respiratory therapy exam a v1 quizlet
A. Recheck and clean the site Oxygen and Atropine are the initial drugs of choice for the treatment of Sinus Bradycardia. A. D. Nebulization, 68. pneumothorax. Of the two, CT pulmonary angiography (CTPA) is the most accurate modality Study with Quizlet and memorize flashcards containing terms like When did the designation "respiratory therapist" become standard?, The majority of respiratory care education programs in the United States offer what degree?, Which of the following are predicted to be a growing trend in respiratory care for the future? B. Gastric insufflation Acute asthma C. Gullian-Barre syndrome D. Obstructive sleep apnea, 29. Face tent According to the AARC, what are the seven major competencies required for Rts by the year 2015? This application should include all necessary documentation to support your eligibility as well as the $190 examination fee. PaO2 107 torr. D. The capnograrri indicates hypoventilation, 15. While using an ICU ventilator with its optional air compressor running, you note that the low air pressure alarm suddenly sounds. The cuff pilot balloon and line is obstructed of the following is the most likely cause of the discrepancy between set and analyzed FIO2? You are called to assess an intubated COPD patient who is receiving humidified O2 via T-tube and A. D. Acute bronchospasm, 62. C. increased compliance Start Test . The decrease in lung volumes and compliance increases the patient's spontaneous work D. Fully occlude the ET tube while you quickly pull it out, 53. the following additional tests would you recommend to determine the cause of the effusion? A prescription for an aerosolized drug for a patient under your care is missing the actual prescribed Which of the following is the most likely problem? We are trying to improve your lung volume C. Airway resistance D. Add 10 cm H20 PEEP, 12. This cooling lowers the This is the case when malignant cells, D. They should only be used by trained personnel, 50. Mosbys Respiratory Care Equipment. pulmonary emboli? General Feedback: To verify a good pulse oximeter signal, you can (a) observe the displayed waveform The examinations for the RRT credential objectively and uniformly measure essential knowledge, skills and abilities required of advanced respiratory therapists. displays numeric data. B. Click Start Test below to take a free TMC practice exam! I. an increase in respiratory rates of 20/min II. Mr. Rench, a National Merit Scholar, graduated magna cum laude with a Bachelor of Science in Mechanical Engineering and a minor in mathematics from Texas A&M University. *C. atelectasis A. Straight with the torso, with the neck hyperextended On reviewing the results of the attending physician's physical examination of a patient's chest, you note C. a combined disease process performed on a patient in the supine position (normal position for CT angiography), the arteries will be, A. increased lung volumes The normal apical impulse (PMI) usually is identified where? Therefore, the blood gas is a partially compensated metabolic acidosis. *C. rebreathing C. 2 and 4 only A pulse oximeter reveals an Sp02 of 99%. Which *D. end of a normal resting exhalation, General Feedback: The validity of FRC measurement via either helium dilution or nitrogen depends on To verify that you are getting a good reading, you would: To measure the amount of auto-PEEP present in a patient receiving ventilatory support, you would: The recommended range for tracheal tube cuff pressures is: To assess gas exchange at the tissues you would sample blood from which of the following? The vertical (y) axis is PCO2 level, with 38-42 representing + 2 standard deviations. A patient is intubated with an appropriate size endotracheal tube and is being ventilated with a positive pressure ventilator. D. TLC, 22. The ratio of success is considered, The symptoms in options a, b, and c are the most frequently seen in this scenario as well as drooling, sitting forward, sweating. B. A patient rescued from a house fire is being monitored in the intensive care unit Due to suspected CO poisoning, the patient is on a nonrebreathing mask at 12 L/min. Each question on the exam will be further categorized into one of three levels of complexity: Here is each section of the exam in more detail: The questions in this section test your ability to do the following: Get practice questions, video tutorials, and detailed study lessons. An arterial blood sample is obtained and sent to the laboratory for gas analysis and hemoximetry (CO-oximetry). 3-4% or more The pressure manometer is out of calibration results are repeatable. Expiratory time would be considered abnormally long when, A. If your FiO2 is over 60% and your PEEP is over 5, lower the PEEP first. Which of No Yes Yes 7th ed., Mosby, 2019. B. Trauma, Obesity, Near Drowning, and Burns, Quality, Patient Safety, Communication, and Recordkeeping, Delivering Evidence-Based Respiratory Care, Intermittent Positive Pressure Breathing (IPPB), Ventilation vs Oxygenation vs Respiration, Mechanical Ventilation Practice Questions, Respiratory Multiple Choice Review Questions, Sample Practice Questions (with Rationales). The greater this volume loss to the, A. decrease water vapor condensation C. 5-6% or more You note an SpO2 of 100% and measure an FIO2 of 0 at the T-tube. The equipment needed is the same as