TMC self assessment examination A |
QUUESTIONS AND ANSWERS
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Terms in this set (140)
A respiratory therapist is assisting a D. Colorimetric Capnography
physician with endotracheal
intubation. Which of the following Explanation: calormetric capnography asseses the
should be used initially to confirm presence of co2 and provides confirmation of
tracheal intubation? tracheal intubation when co2 is detected
A. Cm marking of the endotracheal
tube
B. Observable condensation in the
tube
C. Pulse oximetry
D. Colorimetric capnography
,A respiratory therapist is asked to C. 3
review a newborn's history. The
following information is available explanation: score for 1 minute is 6: acrocyanosis= 1,
about the first few minutes after birth: heart rate 70/min =1, cough= 2, weak activity = 1, RR
Appearance 1 min- acrocyanosis 5 20 = 1
min pink Score for 5 mins is 10: pink= 2 HR 110= 2, cough = 2
Heart rate 70/min 110/min active motion = 2 respiratory rate of 40=2
Reflex cough Cough
Muscle tone weak active motion
Respiratory rate 20/min. 40/min
Which of the following APGAR
scores should the therapist expect to
see for this infant?
1 min / 5 min
1.
2. 5/ 8
3.
4.
A. 1
B. 2
C. 3
D. 4
,A 58 year old female was diagnosed B. Airway clearance therapy
with bronchiectasis 3 years ago. She
reports increased cough and Explanations:
difficulty clearing secretions for the A. While a sputum sample may be requesting,
past 4 weeks. A chest radiograph transtrscheal aspiration would be unnecessarily
shows no significant changes. Which invasive as the patient is able to produce sputum
of the following should the samples on her own.
respiratory therapist recommend B. The history, clinical presentation, and chest
first? radiograph findings suggest worsening
A. Transtracheal aspiration bronchiectasis. The treatment of bronchiectasis
B. Airway clearance therapy includes techniques to loosen and mobilize Viscid
C. Bronchodilator treatments secretions. Postural drainage enhances sputum
D. Respiratory isolation clearance.
C. Bronchodilator therapy alone will not aid in
secretion removal
D. There is no indication of this patient having a
communicable disease. The diagnosis of
bronchiectasis was established 3 years ago.
A 24 year old female is diagnosed C. Instruct the patient to use albuterol 15 mins
with excercise induced asthma and before exercising
albuterol prn is ordered. A respiratory
therapist should next: Explanation: patient understanding their disease
A. Refer the patient for allergy skin process and triggers is important part of patient
testing education, as well as knowing when and which
B. Educate the patient on obtaining medication should be taken
daily peak flow measurements
C. Instruct the patient to use
albuterol 15 mins before exercising
D. Suggest the patient use pursed lip
breathing while exercising
, In which of the following B. A relative humidity of 100% at 22•C
circumstances will tracheal
secretions tend to dry in an intubated Explanations:
patient? A. Water vapor pressure of 47 mmHg provides 100%
A. A water vapor pressure of 47 mm humidity at body temperature
hg B. The absolute humidity at this temperature is
B. A relative humidity of 100% at 22•C inadequate
C. Dew point of 37•C C. A dew point of 37•C indicates the gas is
D. An absolute humidity of 44 mg/L completely saturated at that temperature
D. The absolute tracheal humidity must be greater
than or equal to 30mg/L
Prior to suctioning the endotracheal B. Hyperoxygenate the patient
tube of an adult patient who is
receiving ventilation with an FiO2 of Explanation:
.4 a respiratory therapist should first A. Lubricating the catheter is not necessary unless
A. Lubricate the catheter nasotracheal suctioning will be performed
B. Hyperoxygenate the patient B. The FiO2 should be increased prior to each
C. Cleanse the catheter with water suctioning attempt to minimize hypoxemia
D. Administer an FiO2 of .4 by t-piece C. Sterile suction catheters do not need to be
cleansed prior to use
D. Administration of the same FiO2 without positive
pressure will compromise the patients oxygenation
and ventilation
QUUESTIONS AND ANSWERS
Save
Terms in this set (140)
A respiratory therapist is assisting a D. Colorimetric Capnography
physician with endotracheal
intubation. Which of the following Explanation: calormetric capnography asseses the
should be used initially to confirm presence of co2 and provides confirmation of
tracheal intubation? tracheal intubation when co2 is detected
A. Cm marking of the endotracheal
tube
B. Observable condensation in the
tube
C. Pulse oximetry
D. Colorimetric capnography
,A respiratory therapist is asked to C. 3
review a newborn's history. The
following information is available explanation: score for 1 minute is 6: acrocyanosis= 1,
about the first few minutes after birth: heart rate 70/min =1, cough= 2, weak activity = 1, RR
Appearance 1 min- acrocyanosis 5 20 = 1
min pink Score for 5 mins is 10: pink= 2 HR 110= 2, cough = 2
Heart rate 70/min 110/min active motion = 2 respiratory rate of 40=2
Reflex cough Cough
Muscle tone weak active motion
Respiratory rate 20/min. 40/min
Which of the following APGAR
scores should the therapist expect to
see for this infant?
