Lindsey Jones Practice Exam QUESTIONS, ANSWERS and
Rationale COMPREHENSIVE VERSION WITHTHE MOST RECENT
AND VERIFIED ANSWERS GUARANTEED PASS
1. A patient has undergone overnight oximetry. Data shows several episodes of O2 desaturation
throughout the night. The RTT would expect orders for which of the following kinds of testing:
a. V/Q scan
b. pulmonary function testing
c. polysomnography
d. 24-hour Holter monitoring
C
CORRECT ANS: C
The use of overnight oximetery is often used to detect O2 desaturation during the night that
may be associated with central or obstructive sleep apnea. Because data indicates some
periodic desaturation, the practitioner should suspect possible sleep apnea and should order
diagnostic testing that will confirm or rule out the suspicion.
A routine screening blood gas performed on an asymptomatic patient prior to surgery shows
the following:
pH: 7.38
PaCO2: 42
PaO2: 80
HCO3: 26
,SaO2: 96%
COHb: 24%
What should the RRT do?
a. place the patient on a NRB mask
b. report the findings and emphasize that the patient is likely a smoker
c. evaluate saturation using a single wave-length spectrophotometer
d. run quality control material and evaluate the accuracy of the co-oximeter
D
CORRECT ANS: D
In this case the patient is presented as asyptomatic. A patient with a COHb level of 24% would
feel dyspnea and present with tachypnea. Therefore, the RRT should evaluate the accuracy of
the lab results, specifically the COHb. When checking accuracy of lab results, one would use
quality control measures.
The infection control department of a small hospital informs the RRT supervisor that the
biological control accompanying some durable autoclaved equipment shows viable spores. The
supervisor should do which of the following with the equipment:
a. incinerate
b. record date and place into service
c. wipe with isopropyl alcohol before use
d. resterilize
D
,CORRECT ANS: D
The presence of viable spores indicates the possibility of living organisms developing in the
sterilized package or on the sterilized equipment. Sterilization suggest the absence of living
organisms, therefore the presence of viable spores indicates the need to resterilize.
A post-op patient is not progressing with sustained maximal inspiratory therapy and refuses to
cough because of pain along the incision site. The RRT should instruct the patient to:
a. pause at the top of each inspiration
b. press a pillow against the incision site when coughing
c. attempt coughing 1 hour after pain medication has been administered
d. avoid coughing until the pain subsides
B
CORRECT ANS: B
Explosive coughing by a post-op patient can inadvertently open incision sites. To prevent this,
splinting the site with a pillow is an appropriate option.
Several hours after oral endotracheal extubation of an 8.0-mm tube, and adult patient begins to
demonstrate inspiratory stridor. Which of the following would be most helpful to the patient:
a. racemic epinephrine
b. albuterol
c. atropine sulfate
, d. heated aerosol by mask
A
CORRECT ANS: A
When a patient is extubated and has swelling of the upper airway tissues as demonstrated by
stridor, racemic epinephrine is an appropriate medication to reduce swelling quickly. Another,
less effective option, is to provide a cool mist. In extreme cases, such as marked stridor,
reintubation, or an emergency tracheotomy may be indicated.
An adult patient is receiving mechanical ventilatory support and is being suctioned through the
endotracheal tube at a pressure of -90 mmHg. Secretions have been difficult to remove. What
can be done FIRST to increase suctioning efficiency:
a. increase suction time
b. decrease suction to 80 mmHg
c. increase suction pressure to 100 mmHg
d. increase suction catheter size
C
CORRECT ANS: C
An increase in suctioning effectiveness is done through three different ways - increasing suction
catheter diameter, increasing suction pressure, and increasing suction time. Before increasing
catheter size, the first thing that should be done is to ensure the appropriate range of suction
pressure is being used. In this case, the appropriate suction pressure for an adult is 100-120
mmHg. A pressure of 90 mmHg is being used, which is insufficient suction pressure. This should
be corrected before doing anything else to increase suction effectiveness.
