RCP TESTS COMPILATION BUNDLE

The ventilator mode that is either patient triggered or time triggered and allows the patient to breathe spontaneously between mandatory ventilator breaths is known as ____. a. pressure-support ventilation b. continuous mandatory ventilation c. intermittent mandatory ventilation d. ...

A patient receiving mechanical ventilation has an exhaled tidal volume (VT) of 500 mL and a positive end expiratory pressure setting (PEEP) of 5 cm H2O. The respiratory therapist should recommend which of the following for this patient? (picture) 1. Tracheobronchial suctioning 2. Increase in the...

A dull percussion note would be heard in which of the following situations? 1. Atelectasis 2. Pleural thickening 3. Chronic obstructive pulmonary disease (COPD) 4. Consolidation correct answer: Atelectasis, pleural thickening and consolidation. In patients with chronically high PaCO2 and...

Anatomic Alterations of the Lung correct answer: - interstitial and intra-alveolar edema and hemorrhage - alveolar consolidation - intra-alveolar hyaline membrane formation - pulmonary surfactant deficiency or abnormality - atelectasis Other name for ARDS? (boards) correct answer: Adult hya...

When a practitioner performs a procedure that involves physical contact without the patient's consent, it can result in what charge? correct answer: battery What ethical issue has recently become a significant concern for respiratory therapists and all health care providers due to a congression...

which of the following are indications for terminating a cardiopulmonary exercise test? 1. progressive chest pain 2. A 2-mm downsloping ST depression 3. Tachycardia > 160 4. Monitoring system failure correct answer: 1, 2, 4 it is important to make a child feel safe and comfortable whe...

According to the 2005 ATS-ERS repeatability standards, of the three following tracings, the two largest FVC values and the two largest FEV1 values should be within how many milliliters? correct answer: 150 Before bronchodilator studies, inhaled B-adrenergic agents should be withheld for how long...

Ventilation correct answer: movement of air into and out of the lungs; brings fresh air in for gas exchange and allows for exhalation of CO2 Internal Respiration correct answer: CO2 moves out of cells and into blood and O2 moves from blood into cells at a cellular level External Respiration ...

Which substance is a known substitute for Methacholine? correct answer: Histamine True or False? Raw and sGaw are excellent indicators of an obstructive Disorder? correct answer: True True or False? sGaw is usually better indicator of Restrictive disorder than Raw. correct answer: False ...

Airway resistance is an important concept in mechanical ventilation, because when the airway radius is reduced by 50% airflow resistance increases by ? correct answer: 16 times Pressure Support Ventilation is useful to compensate for the increased WOB due to what? correct answer: Airflow resist...

early mobilization of patients on vent can decrease what correct answer: decreased ICU weakness Single best indicator of alveolar ventilation correct answer: PACO2 When CO2 rises by 10, pH will decrease by correct answer: .8 It is important that patients on a ventilator receives appropri...

What are the indications for pulmonary function testing? correct answer: Identify and quantify changes in pulmonary function. Evaluate the need and quantification of therapeutic effectiveness. Perform epidemiological surveillance for pulmonary disease. Assess patients for post-operative pu...

what is the normal value for cardiac output? correct answer: 4-8 lpm What is the normal value for PAP? correct answer: 25/8 What is the normal value for PCWP? correct answer: 412 mmHG normal CVP value? correct answer: 2-6 mmHg Normal value for a shunt? correct answer: < 5% Nor...

▪filling pressure of the ventricle and the end of ventricular diastole, or ventricular end-diastol correct answer: preload Left ventricular afterload is indicated by what correct answer: SVR (Systemic Vascular Resistance) ▪ the impedance the right and left ventricles must overcome to eje...

Radiolucent correct answer: X-rays pass through low density tissue. Cause shadow to turn darker. Radiopaque correct answer: X-rays pass through high density tissue. Leave the exposed film lighter. Air correct answer: Absorbs x-rays least and results in dark shadow (radiolucent) Bone corr...

Which of the following structures will result in the most radiopaque shadow on a CXR a. aorta b. heart c. lungs d. ribs correct answer: d. ribs Your patient just had an anteroposterior chest film taken. When you view the film, what may be a consideration? correct answer: The heart may app...

Therapeutic bronchoscopy is used for correct answer: secretion removal - foreign body - airway management problems -insertion of percutaneous tracheostomy when looking into a bronchoscope the cartilagious rings are gonna be correct answer: more anterior and the smooth side is gonna be be mo...

which of the following is not a risk of thoracentesis? A. pneumothorax B. potential sample contamination of extra-thoracic fluid C. intercostal artery laceration D. localized infection at the injection site correct answer: B. Potential sample contamination of extra-throacic fluid A (V/Q) sca...

Tidal volume breathing correct answer: Facilitates removal of CO2 and replenishes O2 Alveolar ventilation correct answer: Amount of fresh gas reaching alveoli per minute, determined by tidal volume, dead space and RR Compliance correct answer: Higher lung inflates easily, lower lung inflati...

12) Patient whom is 40 years old (89kg) with respiratory acidosis and currently on mechanical ventilation. Patient has no history of pulmonary disease. Patient in on VC/CMV, VT 550, RR 17. ABG shows PaCO2 50mm Hg and ph 7.31. Which setting would you adjust first? A. Ti B. RR C. Te D. Vt correct ...

Benzodiazepines correct answer: Diazepam Midazolam Lorazepam Diazepam (Valium) correct answer: Onset : 3-5mins Peaks 5-30 Duration >20 hrs Midazolam (Versed) correct answer: Onset: 2-3 mins Peaks: 5-10min Duration: 30-120 min Lorazepam (Ativan) correct answer: Onset: 5-20 min Pea...

During mechanical ventilation of a patient with COPD, the PaCO2 = 58 mm Hg and the minute ventilation = 5.5 L/min. The desired PaCO2 for this patient is 45 mm Hg. To what should the minute ventilation be changed? a) 6.0 L/min b) 6.6 L/min c) 7.1 L/min d) 8.0 L/min correct answer: C. D...

Which of the following are considered indications for flexible bronchoscopy?1. Unexplained lung collapse2. Need for large size tissue specimen3. Evaluate endotracheal tube-related injury4. Bronchogenic carcinoma correct answer: 1, 3, and 4 only Which of the following are considered contraindicat...

Premature infants typically have what type of acid-base blood gas values? A) Uncompensated respiratory alkalosis with paO2 45-70 mmHg B) Acidosis, paCO2 45-55 mmHg, paO2 45-70 mmHg, HCO3-15-20 mmHg C) Alkalosis, PaCO2 25-35 mmHg, PaO2 50-100 mmHg, HCO3-22-28 mmHg D) Partially compensated respi...

Steeple sign, subglottic narrowing below vocal cords, over distended hypopharynx indicates what correct answer: Laryngotracheobronchitis Define the Embryonal phase correct answer: Development of trachea and major bronchi Define the pseudoglandular phase correct answer: Development of the re...

Which of the following major organ(s) is considered to be the first to form? correct answer: Heart What is the name of the gelatinous substance which makes up the composition of the umbilical cord that helps protect the vessels and prevents the cord from kinking? correct answer: Wharton's jell...

Are we able to use the umbilical cord for an ABG? correct answer: yes is a chest X-Ray considered a "gold standard" for placement of ET Tube placement? correct answer: yes when a baby tilts its head up with an ETT place what happens to the tube? correct answer: it moves down when a bab...

Is pulmonary vascular resistance high or low in utero correct answer: High What is the function of Wharton's jelly correct answer: Prevents the cord from kinking What is the first organ to be formed correct answer: Heart In what stage are the alveoli formed correct answer: The alveolar...

What is the correct initial DIRECT MAP setting for high frequency Oscillator correct answer: 8-10cmH2O What is the correct initial FROM CV MAP setting for high frequency Oscillator correct answer: 1-2cmH2O What is the initial Delta P/Amplitude setting for HFO correct answer: Unit chest wigg...

Which of the following phases of human lung development is characterized by the formation of a capillary network around airway passages? a) Pseudoglandular b) Canalicular c) Alveolar d) Saccular correct answer: canalicular Regarding postnatal lung growth, by approximately what age do most of...

Hight tip placement of the umbilical artery catheter should be found on an xray film at correct answer: T6-T8 A 12-hour-old infant is experiencing respiratory distress, and the neonatologist orders a heel stick to assess the infant's oxygenation status. What action should the therapist take at ...

Sildenafil (Viagra) correct answer: is used for treatment of pulmonary hypertension and has potential for reducing mortality and improving oxygenation in neonates. Laryngotracheobronchitis correct answer: A 4-year-old patient presented in the emergency department with a barking cough and mild i...

Define cardiac output correct answer: the amount of blood ejected from the heart over the course of one minute What is the most important hemodynamic measurement correct answer: Cardiac output What is the primary site for arterial puncture in neo and peds correct answer: radial artery Wh...

The preferred site for arterial blood sampling in a pediatric patient is the ________, the _______ is reserved for emergencies only. correct answer: Radial, Femoral Which of the following parameters of the Apgar score provides the most important prognostic value? correct answer: Heart rate W...

gold standard for assessing ett placement correct answer: chest x-ray proper placement for ett placement for babies correct answer: t1 to t3 how can you remove air from the stomach? correct answer: ng tube steeple sign correct answer: croup thumb sign correct answer: epiglottis p...

The following are stages associated with fetal lung development, Except? correct answer: Blastocystic During fetal circulation, the blood flow pathway after the right ventricle goes to which of the fetal shunts that causes the shunting of blood away from the lungs? correct answer: ductus arteri...

COPD correct answer: A disease state characterized by the presence airflow obstruction that does not reverse completely after bronchodilator treatment. •Caused by a mixture of small airways disease (e.g., obstructive bronchiolitis) and parenchymal destruction (emphysema) Symptoms SOB freque...

PT ASSESSMENT correct answer: LOOK AT PT WOB, RR, HR, ETCO2, WAVEFORMS AND AUSCULTATE 6 PLACES FRONT AND BACK INTUBATION INDICATIONS correct answer: 1. AIRWAY PROTECTION >> DRUG OVERDOSE, EDEMA, EPIGLOTTITIS, MARKED STRIDOR 2. INABILITY TO MAINTAIN PATENT AIRWAY 3. IMPENDING OR ACTUAL...

Sleep related breathing disorders include: correct answer: - Obstructive Sleep Apnea (OSA) Syndrome - Central Sleep Apnea Syndrome - Mixed Sleep Apnea - Sleep-related Hypoventilation and Hypoxemia Syndromes Obstructive Sleep Apnea (OSA) correct answer: Repetitive pharyngeal collapse during s...

Which of the following would decrease chest wall compliance? correct answer: kyphoscoliosis, obesity, plueral effusion If PEEP levels are set too high, which of the following may occur? correct answer: static lung compliance will decrease, barotrauma is more likely, urinary output may decrease ...

PIP 42 PPLAT 27 Vt 500 PEEP 6 what is the static lung compliance? A. 18 B. 24 C. 31 D. 37 correct answer: VT / PLAT - PEEP 500 / 27 - 5 = 23.8 -> 24 24 A patient is receiving volume controlled ventilation in assist-control ventilation mode (A/C), an the I:E ratio alarm is soundi...

Allows a gradual rise in CO2 as a lung protection strategy correct answer: Permissive hypercapnia -Patient compliance/resistance --> high resistance reduces speed -Rise time effects speed of how fast inspiratory is -Patient actively breathing *rise time, patient effort, patient compl...

A patient is receiving oxygen from an "E" cylinder at 4 L/min through a nasal cannula. The cylinder pressure is 1900 psig. How long will the cylinder run until it is empty? correct answer: 2.2 hours After setting up a partial rebreathing mask on a patient at a flow of 8 L/min, the reservoir ba...

neuromuscular disease correct answer: Neuromuscular diseases are that group of conditions which affect the strength and ability of muscles to function Maintenance of normal ventilation depends on intact, functional components of the neuromuscular system Regulation of respiratory drive and rat...

Mechanical Ventilation correct answer: Mechanical ventilation entails the use of sophisticated life-support technology aimed at maintaining tissue oxygenation and removal of carbon dioxide (CO2) - Supports or replaces normal ventilatory pump - Moves air in and out of lungs, or "ventilates" - P...

In the emergency department, the physician successfully intubates a 40 year-old, 110-lb patient with a size 8.5 endotracheal tube. During airway care, the therapist notices that the cuff pressure reads 30 cm H2O. To manage the endotracheal tube properly, the therapist should _______ the cuff until t...

Patient whom is 40 years old (89kg) with respiratory acidosis and currently on mechanical ventilation. Patient has no history of pulmonary disease. Patient in on VC/CMV, VT 550, RR 17. ABG shows PaCO2 50mm Hg and ph 7.31. Which setting would you adjust first? A. Ti B. RR C. Te D. Vt correct answ...

What power sources are used to provide ventilation to a patient? correct answer: (1) Pneumatically powered ventilators use compressed gas (2) Electrically powered utilizing 120 V 60 Hz alternating current (AC) or 12 V direct current (DC) for power source. (3) Both pneumatic and electric What ar...