RRT Clinical Simulation EXAM STUDY GUIDE 2025/2026 ACCURATE QUESTIONS WITH CORRECT DETAILED ANSWERS || 100% GUARANTEED PASS <RECENT VERSION>

RRT Clinical Simulation EXAM STUDY GUIDE 2025/2026 ACCURATE QUESTIONS WITH CORRECT DETAILED ANSWERS || 100% GUARANTEED PASS &lt;RECENT VERSION&gt; 1. Congenital Diaphragmatic Hernia - ANSWER Occurs when the diaphragm does not completely form. Causes the abdominal contents to be in direct contact with the thoracic cavity 2. Etiology of Congenital Diaphragmatic Hernia - ANSWER Occurs in 1 out of 2500 live births Infants are usually mature More common in males 90% of causes occur on the left through the foramen of Bochdalek. Mortality rate is 50% within 6 hours after delivery of not treated properly 3. Primary assessment of Congenital Diaphragmatic Hernia - ANSWER Past medical history Appearance of the chest Respiratory pattern Color Breath sounds Physical appearance Vital signs 4. Breath sounds found in Congenital Diaphragmatic Hernia - ANSWER Absent on affected side, bowel sounds on the affected side 5. Physical appearance found in Congenital Diaphragmatic Hernia - ANSWER Scaphoid abdomen Barrel chest 6. CXR findings in Congenital Diaphragmatic Hernia - ANSWER Fluid and air filled loops of intestine in the chest Shift of the heart and mediastinum toward unaffected side Atelectasis and complete lung collapse Hypoplastic left lung 7. Treatment and management of Congenital Diaphragmatic Hernia - ANSWER Always an emergency Prompt surgical repair is crucial Insert an oral gastric tube to decrease gas in the bowel Immediate oxygen therapy Place infant on affected side Do not ventilate with a mask May require intubation and mechanical ventilation ECMO for severe cases 8. Exposure/Accidental Hypothermia - ANSWER Marked cooling of core temperature (below 35 degrees C or 95 degrees F) 9. Etiology of Exposure/Accidental Hypothermia - ANSWER Generally the result of sudden immersion in cold water or prolonged exposure to cold environments 10. Primary assessment for Exposure/Accidental Hypothermia - ANSWER Past medical history Physical appearance Vital signs 11. Secondary assessment for Exposure/Accidental Hypothermia - ANSWER ABG: Moderate to severe acidosis with hypoxemia 12. If patients body temperature is less than 37C or 98.6 then the patients actual values will show - ANSWER pH increased PCO2 Decreased PO2 Decreased 13. Treatment and management for mild cases of Exposure/Accidental Hypothermia - ANSWER Passive rewarming may be sufficient Warm, dry clothes Warm drinks Isometric exercises to increased heart production Check core temperature as soon as possible 14. Treatment and management for moderate cases of Exposure/Accidental Hypothermia, core temp &gt;30C - ANSWER Active rewarming may be required Warm water baths Warm blankets Heating pads Warm oral fluids when patient is alert 15. Treatment and management for severe cases of Exposure/Accidental Hypothermia core temp of &lt;30C - ANSWER Active rewarming required Administration of warm IV solutions, warm gastric lavage or peritoneal lavage, inhalation of warm gases Rewarming should proceed no faster than few degrees per hour to avoid complications Mechanical ventilation for ventilatory failure 16. Infectious Disease/Pneumonia - ANSWER Result of an inflammatory process that primarily affects the gas exchange area of the lung causing capillary fluid to pout into the alveoli. This termed effusion. If the infection becomes overwhelming it is termed consolidation 17. Etiology of Infectious Disease/Pneumonia - ANSWER Extremely common Causes include: bacteria, virus, fungi, TB, atelectasis and inhalation 18. Primary assessment of Infectious Disease/Pneumonia - ANSWER Past medical history Shortness of breath Cough Appearance of chest Respiratory pattern Color Diagnostic chest percussion Breath sounds Physical appearance Vital signs 19. Secondary assessment of Infectious Disease/Pneumonia - ANSWER CXR ABG Pulmonary function CBC Sputum Special tests 20. CXR finding in Infectious Disease/Pneumonia - ANSWER Increased density from consolidation and atelectasis