TMC Practice Questions A- Kettering exam
EXAM A: QUESTIONS AND ANSWERS 100% GRADED A+ SOLVED CORRECTLY!!
A 48 year-old female is admitted to the ED with diaphoresis, jugular venous distension, and 3+ pitting edema in the ankles. These findings are consistent with
A. liver failure.
B. pulmon...
EXAM A: QUESTIONS AND
ANSWERS 100% GRADED A+
SOLVED CORRECTLY!!
,A 48 year-old female is admitted to the ED with diaphoresis, jugular venous distension,
and 3+ pitting edema in the ankles. These findings are consistent with
A. liver failure.
B. pulmonary embolism.
C. heart failure.
D. electrolyte imbalances. - ANSWER C.
A
A patient is admitted to the ED following a motor vehicle accident. On physical exam,
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the respiratory therapist discovers that breath sounds are absent in the left chest with a
hyperresonant percussion note. The trachea is shifted to the right. The patient's heart
rate is 45/min, respiratory rate is 30/min, and blood pressure is 60/40 mm Hg. What
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action should the therapist recommend first?
A. Call for a STAT chest x-ray.
B. Insert a chest tube into the left chest.
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C. Needle aspirate the 2nd left intercostal space.
D. Activate the medical emergency team to intubate the patient. - ANSWER C.
All of the following strategies are likely to decrease the likelihood of damage to the
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tracheal mucosa EXCEPT
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A. maintaining cuff pressures between 20 and 25 mm Hg.
B. using the minimal leak technique for inflation.
C. using a low-residual-volume, low-compliance cuff.
A
D. monitoring intracuff pressures. - ANSWER C.
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A 52 year-old post-operative cholecystectomy patient's breath sounds become more
coarse upon completion of postural drainage with percussion. The respiratory therapist
should recommend
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A. continuing the therapy until breath sounds improve.
B. administering dornase alpha.
C. administering albuterol therapy.
D. deep breathing and coughing to clear secretions. - ANSWER D.
,A 65 kg spinal cord injured patient has developed atelectasis. His inspiratory capacity is
30% of his predicted value. What bronchial hygiene therapy would be most appropriate
initially?
A. IS / SMI
B. IPPB with normal saline
C. postural drainage and percussion
D. PEP therapy - ANSWER B.
A
A healthy adult female can exhale what portion of her forced vital capacity in the first
second?
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A. 50%
B. 60%
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C. 70%
D. 80% - ANSWER C.
A patient on VC ventilation has demonstrated auto-PEEP on ventilator graphics. Which
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of the following controls, when adjusted independently, would increase expiratory time?
1. Tidal volume
2. Respiratory Rate
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3. Inspiratory flow
4. Sensitivity
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A. 1, 2, and 3 only
B. 1, 2, and 4 only
A
C. 1, 3, and 4 only
D. 2, 3, and 4 only - ANSWER A.
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Which of the following would be the most appropriate therapy for a dyspneic patient who
has crepitus with tracheal deviation to the left and absent breath sounds on the right?
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A. Perform chest physiotherapy
B. Administer an IPPB treatment
C. Insert an endotracheal tube
D. Insert a chest tube - ANSWER D.
A 55 year-old post cardiac surgery patient has the following ABG results: pH 7.50,
PaCO2 30 torr, PaO2 62 torr, HCO3 25 mEq/L, SaO2 92%, HB 14 g/dL, BE +2. Venous
, blood gas results are pH 7.39, PvCO2 43 torr, PvO2 37 torr, and SvO2 66%. Calculate
the patient's C(a-v)O2.
A. 2.5 vol%
B. 4.0 vol%
C. 5.0 vol%
D. 5.5 vol% - ANSWER C.
A patient on VC, SIMV with a VT of 500 mL has a PIP of 25 cm H2O, Pplat of 15 cm
A
H2O and PEEP of 5 cm H2O. What is the patient's static lung compliance?
A. 25 mL/cm H2O
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B. 35 mL/cm H2O
C. 45 mL/cm H2O
D. 50 mL/cm H2O - ANSWER D.
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Immediately after extubation of a patient in the ICU, the respiratory therapist observes
increasing respiratory distress with intercostal retractions and marked stridor. The SpO2
on 40% oxygen is noted to be 86%. Which of the following would be most appropriate at
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this time?
A. cool mist aerosol treatment
B. aerosolized racemic epinephrine
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C. manual ventilation with resuscitation bag and mask
D. reintubation - ANSWER D.
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Which of the following patients would most likely benefit from pressure support
ventilation?
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A. An intubated patient with an absent respiratory drive.
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B. A patient on SIMV with a set rate of 12/min and total rate of 24/min.
C. A patient with acute lung injury.
D. A patient who requires short-term post-operative ventilatory support. - ANSWER
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B.
A patient receiving mechanical ventilation has developed a temperature of 99.9° F with
purulent secretions over the last 12 hours. The respiratory therapist has also noted a
steady increase in peak inspiratory pressure. What initial recommendation should be
made to address these changes?
A. Initiate bronchial hygiene therapy.
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