TMC Practice Exam Respiratory Therapy Zone Graded A+ 2023
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Course
TMC Respiratory Therapy
Institution
TMC Respiratory Therapy
TMC Practice Exam Respiratory Therapy
Zone Graded A+ 2023
Within one second after initiating a forced vital capacity (FVC) maneuver, a patient with
normal lungs should be able to exhale what percent of the FVC?
A. 35-50% of the FVC
B. 50-70% of the FVC
C. 70-83% of the FVC
D. 84-93% of the F...
TMC Practice Exam Respiratory Therapy Zone Graded A+ 2023 Within one second after initiating a forced vital capacity (FVC) m aneuver, a patient with normal lungs should be able to exhale what percent of the FVC? A. 35 -50% of the FVC B. 50 -70% of the FVC C. 70 -83% of the FVC D. 84 -93% of the FVC ✔✔c. 70 -83% of FVC Simple spirometry CANNOT be used to measure the A. vital capacity B. residual volume C. tidal volume D. inspiratory reserve volume ✔✔b. residual volume Which of the following approaches can be used to obtain a medication history from a patient with a depressed level of consciousness or who is severely agitated? A. obtain and review the patient's past medical history B. ask the patient's nurse about the patient's prescriptions C. request that the lab run a comprehensive blood drug screen D. obtain the patient's current prescription vials from the family ✔✔d. obtai n the patient's current prescription vials from the family Which of the following thoracic ultrasound findings is consistent with the presence of a pneumothorax? A. presence of gliding sign B. absence of A -lines C. presence of barcode sign D. presence of seashore sign ✔✔c. presence of barcode lines Which of the following would tend to increase insensible water loss? A. hypothermia B. bypassed upper airway C. hypoventilation D. diuretic administration ✔✔b. bypassed upper airway Which of the following woul d tend to decrease a patient's energy expenditure? A. hypothermia B. inflammation C. major trauma D. agitation/pain ✔✔a. hypothermia A patient has acute respiratory acidosis. You would expect the base excess (BE) to range between: A. + 6 mEq/L B. - 6 mEq/ L C. +/ - 2 mEq/L D. +/ - 8 mEq/L ✔✔c. +/- 2 mEq/L Which of the following arterial blood gas results would most likely be reported for a patient who is having a mild asthma attack? A. pH = 7.31 PCO2 = 50 torr PO2 = 60 torr B. pH = 7.40 PCO2 = 50 torr PO2 = 50 torr C. pH = 7.47 PCO2 = 32 torr PO2 = 60 torr D. pH = 7.47 PCO2 = 40 torr PO2 = 50 torr ✔✔c. pH= 7.47 PCO2= 32 torr PO2= 60 torr The Apgar score for a normal newborn infant ranges between A. 1-4 B. 4-7 C. 7-10 D. 10 -13 ✔✔c. 7-10 On inspection of a patient's ECG strip, you note no identifiable P waves; rapid irregular undulations of the isoelectric line; and an irregular ventricular rhythm. In addition, the precordial cardiac rate is greater than the peripheral pulse r ate. The most likely problem is: A. 2nd degree (Wenckebach) heart block B. ventricular fibrillation C. atrial fibrillation D. ventricular tachycardia ✔✔c. atrial fibrillation In inspecting an elderly female patient, you note that her spine has an abnormal anterposterior (AP) curvature. Which of the following terms would you use in charting this observation? A. kyphosis B. scoliosis C. kyphoscoliosis D. pectus excavatum ✔✔a. kyphosis During auscultation of a patient's chest, you hear intermittent "bubbling " sounds at the lung bases. Which of the following chart entries best describe this finding? A. "bronchial sounds heard at lung bases" B. "wheezes heard at lung bases" C. "rhonchi heard at lung bases" D. "crackles (rales) heard at lung bases" ✔✔d. "crackles (rales) heard at lung bases" While assessing a patient's radial pulse, you note that the pulse feels full and bounding. Which of the following conditions would be the most probable cause of this fin ding? A. hypovolemia B. hypertension C. cardiovascular shock D. low cardiac output ✔✔b. hypertension A patient is cachexic, exhibits generalized edema and dry skin, and appears listless. The most likely problem is: A. heart failure B. Addison's disease C. renal failure D. malnutrition ✔✔d. malnutrition Prior to giving an aerosol treatment, you find a note in the chart that states your patient had pink frothy secretions on admission to the ED. This is most indicative of: A. cor pulmonale B. left ventricula r failure C. an electrolyte imbalance D. ARDS ✔✔b. left ventricular failure A doctor orders a changeover to CPAP for a patient receiving bi -level positive airway pressure (BiPAP) via a device with separate IPAP and EPAP controls. To effect this change you would: A. set IPAP less than EPAP B. set IPAP greater than EPAP C. set EPAP = 0 cm H2O D. set IPAP equal to EPAP ✔✔a. set IPAP less than EPAP How would you characterize the degree of dyspnea of a patient who walks slower than people of the same age becau se of breathlessness? A. slight B. moderate C. severe D. very severe ✔✔b. moderate Upon exam of an acutely dyspneic and hypotensive patient, you note the following - all on the left side of the chest: reduced chest expansion, hyperresonance to percussion, absent of breath sounds and tactile fremitus, and a tracheal shift to the right. Th ese findings suggest: A. left -sided pneumothorax B. left -sided consolidation C. left lobar obstruction/atelectasis D. left -sided pleural effusion ✔✔a. left -sided pneumothorax A patient's response to an interview question is initially vague or unclear. Whi ch of the following responses on your part would be most appropriate? A. "Please go on" B. "You seem to be anxious" C. "I see why you are so upset"
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