TMC - PATIENT ASSESSMENT WITH QUESTIONS AND 100%
VERIFIED ANSWERS
A patient with COPD has been admitted for possible pneumonia. The patient is
producing moderate amounts of thick yellow sputum and breath sounds are
decreased in the right middle lobe. Sputum culture indicates a staphylococcal
infection. Which of the following therapies should the respiratory therapist
recommend?
A. chest physical therapy
B. antibiotic therapy
C. incentive spirometry
D. IPPB - ANS... -B.
A premature baby is receiving an FIO2 of .40 and CPAP at 5 cmH2O. As the
respiratory therapist increases the CPAP to 7 cmH2O, the baby's respiratory rate
increases to 58 per minute and the TcPCO2 reading increases with a stable SpO2
monitor reading. The respiratory therapist should recommend which of the
following?
A. Discontinue the CPAP
B. Draw an arterial blood gas sample
C. Increase the CPAP to 10 cmH2O
D. Place the baby in an oxyhood at an FIO2 0.45 - ANS... -B.
A patient is suspected of having a pleural effusion. Before performing a
thoracentesis, what should the therapist recommend?
A. lateral decubitus chest radiograph
B. arterial blood gas analysis
C. ventilation and perfusion scans
D. flexible bronchoscopy - ANS... -A.
All of the following could cause a capnography reading to change from 36 torr to
30 torr EXCEPT
A. endotracheal tube positioned in the right mainstem bronchus
B. hyperventilation
C. pulmonary emboli
D. hypovolemia - ANS... -A.
,A balloon-tipped, flow-directed catheter is positioned in the pulmonary artery with
the balloon deflated. Which of the following pressures will be measured by the
proximal lumen?
A. CVP
B. PAP
C. PWP
D. MAP - ANS... -A.
A patient in the intensive care unit has the following hemodynamic measurements:
CVP: 9 mm Hg
Mean PAP: 24 mm Hg
PCWP: 9 mm Hg
MAP: 93 mm Hg
Cardiac output (QT): 5.4 L/min
Cardiac index (QI): 2.9 L/min/m2
These results are consistent with:
A. right heart failure.
B. left heart failure.
C. pulmonary embolism.
D. normal cardiac function. - ANS... -C.
All of the following will affect the accuracy of a capnograph EXCEPT
A. Long sampling line
B. Low sampling flow
C. Condensation in the tubing
D. Use of a desiccant - ANS... -D.
A 1000 g neonate is stable in the NICU. Which of the following should the
respiratory therapist use to monitor the neonate's overall cardiopulmonary status?
A. TcPCO2 and TcPO2 monitor
B. Arterial blood gas analysis Q4 hours
C. SpO2 monitor
D. Capillary gas analysis Q8 hours - ANS... -A.
A unilateral wheeze would most likely indicate which of the following?
A. asthma
B. atelectasis
C. foreign body aspiration
D. epiglottitis - ANS... -C.
, All of the following would be associated with the presence of a pneumothorax
EXCEPT:
A. tracheal deviation
B. dull percussion
C. absent breath sounds
D. respiratory distress - ANS... -B.
44-year-old woman has just undergone a cholecystectomy. Over the last 48 hours
the patient has the following laboratory findings:
K+: 2 mEq/L
Na+: 135 mEq/L
Cl-: 100 mEq/L
HCO3-: 32 mEq/L
Urine output: 40 mL/hour
Based upon this information, the respiratory therapist would conclude that the
patient
A. is hyperkalemic.
B. requires increased fluid intake.
C. is polycythemic.
D. has a metabolic alkalosis. - ANS... -D.
While reviewing a patient's medical record, the respiratory therapist notes that the
patient has the following clinical data:
pH: 7.45
PaCO2: 36 torr
PaO2: 89 torr
SpO2: 94%
Na: 139 mEq/L
K: 3.9 mEq/L
Cl: 90 mEq/L
Hb: 8 g/dL
BUN: 15 mg/dL
Glucose: 90 mg/dL
The patient is receiving oxygen at 5 LPM via nasal cannula and is complaining of
shortness of breath. The respiratory therapist would conclude that the patient has:
A. hemophilia
B. hypernatremia
C. anemia
D. hypokalemia - ANS... -C.
VERIFIED ANSWERS
A patient with COPD has been admitted for possible pneumonia. The patient is
producing moderate amounts of thick yellow sputum and breath sounds are
decreased in the right middle lobe. Sputum culture indicates a staphylococcal
infection. Which of the following therapies should the respiratory therapist
recommend?
