TMC Mock Board Questions , ANSWERS and Rationale
COMPREHENSIVE VERSION WITHTHE MOST RECENT AND
VERIFIED ANSWERS GUARANTEED PASS
Ensure that the manual resuscitator is connected to an oxygen source.
A RT is manually Ventilating a pt during a cardiopulmonary resuscitation attempt. An ABG is
drawn and the results are as follows
pH: 7.27
PaCO2: 38 mmHg
HCO3: 17 mEQ/L
PaO2: 44 mmHG
Based on this info, the RT should do which of the following?
- Ensure that the manual resuscitator is connected to an o2 source
- perform endotracheal intubation
- use both hands to compress the bag
- increase the ventilatory rate
begin manual ventilation
A 16 year old female has just been admitted to the ED following a bicycling accident. She is
receiving supplemental O2 via non-rebreathing mask. While standing at the bedside, the RT
notes the onset of ataxic breaething. Which of the following should the therapist do?
- begin manual ventilation
- intubate and initiate mechanical ventilation
- continue to monitor and observe
- perform arterial blood gas analysis
lowers the diaphragm and reduces the possibility of its puncture
While preparing a patient for a thoracentesis, the pt asks the RT why he must be sitting upright.
TheRT would explain to the patient that sitting upright:
- reduces the likelihood that the pt will experience discomfort
- makes it easier for the physician to aspirate fluid from the pleural space
- makes it more comfortable for the patient to breathe during the procedure
- lower the diaphragm adn reduces the possibility of its puncture
Increase the frequency of suctioning through the catheter
, A patient with chronic hypercapnia is receiving home oxygen therapy by transtracheal cather at
1 LPM. He calls the respiratory clinic and informs the RT that he has had increasing episodes of
rice sized mucus balls lodging in the catheter. Which of the following would NOT be appropriate
advice for the therapist to give the patient?
- increase the frequency of suctioning through the catheter
-call his physician to prescribe a mucoevacuent
- increase his intake of systemic fluids
- increase the frequency of cleaning the catheter
insert a smaller restrictive orifice in the device
A RT is asked to assess a COPD patient who is in a pulmonary rehabilitation program. During the
interview, the patient tells the therapist that he has been working with a resistive training
device for two weeks and taht he is able to tolerate the device for 15 minutes. What should the
therapist do?
- instruct the patient to exhale forecfully through the device
- instruct the patient to continue present therapy
- insert a smaller restrictive orifice in the device
- insert a larger restrictive orifice in the device
transtracheal oxygen catheter
A home care patient receiving continuous oxygen therapy via nasal cannula has become
increasingly noncompliant in her oxygen therapy and states she is concerned about appearance.
Which of the following would be most appropriate for the RT to suggest?
- discontinue oxygen therapy
- nasal catheter
- transtracheal oxygen catheter
- oxygen conserving cannula
apply firm pressure to the puncture site for at least 5-10 minutes
Immediately after assisting with a transtracheal aspiration, the respiratory therapist should:
- apply firm pressure to the puncture site for atleast 5-10 mins
- administer an anesthetic to the neck area
- instruct the patient to take slow deep breaths and cough
- nebulize 3cc of 1% methylene solution
proceed with chest tube placement
A RT is assisting the physician with needle aspiration to relieve a tension pneumothorax. The
procedure has been successful. Which of the following should be done next?
COMPREHENSIVE VERSION WITHTHE MOST RECENT AND
VERIFIED ANSWERS GUARANTEED PASS
Ensure that the manual resuscitator is connected to an oxygen source.
A RT is manually Ventilating a pt during a cardiopulmonary resuscitation attempt. An ABG is
drawn and the results are as follows
pH: 7.27
PaCO2: 38 mmHg
HCO3: 17 mEQ/L
PaO2: 44 mmHG
Based on this info, the RT should do which of the following?
- Ensure that the manual resuscitator is connected to an o2 source
- perform endotracheal intubation
- use both hands to compress the bag
- increase the ventilatory rate
begin manual ventilation
A 16 year old female has just been admitted to the ED following a bicycling accident. She is
receiving supplemental O2 via non-rebreathing mask. While standing at the bedside, the RT
notes the onset of ataxic breaething. Which of the following should the therapist do?
- begin manual ventilation
- intubate and initiate mechanical ventilation
- continue to monitor and observe
- perform arterial blood gas analysis
lowers the diaphragm and reduces the possibility of its puncture
While preparing a patient for a thoracentesis, the pt asks the RT why he must be sitting upright.
TheRT would explain to the patient that sitting upright:
- reduces the likelihood that the pt will experience discomfort
- makes it easier for the physician to aspirate fluid from the pleural space
- makes it more comfortable for the patient to breathe during the procedure
- lower the diaphragm adn reduces the possibility of its puncture
Increase the frequency of suctioning through the catheter
, A patient with chronic hypercapnia is receiving home oxygen therapy by transtracheal cather at
1 LPM. He calls the respiratory clinic and informs the RT that he has had increasing episodes of
rice sized mucus balls lodging in the catheter. Which of the following would NOT be appropriate
advice for the therapist to give the patient?
- increase the frequency of suctioning through the catheter
-call his physician to prescribe a mucoevacuent
- increase his intake of systemic fluids
- increase the frequency of cleaning the catheter
insert a smaller restrictive orifice in the device
A RT is asked to assess a COPD patient who is in a pulmonary rehabilitation program. During the
interview, the patient tells the therapist that he has been working with a resistive training
device for two weeks and taht he is able to tolerate the device for 15 minutes. What should the
therapist do?
- instruct the patient to exhale forecfully through the device
- instruct the patient to continue present therapy
- insert a smaller restrictive orifice in the device
- insert a larger restrictive orifice in the device
transtracheal oxygen catheter
A home care patient receiving continuous oxygen therapy via nasal cannula has become
increasingly noncompliant in her oxygen therapy and states she is concerned about appearance.
Which of the following would be most appropriate for the RT to suggest?
- discontinue oxygen therapy
- nasal catheter
- transtracheal oxygen catheter
- oxygen conserving cannula
apply firm pressure to the puncture site for at least 5-10 minutes
Immediately after assisting with a transtracheal aspiration, the respiratory therapist should:
- apply firm pressure to the puncture site for atleast 5-10 mins
- administer an anesthetic to the neck area
- instruct the patient to take slow deep breaths and cough
- nebulize 3cc of 1% methylene solution
proceed with chest tube placement
A RT is assisting the physician with needle aspiration to relieve a tension pneumothorax. The
procedure has been successful. Which of the following should be done next?
