RRT CLINICAL SIMULATIONS (CSE) – NBRC PRACTICE
SCENARIOS | FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
Emphysema - -------CORRECT ANSWER----Weakening and permanent enlargement of the air spaces distal
to the terminal bronchioles
Etiology of Emphysema - -------CORRECT ANSWER----Cigarette smoking >80% of all cases
Genetic predisposition
Occupational exposure
Atmospheric pollutants
Primary Assessment of Emphysema - -------CORRECT ANSWER----Past medical history
Shortness of breath
Cough
Appearance of the chest
Respiratory Pattern
Color
Appearance of the nail beds
Diagnostic chest percussion
Breath sounds
Secondary Assessment of Emphysema - -------CORRECT ANSWER----CXR
Arterial Blood Gas
,Pulmonary Function
CBC
Sputum
Appearance of CXR in patient with Emphysema - -------CORRECT ANSWER----Hyperlucent lung fields
Depressed or flattened diaphragm
Narrow heart
Increased retro sternal air space (lateral film)
Arterial Blood Gas findings in patient with Emphysema - -------CORRECT ANSWER----Mild to moderate
Emphysema
Acute alveolar hyperventilation with hypoxemia
Severe Emphysema
Chronic ventilatory failure with hypoxemia
Pulmonary Function Findings in patient with Emphysema - -------CORRECT ANSWER----Decreased flow
rates and Decreased DLco
CBC findings in a patient with Emphysema - -------CORRECT ANSWER----Increased RBC, Hb, HCT
Sputum findings in a patient with Emphysema - -------CORRECT ANSWER----May indicate bacterial
infection
Treatment/Management of Emphysema - -------CORRECT ANSWER----Low Flow (FiO2) oxygen therapy 1-
2 L/min (.24-.28)
Antibiotics as indicated by sputum culture
Pulmonary Rehab and Home Care
Aerosolized medications
Consider NPPV for acute exacerbation of ventilatory failure
,Annual Flu injection
Smoking cessation
Pulmonary Hygiene
Chronic Bronchitis - -------CORRECT ANSWER----Daily productive cough for at least 3 consecutive month
each year for 2 years in a row
Etiology of Chronic Bronchitis - -------CORRECT ANSWER----Cigarette smoking
Pollution
Infection
GERD
Primary Assessment of Chronic Bronchitis - -------CORRECT ANSWER----Past medical history
Shortness of Breath
Cough
Appearance of the Chest
Respiratory Pattern
Color
Appearance of Nail beds
Diagnostic Chest Percussion
Breath Sounds
Secondary Assessment of Chronic Bronchitis - -------CORRECT ANSWER----CXR
Arterial Blood Gas
Pulmonary Function
CBC
Sputum Electrolytes
CXR findings in a patient with Chronic Bronchitis - -------CORRECT ANSWER----Hyper lucent lung fields
, Depressed or flattened diaphragm
Enlarged or elongated heart
Arterial Blood gas in a patient with mild to moderate Chronic Bronchitis - -------CORRECT ANSWER----
Acute alveolar hyperventilation with hypoxemia
ABG in a patient with severe Chronic Bronchitis - -------CORRECT ANSWER----Chronic ventilatory failure
with hypoxemia
Pulmonary Function test in a patient with Chronic Bronchitis - -------CORRECT ANSWER----Decreased flow
rates
CBC in a patient with Chronic Bronchitis - -------CORRECT ANSWER----Increased Hb and HCT
Sputum findings in a patient with Chronic Bronchitis - -------CORRECT ANSWER----May indicate infection
Electrolyte findings in a patient with Chronic Bronchitis - -------CORRECT ANSWER----Increased HCO3
(chronic ventilatory failure)
Treatment and Management of a patient with Chronic Bronchitis - -------CORRECT ANSWER----Pulmonary
Hygiene therapy
Antibiotics for infection
Oxygen for hypoxemia
Aerosolized mediations
Consider NPPV for acute exacerbations
Smoking cessation
Reduce risk factors
What aerosolized medications should be considered for Chronic Bronchitis - -------CORRECT ANSWER----
Short acting Beta 2 agonists
