Secure Comprehensive Therapist Multiple-Choice
Self-Assessment Exam (Form 2020A)
Azrespiratoryztherapistziszassistingzazphysicianzwithzendotrachealzintubation.zWhichzofzthezfollowingzshoul
dzbezusedzINITIALLYztozconfirmztrachealzintubation?
A.cmzmarkingzofzthezendotrachealztube
B.observablezcondensationzinztheztube
C.pulsezoximetry
D.colorimetriczcapnographyz-zCORRECTzANSWER-D.zcolorimetriczcapnography
Azrespiratoryztherapistziszaskedztozreviewzaznewborn'szhistory.zThezfollowingzinformationziszavailablezabou
tzthezfirstzfewzminuteszafterzbirth:
1zminute5zminutesAppearancezacrocyanosiszpinkHeartzratez70/minz110/minReflexcoughzcoughMusclezto
neweakzactivezmotionRespiratoryzratez20/minz40/min
WhichzofzthezfollowingzAPGARzscoreszshouldztheztherapistzexpectztozseezforzthiszinfant?
1-minutez5-minute1.z4z82.z5z83.z6z104.z7z10
A.1
B.2
C.3
D.4z-zCORRECTzANSWER-C.z3
Az58-year-
oldzfemalezwaszdiagnosedzwithzbronchiectasisz3zyearszago.zShezreportszincreasedzcoughzandzdifficultyzclea
ringzsecretionszforzthezpastz4zweeks.zAzchestzradiographzshowsznozsignificantzchanges.zWhichzofzthezfollo
wingzshouldzthezrespiratoryztherapistzrecommendzFIRST?
,A.transtrachealzaspiration
B.airwayzclearanceztherapy
C.bronchodilatorztreatments
D.respiratoryzisolationz-zCORRECTzANSWER-B.zairwayzclearanceztherapy
Az24-year-oldzfemaleziszdiagnosedzwithzexercise-
inducedzasthmazandzalbuterolzprnziszordered.zAzrespiratoryztherapistzshouldzNEXT
A.referzthezpatientzforzallergyzskinztesting.
B.educatezthezpatientzonzobtainingzdailyzpeakzflowzmeasurements.
C.instructzthezpatientztozusezalbuterolz15zminuteszbeforezexercising.
D.suggestzthezpatientzusezpursedzlipzbreathingzwhilezexercising.z-zCORRECTzANSWER-
C.zinstructzthezpatientztozusezalbuterolz15zminuteszbeforezexercising
Inzwhichzofzthezfollowingzcircumstanceszwillztrachealzsecretionsztendztozdryzinzanzintubatedzpatient?
A.azwaterzvaporzpressurezofz47zmmzHg
B.azrelativezhumidityzofz100%zatz22°zCz(71.6°zF)
C.azdewzpointzofz37°zCz(98.6°zF)
D.anzabsolutezhumidityzofz44zmg/Lz-zCORRECTzANSWER-B.zazrelativezhumidityzofz100%zatz22Cz(71.6F)
PriorztozsuctioningzthezendotrachealztubezofzanzadultzpatientzwhoziszreceivingzventilationzwithzanzFIO2zofz
0.40,zazrespiratoryztherapistzshouldzFIRST
A.lubricatezthezcatheter.
B.hyperoxygenatezthezpatient.
C.cleansezthezcatheterzwithzwater.
D.administerzanzFIO2zofz0.40zbyzT-piece.z-zCORRECTzANSWER-B.zhyperoxygenatezthezpatient
Az25-year-oldzpatientzwithzapneaziszreceivingzPCzventilation.zABGzanalysiszresultszarezaszfollows:
,z
pHz7.20
PCO2z65zmmzHg
PO2z70zmmzHg
HCO3-z25zmEq/L
BEz-4zmEq/L
SO2z(calc)z94%
z
Azrespiratoryztherapistzshouldzrecommendzincreasingzthe
z
A.setzinspiratoryzpressure.
B.expiratoryztime.
C.sensitivity.
