RRT TMC Exam
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1. The patient's You are called to the emergency department to help care for a patient who was in
lung has an air a vehicle accident and has chest injuries including broken ribs. Crepitations are
leak felt while palpitating the patient's neck. What is most likely the cause of this?
2. Reversible airway A forced expiratory measurement obtained after the administration of a bron-
obstruction chodilator shows an increase in FEV1 from 60% to 80% of predicted. This indicates
a:
3. complete airway During capnography monitoring of a mechanically ventilated patient, you note
obstruction that the end-tidal PCO2 (PetCO2) has dropped to 0 mm Hg. This finding may
indicate:
4. inserting an An unconscious apneic patient with a full stomach cannot be orally intubated in
esophageal-tra- the emergency room. Which of the following would your recommend be?
cheal combitube
5. patients size and While establishing initial ventilatory support settings for a new patient, the most
clinical condition important consideration is the:
6. Fever (hyperther- A male patient has a lower than normal mixed venous O2 content. Which of the
mia) following is the most likely cause of this condition?
7. apply 5-10 cm You are trying to wean an alert intubated patient off full ventilatory support using
H20 pressure the CPAP protocol with 40% O2. Early in the initial effort her respiratory rate
support increases from 24 to 30/min and you start to observe some use of her accessory
muscles while breathing. Which of the following would be your first action at this
time?
8. 70 minutes What is the approximate duration of flow of an oxygen E-cylinder at 1000 psi
running at 4 L/min?
9. While using a Yankauer device to suction an adult patient, you are unable to
remove thick secretions. The regulator attached to the oropharyngeal suctioning
, RRT TMC Exam
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increase the suc- device displays a reading of -70 mm Hg. Which of the following actions should
tion pressure to you take at this time?
-120 mm Hg
10. a missing lead While setting up a 12-lead EKG on a patient, you are unable obtain any electrical
signal. The batteries are fully charged and the device was able to power-on. The
most likely cause of this problem is which of the following?
11. angiography Which of the following imaging procedures is used to evaluate the arteries for
abnormalities such as aneurysm, atherosclerosis, embolism, occlusion, stenosis,
thrombosis, trauma, or vasculitis?
12. has smoked with- You obtain an expired carbon monoxide (CO) reading of 18 ppm on a COPD
in the prior 12-24 patient participating in a pulmonary rehabilitation program. Based on this finding,
hours you can conclude that the patient:
13. decrease in O2 While monitoring a patient during a spontaneous breathing trial, which of the
saturation from following observations would cause you to stop the trial and return the patient to
91% to 82% ventilatory support?
14. increased venti- Your patient is receiving volume control A/C ventilation. She has become increas-
lation ingly agitated and the end-tidal CO2 has decreased from 38 to 27 torr over the
last 3 hours. Which of the following is most likely the cause?
15. 3500 mL A normal vital capacity for a female patient who is five feet three inches tall and
weighs fifty kilograms would be approximately:
16. the sensitivity An asthmatic patient is struggling to initiate inspiration on a ventilator operating
in the assist-control mode. Which of the following ventilator settings would you
first check in order to resolve of this problem?
17. atrial fibrillation On inspection of a patient's EKG strip, you note that there are no identifiable
P waves; rapid irregular undulations of the isoelectric line; and an irregular
, RRT TMC Exam
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ventricular rhythm. In addition, the precordial cardiac rate is greater than the
peripheral pulse rate. What is the most likely problem?
18. Vital Capacity Which of the following is the best bedside measurement for assessing the inte-
(VC) grated function of the respiratory muscles and mechanical properties of the lungs
and thorax?
19. Sinus Tachycar- While inspecting an EKG rhythm strip from an adult patient, you note the fol-
dia lowing: rate of 148; regular rhythm; normal P waves, P-R intervals, and QRS
complexes. What is most likely the problem?
20. whether the pa- Which of the following is a prerequisite for discharging a ventilator-dependent
tient is stable on patient to the homecare setting?
low FiO2s and
PEEP
21. a large volume (3 You would need which of the following equipment in order to calibrate a portable
L) calibration sy- bedside spirometer?
ringe
22. Ventilator-associ- A physician orders a blind bronchoalveolar lavage procedure for a patient in
ated pneumonia intensive care unit. What is the most likely potential diagnosis that the doctor is
(VAP) trying to confirm with this procedure?
23. croup An AP X-ray of a 4-year-old child with wheezing and stridor shows an area of
prominent subglottic edema, but the lateral neck X-ray appears normal. The most
likely problem is?
24. sternocleido- If noted on inspiration, which of the following respiratory signs of an adult patient
mastoid muscles would be considered abnormal?
used at rest
25.
