Form B) A patient with a PBW of 55 kg (121 lb) is receiving VC, A/C ventilation. Ventilator settings and blood gas analysis results are: FIO2 0.70 Mandatory rate 14 VT 350 mL PEEP 5 cm H2O pH 7.35 PaCO2 35 mm Hg PaO2 40 mm Hg HCO3- 19 mEq/L BE - 6 mEq/L SO2 (calc) 74% A respiratory therapist should recommend A. changing to SIMV mode. B. increasing to 10 cm H2O PEEP. C. changing to 5 cm H2O CPAP. D. increasing to 400 mL VT. - CORRECT ANSWER-B. increasing to 10 cm H2O PEEP. When instructing a patient on the administration of umeclidinium/vilanterol (Anoro Ellipta), which of the following is most important to emphasize? A. Gargle immediately after use. B. Inhale slowly with a breath hold. C. Breathe in fast and deep. D. Shake medication vigorously before use. - CORRECT ANSWER-C. Breathe in fast and deep Umeclidinium/vilanterol (Anoro Ellipta) is a DPI that requires rapid inhalation. Following placement of a tracheostomy tube for long-term mechanical ventilation, which of the following patient positions best prevents ventilator-associated pneumonia? A. prone B. Trendelenburg C. supine D. semi-Fowler - CORRECT ANSWER-D. semi-Fowler Routine use of semi-Fowler positioning with the head of the bed elevated at an angle of 30-45 degrees has been shown to decrease rates of ventilator-associated pneumonia. Which of the following is used to monitor the partial pressure of transcutaneous carbon dioxide? A. red-light absorption sensor B. electromechanical transducer C. infrared analyzer D.Stow-Severinghaus electrode - CORRECT ANSWER-D.Stow-Severinghaus electrode An adult patient requires frequent blood sampling and medication administrations through an IV for 1 month. The preferred vascular access is a A. peripherally inserted central catheter. B. subclavian central vascular line. C. standard peripheral IV line. D. internal jugular catheter. - CORRECT ANSWER-A. peripherally inserted central catheter. A PICC is the best choice for long-term IV access and allows for blood sampling.

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Uploaded on: January 23, 2025
Number of pages: 82
Written in: 2024/2025
Type: Exam (elaborations)
Contains: Questions & answers

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secure comprehensive therapist multiple choice sae
a patient with a pbw of 55 kg 121 lb is receivin
following placement of a tracheostomy tube for lo
when administering dornase alfa pulmozyme with a
a

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Secure Comprehensive Therapist Multiple-Choice SAE
Practice Test (Form B)

AzpatientzwithzazPBWzofz55zkgz(121zlb)ziszreceivingzVC,zA/Czventilation.zVentilatorzsettingszandzbloodzgasza
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FIO2z0.70

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VTz350zmL

PEEPz5zcmzH2O
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PaCO2z35zmmzHg

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HCO3-z19zmEq/L

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Azrespiratoryztherapistzshouldzrecommend

A.zchangingztozSIMVzmode.

B.zincreasingztoz10zcmzH2OzPEEP.

C.zchangingztoz5zcmzH2OzCPAP.

D.zincreasingztoz400zmLzVT.z-zCORRECTzANSWER-B.zincreasingztoz10zcmzH2OzPEEP.

Whenzinstructingzazpatientzonzthezadministrationzofzumeclidinium/vilanterolz(AnorozEllipta),zwhichzofzthez
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A.zGarglezimmediatelyzafterzuse.

B.zInhalezslowlyzwithzazbreathzhold.

C.zBreathezinzfastzandzdeep.

,D.zShakezmedicationzvigorouslyzbeforezuse.z-zCORRECTzANSWER-C.zBreathezinzfastzandzdeep

Umeclidinium/vilanterolz(AnorozEllipta)ziszazDPIzthatzrequireszrapidzinhalation.

Followingzplacementzofzaztracheostomyztubezforzlong-
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z

A.z

prone

B.z

Trendelenburg

C.z

supine

D.z

semi-Fowlerz-zCORRECTzANSWER-D.zsemi-Fowler

Routinezusezofzsemi-Fowlerzpositioningzwithzthezheadzofzthezbedzelevatedzatzanzanglezofz30-
45zdegreeszhaszbeenzshownztozdecreasezrateszofzventilator-associatedzpneumonia.

Whichzofzthezfollowingziszusedztozmonitorzthezpartialzpressurezofztranscutaneouszcarbonzdioxide?
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A.z

red-lightzabsorptionzsensor

B.z

electromechanicalztransducer

C.z

infraredzanalyzer

D.Stow-Severinghauszelectrodez-zCORRECTzANSWER-D.Stow-Severinghauszelectrode

,AnzadultzpatientzrequireszfrequentzbloodzsamplingzandzmedicationzadministrationszthroughzanzIVzforz1zm
onth.zThezpreferredzvascularzaccesszisza
z

A.z

peripherallyzinsertedzcentralzcatheter.

B.z

subclavianzcentralzvascularzline.

C.z

standardzperipheralzIVzline.

D.z

internalzjugularzcatheter.z-zCORRECTzANSWER-A.zperipherallyzinsertedzcentralzcatheter.z

AzPICCziszthezbestzchoicezforzlong-termzIVzaccesszandzallowszforzbloodzsampling.

Az170-cmz(5-ftz7-in),z69-kgz(152-lb)zmalezwithzARDSzhaszthezfollowingzABGzanalysiszresults:
z

pHz7.37

PCO2z43zmmzHg

PO2z95zmmzHg

HCO3-z25zmEq/L

BEz-1zmEq/L

SO2z(calc)z97%
z

ThezpatientziszreceivingzVC,zA/Czventilationzwithzthezfollowingzsettings:
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FIO2z0.70

Mandatoryzratez12

VTz450zmL

PEEPz8zcmzH2O
z

Whichzofzthezfollowingziszmostzappropriate?

, z

A.z

DecreasezthezFIO2ztoz0.60.

B.z

ChangezthezPEEPztoz5zcmzH2O.

C.z

Increasezthezminutezventilation.

D.z

Maintainzthezcurrentzsettings.z-zCORRECTzANSWER-A.zDecreasezthezFIO2ztoz0.60.z

SincezthezPaO2ziszadequate,zitzisznowzappropriateztozdecreasezthezFIO2z.

FollowingzanzemergentzC-section,zaz35zyearzoldziszreceivingzVC,zA/Czventilation.zThezfollowingzpressure-
volumezloopziszobserved:
z

z

Whichzofzthezfollowingzventilatorzsettingszshouldzbezadjusted?
z

A.z

PEEP

B.z

flowzrate

C.z

tidalzvolume

D.z

triggerzsensitivityz-zCORRECTzANSWER-D.ztriggerzsensitivity

Thezpatientziszhavingzdifficultlyztriggeringzthezbreath,zwhichziszshownzbyzthezsignificantznegativezforcezcrea
tedzbeforezthezbreathziszdelivered.zTheztriggerzshouldzbezadjustedztozbezmorezsensitiveztozimprovezthezpat
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Secure Comprehensive Therapist Multiple-Choice SAE Practice Test (Form B)

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