D.peakzflow.z-zCORRECTzANSWER-A.zsetzinspiratoryzpressure
Az68-year-oldzpatientzwhoziszpost-
CABGzwaszextubatedz4zhourszagozandzcomplainszofzincreasingzshortnesszofzbreath.zBreathzsoundszarezdec
reasedzoverzthezrightzlungzfield.zThezfollowingzdatazarezavailablezwhilezthezpatientzreceivesz4-
Lzoxygenzbyznasalzcannula:
z
HRz103/min
RRz27/min
BPz155/90zmmzHg
SpO2z90%
z
WhichzofzthezfollowingzstudieszshouldzazrespiratoryztherapistzrecommendzFIRST?
z
A.bedsidezspirometry
B.chestzCTzwithzcontrast
C.ventilation/perfusionzscan
D.chestzradiographz-zCORRECTzANSWER-D.zchestzradiograph
, Whichzofzthezfollowingzmedicationszshouldzazrespiratoryztherapistzuseztozanesthetizezazpatient'szairwayzpr
iorztozazflexiblezbronchoscopyzprocedure?
z
A.lidocainezHCl
B.midazolamzHClz(Versed)
C.ketaminez(Ketalar)
D.vecuroniumzbromidez(Norcuron)z-zCORRECTzANSWER-A.zlidocainezHCI
Azrespiratoryztherapistziszevaluatingzaz75-kgz(165-lb),z180-cmz(5-ftz11-
in)zmalezwhoziszreceivingzVC,zSIMV.zThezfollowingzpatientzdatazarezobtained:
z
FIO2z0.40
Mandatoryzratez8
Totalzratez8
VTz550zmL
PEEPz8zcmzH2O
z
pHz7.27
PaCO2z55zmmzHg
PaO2z94zmmzHg
HCO3-z25zmEq/L
BEz-3zmEq/L
SaO2z(calc)z
z 97%
z
Whichzofzthezfollowingzshouldztheztherapistzrecommend?
z
A.Maintainzcurrentzsettings.
B.Increasezthezmandatoryzrateztoz12.
C.DecreasezthezFIO2ztoz0.30.
D.Decreaseztheztidalzvolumeztoz450zmL.z-zCORRECTzANSWER-B.zincreasezthezmandatoryzrateztoz12
Self-Assessment Exam (Form 2020A)
Azrespiratoryztherapistziszassistingzazphysicianzwithzendotrachealzintubation.zWhichzofzthezfollowingzshoul
dzbezusedzINITIALLYztozconfirmztrachealzintubation?
A.cmzmarkingzofzthezendotrachealztube
B.observablezcondensationzinztheztube
C.pulsezoximetry
D.colorimetriczcapnographyz-zCORRECTzANSWER-D.zcolorimetriczcapnography
Azrespiratoryztherapistziszaskedztozreviewzaznewborn'szhistory.zThezfollowingzinformationziszavailablezabou
tzthezfirstzfewzminuteszafterzbirth:
1zminute5zminutesAppearancezacrocyanosiszpinkHeartzratez70/minz110/minReflexcoughzcoughMusclezto
neweakzactivezmotionRespiratoryzratez20/minz40/min
WhichzofzthezfollowingzAPGARzscoreszshouldztheztherapistzexpectztozseezforzthiszinfant?
1-minutez5-minute1.z4z82.z5z83.z6z104.z7z10
A.1
B.2
C.3
D.4z-zCORRECTzANSWER-C.z3
Az58-year-
oldzfemalezwaszdiagnosedzwithzbronchiectasisz3zyearszago.zShezreportszincreasedzcoughzandzdifficultyzclea
ringzsecretionszforzthezpastz4zweeks.zAzchestzradiographzshowsznozsignificantzchanges.zWhichzofzthezfollo
wingzshouldzthezrespiratoryztherapistzrecommendzFIRST?
,A.transtrachealzaspiration
B.airwayzclearanceztherapy
C.bronchodilatorztreatments
D.respiratoryzisolationz-zCORRECTzANSWER-B.zairwayzclearanceztherapy
Az24-year-oldzfemaleziszdiagnosedzwithzexercise-
inducedzasthmazandzalbuterolzprnziszordered.zAzrespiratoryztherapistzshouldzNEXT
A.referzthezpatientzforzallergyzskinztesting.
