NBRC TMC Exam Review
An increased HR may indicate? -
Decreased Oxygenation
what do you recommend to a patient with tobacco use? -
Nicotine replacement
What is the pack year Formula? -
# of packs/day x # of years smoked
If the patient is in shock you will care about what? -
a urine output less than 40 mL/hr
What does a decreased CVP mean and how do you fix it? -
Hypovolemia
Give fluids
What does an increased CVP mean and how do you fix it? -
Hypervolemia
Give diuretics
General Malaise is usually due from? -
Electrolyte imbalance
What is a correct interview technique? -
Ask open ended questions, not yes or no questions
Use the KISS method
When the patient has peripheral edema, what condition does go along with? -
CHF
What does diaphoresis mean and why does it happen? -
Profuse sweating
1. CHF (heart failure)
2. fever, infection
3. anxiety
4. tuberculosis
What are some examples of positive inotropes? -
1. Digitalis
2. Digoxin
When the patient has kyphoscoliosis, what does it cause the patient to have wrong with their
lungs? -
A restrictive pattern
(reduced lung volumes)
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,Normal breathing means the chest moves? -
Symmetrical
What is the word for normal breathing and what is the normal RR? -
Eupnea
12-20
When the patient is tachypneic, what do you give the patient? -
oxygen
What is the normal muscles used in ventilation? -
Diaphragm and external intercostals
What disease processes have hypertrophy in common? -
COPD and increased WOB
What condition is atrophy common in? -
Paralysis
If the patient has a strong cough but no sputum production may need? -
Assistance
Respiratory distress in infants is indicated by what? -
Nasal flaring
An increased respiratory rate, increased depth, regular rhythm is what breathing pattern? -
Hyperpnea
A gradually increasing then decreasing rate and depth in a cycle lasting from 30-180 seconds,
with periods of apnea lasting up to 60 seconds is what breathing pattern? -
Cheyne-Stokes
An increased respiratory rate and depth with irregular periods of apnea is what breathing
pattern? -
Biot's
An increased respiratory rate, increased depth, irregular rhythm, breathing sounds labored is
what breathing pattern? -
Kussmaul's
Shallow or slow breathing? -
Hypopnea
Soft palate, uvula, fauces, pillars visible is what class of the mallampati score? -
class 1
Soft palate, uvula, fauces visible is what class of the mallampati score? -
class 2
Soft palate, base of uvula visible is what class of the mallampati score? -
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, class 3
Hard palate only visible is what class of the mallampati score? -
class 4
What are the classes considered difficult in the mallampati score? -
class 3 and 4
utilize a bronchoscope or video assist device
when giving a treatment what change in HR is considered a adverse reaction? -
More than 20 BPM
If the patient has an adverse reaction to the treatment what should you do? -
Immediately STOP the treatment
What does the assessment by inspection mean? -
What you can see
What does the assessment by palpation mean? -
What you can feel?
What does Pulsus paradoxus mean and what does it indicate? -
pulse or BP vary with the RR
Indicates severe air trapping
What do you give to the patient that has tachycardia? -
Oxygen
What pathologies make the trachea pull toward them? -
Atelectasis
Pneumonectomy
Diaphragmatic paralysis
What pathologies make the trachea pull away from them? -
Pleural effusion
Tension pneumothorax
Neck tumors
Mediastinal mass
What does tactile fremitus mean? -
vibrations that are felt by the hand on the chest wall
Resonant percussion mean? -
Normal
Flat or dull percussion mean? -
Less air (fluid filled)
Tympanic / Hyperresonant means? -
More Air (air-trapping)
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An increased HR may indicate? -
Decreased Oxygenation
what do you recommend to a patient with tobacco use? -
Nicotine replacement
What is the pack year Formula? -
# of packs/day x # of years smoked
If the patient is in shock you will care about what? -
a urine output less than 40 mL/hr
What does a decreased CVP mean and how do you fix it? -
Hypovolemia
Give fluids
What does an increased CVP mean and how do you fix it? -
Hypervolemia
Give diuretics
General Malaise is usually due from? -
Electrolyte imbalance
What is a correct interview technique? -
Ask open ended questions, not yes or no questions
Use the KISS method
When the patient has peripheral edema, what condition does go along with? -
CHF
What does diaphoresis mean and why does it happen? -
Profuse sweating
1. CHF (heart failure)
2. fever, infection
3. anxiety
4. tuberculosis
What are some examples of positive inotropes? -
1. Digitalis
2. Digoxin
When the patient has kyphoscoliosis, what does it cause the patient to have wrong with their
lungs? -
A restrictive pattern
(reduced lung volumes)
1|Page
,Normal breathing means the chest moves? -
Symmetrical
What is the word for normal breathing and what is the normal RR? -
Eupnea
12-20
When the patient is tachypneic, what do you give the patient? -
oxygen
What is the normal muscles used in ventilation? -
Diaphragm and external intercostals
What disease processes have hypertrophy in common? -
COPD and increased WOB
What condition is atrophy common in? -
Paralysis
If the patient has a strong cough but no sputum production may need? -
Assistance
Respiratory distress in infants is indicated by what? -
Nasal flaring
An increased respiratory rate, increased depth, regular rhythm is what breathing pattern? -
Hyperpnea
A gradually increasing then decreasing rate and depth in a cycle lasting from 30-180 seconds,
with periods of apnea lasting up to 60 seconds is what breathing pattern? -
Cheyne-Stokes
An increased respiratory rate and depth with irregular periods of apnea is what breathing
pattern? -
Biot's
An increased respiratory rate, increased depth, irregular rhythm, breathing sounds labored is
what breathing pattern? -
Kussmaul's
Shallow or slow breathing? -
Hypopnea
Soft palate, uvula, fauces, pillars visible is what class of the mallampati score? -
class 1
Soft palate, uvula, fauces visible is what class of the mallampati score? -
class 2
Soft palate, base of uvula visible is what class of the mallampati score? -
2|Page
, class 3
Hard palate only visible is what class of the mallampati score? -
class 4
What are the classes considered difficult in the mallampati score? -
class 3 and 4
utilize a bronchoscope or video assist device
when giving a treatment what change in HR is considered a adverse reaction? -
More than 20 BPM
If the patient has an adverse reaction to the treatment what should you do? -
Immediately STOP the treatment
What does the assessment by inspection mean? -
What you can see
What does the assessment by palpation mean? -
What you can feel?
What does Pulsus paradoxus mean and what does it indicate? -
pulse or BP vary with the RR
Indicates severe air trapping
What do you give to the patient that has tachycardia? -
Oxygen
What pathologies make the trachea pull toward them? -
Atelectasis
Pneumonectomy
Diaphragmatic paralysis
What pathologies make the trachea pull away from them? -
Pleural effusion
Tension pneumothorax
Neck tumors
Mediastinal mass
What does tactile fremitus mean? -
vibrations that are felt by the hand on the chest wall
Resonant percussion mean? -
Normal
Flat or dull percussion mean? -
Less air (fluid filled)
Tympanic / Hyperresonant means? -
More Air (air-trapping)
3|Page
