RRT- Lindsey Jones Exam Practice Exam
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**EXAM Challenge: Your ability to deal with and troubleshoot chest tube maintenance is tested in this
simulation. Sometimes this case is combined with chest trauma. - CORRECT ANSWER-D: Can have
variety of complications from thoracic surgery
,C.E.: Always monitoring chest tube drainage adequacy, looking for potential complications i.e.--
hypovolemic shock, low hemodynamic values including BP, subcutaneous emphysema,, elevated
ventilatory pressures
XR: to confirm proper re-inflation of the lung and proper placement of chest tubes
K.I.: anything that promotes expansion of the lungs including incentive spirometry, IPPB, and positive
pressure MV, if a lobectomy or pneumoectomy, vent volumes should be set lower, fluid therapy if
volume is a problem (often is)
Neck/Spinal Injury :
Definition, Clinical Evidence & Key interventions
Emphysema : Obstructive
Definition, Clinical Evidence, Chest Xray, CBC, ABG, PFT & Key interventions
**EXAM Challenge: You may be tempted to utilize high FiO2 because of the severity of hypoxemia. You
may also be tested with an emergency, the only time it is appropriate to use 100% O2 on a COPD patient
- CORRECT ANSWER-D: Abnormal condition of the alveoli resulting destruction and loss of elasticity
C.E.: Barrel chest, Access. musc. use, Clubbing, Smoking hx, Occupational hazard (smoke, asbestos, other
pulm. irritant)
XR: ^ AP diameter, flattened diaphragm, hyperlucency, diminished pulmonary markings.
CBC: Polycythemia, ^ WBC - possible infection
ABG: Comp. Resp. Acidosis (H PaCO2, N pH) & Hypoxemia
PFT: flows are decreased (FEF 25-75% & FEV1), wheeze, dim.
K.I.: O2 (L FiO2 0.24-0.28), Liq. O2 or trans-trach cannula, home care education, aids to quit smoking,
bronchodilators & corticosteroids
Chronic Bronchitis : Obstructive
Definition, Clinical Evidence, Chest xray, CBC, ABG,PFT & Key interventions
**EXAM Challenge: The most distinguishing characteristic is that the cough is productive and has been
so for a good portion of the year. - CORRECT ANSWER-D: Condition where the patient has a
productive cough 25% of the year, for at least 2 consecutive years.
, C.E.: Productive cough, purulent sputum, exposure to pulm. irritants, frequent infections.
XR: May be normal, may show hyperlucency, diminished pulmonary markings
CBC: Possible increased WBC due to possible infection
ABG: May be normal, may show slight Resp. Acidosis & hypox.
PFT: flows are decreased (FEF 25-75% & FEV1
K.I.: Anything that promotes good pulm. hygiene, fluid therapy if dyhyd, O2 if hypox, bronchodialator,
Tetracycline
Bronchiectasis : Obstructive
Definition, Clinical Evidence, Chest xray, Sputum Culture, Bronchogram & Key interventions - CORRECT
ANSWER-D: Abnormal condition where the bronchi secrete large volumes of pus during abnormal
dilation
C.E.: Productive cough, often bloody, clubbing, recurrent infections, dyspnea
XR: generally normal
S.C.: gram negative bacteria
Bronchogram: Primary test. "tree in winter pattern"
K.I.: Chest Physio, hydration therapy (thick sputum), fluid therapy (dehydrated), O2 therapy,
bronchodilator, Surgical intervention
Obstructive & Central Sleep Apnea
Definition, Clinical Evidence, ABG,Polysomnography & Key interventions
**EXAM Challenge: It is important to remember to avoid sending the patient home without some sort of
ventilatory support. - CORRECT ANSWER-D: The cessation of breathing during sleep. Most
commonly obstructive in nature, can be central, or both. (mixed)
C.E.: Spouse complains of snoring and witnessed apnea for 10 second or longer. Excessive upper airway
tissue, obesity or thick neck. Ability to fall asleep quickly. Dyspnea, Frequent urination during sleeping
hours
ABG: Could be normal, or show slight resp. acid. or hypoxemia
P.: Determines OSA or CSA. If no nasal flow AND no chest movement = CSA, If no nasal flow WITH chest
mvmt. = OSA