Air bronchograms Pleural effusion 21. Pulmonary function findings in Infectious Disease/Pneumonia - ANSWER Decreased volumes and capacities 22. CBC findings in Infectious Disease/Pneumonia - ANSWER Increased WBC with bacterial infection Decreased WBC with viral infection 23. Sputum findings in Infectious Disease/Pneumonia - ANSWER Gram positive or gram negative organisms 24. Special tests for Infectious Disease/Pneumonia - ANSWER CT scan Acid fast stain for TB ELISA test for HIV 25. Treatment and management for Infectious Disease/Pneumonia - ANSWER Oxygen therapy Pulmonary hygiene therapy Hyperinflation therapy Mechanical ventilation for ventilatory failure VAP protocol for intubated patients Drug therapy: Antibiotics, Aerosolized antiviral agents Thoracentesis 26. Thermal Injuries:Burns/Smoke inhalation/carbon Monoxide Poisoning - ANSWER The inhalation of smoke and hot gases. May be accompanied by body surface burns. May lead to complete airway obstruction. Should be expected in the presence of any type of fire 27. Etiology of Thermal Injuries:Burns/Smoke inhalation/carbon Monoxide Poisoning - ANSWER Fire victims Firefighters Inhalation of car exhaust 28. Primary assessment of Thermal Injuries:Burns/Smoke inhalation/carbon Monoxide Poisoning - ANSWER Past medical history Shortness of breath Cough Appearance of chest Respiratory pattern Color Level of consciousness Physical appearance Vital signs 29. Secondary assessment of Thermal Injuries:Burns/Smoke inhalation/carbon Monoxide Poisoning - ANSWER CXR ABG Pulmonary Function Special tests 30. CXR findings in Thermal Injuries:Burns/Smoke inhalation/carbon Monoxide Poisoning - ANSWER Normal in early stages, pulmonary edema/ARDS late stages 31. Pulmonary function in Thermal Injuries:Burns/Smoke inhalation/carbon Monoxide Poisoning - ANSWER Decreased volumes and lowrates 32. Special tests in Thermal Injuries:Burns/Smoke inhalation/carbon Monoxide Poisoning - ANSWER COHb levels measured by Co-oximeter 33. Treatment and management for Thermal Injuries:Burns/Smoke inhalation/carbon Monoxide Poisoning - ANSWER Immediate assessment of patients airway and respiratory and cardiovascular status Hyperbaric oxygen therapy Oxygen therapy at 100% Evaluate depth and percent of burns Isolation room Monitor ABG and lytes and fluid levels Monitor of signs of infection Bronchoscopy to clear airways of mucus plugs and evaluation of upper airways Mechanical ventilation of ventilatory failure Pulmonary hygiene Hyperinflation therapy Aerosolized medications 34. Medications used for Thermal Injuries:Burns/Smoke inhalation/carbon Monoxide Poisoning - ANSWER Sympathomimetic and parasympatholytic agents Mucolytics Anti inflammatory agents 35. 32 weeks,10 min post-partum what will you evalute? - ANSWER general apperearance breath sounds APGAR respiration HR L/S ratio SpO2 chest radiograph Meternal history 36. normal PIP level on PC/IMV for neonates? - ANSWER 20 to 25 RDS 18 to 25 37. Lidocane is or? - ANSWER PVC 38. Cough up blood,weigh loss,chest pain and chills,lack of appetite and continuous cough over 2 months? - ANSWER (TB) Get ECG,ABG,social history ' PaCO2 less than 35 indicate hyperventilating Chest radiograph (patch infiltrates) Cough Medical history General history Vital signs 39. Rapid assessment for new born 3? - ANSWER Breathing or crying,muscle tone,gestation age 40. TB medications. - ANSWER (R.I.P.E.) Rifampine: orange colored secretions "ripe orange" Can decrease effectiveness of oral contraceptives Isoniazid: neuropathy, do not drink alcohol Pyrazinamide Ethambutol: Result in changes in patients vision. E for Eye Treatment will be six months to a year 41. PaO2 of 40,50 and 60 - ANSWER Corresponds to SPO2 of 70,80,90 42. Distended neck veins? - ANSWER right sided heart failure 43. Pitting edema - ANSWER Congestive heart failure 44. Creatinine Kinase (CK) is test to check? - ANSWER MI 45. Tenslion test - ANSWER Myasthenia gravies 46. Dopamine is used to? - ANSWER Increase blood pressure 47. Doxycycline is used to? - ANSWER Treat bacteria infection 48. FEV1 30-49%? - ANSWER Severe (Gold 3)