RRT- Lindsey Jones (2025) comprehensive
questions and verified answers ( detailed &
elaborated) ACTUAL EXAM 2025 TEST!!
Save
Terms in this set (41)
Emphysema : Obstructive D: Abnormal condition of the alveoli resulting
Definition, Clinical destruction and loss of elasticity
Evidence, Chest Xray, C.E.: Barrel chest, Access. musc. use, Clubbing,
CBC, ABG, PFT & Key Smoking hx, Occupational hazard (smoke, asbestos,
interventions other pulm. irritant)
XR: ^ AP diameter, flattened diaphragm,
**EXAM Challenge: You hyperlucency, diminished pulmonary markings.
may be tempted to utilize CBC: Polycythemia, ^ WBC - possible infection
high FiO2 because of the ABG: Comp. Resp. Acidosis (H PaCO2, N pH) &
severity of hypoxemia. Hypoxemia
You may also be tested PFT: flows are decreased (FEF 25-75% & FEV1),
with an emergency, the wheeze, dim.
only time it is appropriate K.I.: O2 (L FiO2 0.24-0.28), Liq. O2 or trans-trach
to use 100% O2 on a cannula, home care education, aids to quit smoking,
COPD patient bronchodilators & corticosteroids
https://quizlet.com/1006450512/rrt-lindsey-jones-2025-comprehensive-questions-and-verified-answers-detailed-elaborated-actual-exam-2025-te… 1/22
,2/16/25, 11:57 AM RRT- Lindsey Jones (2025) comprehensive questions and verified answers ( detailed & elaborated) ACTUAL EXAM 2025 TE…
D: Condition where the patient has a productive
Chronic Bronchitis : cough 25% of the year, for at least 2 consecutive
Obstructive years.
Definition, Clinical C.E.: Productive cough, purulent sputum, exposure
Evidence, Chest xray, to pulm. irritants, frequent infections.
CBC, ABG,PFT & Key XR: May be normal, may show hyperlucency,
interventions diminished pulmonary markings
CBC: Possible increased WBC due to possible
**EXAM Challenge: The infection
most distinguishing ABG: May be normal, may show slight Resp.
characteristic is that the Acidosis & hypox.
cough is productive and PFT: flows are decreased (FEF 25-75% & FEV1
has been so for a good K.I.: Anything that promotes good pulm. hygiene,
portion of the year. fluid therapy if dyhyd, O2 if hypox, bronchodialator,
Tetracycline
D: Abnormal condition where the bronchi secrete
large volumes of pus during abnormal dilation
Bronchiectasis :
C.E.: Productive cough, often bloody, clubbing,
Obstructive
recurrent infections, dyspnea
Definition, Clinical
XR: generally normal
Evidence, Chest xray,
S.C.: gram negative bacteria
Sputum Culture,
Bronchogram: Primary test. "tree in winter pattern"
Bronchogram & Key
K.I.: Chest Physio, hydration therapy (thick sputum),
interventions
fluid therapy (dehydrated), O2 therapy,
bronchodilator, Surgical intervention
https://quizlet.com/1006450512/rrt-lindsey-jones-2025-comprehensive-questions-and-verified-answers-detailed-elaborated-actual-exam-2025-te… 2/22
, 2/16/25, 11:57 AM RRT- Lindsey Jones (2025) comprehensive questions and verified answers ( detailed & elaborated) ACTUAL EXAM 2025 TE…
D: The cessation of breathing during sleep. Most
commonly obstructive in nature, can be central, or
both. (mixed)
Obstructive & Central C.E.: Spouse complains of snoring and witnessed
Sleep Apnea apnea for 10 second or longer. Excessive upper
Definition, Clinical airway tissue, obesity or thick neck. Ability to fall
Evidence, asleep quickly. Dyspnea, Frequent urination during
ABG,Polysomnography & sleeping hours
Key interventions ABG: Could be normal, or show slight resp. acid. or
hypoxemia
**EXAM Challenge: It is P.: Determines OSA or CSA. If no nasal flow AND no
important to remember chest movement = CSA, If no nasal flow WITH chest
to avoid sending the mvmt. = OSA
patient home without K.I.: CSA= ventilatory stim. meds (Doxapram) OSA=
some sort of ventilatory use of CPAP or BiPAP, initially indicated follow up
support. weight loss or upper airway tissue removal. Must be
corrected immediately.. If sending home, send
equipment. in the absence of titration studies initial
order Pressure is 10-20 cmH2O
Asthma : Obstructive D: Abnormal construction of the bronchial's
Definition, Clinical resulting in sputum production and narrowed
Evidence, Chest xray, airways.
CBC, ABG,PFT & Key C.E.: Accessory muscle use, Tachycardia, dyspnea,
interventions wheezing, congested cough, wet-clammy skin
XR: hyperinflation, scattered infiltrates, flat
**EXAM Challenge: diaphragm
When doing PFTs, always CBC- Allergic cases, maybe elevate eosinophils ->
do a pre & post yellow sput.
bronchodilator study. ABG: possible Resp. Acid, could be hypoxic
Consider effective if 12% PFT: Decreased flows in FEV1 but diffusion is normal
or more improvement is (DLCO)
noted. Always start K.I.: O2 therapy, bronchodilator, xanthenes via IV,
oxygen first when pulm. hyg, if repeated bronchodilator use doesnt
presenting in the ER-- work think status asthmaticus, patient asthma action
part of the national plan!!
Asthma Guidelines
https://quizlet.com/1006450512/rrt-lindsey-jones-2025-comprehensive-questions-and-verified-answers-detailed-elaborated-actual-exam-2025-te… 3/22