TMC Exam 6 (Latest Update)
Questions and Verified Answers | 100% Correct |
Grade A+
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Terms in this set (140)
The respiratory therapist should The correct answer is : A
evaluate which of the following to
develop a teaching plan for a Explanation : A patient taking nebulizer
patient who will be using a metered treatments should be able to demonstrate
dose inhaler (MDI) at home? manual dexterity, or the ability to hold and
manipulate the nebulizer device. It is also
A. manual dexterity and language important that they demonstrate appropriate
skills language skills so they may understand the
B. disease history and current instruction provided them regarding the use of
diagnosis the device. Their ability to see, or visual acuity,
C. visual acuity and color and disease history is not important or critical in
blindedness learning how to use a nebulizer device.
D. highest achieved grade level and
GPA
,Which of the following should be The correct answer is : D
excluded in an evaluation of a
patient's ability to learn to self- Explanation : A patient that is taking nebulizer
administer medication by metered treatments needs to be able to demonstrate
dose inhaler (MDI)? manual dexterity, and the ability to hold and
manipulate the nebulizer. During the instruction,
A. manual dexterity appropriate language skills and mental
B. language skill capabilities are also important. The patient should
C. level of dementia also have the mental ability to learn. What is NOT
D. disease history important is the patient's disease history. This will
have no effect on their ability to self administer
nebulizer treatments.
How is exhaled volume determined The correct answer is : A
with IPPB?
Explanation : IPPB machines are pressure
A. Directly measured at the ventilators without volume measuring devices.
exhalation valve outlet Tidal volume must be measured externally at the
B. Pre-set using the tidal volume exhalation port.
control knob
C. Peak- inspiratory pressure
divided by flowrate
D. Calculation using Dalton's law of
partial pressures
,In preparing to cap a fenestrated The correct answer is : A
tracheostomy tube on a patient
who is scheduled for speech Explanation : In order to configure a fenestrated
therapy, the respiratory therapist tracheostomy tube for speech, the button or cap
should remember to must be placed on the tube after the inner
cannula is removed and the cuff is deflated.
A. deflate the cuff and remove the
inner cannula
B. inflate the cuff
C. switch to a liquid diet 8 hours
prior to speech therapy
D. evacuate the foam cuff
While performing manual The correct answer is : D
ventilation with a self-inflating
resuscitator bag through a properly Explanation : The scenario suggests that the ET
placed endotracheal tube, a tube is properly placed, therefore the problem
respiratory therapist observes no must be in the resuscitator. When the therapist
chest rise. To troubleshoot the squeezes the device, the air is not being
problem, the therapist should delivered to the patient, which is why there is no
chest rise.
A. adjust the PEEP valve
B. increase the flowrate.
C. assure the large bore reservoir
tubing is connected.
D. check for proper function of the
air inlet valve.
, You are called to the emergency The correct answer is : A
room to provide ventilation with a
manual resuscitator for a patient Explanation : A trained respiratory therapist is
receiving CPR. The patient is able to assess the appropriate effort required to
intubated and the endotracheal manually ventilate a patient by squeezing a
tube position has been confirmed. resuscitator bag. There are numerous causes of
It is difficult to squeeze the bag. A increased difficulty in squeezing the bag,
possible causes is including low pulmonary compliance.
A. low pulmonary compliance.
B. insufficient oxygen flow to the
bag
C. a deflated ET tube cuff
D. right maintstem bronchus
Which of the following equipment is The correct answer is : C
required to determine VD/VT ratio
on a patient receiving mechanical Explanation : This question is largely about
ventilation? memorization. You must know what it takes to
calculate of the VD/VT ratio. Of the equipment
A. Fleisch pneumotachometer listed only a capnograph would be helpful
B. EZ® cap CO2 detector because it relates end tidal CO2.
C. capnograph
D. pressure differential
pneumotachometer
For a patient with severe mitral- The correct answer is : A
valve stenosis, a balloon-tipped
flow-directed pulmonary artery Explanation : Mitral valve stenosis is a problem
catheter would be associated with resulting from left heart failure. Problems in the
which of the following clinical data? left heart are manifested hemodynamically with
