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Kettering TMC practice exam| 100 QUESTIONS|
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WITH COMPLETE SOLUTIONS(iii)
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A respiratory therapist enters a patient's room during oxygen rounds. The patient has end - stage
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emphysema and appears to be sleeping. The patient doesn't respond to questions and his pulse is
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20 bpm. The therapist should immediately.
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A. Confirm DNR status
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B. Go get help
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C. Begin rescue ventilation
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D. Begin chest compressions Correct Answer: Confirm DNR status
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Which of the following clinical observations is most commonly associated with right heart
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failure?
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A Peripheral edema
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B. Muscle wasting
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C. Tracheal deviation
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D. Skin flushing Correct Answer: Peripheral edema
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Which of the following is the definitive method of monitoring the effectiveness of equipment
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sterilization?
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A. Heat sensitive tape
B. Chemical sensitive indicator
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C. Biologic indicator
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D. Time and temperature graph Correct Answer: Biologic indicator
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A patient who is receiving mechanical ventilation requires an FiO2 of 0.70 and 10 cm H2O
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PEEP to maintain an acceptable PaO2. The patient is restless and has become disconnected from
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the ventilator circuit several times, during which she experiences cardiac rhythm disturbances. A
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respiratory therapist should conclude that the patient with benefit from a:
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A. Sedative
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B. Mucolytic
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C. Neuromuscular blocker
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D. Pulmonary vasodilator Correct Answer: Sedative
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Lams and Pams
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What is signs? Correct Answer: What you see
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What is symptoms? Correct Answer: What the patient tells you
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What is the normal Urine output? Correct Answer: 40 ml
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What is Hypovolemia?
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What would you recommend? Correct Answer: low CVP
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Give fluids
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What is semicomatose? Correct Answer: Patient responds to pain only
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What is Lethargy/Somnolence?
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What would you recommend? Correct Answer: Sleepy
Consider sleep apnea
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COPD patients is getting to much oxygen
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ADL are evaluated using the ___________________ system Correct Answer: Katz
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What is orthopnea?
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What patients would you see this in? Correct Answer: Cannot breathe laying flat
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Seen in CHF patients
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What is General Malaise? Correct Answer: Electrolyte imbalance
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What is dyspnea? Correct Answer: Shortness of breath
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What is dysphagia? Correct Answer: Having a hard time swallowing
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What is Peripheral Edema?
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What patients is it seen in? Correct Answer: Fluid in the arms and ankles
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Seen in CHF patients
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Seen in Renal failure
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What is Ascites?
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What patients is it seen in? Correct Answer: Fluid in the abdomen
Seen in Liver failure patients
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What is clubbing?
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What patients is it seen it? Correct Answer: Chronic hypoxia
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Seen in COPD patients
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What patients will you see JVD in? Correct Answer: CHF patients
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What is Capillary Refill? Correct Answer: Color returns within 3 seconds
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What is diaphoresis? Correct Answer: Heavy sweating
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Seen in CHF patients
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Seen with Fever and infections
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Seen with Anxiety and Nervousness
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