Lindsey Jones TMC Exam A
1. A patient receiving mechanical ventilation has received
Halcion in the last twenty minutes. The physician orders the
institution of spontaeneous breath- ing trials to commence
immediately.Which of the following medications would be most
helpful to the patient?
A. Valium
B. Romazicon (Flumazenil) C. Morphine sulfate
D. Meperidine: Answer: B. Romazicon (Flumazenil)
2. In preparation for ventilator weaning the physician
requests a VD/VT ra- tio assessment. Which of the following
is needed to determine the dead- space-tidal volume ratio?
A. arterial blood gases and capnographic data
B. single breath nitrogen elimination and capnographic data
C. helium dilution study and single breath nitrogen
elimination
D. helium dilution study and an arterial blood gas: Answer: A.
arterial blood gases and capnographic data
3. A respiratory therapist is determining a VD/VT ratio. Which
of the following is needed to complete this analysis?
A. VT and VA
B. PetCO2 and PaCO2
,C. FIO2 and PaO2
D. PECO2 and PaO2: Answer: B. PetCO2 and PaCO2
4. Which of the following is LEAST likely to promote the
spread of nosocomial infection in a hospital?
A. use of unit dose medication
B. poor hand washing among staff
C. changing small volume nebulizer equipment every 48
hours
D. frequent disconnection of a ventilator circuit: Answer: A.
use of unit dose medication
5. Which of the following can be used to estimate the level of
Hemoglobin? A. PAO2
B. C(a-v)O2
C. RBC
D. Theophylline level: Answer: C. RBC
6. Which of the following alarms would be most important for
a patient receiv- ing positive pressure ventilation by a
pressure-cycled ventilator?
A. low FIO2
B. I:E ratio
C. high pressure
D. low volume: Answer: D. low volume
,7. Patients with large necks who experience frequent
dislodging of their tra- cheostomy tubes need (a)
A. shorter tracheostomy tube
B. nasal intubation
C. longer tracheostomy tube
D. larger tracheostomy tube: Answer: B. nasal intubation
8. Which of the following would be most effective at resolving
a humidity deficit for a patient who is intubated with an 8.0-
mm endotracheal tube? A. concha heated humidifier
B. HME
C. large volume nebulizer
D. bubble humidifier: Answer: A. concha heated humidifier
9. A patient with suspected myasthenia gravis in the
emergency room should receive which of the following to
confirm a diagnosis?
A. Neostigmine
B. Meperidine (Demerol) C. Edrophonium Bromide
D. Norcuron: Answer: C. Edrophonium Bromide
10. Which of the following is an important action when
drawing an arterial blood gas sample?
A. Compress the site prior to puncture
B. Use an 16 gauge needle
C. run the sample within 15 minutes
, D. Choose a radial site with adequate ulnar circulation:
Answer: D. Choose a radial site with adequate ulnar circulation
11. Which of the following would be most helpful for a patient
with fixed upper airway obstruction?
A. beta II agonist medication B. aerosolized epinephrine C.
heliox therapy
D. corticosteroids: Answer: C. heliox therapy
12. Which of the following oxygen modalities would be
appropriate for a 220-lb (100-kg) male with diabetic
ketoacidosis who requires 40% supplemental oxygen?
A. air-entrainment mask
B. simple mask
1. A patient receiving mechanical ventilation has received
Halcion in the last twenty minutes. The physician orders the
institution of spontaeneous breath- ing trials to commence
immediately.Which of the following medications would be most
helpful to the patient?
A. Valium
B. Romazicon (Flumazenil) C. Morphine sulfate
D. Meperidine: Answer: B. Romazicon (Flumazenil)
2. In preparation for ventilator weaning the physician
requests a VD/VT ra- tio assessment. Which of the following
is needed to determine the dead- space-tidal volume ratio?
A. arterial blood gases and capnographic data
B. single breath nitrogen elimination and capnographic data
C. helium dilution study and single breath nitrogen
elimination
D. helium dilution study and an arterial blood gas: Answer: A.
arterial blood gases and capnographic data
3. A respiratory therapist is determining a VD/VT ratio. Which
of the following is needed to complete this analysis?
A. VT and VA
B. PetCO2 and PaCO2
,C. FIO2 and PaO2
D. PECO2 and PaO2: Answer: B. PetCO2 and PaCO2
4. Which of the following is LEAST likely to promote the
spread of nosocomial infection in a hospital?
A. use of unit dose medication
B. poor hand washing among staff
C. changing small volume nebulizer equipment every 48
hours
D. frequent disconnection of a ventilator circuit: Answer: A.
use of unit dose medication
5. Which of the following can be used to estimate the level of
Hemoglobin? A. PAO2
B. C(a-v)O2
C. RBC
D. Theophylline level: Answer: C. RBC
6. Which of the following alarms would be most important for
a patient receiv- ing positive pressure ventilation by a
pressure-cycled ventilator?
A. low FIO2
B. I:E ratio
C. high pressure
D. low volume: Answer: D. low volume
,7. Patients with large necks who experience frequent
dislodging of their tra- cheostomy tubes need (a)
A. shorter tracheostomy tube
B. nasal intubation
C. longer tracheostomy tube
D. larger tracheostomy tube: Answer: B. nasal intubation
8. Which of the following would be most effective at resolving
a humidity deficit for a patient who is intubated with an 8.0-
mm endotracheal tube? A. concha heated humidifier
B. HME
C. large volume nebulizer
D. bubble humidifier: Answer: A. concha heated humidifier
9. A patient with suspected myasthenia gravis in the
emergency room should receive which of the following to
confirm a diagnosis?
A. Neostigmine
B. Meperidine (Demerol) C. Edrophonium Bromide
D. Norcuron: Answer: C. Edrophonium Bromide
10. Which of the following is an important action when
drawing an arterial blood gas sample?
A. Compress the site prior to puncture
B. Use an 16 gauge needle
C. run the sample within 15 minutes
, D. Choose a radial site with adequate ulnar circulation:
Answer: D. Choose a radial site with adequate ulnar circulation
11. Which of the following would be most helpful for a patient
with fixed upper airway obstruction?
A. beta II agonist medication B. aerosolized epinephrine C.
heliox therapy
D. corticosteroids: Answer: C. heliox therapy
12. Which of the following oxygen modalities would be
appropriate for a 220-lb (100-kg) male with diabetic
ketoacidosis who requires 40% supplemental oxygen?
A. air-entrainment mask
B. simple mask
