RRT Practice Test 1-7-13 || 100 Questions And Answers
With Rationale: A+ Grade
A patient's sputum specimen is purulent green in appearance, has separated into
layers and has a foul odor. What is most likely causing the patient to produce this
sputum?
a. aspiration
b. tuberculosis
c. emphysema
d. bronchiectasis - ANSWERd. bronchiectasis
A patient in ICU complains of light headedness, nausea and chest pain The patient is
a diaphoretic and has a BP of 90/60. An RT observes the ECG pattern (all pointing
down). The therapist should recommend
a. Lidocaine HCI
b. cardioversion
c. defibrillation
d. epinephrine - ANSWERb. cardioversion
A patient with Guillain-Barre syndrome has a vital capacity of 625 mL. A respiratory
therapist should recommend which of the following be performed first.
a. MIP evaluation
b. edrophonium chloride (tensilon test)
c. MVV Test
d. EMG and nerve conduction study. - ANSWERMIP evaluation
The following patient pulmonary function results were obtained:
VC: 3.6 L
FRC: 6.0L
ERV: 1.0L
What is the patients TLC (L)? - ANSWER8.6
which of the following bedside pulmonary function testing results for a with multiple
sclerosis most strongly indicates the need for ventilatory assistance?
d. vital capacity of 5 mL/kg - ANSWERd. vital capacity of 5 mL/kg
A 62-year-old patient with a history of COPD becomes hypotensive following a drug
overdose. Following intubation, VC, A/C ventilation should be initiated with which of
the following concentrations? - ANSWER1.0
,A patient has been receiving VC ventilation for 24 hours. A respiratory therapist is
called to the bedside because the high pressure alarm is sounding with each breath.
which of the following should the therapist do FIRST?
a. change to PC ventilation
b. withdraw the endotracheal tube 4 cm
c. manually ventilate the patient.
d. increase the high pressure alarm limit. - ANSWERc. manually ventilate the patient.
Just prior to removing the endotracheal tube, a respiratory therapist should deflate
the cuff - ANSWERb. deflate the cuff
while preparing to assist with a chest tube insertion, a respiratory therapist learns
that pleurodesis will follow. Which of the following additional equipment should the
therapist provide? hemostat and 3 way stopcock - ANSWERc.hemostat and 3 way
stopcock
Dynamic compliance is obtained by dividing Vt by - ANSWER(PIP-PEEP)
A 52-year-old patient with newly diagnosed OSA undergoes a CPAP titration study.
With a CPAP of 12cm H2O, the AHI is 3 and the lowest observed oxygen saturation is
90% The patient continues to snore. a respiratory therapist should increase the CPAP
level - ANSWERb. increase the CPAP level
What is the target FiO2 range of a nasal cannula in a patient with normal minute
ventilation 0.24-0.40 - ANSWERd. 0.24-0.40
A respiratory therapist is called to the ED to assist with the intubation of an alert,
agitated patient in respiratory failure. Two intubation attempts were unsuccessful. in
addition to a neuromuscular blockade, which of the following drugs will facilitate
intubation?
midazolam HCI (versed) - ANSWERb. midazolam HCI (versed)
A 14-year-old male is 163cm (5'4) tall and weighs 51kg (112 lb) is brought to the ED
for a suspected drug overdose. He is intubated and receiving VC, A/C ventilation. the
following data is available:
Mandatory rate: 14
Tidal volume: 300mL
Inspiratory flow: 20L/min
Pressure limit: 50cm H2O
The physician notices the I:E display indicated 1:1.2 and asks a respiratory therapist
to make an adjustment so the I:E will be 1:3 the therapist should increase the
inspiratory flow - ANSWERb. inspiratory flow
A 180-cm, 75-kg male had a cardiac arrest and is admitted to the ICU. The patient is
apneic is receiving 100% O2 by a bag valve mask resuscitator and has an SpO2 of
94% which of the following are the most appropriate ventilator settings?2.SIMV-
FIO2-0.40 mandatory 12 vt-750 peep-5CM
, a.3
b.1
c.2
d.3 - ANSWERc.2
While instructing a 9 year old child with pneumonia in use of a PEP therapy device, a
respiratory therapist observes that the child is consistently unable to keep a seal
around the mouthpiece. which of the following should the therapist recommend?
