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What is normal urine output in an adult patient? (
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Ans- 40 mL/hr z z
A spontaneous breathing term-
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71trial is initiated on an intubated, awake, and alert 70 kg (154 lb) patient.
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After 40 minutes on an FIO2 of 0.30, ABG results are as follows: pH
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7.39
PaCO2 44 torr z z
PaO2 85 torr z z
HCO3- 24 mEq/L. z z
The patient's vital signs remained stable throughout the trial. Which of the foll
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owing is the most appropriate recommendation?
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(Ans- Extubate
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After assisting with bronchoalveolar lavage and lung biopsy on a mechanical
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ly ventilated patient, the respiratory therapist notes the activation of a high pr
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essure alarm. Peak inspiratory pressure has increased from 32 cm H2O befo
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re the procedure to 45 cm H2O after the procedure. Possible causes for the in
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creased pressure include z z
1. bronchospasm.
2. pneumothorax.
3. pulmonary hemorrhage. z
(Ans- 1, 2, and 3
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A 48 year-
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old female is admitted to the ED with diaphoresis, jugular venous distension, a
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nd 3+ pitting edema in the ankles. These findings are consistent with
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(Ans- heart failure
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,A patient is admitted to the ED following a motor vehicle accident. On physica
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l exam, the respiratory therapist discovers that breath sounds are absent in th
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e left chest with a hyperresonant percussion note. The trachea is shifted to th
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e right. The patient's heart rate is 45/min, respiratory rate is 30/min, and bloo
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d pressure is 60/40 mm Hg. What action should the therapist recommend firs
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t?
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All of the following strategies are likely to decrease the likelihood of damage t
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o the tracheal mucosa EXCEPT:
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- using a low-residual-volume, low-compliance cuff.
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- monitoring intracuff pressures. z z
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A 52 year-old post-
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operative cholecystectomy patient's breath sounds become more coarse up
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on completion of postural drainage with percussion. The respiratory therapis
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t should recommend
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(Ans- deep breathing and coughing to clear secretions.
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A 65 kg spinal cord injured patient develops atelectasis. His inspiratory c
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apacity is 30% of his predicted value. What bronchial hygiene therapy wo
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uld be most appropriate initially?
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A healthy adult female can exhale what portion of her forced vital capacity in t
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he first second?
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(Ans- 70%
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A patient on VC ventilation demonstrates auto-
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PEEP on ventilator graphics. Which of the following controls, when adjusted in
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dependently, would increase expiratory time? z z z z
,1. Tidal volume z
2. Respiratory Rate z
3. Inspiratory flow z
4. Sensitivity
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Which of the following would be the most appropriate therapy for a dyspneic
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patient who has crepitus with tracheal deviation to the left and absent breath s
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ounds on the right? z z z
(Ans- insert a chest tube
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Following cardiac surgery, a 55 year- z z z z z
old patient has the following ABG results:
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pH 7.50, PaCO2 30 torr, PaO2 62 torr, HCO3 25 mEq/L, SaO2 92%, HB 14
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g/dL, BE +2. z z
Venous blood gas results are pH 7.39, PvCO2 43 torr, PvO2 37 torr, and SvO
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2 66%.
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Calculate the patient's C(a-v)O2. (Ans- 5.0%z z z z z
A patient on VC, SIMV with a VT of 500 mL has a PIP of 25 cm H2O, Pplat of 1
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5 cm H2O and PEEP of 5 cm H2O. What is the patient's static lung complianc
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e?
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Immediately after extubation of a patient in the ICU, the respiratory therapist
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observes increasing respiratory distress with intercostal retractions and mar
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ked stridor. The SpO2 on 40% oxygen is noted to be 76%. Which of the follow
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ing would be most appropriate at this time?
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z(Ans- Reintubation z
, Which of the following patients would most likely benefit from pressure suppo
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rt ventilation?
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A. An intubated patient with an absent respiratory drive.
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B. A patient on SIMV with a mandatory rate of 12/min and total rate of 24
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/min.
C. A patient with acute lung injury.
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D. A patient who requires short-term post-
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operative ventilatory support. (Ans- z z z
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n.
A patient receiving mechanical ventilation has developed a temperature of
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99.9° F with purulent secretions over the last 12 hours. The respiratory ther
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apist has also noted a steady increase in peak inspiratory pressure. What i
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nitial recommendation should be made to address these changes? (Ans-
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Obtain a sputum gram stain
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Which of the following information may be obtained from a FVC maneuver du
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ring bedside pulmonary function testing?
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1. FEV1
2. PEFR
3. FRC
4. RV
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The respiratory therapist provides education for a patient who is being discha
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rged home on aerosol therapy. The most important reason for the patient to f
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ollow the recommended cleaning procedures using a vinegar/water solution
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is that this solution will (Ans- Slow the growth of bacteria
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A patient who complains of dyspnea is noted to have a dry, non-
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productive cough. On physical examination, breath sounds are diminished on the
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right, tactile fremitus is decreased and there is dullness to percussion over the
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What is normal urine output in an adult patient? (
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Ans- 40 mL/hr z z
A spontaneous breathing term-
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71trial is initiated on an intubated, awake, and alert 70 kg (154 lb) patient.