high pulmonary capillary wedge pressure
A. PCWP 14 mm Hg and C.O. 4 L/M (PCWP) and low or normal cardiac output.
B. PAP 19 mm Hg and PCWP 7
mmHg
C. CVP 9 mm Hg and PAP 9 mmHg
D. PAP 25/8 mmHg
Questions and Verified Answers | 100% Correct |
Grade A+
Save
Terms in this set (140)
The respiratory therapist should The correct answer is : A
evaluate which of the following to
develop a teaching plan for a Explanation : A patient taking nebulizer
patient who will be using a metered treatments should be able to demonstrate
dose inhaler (MDI) at home? manual dexterity, or the ability to hold and
manipulate the nebulizer device. It is also
A. manual dexterity and language important that they demonstrate appropriate
skills language skills so they may understand the
B. disease history and current instruction provided them regarding the use of
diagnosis the device. Their ability to see, or visual acuity,
C. visual acuity and color and disease history is not important or critical in
blindedness learning how to use a nebulizer device.
D. highest achieved grade level and
GPA
,Which of the following should be The correct answer is : D
excluded in an evaluation of a
patient's ability to learn to self- Explanation : A patient that is taking nebulizer
administer medication by metered treatments needs to be able to demonstrate
dose inhaler (MDI)? manual dexterity, and the ability to hold and
manipulate the nebulizer. During the instruction,
A. manual dexterity appropriate language skills and mental
B. language skill capabilities are also important. The patient should
C. level of dementia also have the mental ability to learn. What is NOT
D. disease history important is the patient's disease history. This will
have no effect on their ability to self administer
nebulizer treatments.
How is exhaled volume determined The correct answer is : A
with IPPB?
Explanation : IPPB machines are pressure
A. Directly measured at the ventilators without volume measuring devices.
exhalation valve outlet Tidal volume must be measured externally at the
B. Pre-set using the tidal volume exhalation port.
control knob
C. Peak- inspiratory pressure
divided by flowrate
D. Calculation using Dalton's law of
partial pressures
,In preparing to cap a fenestrated The correct answer is : A
tracheostomy tube on a patient
who is scheduled for speech Explanation : In order to configure a fenestrated
therapy, the respiratory therapist tracheostomy tube for speech, the button or cap
should remember to must be placed on the tube after the inner
cannula is removed and the cuff is deflated.
A. deflate the cuff and remove the
inner cannula
B. inflate the cuff
C. switch to a liquid diet 8 hours
prior to speech therapy
D. evacuate the foam cuff
While performing manual The correct answer is : D
ventilation with a self-inflating
resuscitator bag through a properly Explanation : The scenario suggests that the ET
placed endotracheal tube, a tube is properly placed, therefore the problem
respiratory therapist observes no must be in the resuscitator. When the therapist
chest rise. To troubleshoot the squeezes the device, the air is not being
problem, the therapist should delivered to the patient, which is why there is no
chest rise.
A. adjust the PEEP valve
B. increase the flowrate.
C. assure the large bore reservoir
tubing is connected.
D. check for proper function of the
air inlet valve.
, You are called to the emergency The correct answer is : A
room to provide ventilation with a
manual resuscitator for a patient Explanation : A trained respiratory therapist is
receiving CPR. The patient is able to assess the appropriate effort required to
intubated and the endotracheal manually ventilate a patient by squeezing a
tube position has been confirmed. resuscitator bag. There are numerous causes of
It is difficult to squeeze the bag. A increased difficulty in squeezing the bag,
possible causes is including low pulmonary compliance.
A. low pulmonary compliance.
B. insufficient oxygen flow to the
bag
C. a deflated ET tube cuff
D. right maintstem bronchus
Which of the following equipment is The correct answer is : C
required to determine VD/VT ratio
on a patient receiving mechanical Explanation : This question is largely about
ventilation? memorization. You must know what it takes to
calculate of the VD/VT ratio. Of the equipment
A. Fleisch pneumotachometer listed only a capnograph would be helpful
B. EZ® cap CO2 detector because it relates end tidal CO2.
C. capnograph
D. pressure differential
pneumotachometer
For a patient with severe mitral- The correct answer is : A
valve stenosis, a balloon-tipped
flow-directed pulmonary artery Explanation : Mitral valve stenosis is a problem
catheter would be associated with resulting from left heart failure. Problems in the
which of the following clinical data? left heart are manifested hemodynamically with
high pulmonary capillary wedge pressure
A. PCWP 14 mm Hg and C.O. 4 L/M (PCWP) and low or normal cardiac output.
B. PAP 19 mm Hg and PCWP 7
mmHg
C. CVP 9 mm Hg and PAP 9 mmHg
D. PAP 25/8 mmHg
