CRT/RRT TMC Exam Review with
complete solutions 2024/2025
Turgor (Skin Turgor) - ANSWER-Elasticity of the skin, pinching the skin on the
back of the hand, a slow rebound response indicates dehydration (hypernatremia
w/ water deficit, respiratory etiology; hyperventilation
Work of Breathing (WOB) - ANSWER-A common term used to express extra
respiratory effort in a variety of pulmonary conditions. Causing fatigue, weakness
of respiratory muscles, and increased respiratory rate (tachypnea).
Respiratory function - ANSWER-Ventilation, Oxygenation, Circulation, Perfusion
Trachea shift away from affected side - ANSWER-Pneumothorax, lung tumor,
pleural effusion
Trachea shift towards affected side - ANSWER-atelectasis, lung collapse
Cheyne-Stokes respiration - ANSWER-pattern of breathing characterized by a
gradual increase of depth and sometimes rate to a maximum level, followed by a
decrease, resulting in apnea
Kussmaul respirations - ANSWER-Deep, rapid breathing; usually the result of an
accumulation of certain acids when insulin is not available in the body. Seen with
severe metabolic acidosis w/ renal failure.
Subcutaneous emphysema (crepitus) - ANSWER-A characteristic crackling
sensation felt on palpation of the skin, caused by the presence of air in soft
tissues.
Collapsed alveoli popping open during inspiration - ANSWER-indication of
atalectasis, pneumonia, or pulmonary edema associated with CHF. Treatment
, includes Incentive spirometry (IS), Diuretics, heart medications, and
supplemental oxygen.
Term Infants - ANSWER-37-42 weeks
Apgar scale - ANSWER-a standard measurement system that looks for a variety
of indications of good health in newborns 7-10 Good, 4-6 Fair, 0-3 Poor
Hemoglobin - ANSWER-Primary function is to carry oxygen to the lungs and body
tissue.
Normal urine output (Adults) - ANSWER-1-2 ml/kg/hr Equation is pt's weight in
lb's x's 2.2(kg) x's 1= ml per hour of urine output.
Major body electrolytes - ANSWER--Sodium
-Potassium
-Chloride
-Bicarbonate
imbalances in electrolytes result in weakness, fatigue, and malaise
Radiolucent - ANSWER-a substance that allows x-rays to pass through and
appears black or dark gray on the resulting film
Vascular markings - ANSWER-Moderately obscured branching pattern of white
markings shows lymphatics, vessels, lung tissue
Honeycombing - ANSWER-Small (6 to 10 mm) cystic spaces with thick (1 to 3
mm) walls. usually have shared walls . Usually in posterior subpleural regions.
End-stage pulmonary fibrosis: IPF (UIP). Chronic hypersensitivity pneumonitis.
Occasionally sarcoidosis.
Pneumonia CXR - ANSWER--Increased density
-Air bronchograms
-Pleural effusions
Pulmonary edema CXR - ANSWER-Butterfly formation on CXR
Indication of chest tube - ANSWER-Pneumothorax (most common)
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