Rationale COMPREHENSIVE VERSION WITHTHE MOST RECENT
AND VERIFIED ANSWERS GUARANTEED PASS
1. A patient has undergone overnight oximetry. Data shows several episodes of O2 desaturation
throughout the night. The RTT would expect orders for which of the following kinds of testing:
a. V/Q scan
b. pulmonary function testing
c. polysomnography
d. 24-hour Holter monitoring
C
CORRECT ANS: C
The use of overnight oximetery is often used to detect O2 desaturation during the night that
may be associated with central or obstructive sleep apnea. Because data indicates some
periodic desaturation, the practitioner should suspect possible sleep apnea and should order
diagnostic testing that will confirm or rule out the suspicion.
A routine screening blood gas performed on an asymptomatic patient prior to surgery shows
the following:
pH: 7.38
PaCO2: 42
PaO2: 80
HCO3: 26
,SaO2: 96%
COHb: 24%
What should the RRT do?
a. place the patient on a NRB mask
b. report the findings and emphasize that the patient is likely a smoker
c. evaluate saturation using a single wave-length spectrophotometer
d. run quality control material and evaluate the accuracy of the co-oximeter
D
CORRECT ANS: D
In this case the patient is presented as asyptomatic. A patient with a COHb level of 24% would
feel dyspnea and present with tachypnea. Therefore, the RRT should evaluate the accuracy of
the lab results, specifically the COHb. When checking accuracy of lab results, one would use
quality control measures.
The infection control department of a small hospital informs the RRT supervisor that the
biological control accompanying some durable autoclaved equipment shows viable spores. The
supervisor should do which of the following with the equipment:
a. incinerate
b. record date and place into service
c. wipe with isopropyl alcohol before use
d. resterilize
D
,CORRECT ANS: D
The presence of viable spores indicates the possibility of living organisms developing in the
sterilized package or on the sterilized equipment. Sterilization suggest the absence of living
organisms, therefore the presence of viable spores indicates the need to resterilize.
A post-op patient is not progressing with sustained maximal inspiratory therapy and refuses to
cough because of pain along the incision site. The RRT should instruct the patient to:
a. pause at the top of each inspiration
b. press a pillow against the incision site when coughing
c. attempt coughing 1 hour after pain medication has been administered
d. avoid coughing until the pain subsides
B
CORRECT ANS: B
Explosive coughing by a post-op patient can inadvertently open incision sites. To prevent this,
splinting the site with a pillow is an appropriate option.
Several hours after oral endotracheal extubation of an 8.0-mm tube, and adult patient begins to
demonstrate inspiratory stridor. Which of the following would be most helpful to the patient:
a. racemic epinephrine
b. albuterol
c. atropine sulfate
, d. heated aerosol by mask
A
CORRECT ANS: A
When a patient is extubated and has swelling of the upper airway tissues as demonstrated by
stridor, racemic epinephrine is an appropriate medication to reduce swelling quickly. Another,
less effective option, is to provide a cool mist. In extreme cases, such as marked stridor,
reintubation, or an emergency tracheotomy may be indicated.
An adult patient is receiving mechanical ventilatory support and is being suctioned through the
endotracheal tube at a pressure of -90 mmHg. Secretions have been difficult to remove. What
can be done FIRST to increase suctioning efficiency:
a. increase suction time
b. decrease suction to 80 mmHg
c. increase suction pressure to 100 mmHg
d. increase suction catheter size
C
CORRECT ANS: C
An increase in suctioning effectiveness is done through three different ways - increasing suction
catheter diameter, increasing suction pressure, and increasing suction time. Before increasing
catheter size, the first thing that should be done is to ensure the appropriate range of suction
pressure is being used. In this case, the appropriate suction pressure for an adult is 100-120
mmHg. A pressure of 90 mmHg is being used, which is insufficient suction pressure. This should
be corrected before doing anything else to increase suction effectiveness.
