C&S TMC UPDATED FINAL EXAMS QUESTIONS
AND ANSWERS SURE A+
✔✔If the flowmeter is set too low on high flow oxygen system, the RT should expect -
✔✔A decrease in inspired oxygen
✔✔After a patient is placed in the head down position for postural drainage of the right
lower lobe, he begins to cough vigorously and becomes short of breath. What should
the RT do? - ✔✔Sit patient up and reassure him coughing is normal.
✔✔Which of the following is best suitable for an adult patient requiring long-term
continuous ventilatory support? - ✔✔A cuffed tracheostomy tube
✔✔Nasotracheal intubation would be preferred over oratracheal intubation in which of
the following clinical situations? - ✔✔4; Repair of a fractured mandible-yes/no/no
✔✔The most important aspect regarding quality control for blood gas analyst is that? -
✔✔The blood gas analyzer always functions properly prior to patient sample analysis
✔✔When using a non rebreathing oxygen mask, the flowmeter should be set on? -
✔✔Where the bag does not deflate more than one third during inspiration
,✔✔An ICU patient has been receiving potassium replacement therapy for two days. The
ECG rhythm shown above was recorded on the patients cardiac monitor on day 2
treatment. Which of the following should the RT initially recommend to further assess
the patients clinical conditions? - ✔✔Electrolytes
✔✔A RT is caring for a neonatal patient who has a transcutaneous PO2 electrode in
place on the right chest. Over the last 6 hrs, the therapist observes that the
transcutaneous PO2 measurement has decreased from 79 mm Hg to 62 mm Hg. The
most likely cause for this situation is - ✔✔The neonates pulmonary condition has
deteriorated
✔✔After being asked to take a breath , the patient states that he is unable to take a
deep breath. The RT would conclude that the patient is most likely: - ✔✔Uncooperative
✔✔A 52 yr old obese male in acute respiratory distress has just been admitted to the
ED. Physical examination reveals accessory ventilatory muscle use, neck vein
distension, and pedal edema. There is markedly diminished breath sounds and
expiratory wheezes throughout both lung fields. The patient is expectorating copious
mucopurulent sputum. The patients vital signs are: pulse 132/min, BP 196/112 mm Hg;
respirations 38/min, and temperature 100.1 deg F. ABG's drawn while the patient was
breathing room air are: ph:7.27, PaO2:54 mm Hg, PaCO2: 62 mm Hg, HCO3: 27.
Which of the following is the most likely diagnosis for this patient ? - ✔✔Chronic
bronchitis exacerbated by an acute pulmonary infection
✔✔The data shows for an intubated , Mechanically ventilated patient receiving an FiO2
of 0.90 - Cardiac output- 5.9 L/min
- Blood pressure- 132/86 mmHg
- Ph- 7.38
- PaCO2- 42 mm Hg
- HCO3- 24
- PaO2- 61 mm Hg
The data are suggestive for which of the following? - ✔✔Adult respiratory distress
syndrome
✔✔The second heart sound ( S2 ) is produced by? - ✔✔The sudden closing of the
aortic and pulmonic valves
✔✔While reviewing the medical record of a patient, the RT notes the chief complaints
are vomiting and diarrhea of 4 days duration. Which of the following symptoms would be
consistent with the patients chief complaints? - ✔✔Poor skin turgor
✔✔Which of the following is the first step in determining the etiology of a patients chief
medical complaint? - ✔✔Obtaining an accurate history of a present illness
, ✔✔A RT is called to implement oxygen therapy for a 41 yr old male patient. While
reviewing the patients medical record, the RT notes that the physician ordered ' O2 via
nasal cannula ' Which of the following should the therapist do? - ✔✔Contact the
physician and ask for a clarification of the order
✔✔Objectives for a pulmonary rehabilitation program should include all of the following
EXCEPT? - ✔✔Monthly physical exercises for skeletal and respiratory muscles
✔✔While evaluating a patient in a pulmonary rehabilitation program, the patient tells the
RT that for the past 2 days his secretions have been thick and yellow and that he has
become increasingly short of breath. The therapist would most likely suspect the
patient? - ✔✔Has a pulmonary infection
✔✔An adult female patient is enrolled in a smoking cessation program. All of the
following instructions would be beneficial in helping this patient to successfully quit
smoking EXCEPT? - ✔✔When you feel extremely anxious it is all right to smoke one
cigarette, but no more than one.
✔✔Which of the following are important factors to consider when selecting a home
oxygen delivery system - ✔✔4 ( yes, yes, yes )
✔✔Which of the following should the RT monitor when assisting with chest tube
insertion? - ✔✔2 ( no, yes, yes, no )
✔✔A physician has asked the RT to assist with a thoracentesis. During the procedure,
the patient becomes agitated and diaphoretic. The HR is 126/min and the blood
pressure is 80/56 mm Hg. Respirations have become shallow and labored. Which of the
following should the therapist do or recommend? - ✔✔Administer high- FiO2 oxygen
and request a chest x ray.
✔✔A RT is assisting a physician during a transtracheal bronchoscopy. As the
bronchoscope is advanced in the airways, the above ECG tracing is observed on the
patients cardiac monitor. The RT should recommend? - ✔✔Administration of lidocaine.
✔✔A 32 yr old male with massive atelectasis of the left lung requires intubation and
mechanical ventilation. The physician has requested the assistance of the RT in
performing the intubation procedure. Which of the following should the RT recommend
to avoid cardiovascular impairment
and overdistension of the normal lung during mechanical ventilation? - ✔✔Placement of
a double lumen endotracheal tube.
