NBRC TMC A
Study online at https://quizlet.com/_h4rlyd
1. Three months after lung transplantation, a patient de- bronchoscopy with BAL
velops shortness of breath and requires invasive me-
chanical ventilation. A chest radiograph shows diffuse
alveolar infiltrates. Which of the following diagnostic
tests should a respiratory therapist recommend?
2. The accuracy of a spirometer should be assessed us- 3-liter syringe
ing a
3. RT is assessing a 168-cm (5-ft 6-in), 73-kg (161-lb), Validate the SpO2 reading
41-year-old female who was admitted 12 hours ago at a different site
for an aspirin overdose. The following information is
obtained as the patient breathes air:
HR 89/min
RR 15/min
BP 110/70 mm Hg
SpO2 86%
A respiratory therapist should FIRST
4. RT is caring for a patient who has ARDS. Blood pres- Place the patient prone
sure is 90/60 mm Hg. The patient is receiving PC, A/C
ventilation with the following settings:
FIO2 1.0
Mandatory rate 14
PIP 30 cm H2O
PEEP 18 cm H2O
ABG analysis shows the following:
pH 7.36
PCO2 44 mm Hg
PO2 50 mm Hg
HCO3- 25 mEq/L
BE -1 mEq/L
, NBRC TMC A
Study online at https://quizlet.com/_h4rlyd
SO2 (calc) 85%
A chest radiograph shows bilateral lower lobe infil-
trates. Which of the following should the therapist do?
5. When following CDC droplet isolation precautions, surgical mask
which of the following must a patient don before be-
ing transported within the hospital?
6. The following data are obtained for an adult patient Increased airways resis-
who is receiving VC ventilation with a VT of 600 mL: tance
10 AM 12 PM
Peak airway pressure 38 cm H2O 45 cm H2O
Plateau pressure 34 cm H2O 34 cm H2O
These data indicate
7. 175-cm (5-ft 9-in), 113-kg (250-lb), 56-year-old male Perform spirometry
with a 48 pack-year smoking history is being pre-
pared for abdominal surgery. Which of the following
should be done preoperatively to assess the patient's
risk for respiratory complications following abdominal
surgery?
8. Immediately after intubation of an adult male, a respi- Withdraw the endotra-
ratory therapist notices breath sounds are present on cheal tube until equal
the right lung fields, but extremely diminished on the breath sounds are heard
left. Notes prior to the intubation state that bilateral
breath sounds were present. Which of the following is
the most appropriate action?
9. 4-year-old child is seen by a respiratory therapist for explain the purpose of the
a follow-up asthma evaluation. The child denies any quick-relief medication
dyspnea. The parents report giving the child albuterol
by inhaler twice daily. The therapist should
, NBRC TMC A
Study online at https://quizlet.com/_h4rlyd
10. NPPV is best indicated for which of the following clin- COPD
ical diagnoses?
A. severe ARDS
B. drug overdose
C. aspiration pneumonitis
D. COPD
11. 27-year-old male patient has mild asthma. The pa- Continue the treatment as
tient's pulse is 80/min before administration of an ordered.
aerosolized bronchodilator. The patient's pulse rises
and stabilizes at 92/min during the treatment. Which
of the following should a respiratory therapist do?
12. Patient with COPD is receiving mechanical ventilation. Adding ipratropium (Atro-
The patient continues to wheeze despite treatment vent)
with albuterol. A respiratory therapist should recom-
mend
A. ordering a chest radiograph.
B. administering furosemide (Lasix).
C. obtaining an ABG analysis.
D. adding ipratropium (Atrovent).
13. For a patient receiving noninvasive ventilation Pressure support
through a dual-limb circuit, an increase in which of the
following will decrease work of breathing associated
with spontaneous breathing?
A. inspiratory time
B. ramp time
C. PEEP
D. pressure support
14. Muscle strength.
, NBRC TMC A
Study online at https://quizlet.com/_h4rlyd
Primary reason to evaluate maximum inspiratory
pressure is to determine
A. muscle strength.
B. oxygenation.
C. ventilation.
D. V̇/Q̇ ratio.
15. RT is administering an 80/20 heliox mixture to an adult C. The conversion factor
female. When using a flowmeter calibrated for oxy- for a 80/20 heliox mixture
gen, the actual flow is how many times greater than is 1.8
the indicated flow?
A. 1.4
B. 1.6
C. 1.8
D. 2.0
16. The following patient data are noted: 5.40 L/min
RR 12/min
SpO2 97%
Exhaled VT 450 mL
FEV1 3.25 L
FVC 4.00 L
What is the minute ventilation (L/min)?
A. 4.80
B. 8.70
C. 3.90
D. 5.40
17. 3 year old is receiving VC ventilation. A respirato- Vibrating mesh nebulizer
ry therapist is preparing to administer aerosolized
dornase alfa (Pulmozyme) in-line with the ventilator.