Anticholinergics
SCENARIOS | FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
Emphysema - -------CORRECT ANSWER----Weakening and permanent enlargement of the air spaces distal
to the terminal bronchioles
Etiology of Emphysema - -------CORRECT ANSWER----Cigarette smoking >80% of all cases
Genetic predisposition
Occupational exposure
Atmospheric pollutants
Primary Assessment of Emphysema - -------CORRECT ANSWER----Past medical history
Shortness of breath
Cough
Appearance of the chest
Respiratory Pattern
Color
Appearance of the nail beds
Diagnostic chest percussion
Breath sounds
Secondary Assessment of Emphysema - -------CORRECT ANSWER----CXR
Arterial Blood Gas
,Pulmonary Function
CBC
Sputum
Appearance of CXR in patient with Emphysema - -------CORRECT ANSWER----Hyperlucent lung fields
Depressed or flattened diaphragm
Narrow heart
Increased retro sternal air space (lateral film)
Arterial Blood Gas findings in patient with Emphysema - -------CORRECT ANSWER----Mild to moderate
Emphysema
Acute alveolar hyperventilation with hypoxemia
Severe Emphysema
Chronic ventilatory failure with hypoxemia
Pulmonary Function Findings in patient with Emphysema - -------CORRECT ANSWER----Decreased flow
rates and Decreased DLco
CBC findings in a patient with Emphysema - -------CORRECT ANSWER----Increased RBC, Hb, HCT
Sputum findings in a patient with Emphysema - -------CORRECT ANSWER----May indicate bacterial
infection
Treatment/Management of Emphysema - -------CORRECT ANSWER----Low Flow (FiO2) oxygen therapy 1-
2 L/min (.24-.28)
Antibiotics as indicated by sputum culture
Pulmonary Rehab and Home Care
Aerosolized medications
Consider NPPV for acute exacerbation of ventilatory failure
,Annual Flu injection
Smoking cessation
Pulmonary Hygiene
Chronic Bronchitis - -------CORRECT ANSWER----Daily productive cough for at least 3 consecutive month
each year for 2 years in a row
Etiology of Chronic Bronchitis - -------CORRECT ANSWER----Cigarette smoking
Pollution
Infection
GERD
Primary Assessment of Chronic Bronchitis - -------CORRECT ANSWER----Past medical history
Shortness of Breath
Cough
Appearance of the Chest
Respiratory Pattern
Color
Appearance of Nail beds
Diagnostic Chest Percussion
Breath Sounds
Secondary Assessment of Chronic Bronchitis - -------CORRECT ANSWER----CXR
Arterial Blood Gas
Pulmonary Function
CBC
Sputum Electrolytes
CXR findings in a patient with Chronic Bronchitis - -------CORRECT ANSWER----Hyper lucent lung fields
, Depressed or flattened diaphragm
Enlarged or elongated heart
Arterial Blood gas in a patient with mild to moderate Chronic Bronchitis - -------CORRECT ANSWER----
Acute alveolar hyperventilation with hypoxemia
ABG in a patient with severe Chronic Bronchitis - -------CORRECT ANSWER----Chronic ventilatory failure
with hypoxemia
Pulmonary Function test in a patient with Chronic Bronchitis - -------CORRECT ANSWER----Decreased flow
rates
CBC in a patient with Chronic Bronchitis - -------CORRECT ANSWER----Increased Hb and HCT
Sputum findings in a patient with Chronic Bronchitis - -------CORRECT ANSWER----May indicate infection
Electrolyte findings in a patient with Chronic Bronchitis - -------CORRECT ANSWER----Increased HCO3
(chronic ventilatory failure)
Treatment and Management of a patient with Chronic Bronchitis - -------CORRECT ANSWER----Pulmonary
Hygiene therapy
Antibiotics for infection
Oxygen for hypoxemia
Aerosolized mediations
Consider NPPV for acute exacerbations
Smoking cessation
Reduce risk factors
What aerosolized medications should be considered for Chronic Bronchitis - -------CORRECT ANSWER----
Short acting Beta 2 agonists
Anticholinergics
