KETTERING TMC PRACTICE QUESTIONS AND CORRECT VERIFIED ANSWERS

KETTERING TMC PRACTICE QUESTIONS
AND CORRECT VERIFIED ANSWERS
FineA2crepitantA2cracklesA2areA2mostA2commonlyA2associatedA2withA2whichA2ofA2theA2follo
wingA2conditions?

a.A2bronchiectasis
b.A2congestiveA2heartA2failure
c.A2pneumonia
d.A2croupA2-A2Ans--b.A2congestiveA2heartA2failure

AA2patientA2isA2foundA2inA2fullA2cardiopulmonaryA2arrest.A2CPRA2isA2startedA2andA2theA2pat
ientA2isA2orallyA2intubatedA2withA2anA2EtCO2A2monitorA2attached.A2WhichA2ofA2theA2followi
ngA2EtCO2A2patternsA2wouldA2theA2respiratoryA2therapistA2expectA2toA2observeA2onA2theA2
monitor?

a.A2InitiallyA2high,A2thenA2falling
b.A2InitiallyA2low,A2thenA2rising
c.A2InitiallyA2high,A2staysA2high
d.A2InitiallyA2low,A2staysA2lowA2-A2Ans--b.A2InitiallyA2low,A2thenA2rising

TheA2bloodA2pressureA2obtainedA2fromA2theA2arterialA2lineA2isA2higherA2thanA2theA2bloodA2
pressureA2obtainedA2fromA2aA2sphygmomanometer.A2BasedA2uponA2thisA2information,A2th
eA2respiratoryA2therapistA2shouldA2concludeA2that

a.A2non-compliantA2tubingA2isA2beingA2used
b.A2theA2transducerA2isA2placedA2tooA2low.
c.A2theA2patientA2wasA2lyingA2flatA2duringA2theA2measurementA2ofA2theA2arterialA2lineA2pres
sure
d.A2theA2transducerA2domeA2containedA2airA2bubblesA2-A2Ans--
b.A2theA2transducerA2isA2placedA2tooA2low

AA22A2yearA2oldA2childA2entersA2theA2emergencyA2room.A2TheA2motherA2statesA2thatA2theA2
childA2wasA2playingA2withA2friendsA2andA2developedA2violentA2coughingA2andA2unilateralA2
wheezing.A2PhysicalA2examinationA2revealsA2aA2hyperresonantA2percussionA2noteA2onA2th
eA2leftA2andA2resonantA2percussionA2noteA2onA2theA2right.A2InspiratoryA2andA2expiratoryA2c
hestA2filmsA2indicateA2airA2trappingA2withA2noA2foreignA2bodiesA2noted.A2TheA2respiratoryA2
therapistA2shouldA2suspectA2thatA2theA2childA2has

a.A2aA2pneumothorax
b.A2orthopnea
c.A2aspiratedA2aA2foreignA2object
d.A2tachyphylaxisA2-A2Ans--c.A2aspiratedA2aA2foreignA2object

,AA2patientA2isA2admittedA2toA2theA2ICUA2complainingA2ofA2nauseaA2andA2chestA2pain.A2AA2
nasogastricA2tubeA2hasA2beenA2insertedA2toA2helpA2relieveA2theA2nausea.A2TheA2patientA2
wasA2startedA2onA2lasixA2andA2nitroglycerin.A2WhichA2ofA2theA2followingA2shouldA2theA2res
piratoryA2therapistA2monitorA2closelyA2toA2identifyA2sideA2effectsA2atA2thisA2time?

a.A2CardiacA2enzymes
b.A2SerumA2electrolytes
c.A2ArterialA2bloodA2gases
d.A2DigitalisA2levelsA2-A2Ans--b.A2SerumA2electrolytes

