TnT II Final Exam Questions with
Complete Solutions43
You are administering PEP therapy to a patient at 10 cmH2O. Although coarse crackles are
auscultated, there is minimal secretion production. Which of the following would be the most
appropriate recommendation at this time?
a. increase the PEP level to 15 cmH2O
b. switch to IPPB therapy
c. Stop the treatment and suction the patient
d. decrease the PEP level to 5 cmH2O - ANSWERS-A
While you are administering IPPB therapy the patient complains of dizziness. The most likely
cause of this is which of the following?
a. the patient is hyperventilating
b. the patient isn't receiving adequate peak inspiratory pressure
c. the patient is hypoventilating
d. the patient's PaO2 is decreasing - ANSWERS-A
When coordinating the sequence of the following therapies relating to bronchopulmonary
clearance, which should the respiratory care practitioner do first?
a. percussion
b. deep breathing exercises
c. bronchodilator therapy
d. postural drainage - ANSWERS-C
,A 70 kg patient has a vital capacity of 3.2 L two days following abdominal surgery. In order to
help prevent postoperative atelectasis, which of the following therapies is most appropriate?
a. PEP therapy
b. intrapulmonary percussive ventilation
c. autogenic drainage
d. IPPB - ANSWERS-A
When a patient is in the Fowler's position, which lung segment is most commonly involved with
atelectasis and pneumonia?
a. right lateral segment
b. posterior basilar segments of the lower lobes
c. posterior basilar segments of the middle lobe
d. apical segments of the upper lobes - ANSWERS-D
A 52 year old alert, intubated patient who underwent abdominal surgery four hours ago is
having difficulty clearing his pulmonary secretions. Which of the following would you
recommend at this time to help increase secretion removal?
a. hand-held neb with normal saline
b. incentive spirometry
c. cool aerosol via t-piece
d. chest physiotherapy and suction ET tube prn - ANSWERS-D
Pursed lip breathing exercises benefit patients by:
a. increasing inspiratory flows
b. providing a slight back pressure in the airway allowing for an increased expiratory time
c. increasing functional residual capacity
d. making expiratory time shorter - ANSWERS-B
,You are performing postural drainage and percussion on a 38 year old male patient whose chest
film indicates consolidation in the posterior segment of the left lower lobe. In what position
should the patient be placed to help drain this segment?
a. on the right side in Trendelenburg position
b. supine with head of bed elevated
c. on right side with the bed flat
d. prone position in Trendelenburg position - ANSWERS-D
Upon initiation of PEP therapy via face mask, the respiratory therapist notices that the device is
unable to maintain a constant pressure during exhalation. To correct this problem, the therapist
should evaluate for which of the following?
a. inadequate inspiratory flow
b. leaks around the mask
c. inadequate system pressure
d. evidence of obstructive lung disease - ANSWERS-B
The respiratory therapist receives an order for postural drainage and percussion on a 36 year
old male patient who has infiltrates in the lateral segment of his right lower lobe. Which of the
following positions should he be placed in to most effectively drain this segment?
a. lie on right side with head of bed in a downward position
b. place in prone position with the head of the bed in a downward position
c. lie on right side with head of bed elevated
d. lie on left side with head of the bed in a downward position - ANSWERS-D
Which of the following statements regarding EzPAP are true?
1. The positive airway pressure achieved ranges from 5-20 cmH2O.
2. The device cannot be used with a mask
, 3. The device provides positive pressure on inspiration and expiration
4. Bronchodilators cannot be delivered using this device
a. 1 and 4 only
b. 2 and 3 only
c. 1 and 3 only
d. 1, 2, and 4 only - ANSWERS-C
A patient with neuromuscular disease is having difficulty expectorating secretions. To help
improve secretion clearance, which of the following is the most appropriate recommendation?
a. PEP therapy
b. mechanical insufflation-exsufflation
c. postural drainage and percussion
d. IPV - ANSWERS-B
Which of the following are hazards of IPPB?