select a mask rather than a mouthpiece term-20 - ANSWERc.select a mask rather
than a mouthpiece
A 23 year old patient is in moderate repiratory distress while receiving oxygen
pH:7.42
PaCO2:31
PaO2:38
HCO3:20
BE: -3
SaO2: 71% - ANSWERChronic respiratory alkalosis with severe hypoxemia
which of the following can be used to confirm correct endotracheal tube position
chest radiograph - ANSWERd. chest radiograph
Lung fields will appear whiter on a CXR when the imaging technique is underexpose -
ANSWERd.underexpose
A 71 year old male who has a femur fracture had a chest CT angiogram due to
increased shortness of breath. a RT observes multiple pulmonary arterial thrombi.
SpO2 is 94% while receiving O2 at 2L/min by nasal cannula. Which should the
therapist recommend? - ANSWERIntravenous heparin
A 49-year-old female with polyneuropathy has received mechanical ventilation for
74 days. For the past week, the patient has been receiving an Fi02 of 0.28 by
tracheostoterm-78my collar for progressively longer periods of time. Data collected
for a daily 3-hour weaning trial are below:
30 min-2hrs-3hrs
HR-99-103-132
RR-22-24-36
SpO2-96-95-88 - ANSWER2 hours
VC A/C Ventilation has been initiated on a 38-year-old ARDs patient who is
180cm( 5ft 11in) tall and weighs 85kg (187lb). The patient's cardiovascular status is
stable. Vent and ABGs after 30 minutes:
FiO2= 0.80
Mandatory Rate= 16
Total Rate= 18
With Rationale: A+ Grade
A patient's sputum specimen is purulent green in appearance, has separated into
layers and has a foul odor. What is most likely causing the patient to produce this
sputum?
a. aspiration
b. tuberculosis
c. emphysema
d. bronchiectasis - ANSWERd. bronchiectasis
A patient in ICU complains of light headedness, nausea and chest pain The patient is
a diaphoretic and has a BP of 90/60. An RT observes the ECG pattern (all pointing
down). The therapist should recommend
a. Lidocaine HCI
b. cardioversion
c. defibrillation
d. epinephrine - ANSWERb. cardioversion
A patient with Guillain-Barre syndrome has a vital capacity of 625 mL. A respiratory
therapist should recommend which of the following be performed first.
a. MIP evaluation
b. edrophonium chloride (tensilon test)
c. MVV Test
d. EMG and nerve conduction study. - ANSWERMIP evaluation
The following patient pulmonary function results were obtained:
VC: 3.6 L
FRC: 6.0L
ERV: 1.0L
What is the patients TLC (L)? - ANSWER8.6
which of the following bedside pulmonary function testing results for a with multiple
sclerosis most strongly indicates the need for ventilatory assistance?
d. vital capacity of 5 mL/kg - ANSWERd. vital capacity of 5 mL/kg
A 62-year-old patient with a history of COPD becomes hypotensive following a drug
overdose. Following intubation, VC, A/C ventilation should be initiated with which of
the following concentrations? - ANSWER1.0
,A patient has been receiving VC ventilation for 24 hours. A respiratory therapist is
called to the bedside because the high pressure alarm is sounding with each breath.
which of the following should the therapist do FIRST?
a. change to PC ventilation
b. withdraw the endotracheal tube 4 cm
c. manually ventilate the patient.
d. increase the high pressure alarm limit. - ANSWERc. manually ventilate the patient.