WhileA2reviewingA2aA2patient'sA2medicalA2record,A2theA2respiratoryA2therapistA2notesA2that
A2theA2patientA2hasA2aA2HbA2levelA2ofA26gA2andA2aA2SpO2A2ofA294%.A2TheA2patientA2isA2rec
eivingA2oxygenA2byA2simpleA2maskA2andA2isA2complainingA2ofA2shortnessA2ofA2breath.A2Th
eA2respiratoryA2therapistA2wouldA2concludeA2thatA2theA2patientA2has

a.A2hemophilia
b.A2hypernatremia
c.A2anemia
d.A2hypokalemiaA2-A2Ans--c.A2anemia

WhichA2ofA2theA2followingA2willA2determineA2theA2aorticA2pulseA2pressure?

a.A2systolicA2+A2diastolicA2+A2diastolicA2/A23
b.A2diastolicA2+A2pulseA2pressureA2/A23
c.A2systolicA2pressureA2-A2diastolicA2pressure
d.A2strokeA2volumeA2xA2heartA2rateA2xA210A2-A2Ans--c.A2systolicA2pressureA2-
A2diastolicA2pressure


AA2maleA2infantA2bornA2atA236A2weeksA2gestationA2wasA2deliveredA2byA2CesareanA2sectio
n.A2TheA2newbornA2isA2exhibitingA2signsA2ofA2respiratoryA2distressA2includingA2nasalA2flari
ngA2andA2mildA2retractions.A2PhysicalA2examinationA2revealsA2HRA2160/min,A2RRA252/
min,A2BPA260/40A2mmHg.A2TheA2chestA2radiographA2indicatesA2someA2scatteredA2densitie
s.A2TheA2respiratoryA2therapistA2shouldA2recommend

a.A2nasalA2CPAPA2atA25cmH2O
b.A2BiPAPA2ventilation
c.A240%A2oxygenA2viaA2hood
d.A2arterialA2bloodA2gasesA2-A2Ans--d.A2arterialA2bloodA2gases

AA2patientA2inA2theA2intensiveA2careA2unitA2hasA2theA2followingA2hemodynamicA2measure
ments:

CVPA26A2mmHg
MeanA2PAPA213A2mmHg
PCWPA27A2mmHg
MAPA286A2mmHg

,CardiacA2outputA24.0L/min
CardiacA2indexA22.1L/min2

WhatA2isA2theA2systemicA2vascularA2resistance?

a.A2800A2dynes/s/cm5
b.A21300A2dynes/s/cm5
c.A21600A2dynes/s/cm5
d.A22400A2dynes/s/cm5A2-A2Ans--c.A21600A2dynes/s/cm5`
(MAPA2-A2CVP)A2/A2COA2XA280

TheA2chestA2X-rayA2showA2increasedA2retro-
sternalA2air,A2flatA2hemidiaphragm,A2decreasedA2movement,A2andA2noA2vascularA2marking
sA2onA2theA2rightA2side.A2TheseA2signsA2wouldA2beA2mostA2likelyA2associatedA2with:

a.A2pneumothorax
b.A2pleauralA2effusion
c.A2pneumonia
d.A2flailA2chestA2-A2Ans--a.A2pneumothorax

AA232-
weekA2gestationalA2ageA2infantA2isA2receivingA2mechanicalA2ventilationA2forA2hyalineA2me
mbraneA2disease.A2TheA2patientA2requiredA2aA2chestA2tubeA2forA2aA2persistentA2pneumoth
orax.A2TwoA2daysA2laterA2theA2chestA2radiographA2revealsA2bilateralA2radiolucency,A2midli
neA2mediastinum,A2andA2theA2rightA2hemidiaphragmA2slightlyA2elevated.A2ThisA2wouldA2in
dicate

a.A2atelectasis
b.A2bronchopulmonaryA2dysplasia
c.A2fluidA2overload
d.A2resolutionA2ofA2aA2pneumothoraxA2-A2Ans--d.A2resolutionA2ofA2aA2pneumothorax

WhatA2isA2theA2normalA2rangeA2forA2theA2pulmonaryA2arteryA2systolicA2pressureA2inA2anA2a
dult?