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After 40 minutes on an FIO2 of 0.30, ABG results are as follows: pH
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7.39
PaCO2 44 torr z z
PaO2 85 torr z z
HCO3- 24 mEq/L. z z
The patient's vital signs remained stable throughout the trial. Which of the foll
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owing is the most appropriate recommendation?
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(Ans- Extubate
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After assisting with bronchoalveolar lavage and lung biopsy on a mechanical
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ly ventilated patient, the respiratory therapist notes the activation of a high pr
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essure alarm. Peak inspiratory pressure has increased from 32 cm H2O befo
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re the procedure to 45 cm H2O after the procedure. Possible causes for the in
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creased pressure include z z
1. bronchospasm.
2. pneumothorax.
3. pulmonary hemorrhage. z
(Ans- 1, 2, and 3
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A 48 year-
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old female is admitted to the ED with diaphoresis, jugular venous distension, a
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nd 3+ pitting edema in the ankles. These findings are consistent with
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(Ans- heart failure
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,A patient is admitted to the ED following a motor vehicle accident. On physica
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l exam, the respiratory therapist discovers that breath sounds are absent in th
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e left chest with a hyperresonant percussion note. The trachea is shifted to th
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e right. The patient's heart rate is 45/min, respiratory rate is 30/min, and bloo
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d pressure is 60/40 mm Hg. What action should the therapist recommend firs
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t?
z(Ans- Needle aspirate into the 2nd left intercostal space
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All of the following strategies are likely to decrease the likelihood of damage t
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o the tracheal mucosa EXCEPT:
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-maintaining cuff pressures between 20 and 25 mm Hg. z z z z z z z z
- using the minimal leak technique for inflation.
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- using a low-residual-volume, low-compliance cuff.
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- monitoring intracuff pressures. z z
(Ans- using a low-residual-volume, low-compliance cuff.
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A 52 year-old post-
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operative cholecystectomy patient's breath sounds become more coarse up
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on completion of postural drainage with percussion. The respiratory therapis
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t should recommend
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(Ans- deep breathing and coughing to clear secretions.
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A 65 kg spinal cord injured patient develops atelectasis. His inspiratory c
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apacity is 30% of his predicted value. What bronchial hygiene therapy wo
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uld be most appropriate initially?
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(Ans- IPPB z
A healthy adult female can exhale what portion of her forced vital capacity in t
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he first second?
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(Ans- 70%
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A patient on VC ventilation demonstrates auto-
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PEEP on ventilator graphics. Which of the following controls, when adjusted in
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dependently, would increase expiratory time? z z z z
,1. Tidal volume z
2. Respiratory Rate z
3. Inspiratory flow z
4. Sensitivity
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Which of the following would be the most appropriate therapy for a dyspneic
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patient who has crepitus with tracheal deviation to the left and absent breath s
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ounds on the right? z z z
(Ans- insert a chest tube
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Following cardiac surgery, a 55 year- z z z z z
old patient has the following ABG results:
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pH 7.50, PaCO2 30 torr, PaO2 62 torr, HCO3 25 mEq/L, SaO2 92%, HB 14
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g/dL, BE +2. z z
Venous blood gas results are pH 7.39, PvCO2 43 torr, PvO2 37 torr, and SvO
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2 66%.
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Calculate the patient's C(a-v)O2. (Ans- 5.0%z z z z z
A patient on VC, SIMV with a VT of 500 mL has a PIP of 25 cm H2O, Pplat of 1
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5 cm H2O and PEEP of 5 cm H2O. What is the patient's static lung complianc
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e?
(Ans- VT/Plat-PEEP z
Immediately after extubation of a patient in the ICU, the respiratory therapist
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observes increasing respiratory distress with intercostal retractions and mar
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ked stridor. The SpO2 on 40% oxygen is noted to be 76%. Which of the follow
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ing would be most appropriate at this time?
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z(Ans- Reintubation z
, Which of the following patients would most likely benefit from pressure suppo
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rt ventilation?
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A. An intubated patient with an absent respiratory drive.
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B. A patient on SIMV with a mandatory rate of 12/min and total rate of 24
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/min.
C. A patient with acute lung injury.
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D. A patient who requires short-term post-
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operative ventilatory support. (Ans- z z z
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n.
A patient receiving mechanical ventilation has developed a temperature of
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99.9° F with purulent secretions over the last 12 hours. The respiratory ther
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apist has also noted a steady increase in peak inspiratory pressure. What i
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nitial recommendation should be made to address these changes? (Ans-
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Obtain a sputum gram stain
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Which of the following information may be obtained from a FVC maneuver du
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ring bedside pulmonary function testing?
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1. FEV1
2. PEFR
3. FRC
4. RV
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The respiratory therapist provides education for a patient who is being discha
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rged home on aerosol therapy. The most important reason for the patient to f
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ollow the recommended cleaning procedures using a vinegar/water solution
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is that this solution will (Ans- Slow the growth of bacteria
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A patient who complains of dyspnea is noted to have a dry, non-
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productive cough. On physical examination, breath sounds are diminished on the
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right, tactile fremitus is decreased and there is dullness to percussion over the
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