TMC exam 1
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1. 1.A respiratory therapist is assisting a physician d. Colorimetric capnography
with endotracheal intubation. Which of the following assesses the presence of
should be used INITIALLY to confirm tracheal intu- CO2 and provides confirma-
bation? tion of tracheal intubation
when CO2 is detected.
A.
cm marking of the endotracheal tube
B.
observable condensation in the tube
C.
pulse oximetry
D.
colorimetric capnography
2. 2.A respiratory therapist is asked to review a new- c.
born's history. The following information is available
about the first few minutes after birth:
1 minute5 minutesAppearance acrocyanosis pink-
Heart rate 70/min 110/minReflexcough coughMus-
cle toneweak active motionRespiratory rate 20/min
40/min
Which of the following APGAR scores should the
therapist expect to see for this infant?
1-minute 5-minute
1. 4 8
2. 5 8
3. 6 10
4. 7 10
A.
, TMC exam 1
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1
B.
2
C.
3
D.
4
3. 3.A 58-year-old female was diagnosed with b. The history, clinical pre-
bronchiectasis 3 years ago. She reports increased sentation, and chest ra-
cough and difficulty clearing secretions for the past diograph findings suggest
4 weeks. A chest radiograph shows no significant worsening bronchiectasis.
changes. Which of the following should the respira- The treatment of bronchiec-
tory therapist recommend FIRST? tasis includes techniques
A. to loosen and mobilize
transtracheal aspiration viscid secretions. Postural
B. drainage enhances sputum
airway clearance therapy clearance.
C.
bronchodilator treatments
D.
respiratory isolation
4. 4. c.Patient understanding of
A 24-year-old female is diagnosed with exercise-in- their disease process and
duced asthma and albuterol prn is ordered. A respi- triggers is important part of
ratory therapist should NEXT patient education, as well as
knowing when and which
A. medication should be taken.
refer the patient for allergy skin testing.
B.
educate the patient on obtaining daily peak flow
, TMC exam 1
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measurements.
C.
instruct the patient to use albuterol 15 minutes be-
fore exercising.
D.
suggest the patient use pursed lip breathing while
exercising.
5. 5. b. The absolute humidity at
In which of the following circumstances will tracheal this temperature is inade-
secretions tend to dry in an intubated patient? quate.
A.
a water vapor pressure of 47 mm Hg
B.
a relative humidity of 100% at 22° C (71.6° F)
C.
a dew point of 37° C (98.6° F)
D.
an absolute humidity of 44 mg/L
6. 6.Prior to suctioning the endotracheal tube of an b.The FIO2 should be in-
adult patient who is receiving ventilation with an creased prior to each suc-
FIO2 of 0.40, a respiratory therapist should FIRST tioning attempt to minimize
hypoxemia.
A.
lubricate the catheter.
B.
hyperoxygenate the patient.
C.
cleanse the catheter with water.
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D.
administer an FIO2 of 0.40 by T-piece.
7. 7. a.In PC ventilation, increas-
A 25-year-old patient with apnea is receiving PC ven- ing the inspiratory pressure
tilation. ABG analysis results are as follows: will result in an increased
tidal volume and minute
pH 7.20PCO2 65 mm HgPO2 70 mm HgHCO3- 25 ventilation, potentially caus-
mEq/LBE -4 mEq/LSO2 (calc) 94% ing a decrease in the PCO2.
A respiratory therapist should recommend increas-
ing the
A.
set inspiratory pressure.
B.
expiratory time.
C.
sensitivity.
D.
peak flow.
8. 8. d. Based on the timing
A 68-year-old patient who is post-CABG was extubat-
and symptoms, the dyspnea
ed 4 hours ago and complains of increasing short-
could be due to pneumoth-
ness of breath. Breath sounds are decreased over
orax, chest tube malfunc-
the right lung field. The following data are available
tion, lobar collapse, or accu-
while the patient receives 4-L oxygen by nasal can-
mulation of pleural fluid. A
nula: chest radiograph can be ob-
tained quickly to identify the
HR 103/minRR 27/minBP 155/90 mm HgSpO2 90% issue for rapid intervention.
