d. Instruction on deep breathing and coughing techniques correct answersA patient with a history of chronic bronchitis is post-operative for an exploratory laparotomy. Review of the medical record suggests the physician has concern about difficulty clearing secretions after the procedure. To assist...
d. Instruction on deep breathing and coughing techniques correct answersA patient with a history of
chronic bronchitis is post-operative for an exploratory laparotomy. Review of the medical record suggests
the physician has concern about difficulty clearing secretions after the procedure. To assist the patient
with mobilization and removal of secretions, the respiratory therapist should recommend
a. MDI therapy with an anti-inflammatory corticosteroid
b. Administer tetracycline
c. Administer cromolyn sodium
d. Instruction on deep breathing and coughing techniques
a. Untreated pneumothorax correct answersWhich of the following conditions would be a
contraindication for IPPB?
a. Untreated pneumothorax
b. Pulmonary edema
c. A patient requiring bronchodilation AND lung expansion
d. Fractured ribs
b. The inner cannula is removed and the cuff deflated correct answersThe respiratory therapist has an
order to cap a patient with a fenestrated tracheostomy tube in preparation for speech therapy. Prior to
applying the cap on the end of the tube, the therapist should also ensure
a. The inner cannula is removed and the cuff inflated
b. The inner cannula is removed and the cuff deflated
c. The inner cannula is in place and the cuff deflated
d. The inner cannula is in placed and the cuff inflated
a. Size 7.0 mm ET tube with a large volume, low pressure cuff correct answersA 75-kg (165-lbs) male is in
acute ventilatory failure. In preparation for mechanical ventilatory support, the patient is to be orally
intubated. Which of the following artificial airways would be most appropriate for this patient?
a. Size 7.0 mm ET tube with a large volume, low pressure cuff
,b. Size 7.5 mm fenestrated tracheostomy tube
c. Size 8.0 mm ET tube with a small volume, high pressure cuff
d. Jackson tracheostomy tube
c. Body box correct answersWhich of the following devices is needed to determine a patient's airway
resistance?
a. Turbine pneumotachometer
b. Wheatstone bridge helium analyzer
c. Body box
d. Geissler tube nitrogen analyzer
d. Examine chest rise and auscultate breath sounds correct answersA patient is receiving manual
ventilatory support with a bag-valve connected to a size 8.0 mm ET tube. While transporting the patient
from CT scan back to the intensive care unit, the respiratory therapist notices oxygen saturation has
dropped to 88% and that the bag-valve is easier to squeeze than normal. Suspecting mal-positioning of
the ET tube, the respiratory therapist should first
a. Perform diagnostic chest percussion
b. Obtain an arterial blood gas
c. Call for a chest radiograph
d. Examine chest rise and auscultate breath sounds
d. Obtain a chest radiograph correct answersA 48-year-old patient has just been orally intubated prior to
being placed on volume-controlled ventilation. The respiratory therapist should do which of the
following to best confirm proper placement of the endotracheal tube?
a. Auscultate breath sounds
b. Assess chest rise symmetry
c. Examine tube markings near the lips
d. Obtain a chest radiograph
d. Return to full mechanical ventilation correct answersAfter 20 minutes into a spontaneous breathing
trial (SBT) a mechanically ventilated female patient becomes anxious. Her baseline heart rate has
increased by 20 /min. What should the respiratory therapist do?
,a. Calculate the RSBI
b. Increase the FiO2 and continue to monitor
c. Measure MIP
d. Return to full mechanical ventilation
b. Hemoglobin level correct answersWhat is needed to determine arterial oxygen content?
a. PvO2
b. Hemoglobin level
c. Oxygen index
d. P/F ratio
c. Elevated left ventricular filling pressure with low QT correct answersA patient presents to the
emergency room with fulminating pulmonary edema. Which of the following would be experienced with
this emergency?
a. Hypovolemia
b. A good response to supplemental O2
c. Elevated left ventricular filling pressure with low QT
d. CVP 10 torr and PAP 10 torr
d. Small pneumothorax correct answersWhich of the following conditions would benefit most from a
thoracentesis?
a. Pericardial contusion
b. Atelectasis
c. Complete opacification of the right lung
d. Small pneumothorax
a. Ventricular tachycardia with a pulse correct answersWhich of the following conditions would benefit
most from cardioversion?
a. Ventricular tachycardia with a pulse
b. Frequent PVCs
, c. Asystole
d. Ventricular fibrillation
d. PaCO2 from an arterial blood gas analysis correct answersWhich of the following is the best indicator
of the adequacy of alveolar ventilation?
a. Tidal volume
b. Color
c. Respiratory rate
d. PaCO2 from an arterial blood gas analysis
a. Diaper weight and blood draw volumes are recorded correct answersA 32-gestational week newborn
is receiving mechanical ventilation via a 3.0 mm endotracheal tube. Which of the following are
associated with ongoing assessment of renal function?
a. Diaper weight and blood draw volumes are recorded
b. mPAP
c. PCWP
d. Humidification is maintained at a non-invasive temperature
b. Exogenous surfactant correct answersA patient with ARDS and asthma could benefit from which of the
following medications?
a. Tobramycin and albuterol
b. Exogenous surfactant
c. Cromolyn sodium
d. Spiriva and Decadron
d. Breath sounds before and after every treatment correct answersThe respiratory therapist should look
to which of the following clinical data to determine the effectiveness of incentive spirometry?
a. Arterial blood gas analysis pre and post treatment
b. Inspiratory capacity predicted volume
c. Maximum voluntary ventilation done periodically
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