1 min / 5 min
1.
2. 5/ 8
3.
4.
A. 1
B. 2
C. 3
D. 4
,A 58 year old female was diagnosed B. Airway clearance therapy
with bronchiectasis 3 years ago. She
reports increased cough and Explanations:
difficulty clearing secretions for the A. While a sputum sample may be requesting,
past 4 weeks. A chest radiograph transtrscheal aspiration would be unnecessarily
shows no significant changes. Which invasive as the patient is able to produce sputum
of the following should the samples on her own.
respiratory therapist recommend B. The history, clinical presentation, and chest
first? radiograph findings suggest worsening
A. Transtracheal aspiration bronchiectasis. The treatment of bronchiectasis
B. Airway clearance therapy includes techniques to loosen and mobilize Viscid
C. Bronchodilator treatments secretions. Postural drainage enhances sputum
D. Respiratory isolation clearance.
C. Bronchodilator therapy alone will not aid in
secretion removal
D. There is no indication of this patient having a
communicable disease. The diagnosis of
bronchiectasis was established 3 years ago.
A 24 year old female is diagnosed C. Instruct the patient to use albuterol 15 mins
with excercise induced asthma and before exercising
albuterol prn is ordered. A respiratory
therapist should next: Explanation: patient understanding their disease
A. Refer the patient for allergy skin process and triggers is important part of patient
testing education, as well as knowing when and which
B. Educate the patient on obtaining medication should be taken
daily peak flow measurements
C. Instruct the patient to use
albuterol 15 mins before exercising
D. Suggest the patient use pursed lip
breathing while exercising
, In which of the following B. A relative humidity of 100% at 22•C
circumstances will tracheal
secretions tend to dry in an intubated Explanations:
patient? A. Water vapor pressure of 47 mmHg provides 100%
A. A water vapor pressure of 47 mm humidity at body temperature
hg B. The absolute humidity at this temperature is
B. A relative humidity of 100% at 22•C inadequate
C. Dew point of 37•C C. A dew point of 37•C indicates the gas is
D. An absolute humidity of 44 mg/L completely saturated at that temperature
D. The absolute tracheal humidity must be greater
than or equal to 30mg/L
Prior to suctioning the endotracheal B. Hyperoxygenate the patient
tube of an adult patient who is
receiving ventilation with an FiO2 of Explanation:
.4 a respiratory therapist should first A. Lubricating the catheter is not necessary unless
A. Lubricate the catheter nasotracheal suctioning will be performed
B. Hyperoxygenate the patient B. The FiO2 should be increased prior to each
C. Cleanse the catheter with water suctioning attempt to minimize hypoxemia
D. Administer an FiO2 of .4 by t-piece C. Sterile suction catheters do not need to be
cleansed prior to use
D. Administration of the same FiO2 without positive
pressure will compromise the patients oxygenation
and ventilation
