C&S TMC Exam 1
Which of the following is indicated for hypotension that is unresponsive to fluid
resuscitation? - CORRECT ANSWER-A vasopressor agent
Which of the following best explains the reason for prone positioning for patients with
severe ARDS - CORRECT ANSWER-Improves ventilation-perfusion matching
A patient has just been admitted to the ED for an acute asthmatic attack. The physician
has prescribed albuterol (provent), Ipratropium Bromide(atrovent), and fluticasone
(flovent). Which of the following is the correct order of administration of these drugs? -
CORRECT ANSWER-Albuterol,ipratropium, fluticasone.
A patient who develops sub-glottic edema following extubation would benefit from the
administration of which of the following? - CORRECT ANSWER-Nebulized racemic
epinephrine
While performing endotracheal suctioning on an intubated pediatric asthmatic patient,
the RT observes that the patient becomes severely bronchospastic. The therapist
should - CORRECT ANSWER-Recommended endotracheal instillation of lidocaine
(Xylocaine) prior to suctioning
Higher than normal levels of exhaled nitric oxide generally mean - CORRECT
ANSWER-Airway inflammation due to asthma
Which of the following should be done immediately following a lung recruitment
maneuver? - CORRECT ANSWER-Perform a decremental PEEP study
A 36 weeks gestation neonate is being mechanically ventilated. The ventilator settings
are: PIP 24, RR 32/min, I-Time 0.6 sec, flow rate 8 L/ min, PEEP 6 cm H2O, and FIO2
0.45. The neonates physician is concerned about the volume/ pressure loop, which is
shown to the right. The RT should suggest which of the following? - CORRECT
ANSWER-Decreasing PIP to 20 cm H20
While monitoring a patient during a traditional t tube weaning trial with an FiO2 of 0.40.
the respiratory therapist records the following data:
-------------------------------------
Data prior to weaning 15 minutes after the start of weaning
Heart Rate
88/min 112/min
Respiratory Rate
12/min 24/min
,PaCO2
37 mm Hg 54 mm Hg
PaO2
79 mm Hg 72 mm Hg
Which of the following actions would be appropriate at this time? - CORRECT
ANSWER-Reconnect the patient to the ventilator with prior settings.
If the flowmeter is set too low on high flow oxygen system, the RT should expect -
CORRECT ANSWER-A decrease in inspired oxygen
After a patient is placed in the head down position for postural drainage of the right
lower lobe, he begins to cough vigorously and becomes short of breath. What should
the RT do? - CORRECT ANSWER-Sit patient up and reassure him coughing is normal.
Which of the following is best suitable for an adult patient requiring long-term continuous
ventilatory support? - CORRECT ANSWER-A cuffed tracheostomy tube
Nasotracheal intubation would be preferred over oratracheal intubation in which of the
following clinical situations? - CORRECT ANSWER-4; Repair of a fractured mandible-
yes/no/no
The most important aspect regarding quality control for blood gas analyst is that? -
CORRECT ANSWER-The blood gas analyzer always functions properly prior to patient
sample analysis
When using a non rebreathing oxygen mask, the flowmeter should be set on? -
CORRECT ANSWER-Where the bag does not deflate more than one third during
inspiration
An ICU patient has been receiving potassium replacement therapy for two days. The
ECG rhythm shown above was recorded on the patients cardiac monitor on day 2
treatment. Which of the following should the RT initially recommend to further assess
the patients clinical conditions? - CORRECT ANSWER-Electrolytes
A RT is caring for a neonatal patient who has a transcutaneous PO2 electrode in place
on the right chest. Over the last 6 hrs, the therapist observes that the transcutaneous
PO2 measurement has decreased from 79 mm Hg to 62 mm Hg. The most likely cause
for this situation is - CORRECT ANSWER-The neonates pulmonary condition has
deteriorated
After being asked to take a breath , the patient states that he is unable to take a deep
breath. The RT would conclude that the patient is most likely: - CORRECT ANSWER-
Uncooperative
, A 52 yr old obese male in acute respiratory distress has just been admitted to the ED.
Physical examination reveals accessory ventilatory muscle use, neck vein distension,
and pedal edema. There is markedly diminished breath sounds and expiratory wheezes
throughout both lung fields. The patient is expectorating copious mucopurulent sputum.
