Secure Comprehensive Therapist Multiple-Choice
Exam (Form 2021)
a.zmanualzdexterityz-zCORRECTzANSWER-
Thezrespiratoryztherapistzshouldzevaluatezwhichzofzthezfollowingztozdevelopzazteachingzplanzforzazpatientz
whozwillzbezusingzazsmallzvolumeznebulizerzatzhome?
a.zmanualzdexterity
b.zhighestzgradezlevelzachievedzinzschool
c.zspousalzsupport
d.zEnglishzspeakingzproficiency
d.zbronchoscopyz-zCORRECTzANSWER-
Whichzofzthezfollowingzwouldzbezmostzbeneficialzinzresolvingzmicroatelectasis?
a.zchestztubes
b.zpercutaneouszventilation
c.zthoracentesis
d.zbronchoscopy
b.zoropharyngealzairwayz-zCORRECTzANSWER-Az45zyear-
oldzpatientziszrecoveringzinzthezintensivezcarezunitzafterzundergoingzazsurgicalzprocedureztozrepairzazhernia
.zThezpatientzremainszunconscious.zTozpreventzsoftztissuezobstruction,zthezrespiratoryztherapistzshouldzrec
ommendza(n)
a.zdouble-lumenzendobronchialztube
b.zoropharyngealzairway
c.zbitezblock
d.znasopharyngealzairway
d.zRunz2zonlyz-zCORRECTzANSWER-
QualityzcontrolzmaterialzhaszpublishedzvalueszforzpHzofz7.20,zPO2zofz65zmmHg.zDocumentationzindicateszt
hezrangezofzpHzisz0.5%zandzisz3%zforzPO2.zMachinezresultszarezaszfollows:
,Runz1:zpHz7.19,zPO2z64
Runz2:zpHz7.10,zPO2z69
Runz3:zpHz7.21,zPO2z65
Whichzqualityzcontrolzrun(s)zindicatezthezmachineziszoutzofzcontrol?
a.zRunz1zandz2
b.zRunz2zandz3
c.zRunz3zonly
d.zRunz2zonly
a.zABGzandzalveolarzoxygenztensionz-zCORRECTzANSWER-
Azrespiratoryztherapistziszconsideringzazpatient'szreadinessztozweanzfromzmechanicalzventilation.zTozdeter
minezthezA-aDO2,ztheztherapistzwillzneedzwhichzofzthezfollowing?
a.zABGzandzalveolarzoxygenztension
b.zVD/VTzandzPAO2
c.zCaO2zandzPAO2
d.zVD/VTzandzABG
c.zhelioxztherapyz-zCORRECTzANSWER-
Azpatientzwithzincreasedzairwayzresistancezfromzazfixedzupperzairwayzobstructionzwouldzbenefitzmostzfro
mzwhichzofzthezfollowing?
a.zbronchodilatorztherapy
b.zepinephrine
c.zhelioxztherapy
d.zaerosolizedzatropine
d.zinspiratoryzmusclezstrengthz-zCORRECTzANSWER-
EvaluatingzMIPz(maximumzinspiratoryzpressure)ziszmostzusefulzinzevaluatingzwhichzofzthezfollowing?
a.zpresencezofzazrestrictivezpulmonaryzdefect
b.zeffectivenesszofzcough
c.zpresencezofzobstructivezpulmonaryzdefect
,d.zinspiratoryzmusclezstrength
b.zexcesszwaterzinztheztubingz-zCORRECTzANSWER-Anzair-
entrainmentzjetznebulizerziszsetzatz50%.zThezrespiratoryztherapistzanalyzeszthezoxygenzcomingzfromzthezen
dzofztheztubingzandzfindszitzisz60%.zWhichzofzthezfollowingzmostzlikelyzexplainszthiszfinding?
a.zpoorlyzcalibratezanalyzer
b.zexcesszwaterzinztheztubing
c.zlowzflowzthroughzthezjetzorifice
d.zleakzinztheztubing
a.zexaminezthezventilatorzcircuitzforzproperzconnectionsz-zCORRECTzANSWER-
Duringzazpreoperationalztestzofzthezventilatorzwithzaztestzlung,zthezrespiratoryztherapistznoteszazreturnztid
alzvolumezofz600zcc.zVentilatorzsettingszare:
Mode:zAssist/control
FiO2:z0.50
Mandatoryzrate:z10
VT:z750zmL
Whatzactionzshouldztheztherapistztake?
a.zexaminezthezventilatorzcircuitzforzproperzconnections
b.zobtainzazlargerztestzlung
c.zincreasezthezsetztidalzvolumeztoz900zmL
d.zobtainzazsmallerztestzlung
d.zchangezthezfuelzcellz-zCORRECTzANSWER-
Duringzthezpreoperationalztestzofzthezventilator,zthezrespiratoryztherapistznoticeszthezgalvaniczanalyzerzonz
thezventilatorziszreadingzerroneouslyzlow.zWhichzofzthezfollowingzcanzthezrespiratoryztherapistzdoztozcorre
ctzthezproblem?
