C&S TMC EXAM ONE Newest Actual Exam Preparation
With Complete Questions And Correct Answers With
Rationales | Already Graded A+||Brand New Version!!
A RT is assisting a physician during a transtracheal bronchoscopy. As the
bronchoscope is advanced in the airways, the above ECG tracing is observed on
the patients cardiac monitor. The RT should recommend? - ---answer---;-
administration of lidocaine.
A 32 yr old male with massive atelectasis of the left lung requires intubation and
mechanical ventilation. The physician has requested the assistance of the RT in
performing the intubation procedure. Which of the following should the RT
recommend to avoid cardiovascular impairment and overdistension of the normal
lung during mechanical ventilation? - ---answer---;- placement of a double lumen
endotracheal tube.
The major goal of members participating in land/air patient transport from an
outlying hospital to a tertiary care center is to: - ---answer---;- bring a distressed
patient to a tertiary care center in a stable condition
Benefits of effective communication between nurses, RT, and doctors include - ---
answer---;-1: reduced medical errors yes/yes/no
,A neonatal patient who is being mechanically ventilated suddenly develops
respiratory distress, with retractions and dyspnea. Transillumination of the chest
is positive. Which of the following therapeutic interventions should the RT
recommend at this time? - ---answer---;- needle aspiration of the affected lung.
A RT is manually ventilating a patient who has just been admitted to the ED. An
ABG is drawn and the results are as follows: ph:7.27 PaCO2:38 HCO3:17 PaO2: 34.
Based on this information, the RT should do which of the following? - ---answer---
;- insure the manual resuscitator is connected to an oxygen source.
. A 16 yr old female has just been admitted to the ED following a bicycling
accident. She is receiving supplemental oxygen via nonrebreathing mask. While
standing at the bedside, the RT notes the onset of ataxic breathing. Which of the
following should the therapist recommend or do? - ---answer---;- begin manual
ventilation
Initiating and maintaining an in hospital respiratory care protocol requires a team
effort among all of the following EXCEPT: - ---answer---;- family members of the
patient
. Implementation of a respiratory care protocol for neonatal ventilation would
most likely result in which of the following: - ---answer---;- improve the weaning
time and duration of mechanical ventilation
A 45 yr old male who was intubation one day prior for airway protection due to
an esophageal varices was found self extubated by his nurse. As his condition
appeared stable, the decision was made not to re-intubate. 4 hrs later, the RT is
called to the patients bedside. The therapist finds the patient in moderate
respiratory distress and with an oxygen saturation of 86% while on 50% air
entrainment mask. The therapist obtains an ABG which shows a PH of 7.28,
, PaCO2 of 50, PaO2 of 56. The therapist should recommend? - ---answer---;- re-
intubation and initiation of mechanical ventilation.
A 37 yr old male presents to his physician with complaints of " increasing
shortness of breath and noisy breathing". His history is remarkable for a
tracheostomy tube that was placed due to a 2 month period of mechanical
ventilation following a motorcycle accident. The tracheostomy tube was removed
and he stoma closed 2 months after discharge from the hospital. Which of the
following may help relieve the patients symptoms? - ---answer---;- bronchoscopic
tracheal dilation
A 60 yr old female presents to her physician with complaints of dyspnea and
orthopnea. The physician orders pulmonary function testing and the results show
a moderate restrictive defect. The physician suspects that the lung restriction may
be caused by diaphragmatic weakness and feels this may be caused by her
orthopnea. Which of the following could be done to confirm if diaphragmatic
weakness is the cause of the lung restriction? - ---answer---;- repeat the
pulmonary function tests with the patient in the upright and supine positions.
A 76 yr old patient has a reported DLCO of 63%. Which of the following
classifications is indicative of the finding? - ---answer---;- mild reduction.
A neonate has an APGAR score of 3 and is experiencing prolonged periods of
apnea. Which of the following would be appropriate? - ---answer---;- perform
orotracheal intubation.
A newborn with IRDS is currently receiving nasal CPAP 10 cm H2O with an FiO2 of
0.65. Over the last hour the infant has become increasingly agitated with notable
xiphoid retractions. An SpO2 measurement is obtained which shows a saturation
With Complete Questions And Correct Answers With
Rationales | Already Graded A+||Brand New Version!!