a.A22-6A2mmA2Hg
b.A24-12A2mmA2Hg
c.A29-18A2mmA2Hg
d.A221-28A2mmA2HgA2-A2Ans--d.A221-28A2mmA2Hg

AA24-year-
oldA2childA2hasA2beenA2broughtA2toA2theA2emergencyA2roomA2withA2anA2acuteA2infection,A2
highA2fever,A2markedA2stridorA2andA2drooling.A2WhichA2ofA2theA2followingA2shouldA2theA2th
erapistA2recommendA2atA2thisA2time?

a.A2ArterialA2bloodA2gas

, b.A2OralA2intubation
c.A2LateralA2neckA2X-ray
d.A240%A2oxygenA2viaA2coolA2mistA2tentA2-A2Ans--b.A2OralA2intubation

WhileA2assistingA2theA2pulmonaryA2physicianA2withA2roundsA2inA2theA2intensiveA2careA2unit
,A2theA2physicianA2commentsA2thatA2heA2wouldA2likeA2toA2makeA2aA2changeA2toA2theA2patie
nt'sA2ventilatorA2settings.A2TheA2therapist'sA2mostA2appropriateA2actionA2shouldA2be

a.A2initiateA2theA2changesA2immediately.
b.A2writeA2aA2verbalA2orderA2forA2theA2change.
c.A2askA2theA2patient.
d.A2askA2theA2physicianA2toA2writeA2theA2order.A2-A2Ans--
d.A2askA2theA2physicianA2toA2writeA2theA2order.

AA26-year-
oldA2childA2involvedA2inA2aA2swimmingA2poolA2accidentA2isA2inA2cardiacA2arrest.A2TheA2pati
entA2hasA2beenA2intubatedA2withA2aA2sizeA25.5A2mmA2endotrachealA2tubeA2andA2hasA2anA2
end-
tidalA2CO2A2monitorA2connectedA2toA2theA2airway.A2DuringA2cardiacA2compressionA2theA2r
espiratoryA2therapistA2notesA2thatA2theA2end-
tidalA2CO2A2isA2increasing.A2ThisA2wouldA2indicateA2that

a.A2cardiacA2outputA2isA2increasing.
b.A2compressionA2depthA2isA2tooA2low.
c.A2endotrachealA2tubeA2isA2tooA2large.
d.A2ventilationA2shouldA2beA2increasedA2-A2Ans--a.A2cardiacA2outputA2isA2increasing.

WhileA2assessingA2aA2patient'sA2breathA2soundsA2theA2respiratoryA2therapistA2notesA2thatA
2whenA2theA2patientA2isA2instructedA2toA2sayA2theA2letterA2"E",A2itA2comesA2throughA2theA2st
ethescopeA2soundingA2likeA2"aaaahhh".A2ThisA2changeA2inA2theA2soundA2isA2associatedA2
withA2whichA2ofA2theA2followingA2conditions?

a.A2PleuriticA2inflammation
b.A2Pneumonia
c.A2Bronchospasm
d.A2EpiglotitisA2-A2Ans--b.A2Pneumonia

AnA21800A2gA2neonateA2inA2theA2NICUA2isA2beingA2monitoredA2withA2aA2TcPO2A2electrode.
A2TheA2TcPO2A2electrodeA2isA2readingA242A2torrA2withA2theA2temperatureA2setA2atA238oC.A2
TheA2PO2A2fromA2anA2umbilicalA2arteryA2sampleA2isA272A2torr.A2WhichA2ofA2theA2followingA2
wouldA2bestA2explainA2theA2differenceA2inA2theseA2readings?

a.A2ThereA2wasA2anA2errorA2inA2theA2arterialA2bloodA2gasA2results.
b.A2TheA2TcPO2A2electrodeA2needsA2toA2beA2repositioned.
c.A2TheA2TcPO2A2electrodeA2temperatureA2settingA2isA2tooA2low.