NBR C PRACTICE EXAM/ACTUAL EXAM QUESTIONS WITH WELL DETAILE
ANSWERS/GRADE A+ ASSURED
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
B increqsing to 10 cmh2o peep
PaO2 40 mm Hg
HCO3- 19 mEq/L
(The increase in peep will increase FRC,
BE -6 mEq/L
decrease the intrapulmonary shunt, and
SO2 (calc) 74%
address the hypoxemia)
A respiratory therapist should recom-
mend
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.
When instructing a patient on the ad-
ministration of unmeclidinium/vilanterol
(anoro Elliot's), which of the following is
most important to emphasize?
C. Breathe in fast and deep
A. Gargle immediately after use
(This is a DPI)
B. Inhale slowly with a breath hold.
C. Breathe in fast and deep
D. Shake medication vigorously before
use
, NBR C PRACTICE EXAM/ACTUAL EXAM QUESTIONS WITH WELL DETAILE
ANSWERS/GRADE A+ ASSURED
Following placement of a tracheostomy
tube for long term mechanical ventila-
tion, which of the following patient posi-
D. Semi fowlers
tions best prevents ventilator associated
(Decreased incident of VAP has been
pneumonia?
observed with an elevated head of bed
A. Prone
compared to supine)
B. Trendelenburg
C. Supine
D. Semi-fowlers
Which of the following is used to monitor
the partial pressure of transcutaneous
D. Stow-Severinghaus electrode
carbon dioxide?
(A stow-severinghaus electrode blood
A. Red-light absorption sensor
has electrode is used in transcutaneous
B. Electromechanical transducer
monitors)
C. Infrared analyzer
D. Stow-severinghaus electrode
An adult patient requires frequent blood
sampling and medication administra-
tions through an iv for 1 month: the pre-
A. Peripherally inserted central catheter
ferred vascular access is a:
(A PICC is the best choice for long term
A. Peripherally inserted central catheter
iv access and allows for blood sampling)
B. Subclavian central vascular line
C. Standard peripheral IV line
D. Internal jugular catheter
A 170-cm (5-ft 7-in), 69-kg (152-lb) male
with ARDS has the following ABG analy-
sis results:
pH 7.37
PCO2 43 mm Hg
PO2 95 mm Hg
HCO3- 25 mEq/L
BE -1 mEq/L
SO2 (calc) 97%
The patient is receiving VC, A/C ventila-
tion with the following settings:
, NBR C PRACTICE EXAM/ACTUAL EXAM QUESTIONS WITH WELL DETAILE
ANSWERS/GRADE A+ ASSURED
FIO2 0.70
Mandatory rate 12
VT 450 mL
PEEP 8 cm H2O
Which of the following is most appropri-
ate? A. Decrease FI02 to .60
( since the pao2 is adequate; it is now
A. appropriate to decrease the fio2)
Decrease the FIO2 to 0.60.
B.
Change the PEEP to 5 cm H2O.
C.
Increase the minute ventilation.
D.
Maintain the current settings.
following an emergent c-section; a 35
year old is receiving vc a/c ventilation.
And the following pressure loop is ob- D. Trigger sensitivity
served: (fish tail) (The patient is having difficulty triggering
the breath, which is shown by the signif-
Which ventilator settings should be ad- icant negative force created before the
justed? breath is delivered. The trigger should be
A. Peep adjusted to be more sensitive to improve
B. Flow rate the patients ability to trigger a breath)
C. Tidal volume
D. Trigger sensitivity
Which of the following techniques is pre-
ferred for a quadriplegic patient having B. Abdominal thrusts
difficulty expectorating secretions? (An abdominal thrusts is used to assist
A: pursed lip breathing patients with decreased respiratory mus-
B. Abdominal thrusts cle function, such as quadriplegics to
C. Pep therapy more forcefully cough out secretions)
D. Inspiratory muscle training
A patient with a history of hyperten-
sion was awakened by cough and short-
, NBR C PRACTICE EXAM/ACTUAL EXAM QUESTIONS WITH WELL DETAILE
ANSWERS/GRADE A+ ASSURED
C. Furosemide (lasix)
ness of breath. He has fine inspiratory
(Nocturnal dyspnea and coarse crackles
crackers bilaterally. Which of the follow-
are indicated for CHF. Hypertension can
ing should a RT recommend?
be an etiologic factor for heart failure. A
A. Prednisone
diuretic, such as fursemide (lasix) is use-
B. Albuterol
ful in controlling water retention that can
C. Furosemide (lasix)
lead to fluid accumulation and narrowing
D. Guaifenesin (mucinex)
in airways.
The preferred suction device to remove
large amounts of secretions from the oral
cavity of an adult patient is a A. Yankauer device
A. Yankauer device (Designed specifically to suction secre-
B. DeLee suction trap tions from the mouth in an efficient way)
C. Whistle-tip catheter
D. Coudé catheter
A respiratory therapist examines a pa-
tient and notes coarse crackles over both
D. Secretions
lung fields. Which of the following does
(Secretions in the airway produce low
this most likely indicate?
pitched discontinuous lung sounds de-
A. Subcutaneous emphysema
scribed as coarse crackles upon auscul-
B. Pleurisy
tation)
C. Bronchospasm
D. Secretions
A 28 year old patient is being evaluated
by a respiratory therapist after a trauma.