Latest 2025 With Complete Questions and
Verified Answers Graded A+|Assured
Success
**EXAM Challenge: Your ability to deal with and troubleshoot chest tube maintenance is tested in this
simulation. Sometimes this case is combined with chest trauma. - CORRECT ANSWER-D: Can have
variety of complications from thoracic surgery
,C.E.: Always monitoring chest tube drainage adequacy, looking for potential complications i.e.--
hypovolemic shock, low hemodynamic values including BP, subcutaneous emphysema,, elevated
ventilatory pressures
XR: to confirm proper re-inflation of the lung and proper placement of chest tubes
K.I.: anything that promotes expansion of the lungs including incentive spirometry, IPPB, and positive
pressure MV, if a lobectomy or pneumoectomy, vent volumes should be set lower, fluid therapy if
volume is a problem (often is)
Neck/Spinal Injury :
Definition, Clinical Evidence & Key interventions
Emphysema : Obstructive
Definition, Clinical Evidence, Chest Xray, CBC, ABG, PFT & Key interventions
**EXAM Challenge: You may be tempted to utilize high FiO2 because of the severity of hypoxemia. You
may also be tested with an emergency, the only time it is appropriate to use 100% O2 on a COPD patient
- CORRECT ANSWER-D: Abnormal condition of the alveoli resulting destruction and loss of elasticity
C.E.: Barrel chest, Access. musc. use, Clubbing, Smoking hx, Occupational hazard (smoke, asbestos, other
pulm. irritant)
XR: ^ AP diameter, flattened diaphragm, hyperlucency, diminished pulmonary markings.
CBC: Polycythemia, ^ WBC - possible infection
ABG: Comp. Resp. Acidosis (H PaCO2, N pH) & Hypoxemia
PFT: flows are decreased (FEF 25-75% & FEV1), wheeze, dim.
K.I.: O2 (L FiO2 0.24-0.28), Liq. O2 or trans-trach cannula, home care education, aids to quit smoking,
bronchodilators & corticosteroids
Chronic Bronchitis : Obstructive
Definition, Clinical Evidence, Chest xray, CBC, ABG,PFT & Key interventions
**EXAM Challenge: The most distinguishing characteristic is that the cough is productive and has been
so for a good portion of the year. - CORRECT ANSWER-D: Condition where the patient has a
productive cough 25% of the year, for at least 2 consecutive years.
, C.E.: Productive cough, purulent sputum, exposure to pulm. irritants, frequent infections.
XR: May be normal, may show hyperlucency, diminished pulmonary markings
CBC: Possible increased WBC due to possible infection
ABG: May be normal, may show slight Resp. Acidosis & hypox.
PFT: flows are decreased (FEF 25-75% & FEV1
K.I.: Anything that promotes good pulm. hygiene, fluid therapy if dyhyd, O2 if hypox, bronchodialator,
Tetracycline
Bronchiectasis : Obstructive
Definition, Clinical Evidence, Chest xray, Sputum Culture, Bronchogram & Key interventions - CORRECT
ANSWER-D: Abnormal condition where the bronchi secrete large volumes of pus during abnormal
dilation
C.E.: Productive cough, often bloody, clubbing, recurrent infections, dyspnea
XR: generally normal
S.C.: gram negative bacteria
Bronchogram: Primary test. "tree in winter pattern"
K.I.: Chest Physio, hydration therapy (thick sputum), fluid therapy (dehydrated), O2 therapy,
bronchodilator, Surgical intervention
Obstructive & Central Sleep Apnea
Definition, Clinical Evidence, ABG,Polysomnography & Key interventions
**EXAM Challenge: It is important to remember to avoid sending the patient home without some sort of
ventilatory support. - CORRECT ANSWER-D: The cessation of breathing during sleep. Most
commonly obstructive in nature, can be central, or both. (mixed)
C.E.: Spouse complains of snoring and witnessed apnea for 10 second or longer. Excessive upper airway
tissue, obesity or thick neck. Ability to fall asleep quickly. Dyspnea, Frequent urination during sleeping
hours
ABG: Could be normal, or show slight resp. acid. or hypoxemia
P.: Determines OSA or CSA. If no nasal flow AND no chest movement = CSA, If no nasal flow WITH chest
mvmt. = OSA
