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Kettering TMC Exam B - Review WITH 100- SURE ANSWERS
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EUNICEKettering TMC Exam B – Review WITH 100% SURE
ANSWERS
Terms in this set (72)
Which of the following would be most important to evaluate for a patient who is
entering a smoking cessation program?
A.Height
B.Smoking history
B.Smoking history
C.Weight
D.Diet
After a patient undergoes a thoracentesis, the respiratory therapist notes that the
obtained pleural fluid is clear with a slight straw color. This fluid is most likely the
result of:
B.congestive heart failure. A.empyema.
B.congestive heart failure.
C.lung carcinoma.
D.hemothorax.
The respiratory therapist calibrates a spirometer and checks the volume with a 3.0
liter super syringe. The volumes recorded are: 2.85 L, 2.8 L, and 2.8 L. Based upon the
information obtained which of the following is a correct statement?
D.Spirometer may have a leak A.Another syringe needs to be used
B.Spirometer is accurate
C.The plunger was advanced too slowly
D.Spirometer may have a leak
Which of the following is an indication for high frequency jet ventilation?
A.Bronchopleural fistula
A.Bronchopleural fistula B.Wilson Mikity syndrome
C.Necrotizing lesion of right lung
D.Centrilobular emphysema
A 43-year-old female patient undergoes a total abdominal hysterectomy. The patient
arrives in the Post Anesthesia Care Unit obtunded with minimal response to painful
stimulus. What treatment should the respiratory therapist recommend for this
B.Insert oropharyngeal airway (to maintain patient?
patent airway) A. Initiate assisted ventilation
B. Insert oropharyngeal airway
C. Obtain positron emission tomography
D. Initiate noninvasive capnography
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, A 44-week gestational age infant is delivered via C-section and is gasping, grunting,
and has tachycardia and tachypnea. At one minute his Apgar score is 4 and at 5
minutes the score is 5. The infant is most likely suffering from
B.meconium aspiration. (these are all signs
A.transient tachypnea of the newborn.
seen with meconium aspiration)
B.meconium aspiration.
C.bronchopulmonary dysplasia.
D.apnea of prematurity.
What is the normal VD/VT ratio for a patient breathing room air?
A.5 - 15%
B.20 - 40% B.20 - 40%
C.45 - 55%
D.65 - 75%
A heat moisture exchanger is indicated for humidification in which of the following
situations?
A.Mechanical ventilation in a long-term care facility.
B.Transport to a tertiary care center.
B.Transport to a tertiary care center.
C.Patient with tenacious secretions.
D.Delivery of aerosolized bronchodilators.
All of the following could cause a patient's right-hemidiaphragm to be elevated,
EXCEPT
B.right side hyperlucency, absent vascular A.right lower lobe atelectasis.
markings. B.right side hyperlucency, absent vascular markings.
C.hepatomegaly.
D.right lower lobe consolidation with air bronchograms.
A 64-year-old, 70 kg (154 lb) man with severe COPD receives independent
(differential) lung ventilation following thoracotomy and right lower lobectomy.
Which of the following setting combinations would be most appropriate for this
patient?
B.Right lung 150 mL; left lung 350 mL
A.Right lung 50 mL; left lung 450 mL
B.Right lung 150 mL; left lung 350 mL
C.Right lung 250 mL; left lung 250 mL
D.Right lung 350 mL; left lung 150 mL
A patient in the intensive care unit has the following hemodynamic
measurements:CVP (mm Hg)5, PAP (mm Hg)29/8, PCWP (mm Hg)8, BP (mm
Hg)130/70, Cardiac output (L/min)5.1, Cardiac index (L/min/m2) 2.7
C.60 mm Hg (Pulse Pressure: 130-70= 60 What is the pulse pressure?
mm Hg) A.15 mm Hg
B.21 mm Hg
C.60 mm Hg
D.90 mm Hg
A 2-year-old child with croup has been intubated for 4 days with a 4 mm ID uncuffed
endotracheal tube. Heated aerosol at an FIO2 of 0.30 has been delivered to the
patient. The physician asks the respiratory therapist to evaluate the patient for
possible extubation. Which of the following would most likely indicate that the
D.Breath sounds are heard around the tube
patient is ready for extubation?
on auscultation.
A. The patient is making normal quiet ventilatory efforts.
B. A negative sputum culture and sensitivity has been reported.
C. The patient's ABG are within normal range.
D. Breath sounds are heard around the tube on auscultation.
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