CRT Practice Exam II | Questions With Complete
Solutions/ 100% Accurate
Which of the following clinical factors would increase the difficulty of ventilating a
patient effectively by manual resuscitation device and mask? - ANSWERBull neck and
Enlarged tongue
A 16 year old patient with CF has been admitted for an acute bacterial infection of
the left upper lobe. The physician as written orders for postural drainage and
percussion to the posterior segment of the left upper lobe, what is the correct
position for draining this segment? - ANSWERBed flat, patient sitting up leaning
forward, percuss over back of left shoulder.
List three complications associated with drawing blood from an arterial line? -
ANSWERInfection, Hematoma and Vessel Spasm
-Not: anticoagulation
A 54 year old homeless patient has been admitted to the hospital with a diagnosis of
tuberculosis. Standard infection control procedures for this pathogen would be? -
ANSWERAirborne precautions
The recommended effective dose for Nitric Oxide (NO) Therapy is? - ANSWER2-
20ppm
The respiratory therapist has measured the exhaled nitric oxide concentrations
(FENO) of a patient with CF. The therapist notes a decrease in the patients FENO
levels from her last visit 1 month ago. These results would be consistent with
increased use of? - ANSWERCorticosteroids
The pulmonologist determines a patient has dyspnea, diminished BS with a dull
percussion on the left. CXR shows tracheal shift to the right. suspect? -
ANSWERPleural effusion
A patient has an infected mucopurulent abscess in the right lung. The left lung is
clear of secretions and infection. The pt requires intubation and mechanical
ventilation. Which would be necessary to properly ventilate the patient? -
ANSWERCarlens Tube
A post-op patient has a fenestrated trach tube in place. The therapist is monitoring
the cuff pressure and notes that the pressure is 32cmH2O with a minimal leak. The
most likely explanation for this is the? - ANSWERTube is too small
A 24 y/o female has been admitted to the hospital after being involved in a sky diving
accident. She is 5'4'' and weighs 55kg. Intubated with 7.5 ETT, CXR shows bilateral
opacification of all lung fields.
SIMV 650, 12, 65%, +10, PIP 58, Plat 50
, ABG: 7.30, 43, 45, 21, 82% - ANSWERvenous admixture
54 y/o post appendectomy pt has an order for sustained max insp q2h while awake.
The pts pre-op insp capacity was 3600mL. An appropriate goal for this patient would
be? - ANSWER1800mL
A pt in the ICU is being mech ventilated following an mva, The recent chest
radiograph reveals ARDS. How would you manage this pt? - ANSWERVt of 6mL/kg
and maintain plat pressures <30 cm H20.
- not levels of high PEEP
7am: Peak Press 28, Plat 23
9am: 35, 25
11am: 50, 26
What does this indicate? (no vent changes have been made) - ANSWERPt needs
suctioning, the airway resistance is increasing from 5 to 10 to 24.
A 50 y/o male patient has been referred to the pft lab for stress testing. What is pts
max HR? - ANSWER220-50 = 170beats/min
During the initial auscultation of a patient, the rt notes the presence of an S4 and
murmur, what additional diagnostic testing should the RT recommend? -
ANSWEREchocardiogram
a 36 y/o pt is being monitored with a pulmonary artery catheter.
CVP- 6mmHg
PAP- 26/10 mm Hg
PCWP- 18 mmHg
Qt- 2.8 L/min
What do you recommend for this patient? - ANSWERpositive inotropic agent and
diuretic
A 32 week gestation age infant is receiving mechanical ventilation with a time-cycled,
pressure-limited ventilator
SIMV, PIP 28, RR 22, 60%, +6, 6L/min, I time 0.6 sec
-RT notices TcPO2 reading suddenly drops to 39 torr, there have been no vent
changes, however pt is cyanotic and the trachea is deviated to the right with absent
BS on the left.
