NBRC TMC/CRT/RRT EXAM REVIEW TEST BANK- with 100% verified solutions

NBRC TMC/CRT/RRT EXAM REVIEW TEST BANK- with 100% verified solutionsA physician has ordered a 4 year old to receive 40% oxygen therapy. You would recommend which of the following oxygen delivery devices: A) Oxygen hood B) Oxygen tent C) 5LPM NC D) an aerosol mask with a jet nebulizer B) Oxygen tent A water barometer is being used to record the barometric pressure. The water within the barometer column has a meniscus formation. You would read the barometric pressure at the: A) Bottom of the meniscus B) Top of the meniscus C) Side of the meniscus D) Top and side of the meniscus A) Bottom of the meniscus The respiratory care practitioner has receive an order to administer 35% oxygen to a post-operative craniotomy patient. The patient is semi-conscious with an irregular breathing pattern. The most appropriate oxygen administration device for this patient would be: A) A 4LPM Nasal cannula B) intubation with a 35% aerosol blow-by C) a simple mask at 4 LPM D) a Venturi mask D) a Venturi mask A cuff pressure manometer is connected to the endotracheal tube of a patient receiving continuous mechanical ventilation. The cuff pressure reading is 24 torr with a small air leak auscultated during inspiration. Which of the following should be done: A) Increase the cuff pressure B) Maintain this set-up and reassess in 1 hour C) Recommend changing to a larger endotracheal tube D) Decrease the cuff pressure and reassess the leak C) Recommend changing to a larger endotracheal tube A 12 year old conscious, spontaneously breathing female, weighing 40kg (88lb) is brought into the ER with a sustained cervical spine injury without any evidence of other trauma from a motor vehicle accident. The head is secured with sandbags and arterial blood gas analysis shows respiratory failure. To maintain the patient's airway, the respiratory care practitioner should recommend a: A) 6.0mm nasal endotracheal tube ONLYSTUDENTS 10/30/23, 3:28 PM NBRC TMC CRT RRT EXAM Review TEST BANK-with 100% verified sol… about:blank 2/30 B) 8.0 mm oral endotracheal tube C) 7.0 mm tracheotomy tube D) 8.0 mm esophageal obturator airway tube A) 6.0mm nasal endotracheal tube A 22 year old male is being ventilated with a microprocessor ventilator. You are checking his cuff with a cuff inflator and as you connect the pilot balloon thecuff inflator, the pressure measured reads 0 torr. Your first immediate response would be to: A) Add 10 ml of air to the pilot balloon B) inflate the cuff till the manometer reads 20 torr C) reconnect the pilot balloon to the cuff inflator tightly D) deflate the cuff and reinflate with 10 ml of air C) reconnect the pilot balloon to the cuff inflator tightly Which of the following could be done to minimize mean airway pressure during an IPPB treatment? 1. Decrease the peak pressure 2. Decrease the I time 3. Increase the E time 4. Increase inspiratory flow A) 1 only B) 2 and 3 only C) 2 and 4 only D) all the above D) all the above A patient is on 60% aerosol mask and their inspiratory flow rate is determined to be 28 LPM. What is the minimum flow rate setting required for this patient? A) 8LPM B) 10 LPM C) 12 LPM D) 15 LPM D) 15 LPM A chronic hypercapnic patient is in acute ventilatory failure. The physician has asked for your recommendation in the care of this patient who is requiring assisted ventilation. You would recommend: A) A volume-cycled microprocessor controlled machine B) BiPAP C) Positive expiratory pressure mask (PEP) D) A positive pressure cycled controlled machine A) A volume-cycled microprocessor controlled machine A chronic CO2 retainer patient enters the emergency room in moderate respiratory distress. Which of the following would be the best initial oxygen delivery device for the patient? A) 32% venturi mask B) 2 LPM NC ONLYSTUDENTS 10/30/23, 3:28 PM NBRC TMC CRT RRT EXAM Review TEST BANK-with 100% verified sol… about:blank 3/30 C) 3 LPM simple mask D) 8 LPM Partial-rebreathing mask B) 2 LPM NC When comparing the Wick humidifier system to other humidifier devices, the main advantage of this device is: A) The particle size and deposition B) A relative body humidity of 100% can be obtained C) a baffle is required to achieve body humidity D) a heating unit is not required B) A relative body humidity of 100% can be obtained A patient is being ventilated with a volume cycle ventilator in the assist-control mode with a HME humidifier device. The patient has developed thick, purulent secretions. The respiratory care practitioner should recommend which of the following at this time? A) Change to Wick humidifier B) replace the HME with a new HME C) Change to a passover humidifier D) Instill 5ml of saline when suctioning the patient A) Change to Wick humidifier A 26 week gestational infant has been born and is apneic and cyanotic. which of the following equipment would be of value during the oral intubation procedure? 1. Magill forceps 2. A MacIntosh Blade 3. Stylet 4. A Miller Blade 5. A yankauer suction A) 1, 2, 4 only B) 2, 3, and 4 only C) 2, 3, 4, and 5 only D) all the above C) 2, 3, 4, and 5 only All the following would be an indication for use of HME except: A) A patient requiring mechanical ventilation for a few hours B) When 100% relative humidity is ordered C) Transport of ventilator patients D) When a humidification device is needed B) When 100% relative humidity is ordered Which of the following devices would allow tracheal suctioning and facilitate phonation with the least amount of airway resistance? A) Fenestrated tracheostomy tube B) tracheal button C) jackson trach tube D) shiley tracheostomy tube B) tracheal button ONLYSTUDENTS 10/30/23, 3:28 PM NBRC TMC CRT RRT EXAM Review TEST BANK-with 100% verified sol… about:blank 4/30 A patient is on volume-cycled ventilator and is to receive a PEEP of 12 cmH2O pressure. As you go in to perform a ventilator check at 1:00 pm, the PEEP is registering 14cmH20; you check all the connections and nothing has changed. You return to recheck the PEEP pressure at 2:00 pm and the PEEP is now registering 16cmH20 pressure. The change in the PEEP levels can be best explained by: A) A decrease in airway resistance B) a decrease in the peak flow setting C) a leaky PEEP valve D) a faulty exhalation valve D) a faulty exhalation valve A patient receiving 40% oxygen therapy via a disposable reservoir jet nebulizer. As you are doing your oxygen rounds, you find the water level in this device to have only 20mL remaining. You would do which of the following at this time? A) Return in 2 hours to recheck the water level B) Refill the nebulizer C) Change the nebulizer set-up D) Wait until the nebulizer runs dry and then refill it C) Change the nebulizer set-up A conscious 16 year old patient is brought to the ER with laceration around the mouth and is suspected of having a fractured jaw. To maintain an airway and to facilitate suctioning recommend inserting a: A) An oral ETT B) a nasopharyngeal airway C) an esophageal obturator airway D) a tracheostomy tube B) a nasopharyngeal airway A patient is ordered to receive IPPB treatments QID. When the patient begins to inhale, the manome