The patients vital signs are: pulse 132/min, BP 196/112 mm Hg; respirations 38/min,
and temperature 100.1 deg F. ABG's drawn while the patient was breathing room air
are: ph:7.27, PaO2:54 mm Hg, PaCO2: 62 mm Hg, HCO3: 27. Which of the following is
the most likely diagnosis for this patient ? - CORRECT ANSWER-Chronic bronchitis
exacerbated by an acute pulmonary infection
The data shows for an intubated , Mechanically ventilated patient receiving an FiO2 of
0.90 - Cardiac output- 5.9 L/min
- Blood pressure- 132/86 mmHg
- Ph- 7.38
- PaCO2- 42 mm Hg
- HCO3- 24
- PaO2- 61 mm Hg
The data are suggestive for which of the following? - CORRECT ANSWER-Adult
respiratory distress syndrome
The second heart sound ( S2 ) is produced by? - CORRECT ANSWER-The sudden
closing of the aortic and pulmonic valves
While reviewing the medical record of a patient, the RT notes the chief complaints are
vomiting and diarrhea of 4 days duration. Which of the following symptoms would be
consistent with the patients chief complaints? - CORRECT ANSWER-Poor skin turgor
Which of the following is the first step in determining the etiology of a patients chief
medical complaint? - CORRECT ANSWER-Obtaining an accurate history of a present
illness
A RT is called to implement oxygen therapy for a 41 yr old male patient. While reviewing
the patients medical record, the RT notes that the physician ordered ' O2 via nasal
cannula ' Which of the following should the therapist do? - CORRECT ANSWER-
Contact the physician and ask for a clarification of the order
Objectives for a pulmonary rehabilitation program should include all of the following
EXCEPT? - CORRECT ANSWER-Monthly physical exercises for skeletal and
respiratory muscles
While evaluating a patient in a pulmonary rehabilitation program, the patient tells the RT
that for the past 2 days his secretions have been thick and yellow and that he has
become increasingly short of breath. The therapist would most likely suspect the
patient? - CORRECT ANSWER-Has a pulmonary infection
Which of the following is indicated for hypotension that is unresponsive to fluid
resuscitation? - CORRECT ANSWER-A vasopressor agent
Which of the following best explains the reason for prone positioning for patients with
severe ARDS - CORRECT ANSWER-Improves ventilation-perfusion matching
A patient has just been admitted to the ED for an acute asthmatic attack. The physician
has prescribed albuterol (provent), Ipratropium Bromide(atrovent), and fluticasone
(flovent). Which of the following is the correct order of administration of these drugs? -
CORRECT ANSWER-Albuterol,ipratropium, fluticasone.
A patient who develops sub-glottic edema following extubation would benefit from the
administration of which of the following? - CORRECT ANSWER-Nebulized racemic
epinephrine
While performing endotracheal suctioning on an intubated pediatric asthmatic patient,
the RT observes that the patient becomes severely bronchospastic. The therapist
should - CORRECT ANSWER-Recommended endotracheal instillation of lidocaine
(Xylocaine) prior to suctioning
Higher than normal levels of exhaled nitric oxide generally mean - CORRECT
ANSWER-Airway inflammation due to asthma
Which of the following should be done immediately following a lung recruitment
maneuver? - CORRECT ANSWER-Perform a decremental PEEP study
A 36 weeks gestation neonate is being mechanically ventilated. The ventilator settings
are: PIP 24, RR 32/min, I-Time 0.6 sec, flow rate 8 L/ min, PEEP 6 cm H2O, and FIO2
0.45. The neonates physician is concerned about the volume/ pressure loop, which is
shown to the right. The RT should suggest which of the following? - CORRECT
ANSWER-Decreasing PIP to 20 cm H20
While monitoring a patient during a traditional t tube weaning trial with an FiO2 of 0.40.
the respiratory therapist records the following data:
-------------------------------------
Data prior to weaning 15 minutes after the start of weaning
Heart Rate
88/min 112/min
Respiratory Rate
12/min 24/min
,PaCO2
37 mm Hg 54 mm Hg
PaO2
79 mm Hg 72 mm Hg
Which of the following actions would be appropriate at this time? - CORRECT
ANSWER-Reconnect the patient to the ventilator with prior settings.