Which of the following studies should a respiratory
Study online at https://quizlet.com/_eiuoln
1. 1.A respiratory therapist is assisting a physician d. Colorimetric capnography
with endotracheal intubation. Which of the following assesses the presence of
should be used INITIALLY to confirm tracheal intu- CO2 and provides confirma-
bation? tion of tracheal intubation
when CO2 is detected.
A.
cm marking of the endotracheal tube
B.
observable condensation in the tube
C.
pulse oximetry
D.
colorimetric capnography
2. 2.A respiratory therapist is asked to review a new- c.
born's history. The following information is available
about the first few minutes after birth:
1 minute5 minutesAppearance acrocyanosis pink-
Heart rate 70/min 110/minReflexcough coughMus-
cle toneweak active motionRespiratory rate 20/min
40/min
Which of the following APGAR scores should the
therapist expect to see for this infant?
1-minute 5-minute
1. 4 8
2. 5 8
3. 6 10
4. 7 10
A.
, TMC exam 1
Study online at https://quizlet.com/_eiuoln
1
B.
2
C.
3
D.
4
3. 3.A 58-year-old female was diagnosed with b. The history, clinical pre-
bronchiectasis 3 years ago. She reports increased sentation, and chest ra-
cough and difficulty clearing secretions for the past diograph findings suggest
4 weeks. A chest radiograph shows no significant worsening bronchiectasis.
changes. Which of the following should the respira- The treatment of bronchiec-
tory therapist recommend FIRST? tasis includes techniques
A. to loosen and mobilize
transtracheal aspiration viscid secretions. Postural
B. drainage enhances sputum
airway clearance therapy clearance.
C.
bronchodilator treatments
D.
respiratory isolation
4. 4. c.Patient understanding of
A 24-year-old female is diagnosed with exercise-in- their disease process and
duced asthma and albuterol prn is ordered. A respi- triggers is important part of
ratory therapist should NEXT patient education, as well as
knowing when and which
A. medication should be taken.
refer the patient for allergy skin testing.
B.
educate the patient on obtaining daily peak flow
, TMC exam 1
Study online at https://quizlet.com/_eiuoln
measurements.
C.
instruct the patient to use albuterol 15 minutes be-
fore exercising.
D.
suggest the patient use pursed lip breathing while
exercising.
5. 5. b. The absolute humidity at
In which of the following circumstances will tracheal this temperature is inade-
secretions tend to dry in an intubated patient? quate.
A.
a water vapor pressure of 47 mm Hg
B.
a relative humidity of 100% at 22° C (71.6° F)
C.
a dew point of 37° C (98.6° F)
D.
an absolute humidity of 44 mg/L
6. 6.Prior to suctioning the endotracheal tube of an b.The FIO2 should be in-
adult patient who is receiving ventilation with an creased prior to each suc-
FIO2 of 0.40, a respiratory therapist should FIRST tioning attempt to minimize
hypoxemia.
A.
lubricate the catheter.
B.
hyperoxygenate the patient.
C.
cleanse the catheter with water.
, TMC exam 1
Study online at https://quizlet.com/_eiuoln
D.
administer an FIO2 of 0.40 by T-piece.
7. 7. a.In PC ventilation, increas-
A 25-year-old patient with apnea is receiving PC ven- ing the inspiratory pressure
tilation. ABG analysis results are as follows: will result in an increased
tidal volume and minute
pH 7.20PCO2 65 mm HgPO2 70 mm HgHCO3- 25 ventilation, potentially caus-
mEq/LBE -4 mEq/LSO2 (calc) 94% ing a decrease in the PCO2.
A respiratory therapist should recommend increas-
ing the
A.
set inspiratory pressure.
B.
expiratory time.
C.
sensitivity.
D.
peak flow.
8. 8. d. Based on the timing
A 68-year-old patient who is post-CABG was extubat-
and symptoms, the dyspnea
ed 4 hours ago and complains of increasing short-
could be due to pneumoth-
ness of breath. Breath sounds are decreased over
orax, chest tube malfunc-
the right lung field. The following data are available
tion, lobar collapse, or accu-
while the patient receives 4-L oxygen by nasal can-
mulation of pleural fluid. A
nula: chest radiograph can be ob-
tained quickly to identify the
HR 103/minRR 27/minBP 155/90 mm HgSpO2 90% issue for rapid intervention.
Which of the following studies should a respiratory