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1. The patient's You are called to the emergency department to help care for a patient who was in
lung has an air a vehicle accident and has chest injuries including broken ribs. Crepitations are
leak felt while palpitating the patient's neck. What is most likely the cause of this?
2. Reversible airway A forced expiratory measurement obtained after the administration of a bron-
obstruction chodilator shows an increase in FEV1 from 60% to 80% of predicted. This indicates
a:
3. complete airway During capnography monitoring of a mechanically ventilated patient, you note
obstruction that the end-tidal PCO2 (PetCO2) has dropped to 0 mm Hg. This finding may
indicate:
4. inserting an An unconscious apneic patient with a full stomach cannot be orally intubated in
esophageal-tra- the emergency room. Which of the following would your recommend be?
cheal combitube
5. patients size and While establishing initial ventilatory support settings for a new patient, the most
clinical condition important consideration is the:
6. Fever (hyperther- A male patient has a lower than normal mixed venous O2 content. Which of the
mia) following is the most likely cause of this condition?
7. apply 5-10 cm You are trying to wean an alert intubated patient off full ventilatory support using
H20 pressure the CPAP protocol with 40% O2. Early in the initial effort her respiratory rate
support increases from 24 to 30/min and you start to observe some use of her accessory
muscles while breathing. Which of the following would be your first action at this
time?
8. 70 minutes What is the approximate duration of flow of an oxygen E-cylinder at 1000 psi
running at 4 L/min?
9. While using a Yankauer device to suction an adult patient, you are unable to
remove thick secretions. The regulator attached to the oropharyngeal suctioning
, RRT TMC Exam
Study online at https://quizlet.com/_7ceehy
increase the suc- device displays a reading of -70 mm Hg. Which of the following actions should
tion pressure to you take at this time?
-120 mm Hg
10. a missing lead While setting up a 12-lead EKG on a patient, you are unable obtain any electrical
signal. The batteries are fully charged and the device was able to power-on. The
most likely cause of this problem is which of the following?
11. angiography Which of the following imaging procedures is used to evaluate the arteries for
abnormalities such as aneurysm, atherosclerosis, embolism, occlusion, stenosis,
thrombosis, trauma, or vasculitis?
12. has smoked with- You obtain an expired carbon monoxide (CO) reading of 18 ppm on a COPD
in the prior 12-24 patient participating in a pulmonary rehabilitation program. Based on this finding,
hours you can conclude that the patient:
13. decrease in O2 While monitoring a patient during a spontaneous breathing trial, which of the
saturation from following observations would cause you to stop the trial and return the patient to
91% to 82% ventilatory support?
14. increased venti- Your patient is receiving volume control A/C ventilation. She has become increas-
lation ingly agitated and the end-tidal CO2 has decreased from 38 to 27 torr over the
last 3 hours. Which of the following is most likely the cause?
15. 3500 mL A normal vital capacity for a female patient who is five feet three inches tall and
weighs fifty kilograms would be approximately:
16. the sensitivity An asthmatic patient is struggling to initiate inspiration on a ventilator operating
in the assist-control mode. Which of the following ventilator settings would you
first check in order to resolve of this problem?
17. atrial fibrillation On inspection of a patient's EKG strip, you note that there are no identifiable
P waves; rapid irregular undulations of the isoelectric line; and an irregular
, RRT TMC Exam
Study online at https://quizlet.com/_7ceehy
ventricular rhythm. In addition, the precordial cardiac rate is greater than the
peripheral pulse rate. What is the most likely problem?
18. Vital Capacity Which of the following is the best bedside measurement for assessing the inte-
(VC) grated function of the respiratory muscles and mechanical properties of the lungs
and thorax?
19. Sinus Tachycar- While inspecting an EKG rhythm strip from an adult patient, you note the fol-
dia lowing: rate of 148; regular rhythm; normal P waves, P-R intervals, and QRS
complexes. What is most likely the problem?
20. whether the pa- Which of the following is a prerequisite for discharging a ventilator-dependent
tient is stable on patient to the homecare setting?
low FiO2s and
PEEP
21. a large volume (3 You would need which of the following equipment in order to calibrate a portable
L) calibration sy- bedside spirometer?
ringe
22. Ventilator-associ- A physician orders a blind bronchoalveolar lavage procedure for a patient in
ated pneumonia intensive care unit. What is the most likely potential diagnosis that the doctor is
(VAP) trying to confirm with this procedure?
23. croup An AP X-ray of a 4-year-old child with wheezing and stridor shows an area of
prominent subglottic edema, but the lateral neck X-ray appears normal. The most
likely problem is?
24. sternocleido- If noted on inspiration, which of the following respiratory signs of an adult patient
mastoid muscles would be considered abnormal?
used at rest
25.