a.zreplacezthezanalyzerzbatteries
b.zreplacezthezelectrolytezsolutionzinzthezanalyzer
c.ztagzthezventilatorzasznon-functionalzandzavoidzplacingzitzinzservice
d.zchangezthezfuelzcell
, b.zpoorzhandzwashingzamongzstaffz-zCORRECTzANSWER-
Whichzofzthezfollowingziszmostzlikelyztozincreaseznosocomialzinfectionzinzazhospital?
a.zusezofzanzHMEzforz48zhours
b.zpoorzhandzwashingzamongzstaff
c.zfrequentzdisconnectionzinzthezventilatorzcircuit
d.zusezofzalcohol-basedzhandzcleaners
b.zdisconnectedzthermistorzlinez-zCORRECTzANSWER-
Whilezmonitoringzazpatientzreceivingzmechanicalzventilation,zthezrespiratoryztherapistznoticeszthezlow-
pressurezandzlowzexhaledzvolumezalarmszarezsounding.zWhichzofzthezfollowingzcouldzbezthezcause?
a.zkinkedzendotrachealztube
b.zdisconnectedzthermistorzline
c.zexcesszwaterzinzthezinspiratoryzlimbzofzthezcircuit
d.zherniatedzendotrachealztubezcuff
a.zazfracturezinzthezplasticzwyez-zCORRECTzANSWER-
Azpatientzreceivingzpositivezpressurezventilationzhaszazlow-
pressurezalarmzsounding.zWhichzofzthezfollowingzcouldzbezthezcause?
a.zazfracturezinzthezplasticzwye
b.zherniatedzcuff
c.zexcesszsecretionszinzthezairway
d.zkinkedzETztube
a.zprovidezmanualzventilationz-zCORRECTzANSWER-
Thezhighzpressurezalarmziszsoundingzonzazpatientzreceivingzvolumezcontrolledzventilation.zThezrespiratoryz
therapistzshouldzFIRST
a.zprovidezmanualzventilation
b.zsuctionzthezpatient
c.zobservezthezalarmzpanelztozdeterminezsource
d.zcancelzthezalarm
Exam (Form 2021)
a.zmanualzdexterityz-zCORRECTzANSWER-
Thezrespiratoryztherapistzshouldzevaluatezwhichzofzthezfollowingztozdevelopzazteachingzplanzforzazpatientz
whozwillzbezusingzazsmallzvolumeznebulizerzatzhome?
a.zmanualzdexterity
b.zhighestzgradezlevelzachievedzinzschool
c.zspousalzsupport
d.zEnglishzspeakingzproficiency
d.zbronchoscopyz-zCORRECTzANSWER-
Whichzofzthezfollowingzwouldzbezmostzbeneficialzinzresolvingzmicroatelectasis?
a.zchestztubes
b.zpercutaneouszventilation
c.zthoracentesis
d.zbronchoscopy
b.zoropharyngealzairwayz-zCORRECTzANSWER-Az45zyear-
oldzpatientziszrecoveringzinzthezintensivezcarezunitzafterzundergoingzazsurgicalzprocedureztozrepairzazhernia
.zThezpatientzremainszunconscious.zTozpreventzsoftztissuezobstruction,zthezrespiratoryztherapistzshouldzrec
ommendza(n)
a.zdouble-lumenzendobronchialztube
b.zoropharyngealzairway
c.zbitezblock
d.znasopharyngealzairway
d.zRunz2zonlyz-zCORRECTzANSWER-
QualityzcontrolzmaterialzhaszpublishedzvalueszforzpHzofz7.20,zPO2zofz65zmmHg.zDocumentationzindicateszt
hezrangezofzpHzisz0.5%zandzisz3%zforzPO2.zMachinezresultszarezaszfollows:
,Runz1:zpHz7.19,zPO2z64
Runz2:zpHz7.10,zPO2z69
Runz3:zpHz7.21,zPO2z65
Whichzqualityzcontrolzrun(s)zindicatezthezmachineziszoutzofzcontrol?
a.zRunz1zandz2
b.zRunz2zandz3
c.zRunz3zonly
d.zRunz2zonly
a.zABGzandzalveolarzoxygenztensionz-zCORRECTzANSWER-
Azrespiratoryztherapistziszconsideringzazpatient'szreadinessztozweanzfromzmechanicalzventilation.zTozdeter
minezthezA-aDO2,ztheztherapistzwillzneedzwhichzofzthezfollowing?
