Lindsey Jones G Exam / Revised Questions and Answers / Guaranteed Pass
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Lindsey Jones G
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Lindsey Jones G
A 12-year-old patient diagnosed with bronchiectasis is receiving postural drainage and percussion to
drain the basal segments of the right lung. While draining with the head of the bed down 30 degrees,
the patient begins to exhibit signs of distress including frequent PVCs and a decrease in oxyge...
Lindsey Jones G Exam / Revised Questions and
Answers / Guaranteed Pass
A 12-year-old patient diagnosed with bronchiectasis is receiving postural drainage and percussion to
drain the basal segments of the right lung. While draining with the head of the bed down 30 degrees,
the patient begins to exhibit signs of distress including frequent PVCs and a decrease in oxygen
saturation. After discontinuing the therapy, the respiratory therapist should recommend
A. Provide percussion with the bed flat
B. Provide percussion with the head of bed up in semi-fowlers position
C. Placing head of bed down only 15 degrees
D. Administering therapy with an external percussive device (Vest) - D
A 14-year old patient with asthma is in the emergency department (ED) with shortness of breath. Two
treatments with Albuterol have been given, but the patient is still wheezing and peak flow
measurements have not changed. The respiratory therapist should recommend?
A. ordering a chest radiograph
B. drawing arterial blood for gas analysis
C. administering ipratropium bromide (Atrovent)
D. administering cromolyn sodium (Intal) - C
A 16-year-old child is admitted to the emergency room with a medical history of asthma. The physician
has ordered a rescue bronchodilator to address bronchoconstriction. Which of the following medications
should the respiratory therapist recommend to address issues with airway inflammation?
A. Prednisone
B. Pirbuterol
C. Xopenex
D. Atrovent - A
,A 38-year-old male patient presents to the emergency room with difficulty swallowing and double vision.
He reports a history of Myasthenia Gravis at a prior time, but was never ventilator-dependent. He now
has the following clinical data:
Vital Capacity Tidal volume MIP
0.9 L 350 mL -22 cm H2O
What should the respiratory therapist recommend?
A. Atropine
B. NRB mask
C. manual ventilation
D. Tensilon challenge - D
A 39-year-old unconscious male is brought to the emergency room after a suspected suicide attempt. He
was found in his garage with the car running and the exhaust vented to the interior portion of the
vehicle. Which of the following should be examined immediately?
A. SpO2
B. COHb
C. homocysteine level
D. MetHb - B
A 4-year-old patient is demonstrating ventilatory difficulty with use of intercostal accessory muscles. The
patient has a low grade fever and a loud, barky cough. Which of the following mostly likely represents
the patient's condition?
A. Bacterial infection
B. Meningitis
C. Laryngotracheobronchitis (croup)
D. Acute epiglottitis - C
,A 40-year-old female presents in the emergency room after being rescued from a building fire where she
was found unconscious. Which of the following assessments would be most helpful in the evaluation of
the patient?
A. hemoximetry
B. single-wavelength pulse oximetery
C. measurement of PaO2
D. beside pulmonary function testing - A
A 5-year old patient with acute epiglottitis has just received a tracheotomy and is returned to the
emergency department for monitoring. The patient is now breathing through a tracheostomy tube.
Which of the following is most important at this time?
A. provide heated humidity
B. provide cool aerosol therapy
C. mechanical ventilatory support
D. keep the tracheostomy tube cuff inflated - A
A 5-year-old child is brought to the emergency room (ER) with a fever and difficulty breathing. The
patient is drooling but is making no vocal sounds. Which of the following procedures should the
respiratory therapist recommend?
A. bronchoscopy
B. CBC
C. inspection of the pharyngeal area with a tongue depressor
D. lateral neck radiograph - D
A 65-year-old male patient has been ventilator dependent for several weeks. Weaning attempts have
failed. The patient will be transferring to a long-term care facility where daily weaning trials will
commence. Which of the following artificial airways would be most appropriate for the patient?
, A. nasal tracheal tube
B. cuffed tracheostomy tube
C. oral endotracheal tube
D. nasal pharyngeal airway - B
A 9-year-old asthmatic patient has previously responded well to Xopenex via small-volume nebulizer. The
patient is intubated and has been placed on mechanical ventilation for acute respiratory failure. The
physician orders Xopenex to be delivered via SVN through the ventilator circuit. Which of the following is
an important consideration for effective medication delivery?
A. particle deposition will be increased
B. an alpha I response is increased
C. Placement of the nebulizer can result in variation of medication delivery
D. tachycardia is more likely - C
A burn trauma patient who is also suspect for carbon monoxide poisoning is receiving oxygen therapy by
a nonrebreathing mask. The respiratory therapist observes that the reservoir bag collapses completely
with each inspiration. The therapist should
A. remove the one-way valve in the reservoir
B. continue current therapy as this is normal
C. obtain a larger reservoir
D. increase flow to the reservoir bag - D
A during a routine visit to a patient's home, a home care therapist notes unsanitary conditions including
the presence of cockroaches, moldy shower door and spoiled food on the kitchen counter. Which of the
following clinical findings is most likely?
A. malnourishment
B. polycythemia
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