TMC Practice Exam
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A 48 year-old female is admitted to Heart failure
the ED with diaphoresis, jugular
venous distension, and 3+ pitting
edema in the ankles. These findings
are consistent with
A. liver failure.
B. pulmonary embolism.
C. heart failure.
D. electrolyte imbalances
,A patient is admitted to the ED Needle aspirate the 2nd left intercostal space.
following a motor vehicle accident.
On physical exam, the respiratory
therapist discovers that breath
sounds are absent in the left chest
with a hyperresonant percussion
note. The trachea is shifted to the
right. The patient's heart rate is
45/min, respiratory rate is 30/min,
and blood pressure is 60/40 mm Hg.
What action should the therapist
recommend first?
A. Call for a STAT chest x-ray.
B. Insert a chest tube into the left
chest.
C. Needle aspirate the 2nd left
intercostal space.
D. Activate the medical emergency
team to intubate the patient.
All of the following strategies are monitoring intracuff pressures.
likely to decrease the likelihood of
damage to the tracheal mucosa
EXCEPT
A. maintaining cuff pressures
between 20 and 25 mm Hg.
B. using the minimal leak technique
for inflation.
C. using a low-residual-volume, low-
compliance cuff.
D. monitoring intracuff pressures.
,A 52 year-old post-operative deep breathing and coughing to clear secretions.
cholecystectomy patient's breath
sounds become more coarse upon
completion of postural drainage with
percussion. The respiratory therapist
should recommend
A. continuing the therapy until breath
sounds improve.
B. administering dornase alpha.
C. administering albuterol therapy.
D. deep breathing and coughing to
clear secretions.
A 65 kg spinal cord injured patient IPPB with normal saline
has developed atelectasis. His
inspiratory capacity is 30% of his
predicted value. What bronchial
hygiene therapy would be most
appropriate initially?
A. IS / SMI
B. IPPB with normal saline
C. postural drainage and percussion
D. PEP therapy
, A patient on VC ventilation has 1, 2, and 3 only
demonstrated auto-PEEP on
ventilator graphics. Which of the
following controls, when adjusted
independently, would increase
expiratory time?
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity
Which of the following would be the Insert a chest tube
most appropriate therapy for a
dyspneic patient who has crepitus
with tracheal deviation to the left and
absent breath sounds on the right?
A. Perform chest physiotherapy
B. Administer an IPPB treatment
C. Insert an endotracheal tube
D. Insert a chest tube
Leave the first rating
Save
Terms in this set (151) Hide definitions
A 48 year-old female is admitted to Heart failure
the ED with diaphoresis, jugular
venous distension, and 3+ pitting
edema in the ankles. These findings
are consistent with
A. liver failure.
B. pulmonary embolism.
C. heart failure.
D. electrolyte imbalances
,A patient is admitted to the ED Needle aspirate the 2nd left intercostal space.
following a motor vehicle accident.
On physical exam, the respiratory
therapist discovers that breath
sounds are absent in the left chest
with a hyperresonant percussion
note. The trachea is shifted to the
right. The patient's heart rate is
45/min, respiratory rate is 30/min,
and blood pressure is 60/40 mm Hg.
What action should the therapist
recommend first?
A. Call for a STAT chest x-ray.
B. Insert a chest tube into the left
chest.
C. Needle aspirate the 2nd left
intercostal space.
D. Activate the medical emergency
team to intubate the patient.
All of the following strategies are monitoring intracuff pressures.
likely to decrease the likelihood of
damage to the tracheal mucosa
EXCEPT
A. maintaining cuff pressures
between 20 and 25 mm Hg.
B. using the minimal leak technique
for inflation.
C. using a low-residual-volume, low-
compliance cuff.
D. monitoring intracuff pressures.
,A 52 year-old post-operative deep breathing and coughing to clear secretions.
cholecystectomy patient's breath
sounds become more coarse upon
completion of postural drainage with
percussion. The respiratory therapist
should recommend
A. continuing the therapy until breath
sounds improve.
B. administering dornase alpha.
C. administering albuterol therapy.
D. deep breathing and coughing to
clear secretions.
A 65 kg spinal cord injured patient IPPB with normal saline
has developed atelectasis. His
inspiratory capacity is 30% of his
predicted value. What bronchial
hygiene therapy would be most
appropriate initially?
A. IS / SMI
B. IPPB with normal saline
C. postural drainage and percussion
D. PEP therapy
, A patient on VC ventilation has 1, 2, and 3 only
demonstrated auto-PEEP on
ventilator graphics. Which of the
following controls, when adjusted
independently, would increase
expiratory time?
1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity
Which of the following would be the Insert a chest tube
most appropriate therapy for a
dyspneic patient who has crepitus
with tracheal deviation to the left and
absent breath sounds on the right?
A. Perform chest physiotherapy
B. Administer an IPPB treatment
C. Insert an endotracheal tube
D. Insert a chest tube
