C&S TMC LATEST COMPREHENSIVE EXAM
QUESTIONS AND ANSWERS SURE A+
✔✔A patient has just been admitted to the ED for an acute asthmatic attack. The
physician has prescribed albuterol (provent), Ipratropium Bromide(atrovent), and
fluticasone (flovent). Which of the following is the correct order of administration of
these drugs? - ✔✔Albuterol,ipratropium, fluticasone.
✔✔A patient who develops sub-glottic edema following extubation would benefit from
the administration of which of the following? - ✔✔Nebulized racemic epinephrine
✔✔While performing endotracheal suctioning on an intubated pediatric asthmatic
patient, the RT observes that the patient becomes severely bronchospastic. The
therapist should - ✔✔Recommended endotracheal instillation of lidocaine (Xylocaine)
prior to suctioning
✔✔Higher than normal levels of exhaled nitric oxide generally mean - ✔✔Airway
inflammation due to asthma
✔✔Which of the following should be done immediately following a lung recruitment
maneuver? - ✔✔Perform a decremental PEEP study
, ✔✔A 36 weeks gestation neonate is being mechanically ventilated. The ventilator
settings are: PIP 24, RR 32/min, I-Time 0.6 sec, flow rate 8 L/ min, PEEP 6 cm H2O,
and FIO2 0.45. The neonates physician is concerned about the volume/ pressure loop,
which is shown to the right. The RT should suggest which of the following? -
✔✔Decreasing PIP to 20 cm H20
✔✔The pressure and flow curves shown to the right were recorded from a mechanically
ventilated patient receiving pressure control ventilation (PCV).Using the pressure and
flow curves represented in "A" as the reference, which of the following best explains the
change in the pressure and flow curves represented in "B" - ✔✔Optimal inspiratory time
has been achieved
✔✔When the ventilator rate of a mechanically ventilated patient is decreased from
8/min to 6/min, the patient becomes agitated and the etCO2 increases from 44 mm Hg
to 51 mm Hg. Based on this change, the RT should conclude that - ✔✔Alveolar
ventilation has decreased
✔✔The high respiratory rate and I:E ratio ventilator alarms have activated on a
mechanically ventilated adult patient who has a long history of chronic CO2 retention.
Which of the following is most likely to occur as a result of this situation? - ✔✔Increased
hyperinflation and air trapping
✔✔Which of the following will occur when the high pressure limit is reached on a
volume ventilator? - ✔✔3: No/yes/no
✔✔While performing a ventilator check on a sedated and paralyzed patient, the RT
notes that the mechanical rate is set at 12/min, but the total rate reads 16/min. The RT
should - ✔✔Adjust the sensitivity settings
✔✔To increase the VT of a patient receiving noninvasive positive pressure ventilation
(NPPV), the RT should - ✔✔Increases the gradient between the EPAP and IPAP levels
✔✔During a routine ventilator check on a 75 kg adult male patient, the RT records the
following data: On the basis of these data, the RT should - ✔✔Increase the flow rate
setting.
✔✔During the mechanical ventilation via a volume ventilator, the inspiratory threshold
can be adjusted by which of the following? - ✔✔The sensitivity settings
✔✔A RT has been assigned to monitor an intubated adult patient who is receiving an
FIO2 of 0.70 via T- adapter. Current ABG values are as follows: ph: 7.28 PaO2: 54
PaCO2: 59 HCO3: 26. On the basis of this information, which of the following actions
would be most appropriate? - ✔✔Initiate mechanical ventilation with PEEP.
QUESTIONS AND ANSWERS SURE A+
✔✔A patient has just been admitted to the ED for an acute asthmatic attack. The
physician has prescribed albuterol (provent), Ipratropium Bromide(atrovent), and
fluticasone (flovent). Which of the following is the correct order of administration of
these drugs? - ✔✔Albuterol,ipratropium, fluticasone.
✔✔A patient who develops sub-glottic edema following extubation would benefit from
the administration of which of the following? - ✔✔Nebulized racemic epinephrine
✔✔While performing endotracheal suctioning on an intubated pediatric asthmatic
patient, the RT observes that the patient becomes severely bronchospastic. The
therapist should - ✔✔Recommended endotracheal instillation of lidocaine (Xylocaine)
prior to suctioning
✔✔Higher than normal levels of exhaled nitric oxide generally mean - ✔✔Airway
inflammation due to asthma
✔✔Which of the following should be done immediately following a lung recruitment
maneuver? - ✔✔Perform a decremental PEEP study
, ✔✔A 36 weeks gestation neonate is being mechanically ventilated. The ventilator
settings are: PIP 24, RR 32/min, I-Time 0.6 sec, flow rate 8 L/ min, PEEP 6 cm H2O,
and FIO2 0.45. The neonates physician is concerned about the volume/ pressure loop,
which is shown to the right. The RT should suggest which of the following? -
✔✔Decreasing PIP to 20 cm H20
✔✔The pressure and flow curves shown to the right were recorded from a mechanically
ventilated patient receiving pressure control ventilation (PCV).Using the pressure and
flow curves represented in "A" as the reference, which of the following best explains the
change in the pressure and flow curves represented in "B" - ✔✔Optimal inspiratory time
has been achieved
✔✔When the ventilator rate of a mechanically ventilated patient is decreased from
8/min to 6/min, the patient becomes agitated and the etCO2 increases from 44 mm Hg
to 51 mm Hg. Based on this change, the RT should conclude that - ✔✔Alveolar
ventilation has decreased
✔✔The high respiratory rate and I:E ratio ventilator alarms have activated on a
mechanically ventilated adult patient who has a long history of chronic CO2 retention.
Which of the following is most likely to occur as a result of this situation? - ✔✔Increased
hyperinflation and air trapping
✔✔Which of the following will occur when the high pressure limit is reached on a
volume ventilator? - ✔✔3: No/yes/no
✔✔While performing a ventilator check on a sedated and paralyzed patient, the RT
notes that the mechanical rate is set at 12/min, but the total rate reads 16/min. The RT
should - ✔✔Adjust the sensitivity settings
✔✔To increase the VT of a patient receiving noninvasive positive pressure ventilation
(NPPV), the RT should - ✔✔Increases the gradient between the EPAP and IPAP levels
✔✔During a routine ventilator check on a 75 kg adult male patient, the RT records the
following data: On the basis of these data, the RT should - ✔✔Increase the flow rate
setting.
✔✔During the mechanical ventilation via a volume ventilator, the inspiratory threshold
can be adjusted by which of the following? - ✔✔The sensitivity settings
✔✔A RT has been assigned to monitor an intubated adult patient who is receiving an
FIO2 of 0.70 via T- adapter. Current ABG values are as follows: ph: 7.28 PaO2: 54
PaCO2: 59 HCO3: 26. On the basis of this information, which of the following actions
would be most appropriate? - ✔✔Initiate mechanical ventilation with PEEP.
