Test bank for tmc

Test bank for TMC - Questions and
Correct Answers n



Withinnonensecondnafterninitiatingnanforcednvitalncapacityn(FVC)nmaneuver,nanpatientn
withnnormalnlungsnshouldnbenablenexhalenwhatnpercentnofnthenFVC?

A.n35-
50%nofnthenFVCnB.n50-
70%nofnthenFVCnC.n70-
83%nofnthenFVCnD.n84-
93%nofnthenFVC
 ~~~n 70nton83%nofnthenFVC

SimplenspirometrynCANNOTnbenusedntonmeasurenthe:

A. vitalncapacity
B. residualnvolumen
C.ntidalnvolume
D.ninspiratorynreservenvolume
 ~~~n residualnvolume

Whichnofnthenfollowingnapproachesncannbenusedntonobtainnanmedicationnhistorynfromnanp
atientnwithnandepressednlevelnofnconsciousnessnornwhonisnseverelynagitated?

A. obtainnandnreviewnthenpatient'snpastnmedicalnhistory
B. asknthenpatient'snnursenaboutnthenpatient'snprescriptions
C. requestnthatnthenlabnrunnancomprehensivenbloodndrugnscreenn
D.nobtainnthenpatient'sncurrentnprescriptionnvialsnfromnthenfamily
 ~~~n obtainnthenpatient'sncurrentnprescriptionnvialsnfromnthenfamily

Whichnofnthenfollowingnthoracicnultrasoundnfindingsnisnconsistentnwithnthenpresencenofnan
pneumothorax?

A.npresencenofnglidingnsignn
B.nabsencenofnA-lines
C.npresencenofnbarcodensignn
D.npresencenofnseashorensign
 ~~~n presencenofnbarcodensign

Whichnofnthenfollowingnwouldntendntonincreaseninsensiblenwaternloss?

A. hypothermia
B. bypassednuppernairwayn
C.nhypoventilation
D.ndiureticnadministration
 ~~~n bypassednuppernairway

Whichnofnthenfollowingnwouldntendntondecreasenanpatient'snenergynexpenditure?

,A.nhypothermian
B.ninflammationn
C.nmajorntrauman
D.nagitation/pain
 ~~~n hypothermia

Anpatientnhasnacutenrespiratorynacidosis.nYounwouldnexpectnthenbasenexcessn(BE)ntonrang
enbetween:

A.n+n6nmEq/Ln
B.n-
n6nmEq/LnC.n+/

-
n2nmEq/LnD.n+/-
n8nmEq/L


 ~~~n +/-n2nmEq/L

ThenAPGARnscorenfornannormalnnewbornninfantnrangesnbetween:

A.n1-4
B.n4-7
C.n7-10
D.n10-13
 ~~~n 7nton10

Whichnofnthenfollowingnarterialnbloodngasnresultsnwouldnmostnlikelynbenreportednfornanp
atientnwhonisnhavingnanmildnasthmanattack?

A. pHn=n7.31nPCO2n=n50ntorrnPO2n=n60ntorr

B. pHn=n7.40nPCO2n=n50ntorrnPO2n=n50ntorr

C. pHn=n7.47nPCO2n=n32ntorrnPO2n=n60ntorr

D. pHn=n7.47nPCO2n=n40ntorrnPO2n=n50ntorr
 ~~~n pHn=n7.47nPCO2n=n32ntorrnPO2n=n60ntorr

Asthmanisnrespiratorynalkalosis

Onninspectionnofnanpatient'snECGnstrip,nyounnotennonidentifiablenPnwaves;nrapidnirre
gularnundulationsnofnthenisoelectricnline;nandnannirregularnventricularnrhythm.nInnaddi
tion,nthenprecordialncardiacnratenisngreaternthannthenperipheralnpulsenrate.nThenmostn
likelynproblemnis:

A.n2ndndegreen(Wenckebach)nheartnblockn
B.nventricularnfibrillation
C.natrialnfibrillation
D.nventricularntachycardia
 ~~~n atrialnfibrillation