A. chest physical therapy
B. antibiotic therapy
C. incentive spirometry
D. IPPB - ANS... -B.
A premature baby is receiving an FIO2 of .40 and CPAP at 5 cmH2O. As the
respiratory therapist increases the CPAP to 7 cmH2O, the baby's respiratory rate
increases to 58 per minute and the TcPCO2 reading increases with a stable SpO2
monitor reading. The respiratory therapist should recommend which of the
following?
A. Discontinue the CPAP
B. Draw an arterial blood gas sample
C. Increase the CPAP to 10 cmH2O
D. Place the baby in an oxyhood at an FIO2 0.45 - ANS... -B.
A patient is suspected of having a pleural effusion. Before performing a
thoracentesis, what should the therapist recommend?
A. lateral decubitus chest radiograph
B. arterial blood gas analysis
C. ventilation and perfusion scans
D. flexible bronchoscopy - ANS... -A.
All of the following could cause a capnography reading to change from 36 torr to
30 torr EXCEPT
A. endotracheal tube positioned in the right mainstem bronchus
B. hyperventilation
C. pulmonary emboli
D. hypovolemia - ANS... -A.
,A balloon-tipped, flow-directed catheter is positioned in the pulmonary artery with
the balloon deflated. Which of the following pressures will be measured by the
proximal lumen?
A. CVP
B. PAP
C. PWP
D. MAP - ANS... -A.
A patient in the intensive care unit has the following hemodynamic measurements:
CVP: 9 mm Hg
Mean PAP: 24 mm Hg
PCWP: 9 mm Hg
MAP: 93 mm Hg
Cardiac output (QT): 5.4 L/min
Cardiac index (QI): 2.9 L/min/m2
These results are consistent with:
A. right heart failure.
B. left heart failure.
C. pulmonary embolism.
D. normal cardiac function. - ANS... -C.
All of the following will affect the accuracy of a capnograph EXCEPT
A. Long sampling line
B. Low sampling flow
C. Condensation in the tubing
D. Use of a desiccant - ANS... -D.
A 1000 g neonate is stable in the NICU. Which of the following should the
respiratory therapist use to monitor the neonate's overall cardiopulmonary status?
A. TcPCO2 and TcPO2 monitor
B. Arterial blood gas analysis Q4 hours
C. SpO2 monitor
D. Capillary gas analysis Q8 hours - ANS... -A.
A unilateral wheeze would most likely indicate which of the following?
A. asthma
B. atelectasis
C. foreign body aspiration
D. epiglottitis - ANS... -C.
, All of the following would be associated with the presence of a pneumothorax
EXCEPT:
A. tracheal deviation
B. dull percussion
C. absent breath sounds
D. respiratory distress - ANS... -B.
44-year-old woman has just undergone a cholecystectomy. Over the last 48 hours
the patient has the following laboratory findings:
K+: 2 mEq/L
Na+: 135 mEq/L
Cl-: 100 mEq/L
HCO3-: 32 mEq/L
Urine output: 40 mL/hour
Based upon this information, the respiratory therapist would conclude that the
patient
A. is hyperkalemic.
B. requires increased fluid intake.
C. is polycythemic.
D. has a metabolic alkalosis. - ANS... -D.
While reviewing a patient's medical record, the respiratory therapist notes that the
patient has the following clinical data:
pH: 7.45
PaCO2: 36 torr
PaO2: 89 torr
SpO2: 94%
Na: 139 mEq/L
K: 3.9 mEq/L
Cl: 90 mEq/L
Hb: 8 g/dL
BUN: 15 mg/dL
Glucose: 90 mg/dL
The patient is receiving oxygen at 5 LPM via nasal cannula and is complaining of
shortness of breath. The respiratory therapist would conclude that the patient has:
A. hemophilia
B. hypernatremia
C. anemia
D. hypokalemia - ANS... -C.
