RRT- LINDSEY JONES | ACTUAL COMPLETE ALL REAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
| ALREADY GRADED A+ | 2025/2026 LATEST EXAM | JUST
RELEASED !!!
Laryngectomy :
Definition, Clinical Evidence & Key interventions
**EXAM Challenge: In this case, you are always looking for
post-surgical complications like blood clots in the laryngeal
tube. Often you will have to MV this patient through the
laryngectomy tube. - ANSWER-D: Surgery done to address or
remove cancer of the larynx.
C.E.: Surgical record- surgery radical (entire larynx) or simple
(cord removal) Medical history will show cancer in upper
airway. Signs of airway obstruction after surgery. Usually
caused by blood within a few hours after the surgery.
K.I.: If radical surgery the the tracheostomy become permanent.
If not radical then a temporary laryngectomy tube is placed but
must be replaced in 3-6 weeks
***Prevent aspiration!! Wait at least a week before oral ingestion
of liquid and longer for food. Thorough pulmonary hygiene
through suctioning. Use cool aerosol or ultrasonic nebulizer to
keep secretions thin and hydrated. Once the surgery is done,
,you can no longer, orally intubate the patient. Even if the
temporary larygectomy tube is in place you must intubate
and/or ventilate through that tube!!
Newborn Assessment :
Definition, Clinical Evidence & Key interventions - ANSWER-D:
Involves delivery of an infant and is complicated by various
problems
C.E.: APGAR= Appearance or color, Pulse, Grimace or reflex
irritability, Activity or flexion, Respiratory effort. (0-2 points)
A= 2-pink, 1-acrocyanosis, 0-blue or pale; P= 2- >100, 1- <100, 0-
none; G= 2- cough or sneeze, 1- facial grimace, 0-none; A= 2-
active movement, 1- some flexion of limbs, 0- limp or no move;
R= 2- strong cry, 1- weak cry, 0- no cry. If poor APGAR, may be
pre-term, congenital heart problem, meconium aspiration
IRDS, transient tachypnea, gestational age, weight
K.I.: If APGAR Score is: 0-3 PERFORM CPR, 4-6 administer O2,
place infant in warm, neutral thermal environment, stimulate
7-10 monitor the baby normally
Sudden Infant Death Syndrome :
Definition, Clinical Evidence & Key interventions - ANSWER-D:
Sudden apnea occuring in newborn infants as a result of an
immaturity central control of ventilation
,C.E.: Hx of pre-term birth, family genetic predisposition,
observed, irregular respirations, bradycardia may increase risk
of SIDS, Cold air on infants face may induce apnea, Diminished
or absent Moro and Babinski reflexes
K.I.: Provide O2 when in crisis (30-50%), Must sent infant home
with an apnea monitor and parental education, if offered, teach
parents CPR
Meconium Aspiration :
Definition, Clinical Evidence, Chest xray, ABG & Key
interventions
**EXAM Challenge: This is a very common case on the test. It is
fairly straight forward and easily recognized. The key to this is
repeated suctioning and clearing of the airway. - ANSWER-D:
Infant born having meconium in ventilation spaces
C.E.: Hx of meconium-colored amniotic fluid, Often with full-
term infants, Infant may have meconium staining about the
body May demonstrate grunting,
retractions, nasal flaring, Cyanosis,
APGAR 0-6 XR: Bilateral densities and
widespread atelectasis ABG: Hypoxemia
with resp. acidosis, met. acidosis or
mixed
, K.I.: Remove the meconium from the airway. If possible, suction
the baby as soon as the head appears from the birth canal.
Intubate to facilitate suctioning. Reintubate if tube becomes
clogged for any reason (may do this repeatedly) Mobilize
secretions with chest physiotherapy, Mechanically ventilate
only if needed, Apply supplemental oxygen as needed.
Infant Respiratory Distress Syndrome :
Definition, Clinical Evidence, Chest xray, ABG, L/S & Key
interventions
**Exam Challenge: Key is remembering to address lung
maturity. Also, if prolonged ventilation is required,
Brochopulmonary dysplasia may develop. be patient and treat
moment to moment. - ANSWER-D: Condition in infants where
alveolus maturity is below normal
C.E.: Hx may show pre-term infant, Onset can be immediately
after birth or within a few hours, General resp. distress-
grunting, flaring, retractions,
Cyanosis, APGAR 0-6,
XR: radiological description such as ground glass, honey
comb, reticulogranular **NOTE: if xray changes from signs of
IRDS to hyperinflation & fibrosis, then the
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
| ALREADY GRADED A+ | 2025/2026 LATEST EXAM | JUST
RELEASED !!!