* What should the RT recommend? - ANSWERtransillumination
A 9 month olf infant is seen in the asthma clinic for routine visit. The physician is
concerned about increased risk of RSV for this pt, the RT should recommend the
admin of what vaccine? - ANSWERSynagis
The RT has been asked to assist in the care of a pt who is orally intubated and
receiving mech vent. The infection control nurse is concerned about the risk of the
patient developing VAP (vent acquired pneumonia), what should the RT
Solutions/ 100% Accurate
Which of the following clinical factors would increase the difficulty of ventilating a
patient effectively by manual resuscitation device and mask? - ANSWERBull neck and
Enlarged tongue
A 16 year old patient with CF has been admitted for an acute bacterial infection of
the left upper lobe. The physician as written orders for postural drainage and
percussion to the posterior segment of the left upper lobe, what is the correct
position for draining this segment? - ANSWERBed flat, patient sitting up leaning
forward, percuss over back of left shoulder.
List three complications associated with drawing blood from an arterial line? -
ANSWERInfection, Hematoma and Vessel Spasm
-Not: anticoagulation
A 54 year old homeless patient has been admitted to the hospital with a diagnosis of
tuberculosis. Standard infection control procedures for this pathogen would be? -
ANSWERAirborne precautions
The recommended effective dose for Nitric Oxide (NO) Therapy is? - ANSWER2-
20ppm
The respiratory therapist has measured the exhaled nitric oxide concentrations
(FENO) of a patient with CF. The therapist notes a decrease in the patients FENO
levels from her last visit 1 month ago. These results would be consistent with
increased use of? - ANSWERCorticosteroids
The pulmonologist determines a patient has dyspnea, diminished BS with a dull
percussion on the left. CXR shows tracheal shift to the right. suspect? -
ANSWERPleural effusion
A patient has an infected mucopurulent abscess in the right lung. The left lung is
clear of secretions and infection. The pt requires intubation and mechanical
ventilation. Which would be necessary to properly ventilate the patient? -
ANSWERCarlens Tube
A post-op patient has a fenestrated trach tube in place. The therapist is monitoring
the cuff pressure and notes that the pressure is 32cmH2O with a minimal leak. The
most likely explanation for this is the? - ANSWERTube is too small
A 24 y/o female has been admitted to the hospital after being involved in a sky diving
accident. She is 5'4'' and weighs 55kg. Intubated with 7.5 ETT, CXR shows bilateral
opacification of all lung fields.
SIMV 650, 12, 65%, +10, PIP 58, Plat 50
, ABG: 7.30, 43, 45, 21, 82% - ANSWERvenous admixture
54 y/o post appendectomy pt has an order for sustained max insp q2h while awake.
The pts pre-op insp capacity was 3600mL. An appropriate goal for this patient would
be? - ANSWER1800mL
A pt in the ICU is being mech ventilated following an mva, The recent chest
radiograph reveals ARDS. How would you manage this pt? - ANSWERVt of 6mL/kg
and maintain plat pressures <30 cm H20.
- not levels of high PEEP
7am: Peak Press 28, Plat 23
9am: 35, 25
11am: 50, 26
What does this indicate? (no vent changes have been made) - ANSWERPt needs
suctioning, the airway resistance is increasing from 5 to 10 to 24.
A 50 y/o male patient has been referred to the pft lab for stress testing. What is pts
max HR? - ANSWER220-50 = 170beats/min
During the initial auscultation of a patient, the rt notes the presence of an S4 and
murmur, what additional diagnostic testing should the RT recommend? -
ANSWEREchocardiogram
a 36 y/o pt is being monitored with a pulmonary artery catheter.
CVP- 6mmHg
PAP- 26/10 mm Hg
PCWP- 18 mmHg
Qt- 2.8 L/min
What do you recommend for this patient? - ANSWERpositive inotropic agent and
diuretic
A 32 week gestation age infant is receiving mechanical ventilation with a time-cycled,
pressure-limited ventilator
SIMV, PIP 28, RR 22, 60%, +6, 6L/min, I time 0.6 sec
-RT notices TcPO2 reading suddenly drops to 39 torr, there have been no vent
changes, however pt is cyanotic and the trachea is deviated to the right with absent
BS on the left.
* What should the RT recommend? - ANSWERtransillumination
A 9 month olf infant is seen in the asthma clinic for routine visit. The physician is
concerned about increased risk of RSV for this pt, the RT should recommend the
admin of what vaccine? - ANSWERSynagis
The RT has been asked to assist in the care of a pt who is orally intubated and
receiving mech vent. The infection control nurse is concerned about the risk of the
patient developing VAP (vent acquired pneumonia), what should the RT
