Lindsey Jones Practice Exam Questions &
Answers with Explanations
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Terms in this set (106)
1. A patient has undergone overnight Your answer: C
oximetry. Data shows several Correct answer: C
episodes of O2 desaturation
throughout the night. The RTT would The use of overnight oximetery is often used to
expect orders for which of the detect O2 desaturation during the night that may
following kinds of testing: be associated with central or obstructive sleep
apnea. Because data indicates some periodic
a. V/Q scan desaturation, the practitioner should suspect
b. pulmonary function testing possible sleep apnea and should order diagnostic
c. polysomnography testing that will confirm or rule out the suspicion.
d. 24-hour Holter monitoring
,A routine screening blood gas your answer: D
performed on an asymptomatic correct answer: D
patient prior to surgery shows the
following: In this case the patient is presented as asyptomatic.
A patient with a COHb level of 24% would feel
pH: 7.38 dyspnea and present with tachypnea. Therefore, the
PaCO2: 42 RRT should evaluate the accuracy of the lab
PaO2: 80 results, specifically the COHb. When checking
HCO3: 26 accuracy of lab results, one would use quality
SaO2: 96% control measures.
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
,The infection control department of a your answer: D
small hospital informs the RRT correct answer: D
supervisor that the biological control
accompanying some durable The presence of viable spores indicates the
autoclaved equipment shows viable possibility of living organisms developing in the
spores. The supervisor should do sterilized package or on the sterilized equipment.
which of the following with the Sterilization suggest the absence of living
equipment: organisms, therefore the presence of viable spores
indicates the need to resterilize.
a. incinerate
b. record date and place into service
c. wipe with isopropyl alcohol before
use
d. resterilize
A post-op patient is not progressing your answer: B
with sustained maximal inspiratory correct answer: B
therapy and refuses to cough
because of pain along the incision Explosive coughing by a post-op patient can
site. The RRT should instruct the inadvertently open incision sites. To prevent this,
patient to: splinting the site with a pillow is an appropriate
option.
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
, Several hours after oral endotracheal your answer: A
extubation of an 8.0-mm tube, and correct answer: A
adult patient begins to demonstrate
inspiratory stridor. Which of the When a patient is extubated and has swelling of the
following would be most helpful to upper airway tissues as demonstrated by stridor,
the patient: racemic epinephrine is an appropriate medication
to reduce swelling quickly. Another, less effective
a. racemic epinephrine option, is to provide a cool mist. In extreme cases,
b. albuterol such as marked stridor, reintubation, or an
c. atropine sulfate emergency tracheotomy may be indicated.
d. heated aerosol by mask
An adult patient is receiving your answer: C
mechanical ventilatory support and Correct answer: C
is being suctioned through the
endotracheal tube at a pressure of An increase in suctioning effectiveness is done
-90 mmHg. Secretions have been through three different ways - increasing suction
difficult to remove. What can be catheter diameter, increasing suction pressure, and
done FIRST to increase suctioning increasing suction time. Before increasing catheter
efficiency: size, the first thing that should be done is to ensure
the appropriate range of suction pressure is being
a. increase suction time used. In this case, the appropriate suction pressure
b. decrease suction to 80 mmHg for an adult is 100-120 mmHg. A pressure of 90
c. increase suction pressure to 100 mmHg is being used, which is insufficient suction
mmHg pressure. This should be corrected before doing
d. increase suction catheter size anything else to increase suction effectiveness.
Answers with Explanations
Save
Terms in this set (106)
1. A patient has undergone overnight Your answer: C
oximetry. Data shows several Correct answer: C
episodes of O2 desaturation
throughout the night. The RTT would The use of overnight oximetery is often used to
expect orders for which of the detect O2 desaturation during the night that may
following kinds of testing: be associated with central or obstructive sleep
apnea. Because data indicates some periodic
a. V/Q scan desaturation, the practitioner should suspect
b. pulmonary function testing possible sleep apnea and should order diagnostic
c. polysomnography testing that will confirm or rule out the suspicion.
d. 24-hour Holter monitoring
,A routine screening blood gas your answer: D
performed on an asymptomatic correct answer: D
patient prior to surgery shows the
following: In this case the patient is presented as asyptomatic.
A patient with a COHb level of 24% would feel
pH: 7.38 dyspnea and present with tachypnea. Therefore, the
PaCO2: 42 RRT should evaluate the accuracy of the lab
PaO2: 80 results, specifically the COHb. When checking
HCO3: 26 accuracy of lab results, one would use quality
SaO2: 96% control measures.
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
,The infection control department of a your answer: D
small hospital informs the RRT correct answer: D
supervisor that the biological control
accompanying some durable The presence of viable spores indicates the
autoclaved equipment shows viable possibility of living organisms developing in the
spores. The supervisor should do sterilized package or on the sterilized equipment.
which of the following with the Sterilization suggest the absence of living
equipment: organisms, therefore the presence of viable spores
indicates the need to resterilize.
a. incinerate
b. record date and place into service
c. wipe with isopropyl alcohol before
use
d. resterilize
A post-op patient is not progressing your answer: B
with sustained maximal inspiratory correct answer: B
therapy and refuses to cough
because of pain along the incision Explosive coughing by a post-op patient can
site. The RRT should instruct the inadvertently open incision sites. To prevent this,
patient to: splinting the site with a pillow is an appropriate
option.
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
, Several hours after oral endotracheal your answer: A
extubation of an 8.0-mm tube, and correct answer: A
adult patient begins to demonstrate
inspiratory stridor. Which of the When a patient is extubated and has swelling of the
following would be most helpful to upper airway tissues as demonstrated by stridor,
the patient: racemic epinephrine is an appropriate medication
to reduce swelling quickly. Another, less effective
a. racemic epinephrine option, is to provide a cool mist. In extreme cases,
b. albuterol such as marked stridor, reintubation, or an
c. atropine sulfate emergency tracheotomy may be indicated.
d. heated aerosol by mask
An adult patient is receiving your answer: C
mechanical ventilatory support and Correct answer: C
is being suctioned through the
endotracheal tube at a pressure of An increase in suctioning effectiveness is done
-90 mmHg. Secretions have been through three different ways - increasing suction
difficult to remove. What can be catheter diameter, increasing suction pressure, and
done FIRST to increase suctioning increasing suction time. Before increasing catheter
efficiency: size, the first thing that should be done is to ensure
the appropriate range of suction pressure is being
a. increase suction time used. In this case, the appropriate suction pressure
b. decrease suction to 80 mmHg for an adult is 100-120 mmHg. A pressure of 90
c. increase suction pressure to 100 mmHg is being used, which is insufficient suction
mmHg pressure. This should be corrected before doing
d. increase suction catheter size anything else to increase suction effectiveness.