Laryngectomy :
Definition, Clinical Evidence & Key interventions
**EXAM Challenge: In this case, you are always looking for
post-surgical complications like blood clots in the laryngeal
tube. Often you will have to MV this patient through the
laryngectomy tube. - ANSWER-D: Surgery done to address or
remove cancer of the larynx.
C.E.: Surgical record- surgery radical (entire larynx) or simple
(cord removal) Medical history will show cancer in upper
airway. Signs of airway obstruction after surgery. Usually
caused by blood within a few hours after the surgery.
K.I.: If radical surgery the the tracheostomy become permanent.
If not radical then a temporary laryngectomy tube is placed but
must be replaced in 3-6 weeks
***Prevent aspiration!! Wait at least a week before oral ingestion
of liquid and longer for food. Thorough pulmonary hygiene
through suctioning. Use cool aerosol or ultrasonic nebulizer to
keep secretions thin and hydrated. Once the surgery is done,
,you can no longer, orally intubate the patient. Even if the
temporary larygectomy tube is in place you must intubate
and/or ventilate through that tube!!
Newborn Assessment :
Definition, Clinical Evidence & Key interventions - ANSWER-D:
Involves delivery of an infant and is complicated by various
problems
C.E.: APGAR= Appearance or color, Pulse, Grimace or reflex
irritability, Activity or flexion, Respiratory effort. (0-2 points)
A= 2-pink, 1-acrocyanosis, 0-blue or pale; P= 2- >100, 1- <100, 0-
none; G= 2- cough or sneeze, 1- facial grimace, 0-none; A= 2-
active movement, 1- some flexion of limbs, 0- limp or no move;
R= 2- strong cry, 1- weak cry, 0- no cry. If poor APGAR, may be
pre-term, congenital heart problem, meconium aspiration
IRDS, transient tachypnea, gestational age, weight
K.I.: If APGAR Score is: 0-3 PERFORM CPR, 4-6 administer O2,
place infant in warm, neutral thermal environment, stimulate
7-10 monitor the baby normally
Sudden Infant Death Syndrome :
Definition, Clinical Evidence & Key interventions - ANSWER-D:
Sudden apnea occuring in newborn infants as a result of an
immaturity central control of ventilation
,C.E.: Hx of pre-term birth, family genetic predisposition,
observed, irregular respirations, bradycardia may increase risk
of SIDS, Cold air on infants face may induce apnea, Diminished
or absent Moro and Babinski reflexes
K.I.: Provide O2 when in crisis (30-50%), Must sent infant home
with an apnea monitor and parental education, if offered, teach
parents CPR
Meconium Aspiration :
Definition, Clinical Evidence, Chest xray, ABG & Key
interventions
**EXAM Challenge: This is a very common case on the test. It is
fairly straight forward and easily recognized. The key to this is
repeated suctioning and clearing of the airway. - ANSWER-D:
Infant born having meconium in ventilation spaces
C.E.: Hx of meconium-colored amniotic fluid, Often with full-
term infants, Infant may have meconium staining about the
body May demonstrate grunting,
retractions, nasal flaring, Cyanosis,
APGAR 0-6 XR: Bilateral densities and
widespread atelectasis ABG: Hypoxemia
with resp. acidosis, met. acidosis or
mixed
, K.I.: Remove the meconium from the airway. If possible, suction
the baby as soon as the head appears from the birth canal.
Intubate to facilitate suctioning. Reintubate if tube becomes
clogged for any reason (may do this repeatedly) Mobilize
secretions with chest physiotherapy, Mechanically ventilate
only if needed, Apply supplemental oxygen as needed.
Infant Respiratory Distress Syndrome :
Definition, Clinical Evidence, Chest xray, ABG, L/S & Key
interventions
**Exam Challenge: Key is remembering to address lung
maturity. Also, if prolonged ventilation is required,
Brochopulmonary dysplasia may develop. be patient and treat
moment to moment. - ANSWER-D: Condition in infants where
alveolus maturity is below normal
C.E.: Hx may show pre-term infant, Onset can be immediately
after birth or within a few hours, General resp. distress-
grunting, flaring, retractions,
Cyanosis, APGAR 0-6,
XR: radiological description such as ground glass, honey
comb, reticulogranular **NOTE: if xray changes from signs of
IRDS to hyperinflation & fibrosis, then the