Just prior to removing the endotracheal tube, a respiratory therapist should deflate
the cuff - ANSWERb. deflate the cuff
while preparing to assist with a chest tube insertion, a respiratory therapist learns
that pleurodesis will follow. Which of the following additional equipment should the
therapist provide? hemostat and 3 way stopcock - ANSWERc.hemostat and 3 way
stopcock
Dynamic compliance is obtained by dividing Vt by - ANSWER(PIP-PEEP)
A 52-year-old patient with newly diagnosed OSA undergoes a CPAP titration study.
With a CPAP of 12cm H2O, the AHI is 3 and the lowest observed oxygen saturation is
90% The patient continues to snore. a respiratory therapist should increase the CPAP
level - ANSWERb. increase the CPAP level
What is the target FiO2 range of a nasal cannula in a patient with normal minute
ventilation 0.24-0.40 - ANSWERd. 0.24-0.40
A respiratory therapist is called to the ED to assist with the intubation of an alert,
agitated patient in respiratory failure. Two intubation attempts were unsuccessful. in
addition to a neuromuscular blockade, which of the following drugs will facilitate
intubation?
midazolam HCI (versed) - ANSWERb. midazolam HCI (versed)
A 14-year-old male is 163cm (5'4) tall and weighs 51kg (112 lb) is brought to the ED
for a suspected drug overdose. He is intubated and receiving VC, A/C ventilation. the
following data is available:
Mandatory rate: 14
Tidal volume: 300mL
Inspiratory flow: 20L/min
Pressure limit: 50cm H2O
The physician notices the I:E display indicated 1:1.2 and asks a respiratory therapist
to make an adjustment so the I:E will be 1:3 the therapist should increase the
inspiratory flow - ANSWERb. inspiratory flow
A 180-cm, 75-kg male had a cardiac arrest and is admitted to the ICU. The patient is
apneic is receiving 100% O2 by a bag valve mask resuscitator and has an SpO2 of
94% which of the following are the most appropriate ventilator settings?2.SIMV-
FIO2-0.40 mandatory 12 vt-750 peep-5CM
, a.3
b.1
c.2
d.3 - ANSWERc.2
While instructing a 9 year old child with pneumonia in use of a PEP therapy device, a
respiratory therapist observes that the child is consistently unable to keep a seal
around the mouthpiece. which of the following should the therapist recommend?
select a mask rather than a mouthpiece term-20 - ANSWERc.select a mask rather
than a mouthpiece
A 23 year old patient is in moderate repiratory distress while receiving oxygen
pH:7.42
PaCO2:31
PaO2:38
HCO3:20
BE: -3
SaO2: 71% - ANSWERChronic respiratory alkalosis with severe hypoxemia
which of the following can be used to confirm correct endotracheal tube position
chest radiograph - ANSWERd. chest radiograph
Lung fields will appear whiter on a CXR when the imaging technique is underexpose -
ANSWERd.underexpose
A 71 year old male who has a femur fracture had a chest CT angiogram due to
increased shortness of breath. a RT observes multiple pulmonary arterial thrombi.
SpO2 is 94% while receiving O2 at 2L/min by nasal cannula. Which should the
therapist recommend? - ANSWERIntravenous heparin
A 49-year-old female with polyneuropathy has received mechanical ventilation for
74 days. For the past week, the patient has been receiving an Fi02 of 0.28 by
tracheostoterm-78my collar for progressively longer periods of time. Data collected
for a daily 3-hour weaning trial are below:
30 min-2hrs-3hrs
HR-99-103-132
RR-22-24-36
SpO2-96-95-88 - ANSWER2 hours
VC A/C Ventilation has been initiated on a 38-year-old ARDs patient who is
180cm( 5ft 11in) tall and weighs 85kg (187lb). The patient's cardiovascular status is
stable. Vent and ABGs after 30 minutes:
FiO2= 0.80
Mandatory Rate= 16
Total Rate= 18