B.educatezthezpatientzonzobtainingzdailyzpeakzflowzmeasurements.
C.instructzthezpatientztozusezalbuterolz15zminuteszbeforezexercising.
D.suggestzthezpatientzusezpursedzlipzbreathingzwhilezexercising.z-zCORRECTzANSWER-
C.zinstructzthezpatientztozusezalbuterolz15zminuteszbeforezexercising
Inzwhichzofzthezfollowingzcircumstanceszwillztrachealzsecretionsztendztozdryzinzanzintubatedzpatient?
A.azwaterzvaporzpressurezofz47zmmzHg
B.azrelativezhumidityzofz100%zatz22°zCz(71.6°zF)
C.azdewzpointzofz37°zCz(98.6°zF)
D.anzabsolutezhumidityzofz44zmg/Lz-zCORRECTzANSWER-B.zazrelativezhumidityzofz100%zatz22Cz(71.6F)
PriorztozsuctioningzthezendotrachealztubezofzanzadultzpatientzwhoziszreceivingzventilationzwithzanzFIO2zofz
0.40,zazrespiratoryztherapistzshouldzFIRST
A.lubricatezthezcatheter.
B.hyperoxygenatezthezpatient.
C.cleansezthezcatheterzwithzwater.
D.administerzanzFIO2zofz0.40zbyzT-piece.z-zCORRECTzANSWER-B.zhyperoxygenatezthezpatient
Az25-year-oldzpatientzwithzapneaziszreceivingzPCzventilation.zABGzanalysiszresultszarezaszfollows:
,z
pHz7.20
PCO2z65zmmzHg
PO2z70zmmzHg
HCO3-z25zmEq/L
BEz-4zmEq/L
SO2z(calc)z94%
z
Azrespiratoryztherapistzshouldzrecommendzincreasingzthe
z
A.setzinspiratoryzpressure.
B.expiratoryztime.
C.sensitivity.
D.peakzflow.z-zCORRECTzANSWER-A.zsetzinspiratoryzpressure
Az68-year-oldzpatientzwhoziszpost-
CABGzwaszextubatedz4zhourszagozandzcomplainszofzincreasingzshortnesszofzbreath.zBreathzsoundszarezdec
reasedzoverzthezrightzlungzfield.zThezfollowingzdatazarezavailablezwhilezthezpatientzreceivesz4-
Lzoxygenzbyznasalzcannula:
z
HRz103/min
RRz27/min
BPz155/90zmmzHg
SpO2z90%
z
WhichzofzthezfollowingzstudieszshouldzazrespiratoryztherapistzrecommendzFIRST?
z
A.bedsidezspirometry
B.chestzCTzwithzcontrast
C.ventilation/perfusionzscan
D.chestzradiographz-zCORRECTzANSWER-D.zchestzradiograph
, Whichzofzthezfollowingzmedicationszshouldzazrespiratoryztherapistzuseztozanesthetizezazpatient'szairwayzpr
iorztozazflexiblezbronchoscopyzprocedure?
z
A.lidocainezHCl
B.midazolamzHClz(Versed)
C.ketaminez(Ketalar)
D.vecuroniumzbromidez(Norcuron)z-zCORRECTzANSWER-A.zlidocainezHCI
Azrespiratoryztherapistziszevaluatingzaz75-kgz(165-lb),z180-cmz(5-ftz11-
in)zmalezwhoziszreceivingzVC,zSIMV.zThezfollowingzpatientzdatazarezobtained:
z
FIO2z0.40
Mandatoryzratez8
Totalzratez8
VTz550zmL
PEEPz8zcmzH2O
z
pHz7.27
PaCO2z55zmmzHg
PaO2z94zmmzHg
HCO3-z25zmEq/L
BEz-3zmEq/L
SaO2z(calc)z
z 97%
z
Whichzofzthezfollowingzshouldztheztherapistzrecommend?
z
A.Maintainzcurrentzsettings.
B.Increasezthezmandatoryzrateztoz12.
C.DecreasezthezFIO2ztoz0.30.
D.Decreaseztheztidalzvolumeztoz450zmL.z-zCORRECTzANSWER-B.zincreasezthezmandatoryzrateztoz12
