NBRC TMC Practice Questions and Answers |
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Terms in this set (431)
Which of the following is needed to B.
calculate alveolar oxygen tension? Barometric pressure, FiO2, and PaO2 are all
A. VD/VT, PAO2 included in the formula (BP stands for barometric
B. BP and FiO2 pressure)
C. PetCO2 and PaO2
D. QS/QT, deadspace
L/min/m2 is the unit of measure for: C.
A. Systemic vascular resistance
B. Cardiac output
C. Cardiac index
D. Stroke volume
A spontaneously breathing patient B.
has the following arterial blood gas A patient who is showing signs of hypoxemia
results: should receive supplemental oxygen. If the patient
pH 7.38 PaCO2 42 mmHgPaO2 76 is not a COPD patient and the situation is not an
mmHgHCO3- 24 mEq/LBE 0 mEq/L emergency, then the proper supplemental oxygen
Which of the following supplemental is an adult therapeutic dose, which is 40% to 55%.
oxygen levels is most appropriate? Of the options available only 5 L/min nasal cannula
A. 2 L/min nasal cannula will approach this. Other options are either
B. 5 L/min nasal cannula insufficient or too much.
C. non-rebreathing mask
D. Venturi mask at 30%
,Left heart failure would be D.
manifested in which of the following The function of the left heart, specifically the left
values? ventricle, is best assessed hemodynamically by
A. CVP and mPAP looking at those values that precede and come
B. mPAP and wedge pressure after the left heart. In this case pulmonary capillary
C. MAP and SVR wedge pressure and cardiac output (or cardiac
D. cardiac output and wedge index) are the values found before and after the left
pressure heart.
Which of the following findings is B.
most closely associated with Of the options given, use of accessory muscles is
increased airway resistance? most closely associated with an increase in airway
A. reduced SpO2 resistance. This is especially true with patients who
B. accessory muscle use have asthma or other types of upper airway
C. altered P50 inflammation or bronchoconstriction.
D. increased PetCO2
For a patient receiving volume- A.
controlled mechanical ventilation, The lowest inflection point on a pressure-volume
the lower inflection point on a ventilator graphic is an indication of the minimum
pressure-volume loop can best be pressure needed to keep alveoli open.
described as:
A. amount of pressure required to
keep the alveoli and small airways
open
B. optimal PEEP
C. minimal PEEP
D. upper limit of residual volume
,The results of a V/Q scan shows poor C.
perfusion with adequate ventilation. A VQ scan that shows poor perfusion but adequate
A chest radiograph shows a wedge- ventilation is most closely associated with a
shaped infiltrate over the right lung pulmonary embolism. Supportive data is found in
field. The patient most likely has the radiological report of wedge-shaped infiltrates.
A. fluid overload
B. ARDS
C. a pulmonary embolism
D. pneumonia
The respiratory therapist notes in the D.
medical record of a 65-year-old Because albuterol is a beta-agonist medication,
male that the patient is ordered to patients who are taking beta-blockers should
receive bronchodilator therapy with utilize other bronchodilation medication.
Albuterol. The therapist also notes
the patient is receiving beta-blocker
medication. The therapist should
recommend
A. Administer Dexamethasone
(Decadron) in place of Albuterol
B. Add Xopenex to the
bronchodilator regimen
C. Replace Albuterol with
Beclamethasone (Beclovent)
D. Switch from Albuterol to
ipratropium bromide (Atrovent)
, A hospital has an extremely low A.
incidence of ventilator-associated The incidence of ventilator-associated pneumonia,
pneumonia. To which of the following or VAP, is lowered by using a closed system suction
reasons may this be attributed? catheter, periodically discontinuing sedation,
A. periodic discontinuation of keeping the patient and semi-Fowler's position, and
sedation proper handwashing among caregivers. All are
B. use of respiratory precautions with correct.
the population
C. diversion of infectious patients to
other facilities
D. broad use of prophylactic
antibiotics
A pressure-volume loop ventilator B.
graphic shows no rise in pressure for In this question the description of the pressure
the first 200 mL of delivered volume. volume loop would indicate a flat bottom as
The therapist should manifested by no rise in pressure with the first 200
A. increase inspiratory flow rate mL of delivered volume. We call this a "flat
B. increase PEEP football". The solution is to increase PEEP to a level
C. decrease tidal volume that the pressure begins to rise immediately as
D. decrease inspiratory flow rate volume is introduced.
Which of the following would be the A.
most effective, appropriate method A postoperative patient under sedation, and
for resolving atelectasis in a possibly in pain, may be tempted to breathe less,
spontaneously breathing, post causing respiratory acidosis and atelectasis. To
operative patient who is under the correct this problem, IPPB therapy is most
influence of sedation and will not appropriate. Incentive spirometry would also help
respond to verbal stimuli? but the patient is unable to respond to verbal
A. IPPB stimuli. This alone is an indication for IPPB therapy.
B. sustained maximal inhalation
(incentive spirometer)
C. deep breathing coaching
D. intubation and mechanical
ventilation
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Save
Terms in this set (431)
Which of the following is needed to B.
calculate alveolar oxygen tension? Barometric pressure, FiO2, and PaO2 are all
A. VD/VT, PAO2 included in the formula (BP stands for barometric
B. BP and FiO2 pressure)
C. PetCO2 and PaO2
D. QS/QT, deadspace
L/min/m2 is the unit of measure for: C.
