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RRT TMC Exam Questions And 100% Correct Answers
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RRT TMC Exam Questions And 100% Correct AnswersThe patient's lung has an air leak - ANSWER You are called to the emergency
department to help care for a patient who was in a vehicle accident and has chest
injuries including broken ribs. Crepitations are felt while palpitating the patient's neck.
What is most likely the cause of this?
Reversible airway obstruction - ANSWER A forced expiratory measurement obtained
after the administration of a bronchodilator reveals an increase in FEV1 from 60% to
80% of predicted. This represents a:
complete airway obstruction - ANSWER You are capnography monitoring a
mechanically ventilated patient when you notice that the end-tidal PCO2 (PetCO2) has
dropped to 0 mm Hg. This finding may indicate:
placing an esophageal-tracheal combitube - ANSWER A full-stomach, unconscious
apneic patient cannot be orally intubated in the emergency room. Which of the following
would you recommend be?
patients size and clinical condition - ANSWER While you are establishing initial
ventilatory support settings for a new patient the most important consideration is the:
Fever (hyperthermia) - ANSWER A male patient has a lower than normal mixed venous
O2 content. Which of the following is most likely to be the cause of this condition?
administer 5-10 cm H20 pressure support - ANSWER You are trying to wean an alert
intubated patient from full ventilatory support using the CPAP protocol with 40% O2.
Early in the first attempt her respiratory rate increases from 24 to 30/min and you start
to notice some accessory muscle use during her breathing. Which of the following
would be your first course of action at this point?
70 minutes - ANSWER Approximately how long can an oxygen E-cylinder at 1000 psi run
,at 4 L/min?
Increase the suction pressure to -120 mm Hg - ANSWER You are using a Yankauer
device to suction an adult client and you are unable to suction thick secretions. You
read -70 mm Hg on the regulator of the oropharyngeal suctioning device. What do you
do at this time?
missing lead - ANSWER You are trying to establish a 12-lead EKG on a patient and
cannot receive any electrical signal. The batteries are fully charged and the device
powered-on. Which one of the following would most likely be the cause of the problem?
angiography - ANSWER Which of the following imaging procedures is used to assess the
arteries for aneurysm, atherosclerosis, embolism, occlusion, stenosis, thrombosis,
trauma, or vasculitis?
has smoked within the past 12-24 hours - ANSWER You receive an exhaled carbon
monoxide (CO) level of 18 ppm on a COPD patient who is part of a pulmonary
rehabilitation program. According to this result, you know the patient:
decrease in O2 sat from 91% to 82% - ANSWER While monitoring a patient during a
spontaneous breathing trial, which of the following observations would be an indication
to stop the trial and return the patient to ventilatory support?
increased ventilation - ANSWER Your patient is receiving volume control A/C ventilation.
She has become increasingly agitated and the end-tidal CO2 has decreased from 38 to
27 torr over the last 3 hours. Which of the following is most likely the cause?
3500 mL - ANSWER A normal vital capacity for a female patient who is five feet three
inches tall and weighs fifty kilograms would be approximately:
sensitivity - ANSWER A patient with asthma is having difficulty triggering inspiration
from a ventilator that is in the assist-control mode. What would be the first of the
following ventilator settings that you would check to resolve this problem?
, atrial fibrillation ANSWER When analyzing a patient's EKG strip you notice that the P
waves are not discernable; there are rapid irregular undulations on the isoelectric line;
and an irregular ventricular rhythm. In addition, the precordial cardiac rate is greater
than the peripheral pulse rate. What is the most likely problem?
Vital Capacity (VC) - ANSWER Which of the following is the best bedside measurement
for assessing the integrated function of the respiratory muscles and mechanical
properties of the lungs and thorax?
Sinus Tachycardia - ANSWER While inspecting an EKG rhythm strip from an adult
patient, you note the following: rate of 148; regular rhythm; normal P waves, P-R
intervals, and QRS complexes. What is most likely the problem?
whether the patient is stable on low FiO2s and PEEP - ANSWER Which of the following
must be true before a ventilator-dependent patient can be sent home to the homecare
environment?
a large volume (3 L) calibration syringe - ANSWER You would require the use of which of
the following to calibrate a portable bedside spirometer?
ventilator-associated pneumonia (VAP)-ANSWER A physician orders a blind
bronchoalveolar lavage procedure for a patient in intensive care unit. What is the most
likely potential diagnosis that the doctor is trying to confirm with this procedure?
croup-ANSWER An AP X-ray of a 4-year-old child with wheezing and stridor shows an
area of prominent subglottic edema, but the lateral neck X-ray appears normal. The
most likely problem is?
sternocleidomastoid muscles used at rest - ANSWER If noted on inspiration, which of
the following respiratory signs of an adult patient would be considered abnormal?
between the 2nd and 4th thoracic vertebra - ANSWER While reviewing the chest X-ray of
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