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CRT/RRT Exam Review| Questions and 100% Complete Solutions (Verified Answers)
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CRT/RRT Exam Review| Questions and100% Complete Solutions (Verified
Answers)
Upon review of the patient record, the respiratory therapist notices that the chart indicates
that the patient has a code status of "Do Not Resuscitate." During a routine assessment, the
patient becomes apneic. Which of these should the respiratory therapist do? - ✔Report this
to the charge nurse as soon as possible.
A review of physician orders for a patient admitted to an acute care facility with an
exacerbation of chronic obstructive pulmonary disease (COPD) shows that the medications
responsibility to perform which of these actions? - ✔Contact the ordering physician to
verify orders.
Upon having difficulty getting a reading with the finger probe of a pulse oximeter, the
respiratory therapist decides to check the patient's peripheral circulation and capillary refill.
The nail bed on the right index finger, after a brief compression, becomes pink again after
one second. This is an indication of which of the following? - ✔normal peripheral circulation
and capillary refill
A 20-year old female patient is brought to the emergency department (ED) by paramedics after
suffering a brief loss of consciousness after a collision with another player on the basketball court.
Upon arrival, the patient's SpO2 is 98% on room air, her respiratory rate is 16, and her heart rate is
95. The venous blood draw shows that hemoglobin is 11.0 and hematocrit is 44. How do you report
these findings? - ✔Patient is saturating well on room air and has a normal heart rate and
respiratory. Hemoglobin is low at 11.0 , and hematocrit is within normal limits.
,The first patient we see today for an evaluation is a 45-year old female who started smoking
cigarettes at age 15. She reports that she smokes one and half packs a day and that she quit
for a year when she was pregnant with each or her two children. Her husband is also a smoker.
How do you report this smoking history in the patient chart? - ✔Patient is currently a daily
cigarette smoker, 1.5 packs per day, with a 42 pack-year history
When introducing herself to a patient for the first time, the respiratory therapist notices
that the patient is only able to respond to questions in two-or-three-word phrases, breaking
up longer responses to take breaths after every couple of words. What conclusions can the
respiratory therapist safely make from this speech pattern? - ✔The patient has a
decreased vital capacity, and there could be several different causes for this.
Auscultation of breath sounds during an examination of a 20-year-old male reveals high-pitched
wheezing throughout the lung field. The patient reports that he is slightly short of breath and
that the wheezing, though noticeable, bothers him very little. He notices that it usually happens
when he mows the lawn. Which of the following might we recommend to the physician? -
✔The patient's respiratory health is uncertain and would be better understood by performing
basic spirometry and a methacholine challenge test.
A 50-year old female patient presents with a three month history of cough productive of sputum
that is more acute in the morning upon waking. The sputum is moderate in consistency, pale yellow
in color, and varies from small to moderate in quantity. There is no fever or recent sick contacts.
Auscultation reveals scattered rhonchi bilaterally, mostly in the lower lobes. The patient has no
smoking history. What do you recommend? - ✔A more complete history including vocation,
exposure to environmental hazards, and family history is required. Also, PFTs are indicated for this
patient with a pre- and post-bronchodilator FEV1/FVC.
A patient presents to the ED of your hospital with productive cough, fever, and bilateral rhonchi
in the lower lobes. The CXR shows possible bilateral infiltrate, according to the radiologist. To
confirm a diagnosis of pneumonia, what level of white blood cells (WBCs)
would we expect to find per microliter (mcL)? - ✔12,000 to 14,000 WBCs/mcL
, While performing routine care on a patient with a tracheostomy, you notice that there are
traces of blood apparent on the dressing between the stoma and the flange of the tube. Which
of these is the correct course of action? - ✔Clean the area of the stoma with normal saline;
do a careful inspection of the condition of the stoma; replace the old dressing with a new,
clean dressing; carefully note your observation in the patient chart; and directly notify the unit
manager that the stoma needs the attention of the patient's physician or advanced practice
registered nurse (APRN) when one of them next does rounds.
A patient brought into ED by paramedics from a car accident is unconscious and appears to
have possibly suffered a chest wall injury. The physician orders an arterial blood gas (ABG)
analysis (on room air). The results come back as follows:
pH 7.41
PaCo2 58 mmHg
PaO2 84 mmHg
HCO3 24 mEq/L - ✔stat CXR and possible noninvasive positive pressure ventilation (NIPPV)
A patient in your care has appropriate tidal volumes; clear bilateral breath sounds throughout
his lung fields; normal CBC; no signs or symptoms of infection; and although he is on a venturi
mask delivering an FiO2 of 0.45, he has an SpO2 of 87%. The patient chart shows a history of a
clotting disorder, although he is not currently taking an anticoagulant. The patient's condition
is rapidly deteriorating. What test would you recommend be performed next? - ✔ventilation
perfusion (V/Q) scan
A patient in the telemetry unit sets off an alarm when her SpO2 drops below 90% - all the
way to 85%. The patient has a No. 6 Shiley tracheostomy tube in place; she has a disposable
inner cannula in place, and the cuff is deflated. Upon entering her room, what is the first
thing you must do? - ✔attempt to pass a suction catheter through the tracheostomy tube to
remove accumulated secretions and to ensure that the tube is patent.
Acute or chronic lung disease is best shown in which of the following arterial blood gas
(ABG) results (on 4/L/min 02 via nasal cannula)? - ✔pH 7.36 PO2 86 PCO2 52 HCO3 30
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