THERAPIST MULTIPLE-CHOICE EXAMINATION:
PRACTICE TEST (PART 1)
The physician orders a 35% aerosol mask to be set up for a patient who requires an
inspiratory flow of 42 L/min. What is the minimum flow rate to which the flowmeter must
be set to meet this patient's in- spiratory flow demands?
A. 6 L/min
B. 8 L/min
C. 10 L/min
D. 12 L/min - Answers- B
A premature 3-week-old infant is receiving 1 L/min of O, via a nasal cannula and has a
PaO2 of 43 torr and a PACO2 of 40 torr. The respiratory therapist should recommend
which of the following?
A. Increase the cannula flow to 2 L/min.
B. Intubate and institute mechanical ventilation
C. Initiate CPAP of 4 cm H20 and 50% O2
D. Increase the cannula flow to 5 L/min. - Answers- A
A patient arrives in the emergency department after being pulled from a burning house.
The respiratory therapist should recommend obtaining which of the following
measurements to best determine the severity of the patient's smoke inhalation?
A. SpO2
В. НЬСО
C. PaO2
D. Hb - Answers- B
The physician has ordered O, to be administered to an active 3-year-old with an Spo, of
86%. Which of the following delivery devices would you recommend for this patient?
A. 1- to 2-L nasal cannula
B. Air-entrainment mask
C. Simple O2 mask
D. O2 hood - Answers- A
Which of the following should the respiratory therapist recommend at this time?
A. Increase the pressure support level to 15 cm H20
B. Increase PEEP to 8 cm H2O
C. Increase the FIO2 to 0.70
D. Decrease V, to 400 mL - Answers- B
, A peripheral lung mass is to be biopsied. Which of the following procedures should be
recommended to obtain the tissue sample?
A. Electromagnetic navigational bronchoscopy (ENB)
B. Fiberoptic bronchoscopy
C. Bronchoalveolar lavage (BAL)
D. Rigid bronchoscopy - Answers- A
A 70-kg (154-Ib) male patient is receiving mechanical ventilation. The respiratory
therapist notes the patient'sSpO, drops from expanding more than the left, 97% to 86%.
The right luno is with clear breath Sounds on the right but absent breath sounds on the
left. The patient's ET tube is taped at the 29-m mark at the lip. Which of the following
should the respiratory therapist do at this time?
A. Withdraw the tube to the 24-cm mark
B. Recommend an immediate chest x-ray
C. Advance the ET tube 2 cm
D. Obtain immediate ABG levels A 70-kg - Answers- A
Which one of the following sets of ABG measure. ments would indicate compensated
respiratory acidosis?
A. pH 7.26, PCO, 60 torr, PO, 68 torr, HCO, 26 mEg/L, BE 0
B. pH 7.42, PCO, 39 torr, PO, 87 torr, HCO; 22 mEq/L, BE -1
C. pH 7.25, PCO, 61 torr, PO, 75 torr, HCO, 26 mEq/L, BE +1
D. pH 7.37, PCO, 58 torr, PO2 60 torr, HCO, 31 mEg/L, BE +8 - Answers- D
The following data have been collected on a 75-ko (165 Ib) male patient receiving
volume-controlled ventilation:
VT 600 mL pH 7.29
Mode SIMV PaCO2 50 torr
Ventilator rate 4/min PaO2 72 torr Spontaneous rate 20/min HCO3 26 mEg/L FIO2 0.35
BE +1
On the basis of these data, which of the following should the respiratory therapist
recommend?
A. Increase the Vr to 650 mL
B. Increase the FiO, to 0.40
C. Increase the ventilator rate to 8/min
D. Change to assist-control mode at a rate of 15/min - Answers- C
The following data have been collected on a patient receiving continuous mechanical
ventilation:
PRACTICE TEST (PART 1)
The physician orders a 35% aerosol mask to be set up for a patient who requires an
inspiratory flow of 42 L/min. What is the minimum flow rate to which the flowmeter must
be set to meet this patient's in- spiratory flow demands?
A. 6 L/min
B. 8 L/min
C. 10 L/min
D. 12 L/min - Answers- B
A premature 3-week-old infant is receiving 1 L/min of O, via a nasal cannula and has a
PaO2 of 43 torr and a PACO2 of 40 torr. The respiratory therapist should recommend
which of the following?
A. Increase the cannula flow to 2 L/min.
B. Intubate and institute mechanical ventilation
C. Initiate CPAP of 4 cm H20 and 50% O2
D. Increase the cannula flow to 5 L/min. - Answers- A
A patient arrives in the emergency department after being pulled from a burning house.
The respiratory therapist should recommend obtaining which of the following
measurements to best determine the severity of the patient's smoke inhalation?
A. SpO2
В. НЬСО
C. PaO2
D. Hb - Answers- B
The physician has ordered O, to be administered to an active 3-year-old with an Spo, of
86%. Which of the following delivery devices would you recommend for this patient?
A. 1- to 2-L nasal cannula
B. Air-entrainment mask
C. Simple O2 mask
D. O2 hood - Answers- A
Which of the following should the respiratory therapist recommend at this time?
A. Increase the pressure support level to 15 cm H20
B. Increase PEEP to 8 cm H2O
C. Increase the FIO2 to 0.70
D. Decrease V, to 400 mL - Answers- B
, A peripheral lung mass is to be biopsied. Which of the following procedures should be
recommended to obtain the tissue sample?
A. Electromagnetic navigational bronchoscopy (ENB)
B. Fiberoptic bronchoscopy
C. Bronchoalveolar lavage (BAL)
D. Rigid bronchoscopy - Answers- A
A 70-kg (154-Ib) male patient is receiving mechanical ventilation. The respiratory
therapist notes the patient'sSpO, drops from expanding more than the left, 97% to 86%.
The right luno is with clear breath Sounds on the right but absent breath sounds on the
left. The patient's ET tube is taped at the 29-m mark at the lip. Which of the following
should the respiratory therapist do at this time?
A. Withdraw the tube to the 24-cm mark
B. Recommend an immediate chest x-ray
C. Advance the ET tube 2 cm
D. Obtain immediate ABG levels A 70-kg - Answers- A
Which one of the following sets of ABG measure. ments would indicate compensated
respiratory acidosis?
A. pH 7.26, PCO, 60 torr, PO, 68 torr, HCO, 26 mEg/L, BE 0
B. pH 7.42, PCO, 39 torr, PO, 87 torr, HCO; 22 mEq/L, BE -1
C. pH 7.25, PCO, 61 torr, PO, 75 torr, HCO, 26 mEq/L, BE +1
D. pH 7.37, PCO, 58 torr, PO2 60 torr, HCO, 31 mEg/L, BE +8 - Answers- D
The following data have been collected on a 75-ko (165 Ib) male patient receiving
volume-controlled ventilation:
VT 600 mL pH 7.29
Mode SIMV PaCO2 50 torr
Ventilator rate 4/min PaO2 72 torr Spontaneous rate 20/min HCO3 26 mEg/L FIO2 0.35
BE +1
On the basis of these data, which of the following should the respiratory therapist
recommend?
A. Increase the Vr to 650 mL
B. Increase the FiO, to 0.40
C. Increase the ventilator rate to 8/min
D. Change to assist-control mode at a rate of 15/min - Answers- C
The following data have been collected on a patient receiving continuous mechanical
ventilation:
