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TMC RRT Exam Questions and Answers
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TMC RRT Exam Questions and Answers
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TMC RRTSigns - Answer -Objective information those things that you can see or measure (color, pulse, edema,
blood pressure)
Symptoms - Answer -Subjective information that the patient must tell you (dyspnea, pain, nausea,
muscle weakness)
Tobacco use equation - Answer -# of packs per day x # of years smoked
Recommend nicotine replacement
Living will - Answer -Describes treatment patient would want if he becomes terminally ill
Does not allow patient to appointment someone else to make medical decisions
durable power of attorney for health care - Answer -Legal document that names a health care proxy
(agent, person) responsible for making health care decisions for patient
Takes effect only when the patient is unable to make decisions for his/her self
Normal urine output - Answer -40 mL/hr (approximately 1 Liter/day)
Less than 30= kidney or heart problems
,Sensible water loss - Answer -Urine, vomiting
Insensible water loss - Answer -Lungs and skin
If urine intake exceeds outtake this could result in - Answer -Weight gain
Electrolyte imbalance
Increased hemodynamic pressures
Decreased lung compliance
Changes in CVP can indicate what - Answer -Changes in fluid balance
Normal CVP is 2-6
Decreased CVP= hypovolemia so recommend fluid therapy
Increased CVP= hypervolemia so recommend diuretics
Lethargic, somnolent, sleepy - Answer -consider sleep apnea or excessive O2 therapy in patient with
COPD
Obtunded - Answer -Drowsy state, may have decreased cough or gag reflex, risk of aspiration
Orthopnea - Answer -Difficulty breathing except in the upright position (CHF)
Muscle weakness on TMC - Answer -Think electrolyte imbalance
Dysphagia - Answer -difficulty swallowing
Diaphoresis in heart failure you should recommended what? - Answer -Diuretics and positive inotropic
agents
Kyphosis - Answer -hunchback
, Convex curvature of spine
Scoliosis - Answer -abnormal lateral curvature of the spine (lean side to side)
Barrel chest is - Answer -Result of air trapping in the lungs for a long period of time
Increase in AP diameter = think COPD
Flail chest - Answer -fracture of two or more adjacent ribs in two or more places that allows for free
movement of the fractured segment
Paradoxical chest movement!!!!
Put patient on VENT on VC
Cheyenne-Stokes - Answer -Gradually increasing then decreased rate and depth in a cycle lasting from
30-180 seconds, with periods of apnea lashing up to 60 seconds
What causes this? Increased ICP, brain stem injury, drug OD
Biot's respirations - Answer -Increased respiratory rate and depth with irregular periods of apnea. Each
breath has the same depth
What causes this? CNS problem
Kussmaul's breathing pattern - Answer -Increased respiratory rate over 20 breaths/min, increase depth,
irregular rhythm, breathing sounds labored
What causes this? Metabolic acidosis, diabetic ketoacidosis, hypoxemia
If because of diabetes, give insulin
Mallampati classification - Answer -Class I - Soft palate, uvula, fauces, pillars visible
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