NEWEST VERSION A& B WITH COMPLETE QUESTIONS AND
ACCURATE DETAILED ANSWERS (RATIONALES) LATEST
UPDATE!! ACTUAL TEST BANK FINAL EXAM ALREADY GRADED
A+
PATIENT ASSESSMENT:
All of the following would be associated with the presence of a
pneumothorax EXCEPT
a. Tracheal deviation
b. Dull percussion
c. Absent breath sounds
d. Respiratory distress
With pneumothorax you would hear a high pitch hyperresonnance, breath
sounds would be absent, and respiratory distress could be present. Dull
percussion would NOT be present,
so ANSWER is B.
,What should you recommend FIRST for a patient with multifocal pvc's
a. Administration of lidocaine
b. Administration of 100% oxygen
c. Administration of atropine
d. Administration of epinephrine
Multiple pvc's coming from multiple locations (multifocal) is a real problem
and you should administer oxygen FIRST, so ANSWER is B. lidocaine will
help reduce
irritability of heart and help with pvc's but would not be first option,
atropine is used for bradycardia and cardiac irregularities but not pvc's,
epinephrine is emergency
drug not for pvc's but more for pulseless ventricular tachycardia or
ventricular fibrilation where heart is not responding .
,What is the normal range for the mean pulmonary artery pressure in an adult
a. 2-6 mm Hg
b. 4-12 mmHg
c. 9-18 mmHg
d. 21-28 mmHg
Mean pulmonary artery pressure in an adult should be in the
teens so best ANSWER is C
A patient in the emergency dept has frothy secretions, moist crackles, and
tachypnea. The patient has marked dyspnea and a history of heart disease.
Which of the following should the respiratory therapist recommend.
1. suction immediately
2. administer 100% oxygen
3. place in Fowlers position
4. administer furosemide
This is an emergency, they are having heart problems, dyspnea, frothy
secretions indicating severe pulmonary edema, etc. so 100% oxygen
immediately, having the patient in the Fowlers position (an upright
position) will help pull fluid down away from the lungs, furosemide is a
lasix (loop diuretic) which gets rid of excess fluid. You do NOT suction
someone with frothy secretions and heart problems, this just delays
appropriate therapy. So ANSWER is 2,3,4
, Fine crepitant crackles are most commonly associated with which of the
following conditions.
a. Bronchiectasis
b. Congestive heart failure
c. Pneumonia
d. Croup
Crackles are associated with fluid so a, b, and c would be good answers, but
"fine
crepitant" crackles indicates fluid entering alveoli (pulmonary edema)
which is most often caused by heart failure so the best ANSWER is B. (with
croup you would hear more of a stridor sound).
A patient is found in full cardiopulmonary arrest. CPR is started and the
patient is orally intubated with an EtCO2 monitor attached. Which of the
following EtCO2 patterns would the respiratory therapist expect to
observe on the monitor?
a. Initially high, then falling
b. Initially low, then rising
c. Initially high, stays high
d. Initially low, stays low
Full cardiac arrest will cause the CO2 in the lungs to slowly dissipate out
because no blood is flowing, then during CPR when you get blood
flowing, the CO2 should slowly rise back up;
so ANSWER is B