AND ANSWERS SURE A+
✔✔If the flowmeter is set too low on high flow oxygen system, the RT should expect -
✔✔A decrease in inspired oxygen
✔✔After a patient is placed in the head down position for postural drainage of the right
lower lobe, he begins to cough vigorously and becomes short of breath. What should
the RT do? - ✔✔Sit patient up and reassure him coughing is normal.
✔✔Which of the following is best suitable for an adult patient requiring long-term
continuous ventilatory support? - ✔✔A cuffed tracheostomy tube
✔✔Nasotracheal intubation would be preferred over oratracheal intubation in which of
the following clinical situations? - ✔✔4; Repair of a fractured mandible-yes/no/no
✔✔The most important aspect regarding quality control for blood gas analyst is that? -
✔✔The blood gas analyzer always functions properly prior to patient sample analysis
✔✔When using a non rebreathing oxygen mask, the flowmeter should be set on? -
✔✔Where the bag does not deflate more than one third during inspiration
,✔✔An ICU patient has been receiving potassium replacement therapy for two days. The
ECG rhythm shown above was recorded on the patients cardiac monitor on day 2
treatment. Which of the following should the RT initially recommend to further assess
the patients clinical conditions? - ✔✔Electrolytes
✔✔A RT is caring for a neonatal patient who has a transcutaneous PO2 electrode in
place on the right chest. Over the last 6 hrs, the therapist observes that the
transcutaneous PO2 measurement has decreased from 79 mm Hg to 62 mm Hg. The
most likely cause for this situation is - ✔✔The neonates pulmonary condition has
deteriorated
✔✔After being asked to take a breath , the patient states that he is unable to take a
deep breath. The RT would conclude that the patient is most likely: - ✔✔Uncooperative
✔✔A 52 yr old obese male in acute respiratory distress has just been admitted to the
ED. Physical examination reveals accessory ventilatory muscle use, neck vein
distension, and pedal edema. There is markedly diminished breath sounds and
expiratory wheezes throughout both lung fields. The patient is expectorating copious
mucopurulent sputum. The patients vital signs are: pulse 132/min, BP 196/112 mm Hg;
respirations 38/min, and temperature 100.1 deg F. ABG's drawn while the patient was
breathing room air are: ph:7.27, PaO2:54 mm Hg, PaCO2: 62 mm Hg, HCO3: 27.
Which of the following is the most likely diagnosis for this patient ? - ✔✔Chronic
bronchitis exacerbated by an acute pulmonary infection
✔✔The data shows for an intubated , Mechanically ventilated patient receiving an FiO2
of 0.90 - Cardiac output- 5.9 L/min
- Blood pressure- 132/86 mmHg
- Ph- 7.38
- PaCO2- 42 mm Hg
- HCO3- 24
- PaO2- 61 mm Hg
The data are suggestive for which of the following? - ✔✔Adult respiratory distress
syndrome
✔✔The second heart sound ( S2 ) is produced by? - ✔✔The sudden closing of the
aortic and pulmonic valves
✔✔While reviewing the medical record of a patient, the RT notes the chief complaints
are vomiting and diarrhea of 4 days duration. Which of the following symptoms would be
consistent with the patients chief complaints? - ✔✔Poor skin turgor
✔✔Which of the following is the first step in determining the etiology of a patients chief
medical complaint? - ✔✔Obtaining an accurate history of a present illness
, ✔✔A RT is called to implement oxygen therapy for a 41 yr old male patient. While
reviewing the patients medical record, the RT notes that the physician ordered ' O2 via
nasal cannula ' Which of the following should the therapist do? - ✔✔Contact the
physician and ask for a clarification of the order
✔✔Objectives for a pulmonary rehabilitation program should include all of the following
EXCEPT? - ✔✔Monthly physical exercises for skeletal and respiratory muscles
✔✔While evaluating a patient in a pulmonary rehabilitation program, the patient tells the
RT that for the past 2 days his secretions have been thick and yellow and that he has
become increasingly short of breath. The therapist would most likely suspect the
patient? - ✔✔Has a pulmonary infection
✔✔An adult female patient is enrolled in a smoking cessation program. All of the
following instructions would be beneficial in helping this patient to successfully quit
smoking EXCEPT? - ✔✔When you feel extremely anxious it is all right to smoke one
cigarette, but no more than one.
✔✔Which of the following are important factors to consider when selecting a home
oxygen delivery system - ✔✔4 ( yes, yes, yes )
✔✔Which of the following should the RT monitor when assisting with chest tube
insertion? - ✔✔2 ( no, yes, yes, no )
✔✔A physician has asked the RT to assist with a thoracentesis. During the procedure,
the patient becomes agitated and diaphoretic. The HR is 126/min and the blood
pressure is 80/56 mm Hg. Respirations have become shallow and labored. Which of the
following should the therapist do or recommend? - ✔✔Administer high- FiO2 oxygen
and request a chest x ray.
✔✔A RT is assisting a physician during a transtracheal bronchoscopy. As the
bronchoscope is advanced in the airways, the above ECG tracing is observed on the
patients cardiac monitor. The RT should recommend? - ✔✔Administration of lidocaine.
✔✔A 32 yr old male with massive atelectasis of the left lung requires intubation and
mechanical ventilation. The physician has requested the assistance of the RT in
performing the intubation procedure. Which of the following should the RT recommend
to avoid cardiovascular impairment
and overdistension of the normal lung during mechanical ventilation? - ✔✔Placement of
a double lumen endotracheal tube.