a.zABGzandzalveolarzoxygenztension
b.zVD/VTzandzPAO2
c.zCaO2zandzPAO2
d.zVD/VTzandzABG
c.zhelioxztherapyz-zCORRECTzANSWER-
Azpatientzwithzincreasedzairwayzresistancezfromzazfixedzupperzairwayzobstructionzwouldzbenefitzmostzfro
mzwhichzofzthezfollowing?
a.zbronchodilatorztherapy
b.zepinephrine
c.zhelioxztherapy
d.zaerosolizedzatropine
d.zinspiratoryzmusclezstrengthz-zCORRECTzANSWER-
EvaluatingzMIPz(maximumzinspiratoryzpressure)ziszmostzusefulzinzevaluatingzwhichzofzthezfollowing?
a.zpresencezofzazrestrictivezpulmonaryzdefect
b.zeffectivenesszofzcough
c.zpresencezofzobstructivezpulmonaryzdefect
,d.zinspiratoryzmusclezstrength
b.zexcesszwaterzinztheztubingz-zCORRECTzANSWER-Anzair-
entrainmentzjetznebulizerziszsetzatz50%.zThezrespiratoryztherapistzanalyzeszthezoxygenzcomingzfromzthezen
dzofztheztubingzandzfindszitzisz60%.zWhichzofzthezfollowingzmostzlikelyzexplainszthiszfinding?
a.zpoorlyzcalibratezanalyzer
b.zexcesszwaterzinztheztubing
c.zlowzflowzthroughzthezjetzorifice
d.zleakzinztheztubing
a.zexaminezthezventilatorzcircuitzforzproperzconnectionsz-zCORRECTzANSWER-
Duringzazpreoperationalztestzofzthezventilatorzwithzaztestzlung,zthezrespiratoryztherapistznoteszazreturnztid
alzvolumezofz600zcc.zVentilatorzsettingszare:
Mode:zAssist/control
FiO2:z0.50
Mandatoryzrate:z10
VT:z750zmL
Whatzactionzshouldztheztherapistztake?
a.zexaminezthezventilatorzcircuitzforzproperzconnections
b.zobtainzazlargerztestzlung
c.zincreasezthezsetztidalzvolumeztoz900zmL
d.zobtainzazsmallerztestzlung
d.zchangezthezfuelzcellz-zCORRECTzANSWER-
Duringzthezpreoperationalztestzofzthezventilator,zthezrespiratoryztherapistznoticeszthezgalvaniczanalyzerzonz
thezventilatorziszreadingzerroneouslyzlow.zWhichzofzthezfollowingzcanzthezrespiratoryztherapistzdoztozcorre
ctzthezproblem?
a.zreplacezthezanalyzerzbatteries
b.zreplacezthezelectrolytezsolutionzinzthezanalyzer
c.ztagzthezventilatorzasznon-functionalzandzavoidzplacingzitzinzservice
d.zchangezthezfuelzcell
, b.zpoorzhandzwashingzamongzstaffz-zCORRECTzANSWER-
Whichzofzthezfollowingziszmostzlikelyztozincreaseznosocomialzinfectionzinzazhospital?
a.zusezofzanzHMEzforz48zhours
b.zpoorzhandzwashingzamongzstaff
c.zfrequentzdisconnectionzinzthezventilatorzcircuit
d.zusezofzalcohol-basedzhandzcleaners
b.zdisconnectedzthermistorzlinez-zCORRECTzANSWER-
Whilezmonitoringzazpatientzreceivingzmechanicalzventilation,zthezrespiratoryztherapistznoticeszthezlow-
pressurezandzlowzexhaledzvolumezalarmszarezsounding.zWhichzofzthezfollowingzcouldzbezthezcause?
a.zkinkedzendotrachealztube
b.zdisconnectedzthermistorzline
c.zexcesszwaterzinzthezinspiratoryzlimbzofzthezcircuit
d.zherniatedzendotrachealztubezcuff
a.zazfracturezinzthezplasticzwyez-zCORRECTzANSWER-
Azpatientzreceivingzpositivezpressurezventilationzhaszazlow-
pressurezalarmzsounding.zWhichzofzthezfollowingzcouldzbezthezcause?
a.zazfracturezinzthezplasticzwye
b.zherniatedzcuff
c.zexcesszsecretionszinzthezairway
d.zkinkedzETztube
a.zprovidezmanualzventilationz-zCORRECTzANSWER-
Thezhighzpressurezalarmziszsoundingzonzazpatientzreceivingzvolumezcontrolledzventilation.zThezrespiratoryz
therapistzshouldzFIRST
a.zprovidezmanualzventilation
b.zsuctionzthezpatient
c.zobservezthezalarmzpanelztozdeterminezsource
d.zcancelzthezalarm