Thennormalnrangenfornvitalncapacityninnanyoungnhealthynmalenofnaveragensizenis:

,A.n5000nton6000nmln
B.n2000nton3000nmln
C.n3000nton4000nmln
D.n4000nton5000nml
 ~~~n 4000nton5000nml

Pulmonarynfunctionnparametersnthatnsignifynannobstructivendiseasenprocessnincluden
whichnofnthenfollowing?

A. IncreasenAirwaynResistancen-
nYESnDecreasednLungnVolumesn -

n NOnDecreasednForcednExpiratorynFlowsn-

nYESnAIrnTrappingn-nYES

B. IncreasenAirwaynResistancen-
nNOnDecreasednLungnVolumesn-

nYESnDecreasednForcednExpiratorynFlowsn-

nYESnAIrnTrappingn-nYES

C. IncreasenAirwaynResistancen-
nYESnDecreasednLungnVolumesn-

nYESnDecreasednForcednExpiratorynFlowsn-

nYESnAIrnTrappingn-nYES

D. IncreasenAirwaynResistancen-
nYESnDecreasednLungnVolumesn-

nYESnDecreasednForcednExpiratorynFlow

sn-NOnAIrnTrappingn-nNO
 ~~~n IncreasenAirwaynResistancen-nYES
DecreasednLungnVolumesn-
n NOnDecreasednForcednExpiratorynFlowsn-

nYESnAIrnTrappingn-nYES

Thenamountnofngasnthatncannbeninhalednovernandnaboventhatnnormallyninhalednduringnquiet
nbreathingnisnthe:




A.nIRVn
B.nFRCn
C.nERVn
D.nVC
 ~~~n IRV

Thenresultsnofnannarterialnbloodngasnanalysisnarenbelow:

pHn-n7.28
PaCO2n-n22ntorr
HCO2n-
n10nmEq/LnBEn-15
PaO2n-n110ntorr

, Thesendatanindicatenwhichnofnthenfollowing?

A.nprimarynmetabolicnacidosisnB
.nprimarynmetabolicnalkalosisnC.
nprimarynrespiratorynalkalosisn
D.
nprimarynrespiratorynacidosis


 ~~~n primarynmetabolicnacidosis

WhilenexaminingnanpatientninnthenICU,nyounnotenthatnshenappearsnsomewhatnedematou
snandnthennursenhasnindicatednthatnthenpatient'snurinenoutputnisn"minimal."nInnwhatnsectio
nnofnthenmedicalnrecordnwouldnyouncheckntondeterminenthenpatient'snfluidnbalancen(intak
envs.noutput)?

A.nphysiciannordersn
B.nconsent
C.nlabnresults
D.nnurses'nnotesnandnflowsheet
 ~~~n nurses'nnotesnandnflowsheet

WhenninspectingnthenmonitornofnannadultnpatientninnICU,nyounnotenanheartnratenofn138/
minnwithnanregularnrhythm.nWhichnofnthenfollowingnisnthenmostnlikelyncausenofnthisnobser
vation?

A.nbeta-
blockernadminstrationnB.n ther
apeuticn hypothemianC.narteri
alnhypertension
D.nanxietynornagitation
 ~~~n anxietynornagitation

Innreviewingnansleepnstudy,nyounnoten20nton25nepisodesnpernhournlike.nWhatntypenofnab
normalnrespiratoryneventndoesnthisnindicate?

A.ncentralnsleepnapnean
B.nmixednsleepnapnea
C.nobstructivensleepnapnea
D.nrespiratoryneffortn-nrelatednarousal
 ~~~n centralnsleepnapnea

Thengoldnstandardnfornmonitoringnintracranialnpressuren(ICP)nisnthe:

A.nintraparenchymalnproben
B.nsubarachnoidnbolt
C.nintraventricularncathetern
D.nepiduralnsensor
 ~~~n intraventricularncatheter