A RT is assisting a physician during a transtracheal bronchoscopy. As the
bronchoscope is advanced in the airways, the above ECG tracing is observed on
the patients cardiac monitor. The RT should recommend? - ---answer---;-
administration of lidocaine.
A 32 yr old male with massive atelectasis of the left lung requires intubation and
mechanical ventilation. The physician has requested the assistance of the RT in
performing the intubation procedure. Which of the following should the RT
recommend to avoid cardiovascular impairment and overdistension of the normal
lung during mechanical ventilation? - ---answer---;- placement of a double lumen
endotracheal tube.
The major goal of members participating in land/air patient transport from an
outlying hospital to a tertiary care center is to: - ---answer---;- bring a distressed
patient to a tertiary care center in a stable condition
Benefits of effective communication between nurses, RT, and doctors include - ---
answer---;-1: reduced medical errors yes/yes/no
,A neonatal patient who is being mechanically ventilated suddenly develops
respiratory distress, with retractions and dyspnea. Transillumination of the chest
is positive. Which of the following therapeutic interventions should the RT
recommend at this time? - ---answer---;- needle aspiration of the affected lung.
A RT is manually ventilating a patient who has just been admitted to the ED. An
ABG is drawn and the results are as follows: ph:7.27 PaCO2:38 HCO3:17 PaO2: 34.
Based on this information, the RT should do which of the following? - ---answer---
;- insure the manual resuscitator is connected to an oxygen source.
. A 16 yr old female has just been admitted to the ED following a bicycling
accident. She is receiving supplemental oxygen via nonrebreathing mask. While
standing at the bedside, the RT notes the onset of ataxic breathing. Which of the
following should the therapist recommend or do? - ---answer---;- begin manual
ventilation
Initiating and maintaining an in hospital respiratory care protocol requires a team
effort among all of the following EXCEPT: - ---answer---;- family members of the
patient
. Implementation of a respiratory care protocol for neonatal ventilation would
most likely result in which of the following: - ---answer---;- improve the weaning
time and duration of mechanical ventilation
A 45 yr old male who was intubation one day prior for airway protection due to
an esophageal varices was found self extubated by his nurse. As his condition
appeared stable, the decision was made not to re-intubate. 4 hrs later, the RT is
called to the patients bedside. The therapist finds the patient in moderate
respiratory distress and with an oxygen saturation of 86% while on 50% air
entrainment mask. The therapist obtains an ABG which shows a PH of 7.28,
, PaCO2 of 50, PaO2 of 56. The therapist should recommend? - ---answer---;- re-
intubation and initiation of mechanical ventilation.
A 37 yr old male presents to his physician with complaints of " increasing
shortness of breath and noisy breathing". His history is remarkable for a
tracheostomy tube that was placed due to a 2 month period of mechanical
ventilation following a motorcycle accident. The tracheostomy tube was removed
and he stoma closed 2 months after discharge from the hospital. Which of the
following may help relieve the patients symptoms? - ---answer---;- bronchoscopic
tracheal dilation
A 60 yr old female presents to her physician with complaints of dyspnea and
orthopnea. The physician orders pulmonary function testing and the results show
a moderate restrictive defect. The physician suspects that the lung restriction may
be caused by diaphragmatic weakness and feels this may be caused by her
orthopnea. Which of the following could be done to confirm if diaphragmatic
weakness is the cause of the lung restriction? - ---answer---;- repeat the
pulmonary function tests with the patient in the upright and supine positions.
A 76 yr old patient has a reported DLCO of 63%. Which of the following
classifications is indicative of the finding? - ---answer---;- mild reduction.
A neonate has an APGAR score of 3 and is experiencing prolonged periods of
apnea. Which of the following would be appropriate? - ---answer---;- perform
orotracheal intubation.
A newborn with IRDS is currently receiving nasal CPAP 10 cm H2O with an FiO2 of
0.65. Over the last hour the infant has become increasingly agitated with notable
xiphoid retractions. An SpO2 measurement is obtained which shows a saturation
