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NSG6020 Week 9 Quiz with Questions and Answers Jacob, a 33-year-old construction worker, complains of a "lump on his back" over his scapula. It has been there for about a year and is getting larger. He says his wife has been able to squeeze out a cheesy-textured substance on occasion. He worries this may be cancer. When gently pinched from the side, a prominent dimple forms in the middle of the mass. What is most likely? ANSWER sebaceous cyst A new patient is complaining of severe pr...

NBRC Review Exam with Questions and Answers Which of the following is an appropriate short-acting, depolarizing agent to use for intubation of a patient? a. Pancuronium b. Succinylcholine c. Vecuronium d. Fentanyl ANSWER b A patient on mechanical ventilation exhibits severe anxiety and agitation. Talking with the patient does not successfully relieve his symptoms. The nurse is concerned that the patient is sleep deprived. Which would be an appropriate medication to suggest? Opioid Pa...

NBRC Prep Exam with Questions and Answers Which of the following can be used to estimate the level of Hemoglobin? A. Theophylline level B. C(a-v)O2 C. RBC D. PAO2 ANSWER C Which of the following alarms would be most important for a patient receiving positive pressure ventilation by a pressure-cycled ventilator? A. low volume B. high pressure C. low FIO2 D. I:E ratio ANSWER A A patient with suspected myasthenia gravis in the emergency room should receive which of the following...

TMC Form E Test with Questions and Answers A patient with a history of chronic bronchitis is post-operative for an exploratory laparotomy. Review of the medical record suggests the physician has concern about difficulty clearing secretions after the procedure. To assist the patient with mobilization and removal of secretions, the respiratory therapist should recommend A. MDI therapy with an anti-inflammatory corticosteroid B. administer cromolyn sodium C. administer tetracycline D. in...

TMC Exam B Set 1 with Questions and Answers A patient with a PBW of 55 kg (121 lb) is receiving VC, A/C ventilation. Ventilator settings and blood gas analysis results are: FIO2 0.70 Mandatory rate 14 VT 350 mL PEEP 5 cm H2O pH 7.35 PaCO2 35 mm Hg PaO2 40 mm Hg HCO3- 19 mEq/L BE -6 mEq/L SO2 (calc) 74% A respiratory therapist should recommend A. changing to SIMV mode. B. increasing to 10 cm H2O PEEP. C. changing to 5 cm H2O CPAP. D. increasing to 400 mL VT. A...

TMC KT Exam with Questions and Answers Which of the following could cause a capnograph reading to change from 36 torr to 30 torr? a. Bronchospasm b. Hypoventilation c. Pulmonary embolism Retained Secretions ANSWER Pulmonary embolism Blood clot that is stuck in pulmonary system and limits perfusion. Air goes in and comes right out, no perfusion is taking place, no CO2 is being transferred into the air. No blood flow to the lung which stops CO2 perfusion and results in no CO2 in the breath...

TMC Chapter 8 Exam with Questions and Answers Postural drainage and percussion are not indicated in which of the following conditions? A. Bronchiectasis B. Cystic fibrosis C. Pulmonary edema D. Acute atelectasis ANSWER C; Postural drainage and percussion are indicated to help mobilize thick pulmonary secretions that the pa- tient cannot remove with deep breathing and coughing techniques. The secretions observed with pulmonary edema are thin, watery, and frothy secretions that do not req...

TMC Tutorial Systems Exam A with Questions and Answers A patient has been diagnosed with sarcoidosis. Which of the following pulmonary function tests would best evaluate the degree of impariement? A.) FEV1 B.) MVV C.) VC D.) FEF25-75 ANSWER C A patient has been receiving incentive spirometry therapy for the treatment of atelectasis. Which of the following would indicate improvement in the patient's condition? A.) Increased crackles B.) Vesicular breath sounds C.) Decreased rhonch...

TMC Exam A with Questions and Solutions A patient receiving mechanical ventilation has received Halcion in the last twenty minutes. The physician orders the institution of spontaeneous breathing trials to commence immediately. Which of the following medications would be most helpful to the patient? a. Meperidine b. Valium c. Romazicon (Flumazenil) d. Morphine Sulfate ANSWER c. Romazicon (Flumazenil) In preparation for ventilator weaning the physician requests a VD/VT ratio assessment. ...

TMC Test with Practice Questions and Verified Solutions Clinical signs and a chest X-ray confirm that a patient receiving volume control SIMV has suffered a tension pneumothorax. Which of the following actions would you recommend to treat this problem? Select one: A. lowering the peak inspiratory pressure B. obtaining a stat arterial blood gas C. performing a tube thoracostomy D. switching to pressure control SIMV ANSWER C. performing a tube thoracostomy By doctor order, a pati...