If the flowmeter is set too low on high flow oxygen system, the RT should expect -
CORRECT ANSWER-A decrease in inspired oxygen
After a patient is placed in the head down position for postural drainage of the right
lower lobe, he begins to cough vigorously and becomes short of breath. What should
the RT do? - CORRECT ANSWER-Sit patient up and reassure him coughing is normal.
Which of the following is best suitable for an adult patient requiring long-term continuous
ventilatory support? - CORRECT ANSWER-A cuffed tracheostomy tube
Nasotracheal intubation would be preferred over oratracheal intubation in which of the
following clinical situations? - CORRECT ANSWER-4; Repair of a fractured mandible-
yes/no/no
The most important aspect regarding quality control for blood gas analyst is that? -
CORRECT ANSWER-The blood gas analyzer always functions properly prior to patient
sample analysis
When using a non rebreathing oxygen mask, the flowmeter should be set on? -
CORRECT ANSWER-Where the bag does not deflate more than one third during
inspiration
An ICU patient has been receiving potassium replacement therapy for two days. The
ECG rhythm shown above was recorded on the patients cardiac monitor on day 2
treatment. Which of the following should the RT initially recommend to further assess
the patients clinical conditions? - CORRECT ANSWER-Electrolytes
A RT is caring for a neonatal patient who has a transcutaneous PO2 electrode in place
on the right chest. Over the last 6 hrs, the therapist observes that the transcutaneous
PO2 measurement has decreased from 79 mm Hg to 62 mm Hg. The most likely cause
for this situation is - CORRECT ANSWER-The neonates pulmonary condition has
deteriorated
After being asked to take a breath , the patient states that he is unable to take a deep
breath. The RT would conclude that the patient is most likely: - CORRECT ANSWER-
Uncooperative
, A 52 yr old obese male in acute respiratory distress has just been admitted to the ED.
Physical examination reveals accessory ventilatory muscle use, neck vein distension,
and pedal edema. There is markedly diminished breath sounds and expiratory wheezes
throughout both lung fields. The patient is expectorating copious mucopurulent sputum.
The patients vital signs are: pulse 132/min, BP 196/112 mm Hg; respirations 38/min,
and temperature 100.1 deg F. ABG's drawn while the patient was breathing room air
are: ph:7.27, PaO2:54 mm Hg, PaCO2: 62 mm Hg, HCO3: 27. Which of the following is
the most likely diagnosis for this patient ? - CORRECT ANSWER-Chronic bronchitis
exacerbated by an acute pulmonary infection
The data shows for an intubated , Mechanically ventilated patient receiving an FiO2 of
0.90 - Cardiac output- 5.9 L/min
- Blood pressure- 132/86 mmHg
- Ph- 7.38
- PaCO2- 42 mm Hg
- HCO3- 24
- PaO2- 61 mm Hg
The data are suggestive for which of the following? - CORRECT ANSWER-Adult
respiratory distress syndrome
The second heart sound ( S2 ) is produced by? - CORRECT ANSWER-The sudden
closing of the aortic and pulmonic valves
While reviewing the medical record of a patient, the RT notes the chief complaints are
vomiting and diarrhea of 4 days duration. Which of the following symptoms would be
consistent with the patients chief complaints? - CORRECT ANSWER-Poor skin turgor
Which of the following is the first step in determining the etiology of a patients chief
medical complaint? - CORRECT ANSWER-Obtaining an accurate history of a present
illness
A RT is called to implement oxygen therapy for a 41 yr old male patient. While reviewing
the patients medical record, the RT notes that the physician ordered ' O2 via nasal
cannula ' Which of the following should the therapist do? - CORRECT ANSWER-
Contact the physician and ask for a clarification of the order
Objectives for a pulmonary rehabilitation program should include all of the following
EXCEPT? - CORRECT ANSWER-Monthly physical exercises for skeletal and
respiratory muscles
While evaluating a patient in a pulmonary rehabilitation program, the patient tells the RT
that for the past 2 days his secretions have been thick and yellow and that he has
become increasingly short of breath. The therapist would most likely suspect the
patient? - CORRECT ANSWER-Has a pulmonary infection
