Kettering TMC practice exam| 100 QUESTIONS|
WITH COMPLETE SOLUTIONS(iii)
A respiratory therapist enters a patient's room during oxygen rounds. The patient has end - stage
emphysema and appears to be sleeping. The patient doesn't respond to questions and his pulse is
20 bpm. The therapist should immediately.
A. Confirm DNR status
B. Go get help
C. Begin rescue ventilation
D. Begin chest compressions Correct Answer: Confirm DNR status
Which of the following clinical observations is most commonly associated with right heart
failure?
A Peripheral edema
B. Muscle wasting
C. Tracheal deviation
D. Skin flushing Correct Answer: Peripheral edema
Which of the following is the definitive method of monitoring the effectiveness of equipment
sterilization?
A. Heat sensitive tape
B. Chemical sensitive indicator
C. Biologic indicator
D. Time and temperature graph Correct Answer: Biologic indicator
A patient who is receiving mechanical ventilation requires an FiO2 of 0.70 and 10 cm H2O
PEEP to maintain an acceptable PaO2. The patient is restless and has become disconnected from
the ventilator circuit several times, during which she experiences cardiac rhythm disturbances. A
respiratory therapist should conclude that the patient with benefit from a:
A. Sedative
B. Mucolytic
C. Neuromuscular blocker
D. Pulmonary vasodilator Correct Answer: Sedative
Lams and Pams
What is signs? Correct Answer: What you see
What is symptoms? Correct Answer: What the patient tells you
What is the normal Urine output? Correct Answer: 40 ml
, What is Hypovolemia?
What would you recommend? Correct Answer: low CVP
Give fluids
What is semicomatose? Correct Answer: Patient responds to pain only
What is Lethargy/Somnolence?
What would you recommend? Correct Answer: Sleepy
Consider sleep apnea
COPD patients is getting to much oxygen
ADL are evaluated using the ___________________ system Correct Answer: Katz
What is orthopnea?
What patients would you see this in? Correct Answer: Cannot breathe laying flat
Seen in CHF patients
What is General Malaise? Correct Answer: Electrolyte imbalance
What is dyspnea? Correct Answer: Shortness of breath
What is dysphagia? Correct Answer: Having a hard time swallowing
What is Peripheral Edema?
What patients is it seen in? Correct Answer: Fluid in the arms and ankles
Seen in CHF patients
Seen in Renal failure
What is Ascites?
What patients is it seen in? Correct Answer: Fluid in the abdomen
Seen in Liver failure patients
What is clubbing?
What patients is it seen it? Correct Answer: Chronic hypoxia
Seen in COPD patients
What patients will you see JVD in? Correct Answer: CHF patients
What is Capillary Refill? Correct Answer: Color returns within 3 seconds
What is diaphoresis? Correct Answer: Heavy sweating
Seen in CHF patients
Seen with Fever and infections
Seen with Anxiety and Nervousness
WITH COMPLETE SOLUTIONS(iii)
A respiratory therapist enters a patient's room during oxygen rounds. The patient has end - stage
emphysema and appears to be sleeping. The patient doesn't respond to questions and his pulse is
20 bpm. The therapist should immediately.
A. Confirm DNR status
B. Go get help
C. Begin rescue ventilation
D. Begin chest compressions Correct Answer: Confirm DNR status
Which of the following clinical observations is most commonly associated with right heart
failure?
A Peripheral edema
B. Muscle wasting
C. Tracheal deviation
D. Skin flushing Correct Answer: Peripheral edema
Which of the following is the definitive method of monitoring the effectiveness of equipment
sterilization?
A. Heat sensitive tape
B. Chemical sensitive indicator
C. Biologic indicator
D. Time and temperature graph Correct Answer: Biologic indicator
A patient who is receiving mechanical ventilation requires an FiO2 of 0.70 and 10 cm H2O
PEEP to maintain an acceptable PaO2. The patient is restless and has become disconnected from
the ventilator circuit several times, during which she experiences cardiac rhythm disturbances. A
respiratory therapist should conclude that the patient with benefit from a:
A. Sedative
B. Mucolytic
C. Neuromuscular blocker
D. Pulmonary vasodilator Correct Answer: Sedative
Lams and Pams
What is signs? Correct Answer: What you see
What is symptoms? Correct Answer: What the patient tells you
What is the normal Urine output? Correct Answer: 40 ml
, What is Hypovolemia?
What would you recommend? Correct Answer: low CVP
Give fluids
What is semicomatose? Correct Answer: Patient responds to pain only
What is Lethargy/Somnolence?
What would you recommend? Correct Answer: Sleepy
Consider sleep apnea
COPD patients is getting to much oxygen
ADL are evaluated using the ___________________ system Correct Answer: Katz
What is orthopnea?
What patients would you see this in? Correct Answer: Cannot breathe laying flat
Seen in CHF patients
What is General Malaise? Correct Answer: Electrolyte imbalance
What is dyspnea? Correct Answer: Shortness of breath
What is dysphagia? Correct Answer: Having a hard time swallowing
What is Peripheral Edema?
What patients is it seen in? Correct Answer: Fluid in the arms and ankles
Seen in CHF patients
Seen in Renal failure
What is Ascites?
What patients is it seen in? Correct Answer: Fluid in the abdomen
Seen in Liver failure patients
What is clubbing?
What patients is it seen it? Correct Answer: Chronic hypoxia
Seen in COPD patients
What patients will you see JVD in? Correct Answer: CHF patients
What is Capillary Refill? Correct Answer: Color returns within 3 seconds
What is diaphoresis? Correct Answer: Heavy sweating
Seen in CHF patients
Seen with Fever and infections
Seen with Anxiety and Nervousness
