TMC PRACTICE EXAM 2 Questions And Correct
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What is normal urine output in an adult patient?
40 mL/hr
A spontaneous breathing term-71trial is initiated on an
intubated, awake, and alert 70 kg (154 lb) patient.
After 40 minutes on an FIO2 of 0.30, ABG results are as
follows:
pH 7.39
PaCO2 44 torr
PaO2 85 torr
HCO3- 24 mEq/L.
The patient's vital signs remained stable throughout the trial.
Which of the following is the most appropriate
recommendation?
Extubate
After assisting with bronchoalveolar lavage and lung biopsy
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on a mechanically ventilated patient, the respiratory therapist
, notes the activation of a high pressure alarm. Peak
inspiratory pressure has increased from 32 cm H2O before
the procedure to 45 cm H2O after the procedure. Possible
causes for the increased pressure include
1. bronchospasm.
2. pneumothorax.
3. pulmonary hemorrhage.
1, 2, and 3
A 48 year-old female is admitted to the ED with diaphoresis,
jugular venous distension, and 3+ pitting edema in the
ankles. These findings are consistent with
heart failure
A patient is admitted to the ED following a motor vehicle
accident. On physical exam, the respiratory therapist
discovers that breath sounds are absent in the left chest with
a hyperresonant percussion note. The trachea is shifted to
the right. The patient's heart rate is 45/min, respiratory rate is
30/min, and blood pressure is 60/40 mm Hg. What action
should the therapist recommend first?
Needle aspirate into the 2nd left intercostal space
All of the following strategies are likely to decrease the
likelihood of damage to the tracheal mucosa EXCEPT:
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, -maintaining cuff pressures between 20 and 25 mm Hg.
- using the minimal leak technique for inflation.
- using a low-residual-volume, low-compliance cuff.
- monitoring intracuff pressures.
using a low-residual-volume, low-compliance cuff.
A 52 year-old post-operative cholecystectomy patient's
breath sounds become more coarse upon completion of
postural drainage with percussion. The respiratory therapist
should recommend
deep breathing and coughing to clear secretions.
A 65 kg spinal cord injured patient develops atelectasis. His
inspiratory capacity is 30% of his predicted value. What
bronchial hygiene therapy would be most appropriate
initially?
IPPB
A healthy adult female can exhale what portion of her forced
vital capacity in the first second?
70%
A patient on VC ventilation demonstrates auto-PEEP on
ventilator graphics. Which of the following controls, when
adjusted independently, would increase expiratory time?
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, 1. Tidal volume
2. Respiratory Rate
3. Inspiratory flow
4. Sensitivity
1, 2, and 3
Which of the following would be the most appropriate
therapy for a dyspneic patient who has crepitus with tracheal
deviation to the left and absent breath sounds on the right?
insert a chest tube
Following cardiac surgery, a 55 year-old patient has the
following ABG results:
pH 7.50, PaCO2 30 torr, PaO2 62 torr, HCO3 25 mEq/L, SaO2
92%, HB 14 g/dL, BE +2.
Venous blood gas results are pH 7.39, PvCO2 43 torr, PvO2
37 torr, and SvO2 66%.
Calculate the patient's C(a-v)O2.
5.0%
A patient on VC, SIMV with a VT of 500 mL has a PIP of 25 cm
H2O, Pplat of 15 cm H2O and PEEP of 5 cm H2O. What is the
patient's static lung compliance?
VT/Plat-PEEP
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