Kettering CSE Practice Exam | Most Recent Exam
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You are the respiratory therapist working in a 600-bed
urban medical center and your assignment includes
providing care to patients on the general medical floor. You
are asked to assist in the care of a recently admitted 32-
year-old male patient who is 180 cm (5'11") tall and weighs
53 kg (117 lb). The patient is pale and complains of
persistent cough and fever for over a week. The hospitalist
asks you to evaluate the patient and report your findings.
You arrive in the patient's room, introduce yourself, and
explain the purpose of your visit. Which of the following
should you include in your assessment? - Answers-Vital
Signs/ Pulse oximetry/ Breath sounds/ Respiratory pattern/
General appearance/ Past medical history/ Diagnostic
chest percussion/ History of present illness
You report your findings to the hospitalist, who asks for
your recommendation. Based on your assessment, which
of the following would you recommend? - Answers-
Administer oxygen by nasal cannula at 5 L/min
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The hospitalist asks what additional testing may be
indicated. You should recommend - Answers-Arterial blood
gas/ Complete blood count/ chest radiograph/ 12-lead
ECG/ Sputum culture/ Sputum acid-fast stain/ drug
toxicology/ serum electrolytes/ urinalysis/
An ELISA test confirms a diagnosis of HIV and a sputum
acid fast stain is negative. Sputum culture confirms the
presence of Pneumocystis jiroveci. What additional
therapy would you recommend at this time? - Answers-
Pentamidine
Four hours later, arterial blood gas analysis on 40%
oxygen reveals: pH 7.20, PaCO2 60 torr, PaO2 64 torr,
HCO3- 24 mEq/L, BE Zero, SaO2 (calc) 91%. Breath
sounds are diminished with bilateral wheezing. Which of
the following would you recommend? - Answers-Initiate
mechanical ventilation
The physician asks you to recommend initial ventilator
settings. Which of the following would you suggest? -
Answers-VC/SIMV, VT 450 mL, f 12/min, FIO2 0.50, PEEP
3 cm H2O
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You are the respiratory therapist working at a 330-bed
suburban medical center. You are called to Labor and
Delivery to assist in the care of a 1500 g (3.3 lb) female
neonate born at 30 weeks of gestation.The neonate has
been dried and placed on a radiant warmer. Her heart rate
is 120/min, respiratory rate is 45/min, there is no activity or
response to suctioning, and she is cyanotic. You should
now - Answers-Administer oxygen
Two hours later you are called to the NICU to evaluate the
neonate. She is currently receiving 50% oxygen via
oxyhood. Vital signs are: temperature 36.3° C (97.3° F),
pulse 166/min, respirations 40/min, BP 75/59 mm Hg,
SpO2 81%. Auscultation reveals diminished breath
sounds. Umbilical artery blood gas results are: pH 7.32,
PaCO2 45 torr, PaO2 49 torr, HCO3- 23 mEq/L, BE -1,
SaO2 (calc) 79%. Which of the following should you now
recommend to the neonatologist? - Answers-Initiate nasal
CPAP
An A-P chest radiograph reveals a ground glass
appearance with diffuse bilateral radiopacities. Which of
the following would you recommend at this time? -
Answers-Surfactant replacement therapy
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Four hours later, you are asked to reassess the neonate.
She is currently receiving 4 cm H2O CPAP therapy via
nasal prongs with 50% oxygen, Umbilical artery blood gas
results are: pH 7.19, PaCO2 57 torr, PaO2 41 torr, HCO3-
22 mEq/L, BE -2, SaO2 (calc) 73%. You should now
recommend - Answers-Initiate mechanical ventilation
The neonatologist asks for your recommendation for initial
ventilator settings. You should now recommend - Answers-
PC/SIMV, PIP 27 cm H2O, rate 29/min, FIO2 0.50, PEEP
4 cm H2O
You are the respiratory therapist working at a 350-bed
suburban hospital. You receive a call from the Emergency
Department to assist in the care of a 53 year-old female
patient who drove herself to the ED after completing a
high intensity exercise class. The patient presents with
shortness of breath, nausea, lightheadedness and an
uncomfortable fullness in the center of her chest. She is
163 cm (5' 4") tall and weighs 70 kg (154 lb). The ED
physician asks you to evaluate the patient and report your
findings. - Answers-Level of consciousness/ Vital signs/
Electrolytes/ Pulse oximetry/ General appearance/ ECG