1. Gastric distention
2. Decreased mean airway pressure
3. Increased venous return
a. 1 only
b. 2 only
c. 3 only
d. 1 and 2 only - ANSWERS-A
Complete Solutions43
You are administering PEP therapy to a patient at 10 cmH2O. Although coarse crackles are
auscultated, there is minimal secretion production. Which of the following would be the most
appropriate recommendation at this time?
a. increase the PEP level to 15 cmH2O
b. switch to IPPB therapy
c. Stop the treatment and suction the patient
d. decrease the PEP level to 5 cmH2O - ANSWERS-A
While you are administering IPPB therapy the patient complains of dizziness. The most likely
cause of this is which of the following?
a. the patient is hyperventilating
b. the patient isn't receiving adequate peak inspiratory pressure
c. the patient is hypoventilating
d. the patient's PaO2 is decreasing - ANSWERS-A
When coordinating the sequence of the following therapies relating to bronchopulmonary
clearance, which should the respiratory care practitioner do first?
a. percussion
b. deep breathing exercises
c. bronchodilator therapy
d. postural drainage - ANSWERS-C
,A 70 kg patient has a vital capacity of 3.2 L two days following abdominal surgery. In order to
help prevent postoperative atelectasis, which of the following therapies is most appropriate?
a. PEP therapy
b. intrapulmonary percussive ventilation
c. autogenic drainage
d. IPPB - ANSWERS-A
When a patient is in the Fowler's position, which lung segment is most commonly involved with
atelectasis and pneumonia?
a. right lateral segment
b. posterior basilar segments of the lower lobes
c. posterior basilar segments of the middle lobe
d. apical segments of the upper lobes - ANSWERS-D
A 52 year old alert, intubated patient who underwent abdominal surgery four hours ago is
having difficulty clearing his pulmonary secretions. Which of the following would you
recommend at this time to help increase secretion removal?
a. hand-held neb with normal saline
b. incentive spirometry
c. cool aerosol via t-piece
d. chest physiotherapy and suction ET tube prn - ANSWERS-D
Pursed lip breathing exercises benefit patients by:
a. increasing inspiratory flows
b. providing a slight back pressure in the airway allowing for an increased expiratory time
c. increasing functional residual capacity
d. making expiratory time shorter - ANSWERS-B
,You are performing postural drainage and percussion on a 38 year old male patient whose chest
film indicates consolidation in the posterior segment of the left lower lobe. In what position
should the patient be placed to help drain this segment?
a. on the right side in Trendelenburg position
b. supine with head of bed elevated
c. on right side with the bed flat
d. prone position in Trendelenburg position - ANSWERS-D
Upon initiation of PEP therapy via face mask, the respiratory therapist notices that the device is
unable to maintain a constant pressure during exhalation. To correct this problem, the therapist
should evaluate for which of the following?
a. inadequate inspiratory flow
b. leaks around the mask
c. inadequate system pressure
d. evidence of obstructive lung disease - ANSWERS-B
The respiratory therapist receives an order for postural drainage and percussion on a 36 year
old male patient who has infiltrates in the lateral segment of his right lower lobe. Which of the
following positions should he be placed in to most effectively drain this segment?
a. lie on right side with head of bed in a downward position
b. place in prone position with the head of the bed in a downward position
c. lie on right side with head of bed elevated
d. lie on left side with head of the bed in a downward position - ANSWERS-D
Which of the following statements regarding EzPAP are true?
1. The positive airway pressure achieved ranges from 5-20 cmH2O.
2. The device cannot be used with a mask
, 3. The device provides positive pressure on inspiration and expiration
4. Bronchodilators cannot be delivered using this device
a. 1 and 4 only
b. 2 and 3 only
c. 1 and 3 only
d. 1, 2, and 4 only - ANSWERS-C
A patient with neuromuscular disease is having difficulty expectorating secretions. To help
improve secretion clearance, which of the following is the most appropriate recommendation?
a. PEP therapy
b. mechanical insufflation-exsufflation
c. postural drainage and percussion
d. IPV - ANSWERS-B
Which of the following are hazards of IPPB?
1. Gastric distention
2. Decreased mean airway pressure
3. Increased venous return
a. 1 only
b. 2 only
c. 3 only
d. 1 and 2 only - ANSWERS-A