A. Systemic vascular resistance
B. Cardiac output
C. Cardiac index
D. Stroke volume
A spontaneously breathing patient B.
has the following arterial blood gas A patient who is showing signs of hypoxemia
results: should receive supplemental oxygen. If the patient
pH 7.38 PaCO2 42 mmHgPaO2 76 is not a COPD patient and the situation is not an
mmHgHCO3- 24 mEq/LBE 0 mEq/L emergency, then the proper supplemental oxygen
Which of the following supplemental is an adult therapeutic dose, which is 40% to 55%.
oxygen levels is most appropriate? Of the options available only 5 L/min nasal cannula
A. 2 L/min nasal cannula will approach this. Other options are either
B. 5 L/min nasal cannula insufficient or too much.
C. non-rebreathing mask
D. Venturi mask at 30%
,Left heart failure would be D.
manifested in which of the following The function of the left heart, specifically the left
values? ventricle, is best assessed hemodynamically by
A. CVP and mPAP looking at those values that precede and come
B. mPAP and wedge pressure after the left heart. In this case pulmonary capillary
C. MAP and SVR wedge pressure and cardiac output (or cardiac
D. cardiac output and wedge index) are the values found before and after the left
pressure heart.
Which of the following findings is B.
most closely associated with Of the options given, use of accessory muscles is
increased airway resistance? most closely associated with an increase in airway
A. reduced SpO2 resistance. This is especially true with patients who
B. accessory muscle use have asthma or other types of upper airway
C. altered P50 inflammation or bronchoconstriction.
D. increased PetCO2
For a patient receiving volume- A.
controlled mechanical ventilation, The lowest inflection point on a pressure-volume
the lower inflection point on a ventilator graphic is an indication of the minimum
pressure-volume loop can best be pressure needed to keep alveoli open.
described as:
A. amount of pressure required to
keep the alveoli and small airways
open
B. optimal PEEP
C. minimal PEEP
D. upper limit of residual volume
,The results of a V/Q scan shows poor C.
perfusion with adequate ventilation. A VQ scan that shows poor perfusion but adequate
A chest radiograph shows a wedge- ventilation is most closely associated with a
shaped infiltrate over the right lung pulmonary embolism. Supportive data is found in
field. The patient most likely has the radiological report of wedge-shaped infiltrates.
A. fluid overload
B. ARDS
C. a pulmonary embolism
D. pneumonia
The respiratory therapist notes in the D.
medical record of a 65-year-old Because albuterol is a beta-agonist medication,
male that the patient is ordered to patients who are taking beta-blockers should
receive bronchodilator therapy with utilize other bronchodilation medication.
Albuterol. The therapist also notes
the patient is receiving beta-blocker
medication. The therapist should
recommend
A. Administer Dexamethasone
(Decadron) in place of Albuterol
B. Add Xopenex to the
bronchodilator regimen
C. Replace Albuterol with
Beclamethasone (Beclovent)
D. Switch from Albuterol to
ipratropium bromide (Atrovent)
, A hospital has an extremely low A.
incidence of ventilator-associated The incidence of ventilator-associated pneumonia,
pneumonia. To which of the following or VAP, is lowered by using a closed system suction
reasons may this be attributed? catheter, periodically discontinuing sedation,
A. periodic discontinuation of keeping the patient and semi-Fowler's position, and
sedation proper handwashing among caregivers. All are
B. use of respiratory precautions with correct.
the population
C. diversion of infectious patients to
other facilities
D. broad use of prophylactic
antibiotics
A pressure-volume loop ventilator B.
graphic shows no rise in pressure for In this question the description of the pressure
the first 200 mL of delivered volume. volume loop would indicate a flat bottom as
The therapist should manifested by no rise in pressure with the first 200
A. increase inspiratory flow rate mL of delivered volume. We call this a "flat
B. increase PEEP football". The solution is to increase PEEP to a level
C. decrease tidal volume that the pressure begins to rise immediately as
D. decrease inspiratory flow rate volume is introduced.
Which of the following would be the A.
most effective, appropriate method A postoperative patient under sedation, and
for resolving atelectasis in a possibly in pain, may be tempted to breathe less,
spontaneously breathing, post causing respiratory acidosis and atelectasis. To
operative patient who is under the correct this problem, IPPB therapy is most
influence of sedation and will not appropriate. Incentive spirometry would also help
respond to verbal stimuli? but the patient is unable to respond to verbal
A. IPPB stimuli. This alone is an indication for IPPB therapy.
B. sustained maximal inhalation
(incentive spirometer)
C. deep breathing coaching
D. intubation and mechanical
ventilation
