C&S TMC EXAM THREE Newest Actual Exam
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A 36 weeks gestation, 4 hour post-delivery neonate has
the following ABG results while on a 35% oxyhood:
pH: 7.34
PaCO2: 47 mmHg
PaO2: 57 mmHg
HCO3: 25 mmHg
The RT should recommend: - Answer-Maintain current
therapy and continue to monitor
A pt with AIDS is to be given treatment for the prevention
of Pneumocystis carinii pneumonia. Which of the following
is most appropriate therapy for this pt? - Answer-
Pentamidine (NebuPent) via Respigard once every 4
weeks
An intubated pt is being mechanically ventilated via a
volume neb. The physician has asked the RT to begin
weaning the pt. Which of the following modes would be
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appropriate? - Answer-2 (A/C-NO, SIMV-YES, IRV-NO
PSV-YES)
An adult pt being treated in the ED is receiving O2 by NC
at 5 L/m. Over the last hour, the pt's respirations have
become irregular and shallow. ABG's show:
pH: 7.24
PaCO2: 86 mmHg
PaO2: 89 mmHg
HCO3: 36
The most appropriate recommendation: - Answer-
Decrease the O2 liter flow
An RT is asked to assess a pt with history of CO2
retention & air trapping. The pt complains that he has
become increasingly SOB and is having difficulty coughing
up secretions. Upon auscultation, the therapist notes
scattered coarse crackles and an occasional expiratory
wheeze. Most appropriate? - Answer-Aerosol
bronchodilator with PEP therapy
28 week gestation neonate is being manually ventilated
following delivery. Chest excursion is poor despite
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respiratory ventilation with high peak pressures. Most
appropriate action? - Answer-Intubate the patient
Following a traumatic nasal intubation, the pt begins to
bleed profusely from the nasopharynx. The RT should: -
Answer-Keep the NT tubes cuff inflated and suction
pharynx as needed
A pt's PaO2 measured by ABG is 255 mmHg. The
analyzer on which the sample was analyzed is calibrated
to a PaO2 of 150 mmHg. Most acceptable action? -
Answer-Recalibrate the analyzer to accommodate this
unusual value
An adult pt is orally intubated and receiving continuous
MV. While performing a routine cuff pressure
measurement, the RT observes that the cuff pressure
monometer's indicator needle continuously reads zero. No
vent alarms are activated and the pt appears to be resting.
The RT should do: - Answer-Replace cuff manometer
A pt in ICU requires aggressive fluid and electrolyte
replacement therapy. Implementation of which of the