Lindsey Jones TMC M Exam Questions With Correct Answers

a Rt is helping a patient with COPD prepared to be discharged home. The RT is reviewing alernative activities of daily living with the patient. Which of the following is considered ADLs? - Answer 2 and 3 shaving and grocery shopping during a preoperative test of a mechanical ventilator, the RT notices the ventilator is not delivering sufficient VT to the test lung compared to the set VT volume. The following settings are being used mand rate- 20 VT- 800 FiO2- 30% PEEP- 5 flow 40 which is the following is most likely the problem? - Answer insufficient flow which of the following drugs can be administered through an endotracheal tube for purpose of treating bradycardia? - Answer Atropine which of the following emergency airway clearance techniques should be used on a female who is 7 months pregnant and who has complete airway obstruction by aspirated food? - Answer chest thrusts a patient who has chest tubes in place for the treatment of pneumothroax does not breathe deeply despite active coaching by the RT. the patient indicates he is unable to do so. RT should assess? - Answer Pain level when auscultating the heart of a newborn, delivered by C-section at 34 wks the RT observes a murmur. what following exam should be ordered? - Answer echocardiogram while performing routine check of a patient receiving MV support, the RT makes a small adjustment to the ET tube cuff pressure by injecting 2.0cc of air into the cuff. Immediately after, the high pressure alarm on the ventilator is activated the RT should? - Answer attempt to pass a suction catheter through ET tube a patient in NICU is being monitored for ICP. the average pressure over the last several hours is 15mmHg, ICP has risen to 25mmHg this is most likely due to - Answer over-stimulation of the patient a patient has the following chest radiograph, the radiology report suggest the presence of concave superior interface. which diagnosis is most likely? - Answer pleural effusion a physician suspects a patient is transitioning into ARDS. which of the following calculations and or data would be helpful in evaluating the patient for this suspicion? - Answer PF ratio and oxygen index a 6 minute walk test is used to evaluate? - Answer a patient's physical stamina and aerobic endurance. the purpose of the holding chamber used in conjunction with MDI is to? - Answer facilitate delivery of optimally sized particles prior to performing PFT on several patients a RT is conducting quality control on the pneumotachometer, the RT notes a measurement of 2.86L based on this result the RT should? - Answer commence testing on patients a COPD patient who is receiving 1 L by NC becomes shory of breath after ambulating to the bathroom and back, the patient indicates she is having a difficultly catching her breath more than usual. the RR is 22 the RT should do which of the following to help the patient return to her normal breathing status - Answer increase oxygen flow rate to 3Lpm how many millimeters of a medication whose strength is 5% is needed to deliver 25mg of that medication - Answer 0.50mL done by multiplying the drug strength by 10 A RT has orders to perform a 12 lead ECG on a patient who has chest pain when placing the chest leads what best describes the proper placement for chest lead V4? - Answer 5th interspace, mid-clavicular line while ventilating a patient with a VC ventilator the RT notices that the ventilator is not delivering the set VT the RT should? - Answer remove the ventilator from service, perform preoperative test which of the following would be most helpful in reducing the risk for nosocomial infection in hospital - Answer handwashing with soap and water Into which interspace should a chest tube be inserted for the purpose of draining serosanguinous fluid from the pleural space and for the re-expansion of lung tissue? - Answer 5th interspace The following volume-pressure graphic is observed on a patient who is receiving VC A/C ventilation. The respiratory therapist should - Answer change the scale volume axis of the graph to facilitate drainage of secretions consolidated in the bases of the lungs the RT should anticipate placing the patient in which of the following conditions? - Answer head of bed down 30 degree a patient who requires continuous mechanical ventilatory support is suspected for having a perforation in the lung tissue of the left lower base, a chest radiograph confirms this suspicion which form of vent support would minimize the chance of further perforation? - Answer HFJV A patient medical record indicates the physician recently documented auscultation of cardiac murmur. for which of the following possible examination results should the RT search in the record - Answer echocardiogram which of the following conditions could cause a tracheal shift to the right? - Answer 2 and 4 sputum consolidation on the right and lobectomy on the right a RT is observing a patient in ICU during an exacerbation of CHF. the doctor orders close monitoring of hemodynamic status of the patient the RT should recommend? - Answer insertion of pulmonary catheter which of the following exams can be used to quantify pulmonary residual volume (RV) on a patient? - Answer nitrogen washout a physician suspects a patient has a pleural effusion what should RT recommend to further investigate the suspicion? - Answer lateral decubitus radiograph a patient in ER has multiple fractured ribs bilaterally after a motor vechicle accident ABG show pH- 7.51 PaO2- 102 PCO2- 29 HCO3- 24 BE- +3 FIO2- 21 The Rt should - Answer determine the level of pain a patient has been receiving MV support for one week following pulmonary contusion the physician would like to consider weaning current vent settings and other data reveal mode- SIMV f- 4 min PEEP- 5 FIO2- 40 VC- 1.8 VT spon.- 525 MIP- - 38 patient follows commands intermittently and at times seems somewhat disoriented to time person and place the RT should? - Answer continuing MV support which of the following PaO2 ranges is acceptable for a patient with ARDS according to the ARDSnet protocol - Answer 55 to 88mmhg Extensive testing has proven no brain activity in a patient who is completely ventilator-dependent. The family decides to discontinue life support. The physician orders extubation and implementation of non-invasive ventilation. For what purpose is NIV being used in this case? - Answer to provide comfort to the patient and family which of the following PFT would be most helpful in determining the presence of restrictive lung disease - Answer SVC which of the following is a cardiac enzyme that can be used to detect the presence of recent myocardial infarction - Answer troponin a local flu epidemic has flooded the areas emergency services with more patients than can be handled by local facilities. all emergency services in the area are at or above capacity. which of the following would be appropriate strategy for a RT to suggest in and ER when additional patient are expected to arrive while ER is at capacity? - Answer cohorting of patients