Which of the following devices should the therapist
Study online at https://quizlet.com/_h4rlyd
1. Three months after lung transplantation, a patient de- bronchoscopy with BAL
velops shortness of breath and requires invasive me-
chanical ventilation. A chest radiograph shows diffuse
alveolar infiltrates. Which of the following diagnostic
tests should a respiratory therapist recommend?
2. The accuracy of a spirometer should be assessed us- 3-liter syringe
ing a
3. RT is assessing a 168-cm (5-ft 6-in), 73-kg (161-lb), Validate the SpO2 reading
41-year-old female who was admitted 12 hours ago at a different site
for an aspirin overdose. The following information is
obtained as the patient breathes air:
HR 89/min
RR 15/min
BP 110/70 mm Hg
SpO2 86%
A respiratory therapist should FIRST
4. RT is caring for a patient who has ARDS. Blood pres- Place the patient prone
sure is 90/60 mm Hg. The patient is receiving PC, A/C
ventilation with the following settings:
FIO2 1.0
Mandatory rate 14
PIP 30 cm H2O
PEEP 18 cm H2O
ABG analysis shows the following:
pH 7.36
PCO2 44 mm Hg
PO2 50 mm Hg
HCO3- 25 mEq/L
BE -1 mEq/L
, NBRC TMC A
Study online at https://quizlet.com/_h4rlyd
SO2 (calc) 85%
A chest radiograph shows bilateral lower lobe infil-
trates. Which of the following should the therapist do?
5. When following CDC droplet isolation precautions, surgical mask
which of the following must a patient don before be-
ing transported within the hospital?
6. The following data are obtained for an adult patient Increased airways resis-
who is receiving VC ventilation with a VT of 600 mL: tance
10 AM 12 PM
Peak airway pressure 38 cm H2O 45 cm H2O
Plateau pressure 34 cm H2O 34 cm H2O
These data indicate
7. 175-cm (5-ft 9-in), 113-kg (250-lb), 56-year-old male Perform spirometry
with a 48 pack-year smoking history is being pre-
pared for abdominal surgery. Which of the following
should be done preoperatively to assess the patient's
risk for respiratory complications following abdominal
surgery?
8. Immediately after intubation of an adult male, a respi- Withdraw the endotra-
ratory therapist notices breath sounds are present on cheal tube until equal
the right lung fields, but extremely diminished on the breath sounds are heard
left. Notes prior to the intubation state that bilateral
breath sounds were present. Which of the following is
the most appropriate action?
9. 4-year-old child is seen by a respiratory therapist for explain the purpose of the
a follow-up asthma evaluation. The child denies any quick-relief medication
dyspnea. The parents report giving the child albuterol
by inhaler twice daily. The therapist should
, NBRC TMC A
Study online at https://quizlet.com/_h4rlyd
10. NPPV is best indicated for which of the following clin- COPD
ical diagnoses?
A. severe ARDS
B. drug overdose
C. aspiration pneumonitis
D. COPD
11. 27-year-old male patient has mild asthma. The pa- Continue the treatment as
tient's pulse is 80/min before administration of an ordered.
aerosolized bronchodilator. The patient's pulse rises
and stabilizes at 92/min during the treatment. Which
of the following should a respiratory therapist do?
12. Patient with COPD is receiving mechanical ventilation. Adding ipratropium (Atro-
The patient continues to wheeze despite treatment vent)
with albuterol. A respiratory therapist should recom-
mend
A. ordering a chest radiograph.
B. administering furosemide (Lasix).
C. obtaining an ABG analysis.
D. adding ipratropium (Atrovent).
13. For a patient receiving noninvasive ventilation Pressure support
through a dual-limb circuit, an increase in which of the
following will decrease work of breathing associated
with spontaneous breathing?
A. inspiratory time
B. ramp time
C. PEEP
D. pressure support
14. Muscle strength.
, NBRC TMC A
Study online at https://quizlet.com/_h4rlyd
Primary reason to evaluate maximum inspiratory
pressure is to determine
A. muscle strength.
B. oxygenation.
C. ventilation.
D. V̇/Q̇ ratio.
15. RT is administering an 80/20 heliox mixture to an adult C. The conversion factor
female. When using a flowmeter calibrated for oxy- for a 80/20 heliox mixture
gen, the actual flow is how many times greater than is 1.8
the indicated flow?
A. 1.4
B. 1.6
C. 1.8
D. 2.0
16. The following patient data are noted: 5.40 L/min
RR 12/min
SpO2 97%
Exhaled VT 450 mL
FEV1 3.25 L
FVC 4.00 L
What is the minute ventilation (L/min)?
A. 4.80
B. 8.70
C. 3.90
D. 5.40
17. 3 year old is receiving VC ventilation. A respirato- Vibrating mesh nebulizer
ry therapist is preparing to administer aerosolized
dornase alfa (Pulmozyme) in-line with the ventilator.
Which of the following devices should the therapist