for endotracheal intubation The lab results are as follows: Blood Gas Analysis pH 7.26, PaCO2 34 mm Hg, Pa02 350 mm Hg, HCO3 10 mEq/L, Sa02 100%, BE13 mEq/L, Hemoximetry Hb02% 79% COH1D% 19%, MetH1D% 2%. Which of the following is false regarding switching from an esophageal-tracheal Combitube (ETC) to an oral endotracheal tube? Any of these symptoms can cause severe problems and potentially death. The radial artery is the most superficial artery available C. 7.9 L/min D. consolidation, General Feedback: A patient with a hyperresonant percussion note on chest examination most likely has a B. Hemorrhage resistance? You cannot leave the webcams view during your exam, use other monitors, or talk to anyone. A COPD patient is receiving sustained-release theophylline Adverse effects of this therapy that you should be on guard for include all of the following EXCEPT: profound hypoxemia. C. They all consist of a flange, body and channel(s) The V/Q scan is considered the second-best option. *C. inside diameter (ID) need of ventilatory support? "COVID-19 affects the lung interstitium," Cahill said. A. Tracheomalacia study. You can also increase PEEP level to match Auto-PEEP if other measures do not resolve the issues. properly evaluate the cardiopulmonary status of this patient you should perform which of the following leakage of subglottic secretions past the cuff (increasing the incidence of VAP), contribute to air leak, and concentrator 0 cm H2O Which of the following conditions is most consistent with C. An ultrasonic nebulizer Respiratory Therapist Practice Exam - 2023 Current with Fully Explained C. dyspnea Right heart failure causes venous, A. asthma D. increase the total output flow, General Feedback: Significant water accumulation in a low-lying loop of a nebulizer's delivery tube will However, Provide 100% oxygen for 1-2 minute before extubation 1. suction the pharynx 2. preoxygenate the patient 3. confirm cuff inflation 4. suction the ET tube condensation partially blocking the delivery tubing. A. Water and Hydrogen Peroxide can be used to soak the inner cannula of a Trach to loosen dried and tenacious secretions and then cleanse it with a brush, but it does not disinfect the equipment. This approach helps ensure we are assessing the most current and in-demand clinical skill sets for excellence in respiratory care. saturations and is contraindicated to assess patients with suspected smoke inhalation. *C. be clearly opacified with smooth walls D. Artificial airway obstruction, 61. If the patient were in difficulty, it would be more important to check the Oximetry first. A. measure pressure during an end-inspiratory pause A. Yes No Yes B. Hypercapnia (impaired CO2 removal) Which of the following of the following inspiratory/expiratory ratios would indicate an abnormally B. ask your medical director to rewrite the prescription The TMC exam sections below are based on actual exam sections: Patient Data, Trouble Shooting, Quality Control of Devices, Infection Control and Initiation and Modification of Interventions. The case worker is responsible for ensuring the patient has what they need when they go home to ensure proper care is continued. a portable liquid system or a portable concentrator. A. D. 1 and 2 only, 17. 1.diagnostics 2.chronic disease state management 3.evidence-based medicine and respiratory care protocols 4.patient assessment 5.leadership 6.emergency and critical care 7.therapeutics This is causing the metabolic acidosis. Free NBRC TMC Exam Practice Question 1 A. FRC Which of the following parameters is affected when the air-mix control is changed to 100% oxygen on a pneumatically-powered IPPB device? Late inspiratory crackles are thought to be caused by sudden opening of collapsed actual rate being about 76/min. A. Bronchiectasis Patient B to respiratory failure. Increasing the amount of tubing between the "wye" connector of a dual limb ventilator breathing B. 1 and 3 only A. If the FiO2 is already 60% or over, then gradually increase the PEEP. tracheostomy site, neck, and chest. B. Version 1, A. use the standard dosage listed in the package insert You would recommend: A patient receiving volume control SIMV develops subcutaneous emphysema around the C. 15 L/min *B. CO-oximetry For the body as a whole, we need to wait until after all the blood from all the capillary beds, A. end of a maximum exhalation In addition, it is critical that the, General Feedback: The systemic arterial pressure provides information valuable in assessing left C. 1 and 4 only A. B. Standardized TMC-Like Exam and peripheral nerves, causing acute muscle weakness and diminished reflexes. C. 80-90% D. measure expiratory flow before and after bronchodilator, General Feedback: One can quantify the amount of auto-PEEP present by measuring the airway pressure, A. (100+ videos). D. agitation/pain. amount? A patient has a pH of 7.58 and a PaCO2 of 25 torr. 4.6 L/min Which of the following is the first procedure you should perform to maintain an open airway in this patient? You will then be asked to store all personal items in a secure locker. Oropharyngeal and nasopharyngeal airways helps restore airway patency by: Respiratory therapy exam 1 Flashcards | Quizlet Which of the following specialized imaging tests would be most useful in confirming a diagnosis a D. Control media verification, 73. B. a restrictive disorder of the lungs