RCP FINAL 550 questions with accurate answers
A 45-year-old woman arrives in the emergency department after
ingesting an unknown quantity of pain medication and alcohol. She was
found unconscious in her apartment by her friend. She is currently
unresponsive to verbal stimuli. Vital signs reveal: pulse 56/min,
respiratory rate 10 and shallow, BP 90/50. Her arterial blood gas on
room air reveals: pH 7.21, partial pressure of carbon dioxide (PaCO2) 64
mm Hg, partial pressure of oxygen (PaO2) 52 mm Hg, bicarbonate
(HCO3-) 24 mEq/L. The appropriate treatment for this patient includes
which of the following? Ans✓✓✓- Naloxone hydrochloride (Narcan)
- Intubation and ventilatory support
A 47-year-old man who recently returned from a business trip to Hong
Kong has a high fever and other signs and symptoms of pneumonia.
SARS-CoV is among the conditions being investigated. While the
patient is being evaluated, what preventative measures should be taken?
Ans✓✓✓- Standard precautions
- Droplet precautions
A 52-year-old male with a medical history of congestive heart failure
and hypertension arrives in the emergency department because of an
acute onset of dyspnea. The patient has pink frothy secretions at the
mouth. A rapid physical assessment reveals a pulse of 128, respiratory
rate 28 breaths/min and labored, and blood pressure 82/56 mm Hg.
Bilateral coarse crackles are heard in the lung bases. Arterial blood gas
results on a 12 L/min nonrebreather mask are: pH 7.32, partial pressure
of carbon dioxide (PaCO2) 49 mm Hg, partial pressure of oxygen
(PaO2) 50 mm Hg, arterial oxygen saturation (SaO2) 74%. The most
,appropriate immediate action for this patient is which of the following?
Ans✓✓✓- Intubation and mechanical ventilation
A 58-year-old patient has an exacerbation of the COPD related to spring
allergies. as he is being prepared for discharge from the hospital what
should the rt recommend? Ans✓✓✓- Get a flu vaccination in the fall
A 65-year-old female patient has distended external jugular veins even
though her head and body are raised 45 degrees above her legs. This
would indicate that she: Ans✓✓✓- Is fluid-overloaded
A 77-year-old male patient is admitted to the emergency room with
shortness of breath, fine basilar crackles, +2 pitting edema and a chest
radiogram with a butterfly pattern. These results are most consistent with
which of the following? Ans✓✓✓- Pulmonary edema (Cardiogenic or
CHF)
A batch of respiratory care equipment has gone through the gas
sterilization process with ethylene oxide. Routine surveillance of the
equipment shows that spores of B. subtilis have survived the process.
What should be done next? Ans✓✓✓- Re-Sterilize the equipment, and
check for destruction of the spores.
A clinician who justifies support for withdrawing life support from a
patient because "in the end, it would be best for all involved" is applying
what ethical viewpoint? Ans✓✓✓- Consequentialism
, A contaminated Bird Mark 7 intermittent positive-pressure breathing
unit must be sterilized before use with another patient. What is the best
method? Ans✓✓✓- Ethylene oxide (to prevent damage to inner
components)
A cooperative and alert post-op patient who is able to eat requires a
continuous but low FIO2. Precise FIO2 concentrations are not needed.
Which of the following devices would best achieve this end? Ans✓✓✓-
Nasal cannula
A health professional who withholds the truth from a patient, saying it is
for his or her own good, is engaged in what practice? Ans✓✓✓-
Benevolent deception
A high - efficiency air (HEPA) filter should be used in the room of a
patient with which type of condition? Ans✓✓✓- TB (Airborne
Protection Strategy)
A home care company has found that several of its tracheostomy
patients have E. coli tracheal infections. What is the most likely cause of
the infections? Ans✓✓✓- Poor hand-washing technique by visiting
respiratory therapists.