The patient is receiving VC ventilation
with the following settings:
FiO2 .65
Rate 14 C. VT
VT 450 (Bird-beak patterns are a result of hyper-
Peep 8 inflation. Decreasing the VT will correct
The therapist notes the following pres- the hyperinflation)
sure volume tracing:
*Beaking and no close*
The therapist should recommend de-
creasing the:
ANSWERS/GRADE A+ ASSURED
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
B increqsing to 10 cmh2o peep
PaO2 40 mm Hg
HCO3- 19 mEq/L
(The increase in peep will increase FRC,
BE -6 mEq/L
decrease the intrapulmonary shunt, and
SO2 (calc) 74%
address the hypoxemia)
A respiratory therapist should recom-
mend
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.
When instructing a patient on the ad-
ministration of unmeclidinium/vilanterol
(anoro Elliot's), which of the following is
most important to emphasize?
C. Breathe in fast and deep
A. Gargle immediately after use
(This is a DPI)
B. Inhale slowly with a breath hold.
C. Breathe in fast and deep
D. Shake medication vigorously before
use
, NBR C PRACTICE EXAM/ACTUAL EXAM QUESTIONS WITH WELL DETAILE
ANSWERS/GRADE A+ ASSURED
Following placement of a tracheostomy
tube for long term mechanical ventila-
tion, which of the following patient posi-
D. Semi fowlers
tions best prevents ventilator associated
(Decreased incident of VAP has been
pneumonia?
observed with an elevated head of bed
A. Prone
compared to supine)
B. Trendelenburg
C. Supine
D. Semi-fowlers
Which of the following is used to monitor
the partial pressure of transcutaneous
D. Stow-Severinghaus electrode
carbon dioxide?
(A stow-severinghaus electrode blood
A. Red-light absorption sensor
has electrode is used in transcutaneous
B. Electromechanical transducer
monitors)
C. Infrared analyzer
D. Stow-severinghaus electrode
An adult patient requires frequent blood
sampling and medication administra-
tions through an iv for 1 month: the pre-
A. Peripherally inserted central catheter
ferred vascular access is a:
(A PICC is the best choice for long term
A. Peripherally inserted central catheter
iv access and allows for blood sampling)
B. Subclavian central vascular line
C. Standard peripheral IV line
D. Internal jugular catheter
A 170-cm (5-ft 7-in), 69-kg (152-lb) male
with ARDS has the following ABG analy-
sis results:
pH 7.37
PCO2 43 mm Hg
PO2 95 mm Hg
HCO3- 25 mEq/L
BE -1 mEq/L
SO2 (calc) 97%
The patient is receiving VC, A/C ventila-
tion with the following settings:
, NBR C PRACTICE EXAM/ACTUAL EXAM QUESTIONS WITH WELL DETAILE
ANSWERS/GRADE A+ ASSURED
FIO2 0.70
Mandatory rate 12
VT 450 mL
PEEP 8 cm H2O
Which of the following is most appropri-
ate? A. Decrease FI02 to .60
( since the pao2 is adequate; it is now
A. appropriate to decrease the fio2)
Decrease the FIO2 to 0.60.
B.
Change the PEEP to 5 cm H2O.
C.
Increase the minute ventilation.
D.
Maintain the current settings.
following an emergent c-section; a 35
year old is receiving vc a/c ventilation.
And the following pressure loop is ob- D. Trigger sensitivity
served: (fish tail) (The patient is having difficulty triggering
the breath, which is shown by the signif-
Which ventilator settings should be ad- icant negative force created before the
justed? breath is delivered. The trigger should be
A. Peep adjusted to be more sensitive to improve
B. Flow rate the patients ability to trigger a breath)
C. Tidal volume
D. Trigger sensitivity
Which of the following techniques is pre-
ferred for a quadriplegic patient having B. Abdominal thrusts
difficulty expectorating secretions? (An abdominal thrusts is used to assist
A: pursed lip breathing patients with decreased respiratory mus-
B. Abdominal thrusts cle function, such as quadriplegics to
C. Pep therapy more forcefully cough out secretions)
D. Inspiratory muscle training
A patient with a history of hyperten-
sion was awakened by cough and short-
, NBR C PRACTICE EXAM/ACTUAL EXAM QUESTIONS WITH WELL DETAILE
ANSWERS/GRADE A+ ASSURED
C. Furosemide (lasix)
ness of breath. He has fine inspiratory
(Nocturnal dyspnea and coarse crackles
crackers bilaterally. Which of the follow-
are indicated for CHF. Hypertension can
ing should a RT recommend?
be an etiologic factor for heart failure. A
A. Prednisone
diuretic, such as fursemide (lasix) is use-
B. Albuterol
ful in controlling water retention that can
C. Furosemide (lasix)
lead to fluid accumulation and narrowing
D. Guaifenesin (mucinex)
in airways.
The preferred suction device to remove
large amounts of secretions from the oral
cavity of an adult patient is a A. Yankauer device
A. Yankauer device (Designed specifically to suction secre-
B. DeLee suction trap tions from the mouth in an efficient way)
C. Whistle-tip catheter
D. Coudé catheter
A respiratory therapist examines a pa-
tient and notes coarse crackles over both
D. Secretions
lung fields. Which of the following does
(Secretions in the airway produce low
this most likely indicate?
pitched discontinuous lung sounds de-
A. Subcutaneous emphysema
scribed as coarse crackles upon auscul-
B. Pleurisy
tation)
C. Bronchospasm
D. Secretions
A 28 year old patient is being evaluated
by a respiratory therapist after a trauma.
The patient is receiving VC ventilation
with the following settings:
FiO2 .65
Rate 14 C. VT
VT 450 (Bird-beak patterns are a result of hyper-
Peep 8 inflation. Decreasing the VT will correct
The therapist notes the following pres- the hyperinflation)
sure volume tracing:
*Beaking and no close*
The therapist should recommend de-
creasing the:
