Practice Questions and Answers- NBRC
CRT .
Which of the following clinical factors would increase the difficulty of ventilating a patient
effectively by manual resuscitation device and mask? -
\Bull neck and Enlarged tongue
A 16 year old patient with CF has been admitted for an acute bacterial infection of the
left upper lobe. The physician as written orders for postural drainage and percussion to
the posterior segment of the left upper lobe, what is the correct position for draining this
segment? -
\Bed flat, patient sitting up leaning forward, percuss over back of left shoulder.
List three complications associated with drawing blood from an arterial line? -
\Infection, Hematoma and Vessel Spasm
-Not: anticoagulation
A 54 year old homeless patient has been admitted to the hospital with a diagnosis of
tuberculosis. Standard infection control procedures for this pathogen would be? -
\Airborne precautions
The recommended effective dose for Nitric Oxide (NO) Therapy is? -
\2-20ppm
The respiratory therapist has measured the exhaled nitric oxide concentrations (FENO)
of a patient with CF. The therapist notes a decrease in the patients FENO levels from
her last visit 1 month ago. These results would be consistent with increased use of? -
\Corticosteroids
The pulmonologist determines a patient has dyspnea, diminished BS with a dull
percussion on the left. CXR shows tracheal shift to the right. suspect? -
\Pleural effusion
A patient has an infected mucopurulent abscess in the right lung. The left lung is clear
of secretions and infection. The pt requires intubation and mechanical ventilation. Which
would be necessary to properly ventilate the patient? -
\Carlens Tube
A post-op patient has a fenestrated trach tube in place. The therapist is monitoring the
cuff pressure and notes that the pressure is 32cmH2O with a minimal leak. The most
likely explanation for this is the? -
\Tube is too small
, A 24 y/o female has been admitted to the hospital after being involved in a sky diving
accident. She is 5'4'' and weighs 55kg. Intubated with 7.5 ETT, CXR shows bilateral
opacification of all lung fields.
SIMV 650, 12, 65%, +10, PIP 58, Plat 50
ABG: 7.30, 43, 45, 21, 82% -
\venous admixture
54 y/o post appendectomy pt has an order for sustained max insp q2h while awake. The
pts pre-op insp capacity was 3600mL. An appropriate goal for this patient would be? -
\1800mL
A pt in the ICU is being mech ventilated following an mva, The recent chest radiograph
reveals ARDS. How would you manage this pt? -
\Vt of 6mL/kg and maintain plat pressures <30 cm H20.
- not levels of high PEEP
7am: Peak Press 28, Plat 23
9am: 35, 25
11am: 50, 26
What does this indicate? (no vent changes have been made) -
\Pt needs suctioning, the airway resistance is increasing from 5 to 10 to 24.
A 50 y/o male patient has been referred to the pft lab for stress testing. What is pts max
HR? -
\220-50 = 170beats/min
During the initial auscultation of a patient, the rt notes the presence of an S4 and
murmur, what additional diagnostic testing should the RT recommend? -
\Echocardiogram
a 36 y/o pt is being monitored with a pulmonary artery catheter.
CVP- 6mmHg
PAP- 26/10 mm Hg
PCWP- 18 mmHg
Qt- 2.8 L/min
What do you recommend for this patient? -
\positive inotropic agent and diuretic
A 32 week gestation age infant is receiving mechanical ventilation with a time-cycled,
pressure-limited ventilator
SIMV, PIP 28, RR 22, 60%, +6, 6L/min, I time 0.6 sec
-RT notices TcPO2 reading suddenly drops to 39 torr, there have been no vent
changes, however pt is cyanotic and the trachea is deviated to the right with absent BS
on the left.
* What should the RT recommend? -
\transillumination
CRT .
Which of the following clinical factors would increase the difficulty of ventilating a patient
effectively by manual resuscitation device and mask? -
\Bull neck and Enlarged tongue
A 16 year old patient with CF has been admitted for an acute bacterial infection of the
left upper lobe. The physician as written orders for postural drainage and percussion to
the posterior segment of the left upper lobe, what is the correct position for draining this
segment? -
\Bed flat, patient sitting up leaning forward, percuss over back of left shoulder.
List three complications associated with drawing blood from an arterial line? -
\Infection, Hematoma and Vessel Spasm
-Not: anticoagulation
A 54 year old homeless patient has been admitted to the hospital with a diagnosis of
tuberculosis. Standard infection control procedures for this pathogen would be? -
\Airborne precautions
The recommended effective dose for Nitric Oxide (NO) Therapy is? -
\2-20ppm
The respiratory therapist has measured the exhaled nitric oxide concentrations (FENO)
of a patient with CF. The therapist notes a decrease in the patients FENO levels from
her last visit 1 month ago. These results would be consistent with increased use of? -
\Corticosteroids
The pulmonologist determines a patient has dyspnea, diminished BS with a dull
percussion on the left. CXR shows tracheal shift to the right. suspect? -
\Pleural effusion
A patient has an infected mucopurulent abscess in the right lung. The left lung is clear
of secretions and infection. The pt requires intubation and mechanical ventilation. Which
would be necessary to properly ventilate the patient? -
\Carlens Tube
A post-op patient has a fenestrated trach tube in place. The therapist is monitoring the
cuff pressure and notes that the pressure is 32cmH2O with a minimal leak. The most
likely explanation for this is the? -
\Tube is too small
, A 24 y/o female has been admitted to the hospital after being involved in a sky diving
accident. She is 5'4'' and weighs 55kg. Intubated with 7.5 ETT, CXR shows bilateral
opacification of all lung fields.
SIMV 650, 12, 65%, +10, PIP 58, Plat 50
ABG: 7.30, 43, 45, 21, 82% -
\venous admixture
54 y/o post appendectomy pt has an order for sustained max insp q2h while awake. The
pts pre-op insp capacity was 3600mL. An appropriate goal for this patient would be? -
\1800mL
A pt in the ICU is being mech ventilated following an mva, The recent chest radiograph
reveals ARDS. How would you manage this pt? -
\Vt of 6mL/kg and maintain plat pressures <30 cm H20.
- not levels of high PEEP
7am: Peak Press 28, Plat 23
9am: 35, 25
11am: 50, 26
What does this indicate? (no vent changes have been made) -
\Pt needs suctioning, the airway resistance is increasing from 5 to 10 to 24.
A 50 y/o male patient has been referred to the pft lab for stress testing. What is pts max
HR? -
\220-50 = 170beats/min
During the initial auscultation of a patient, the rt notes the presence of an S4 and
murmur, what additional diagnostic testing should the RT recommend? -
\Echocardiogram
a 36 y/o pt is being monitored with a pulmonary artery catheter.
CVP- 6mmHg
PAP- 26/10 mm Hg
PCWP- 18 mmHg
Qt- 2.8 L/min
What do you recommend for this patient? -
\positive inotropic agent and diuretic
A 32 week gestation age infant is receiving mechanical ventilation with a time-cycled,
pressure-limited ventilator
SIMV, PIP 28, RR 22, 60%, +6, 6L/min, I time 0.6 sec
-RT notices TcPO2 reading suddenly drops to 39 torr, there have been no vent
changes, however pt is cyanotic and the trachea is deviated to the right with absent BS
on the left.
* What should the RT recommend? -
\transillumination