A home care respiratory therapist is setting up a continuous home
oxygen system for a 52-year-old patient with congestive heart failure. In
addition to teaching the patient about her condition and how to properly
use the oxygen system, which of the following should the therapist
A 45-year-old woman arrives in the emergency department after
ingesting an unknown quantity of pain medication and alcohol. She was
found unconscious in her apartment by her friend. She is currently
unresponsive to verbal stimuli. Vital signs reveal: pulse 56/min,
respiratory rate 10 and shallow, BP 90/50. Her arterial blood gas on
room air reveals: pH 7.21, partial pressure of carbon dioxide (PaCO2) 64
mm Hg, partial pressure of oxygen (PaO2) 52 mm Hg, bicarbonate
(HCO3-) 24 mEq/L. The appropriate treatment for this patient includes
which of the following? Ans✓✓✓- Naloxone hydrochloride (Narcan)
- Intubation and ventilatory support
A 47-year-old man who recently returned from a business trip to Hong
Kong has a high fever and other signs and symptoms of pneumonia.
SARS-CoV is among the conditions being investigated. While the
patient is being evaluated, what preventative measures should be taken?
Ans✓✓✓- Standard precautions
- Droplet precautions
A 52-year-old male with a medical history of congestive heart failure
and hypertension arrives in the emergency department because of an
acute onset of dyspnea. The patient has pink frothy secretions at the
mouth. A rapid physical assessment reveals a pulse of 128, respiratory
rate 28 breaths/min and labored, and blood pressure 82/56 mm Hg.
Bilateral coarse crackles are heard in the lung bases. Arterial blood gas
results on a 12 L/min nonrebreather mask are: pH 7.32, partial pressure
of carbon dioxide (PaCO2) 49 mm Hg, partial pressure of oxygen
(PaO2) 50 mm Hg, arterial oxygen saturation (SaO2) 74%. The most
,appropriate immediate action for this patient is which of the following?
Ans✓✓✓- Intubation and mechanical ventilation
A 58-year-old patient has an exacerbation of the COPD related to spring
allergies. as he is being prepared for discharge from the hospital what
should the rt recommend? Ans✓✓✓- Get a flu vaccination in the fall
A 65-year-old female patient has distended external jugular veins even
though her head and body are raised 45 degrees above her legs. This
would indicate that she: Ans✓✓✓- Is fluid-overloaded
A 77-year-old male patient is admitted to the emergency room with
shortness of breath, fine basilar crackles, +2 pitting edema and a chest
radiogram with a butterfly pattern. These results are most consistent with
which of the following? Ans✓✓✓- Pulmonary edema (Cardiogenic or
CHF)
A batch of respiratory care equipment has gone through the gas
sterilization process with ethylene oxide. Routine surveillance of the
equipment shows that spores of B. subtilis have survived the process.
What should be done next? Ans✓✓✓- Re-Sterilize the equipment, and
check for destruction of the spores.
A clinician who justifies support for withdrawing life support from a
patient because "in the end, it would be best for all involved" is applying
what ethical viewpoint? Ans✓✓✓- Consequentialism
, A contaminated Bird Mark 7 intermittent positive-pressure breathing
unit must be sterilized before use with another patient. What is the best
method? Ans✓✓✓- Ethylene oxide (to prevent damage to inner
components)
A cooperative and alert post-op patient who is able to eat requires a
continuous but low FIO2. Precise FIO2 concentrations are not needed.
Which of the following devices would best achieve this end? Ans✓✓✓-
Nasal cannula
A health professional who withholds the truth from a patient, saying it is
for his or her own good, is engaged in what practice? Ans✓✓✓-
Benevolent deception
A high - efficiency air (HEPA) filter should be used in the room of a
patient with which type of condition? Ans✓✓✓- TB (Airborne
Protection Strategy)
A home care company has found that several of its tracheostomy
patients have E. coli tracheal infections. What is the most likely cause of
the infections? Ans✓✓✓- Poor hand-washing technique by visiting
respiratory therapists.
A home care respiratory therapist is setting up a continuous home
oxygen system for a 52-year-old patient with congestive heart failure. In
addition to teaching the patient about her condition and how to properly
use the oxygen system, which of the following should the therapist
