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(RRT) Registered Respiratory - Kettering (Multiple Choice) Exam 100% Correct
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(RRT) Registered Respiratory - Kettering (Multiple Choice) Exam 100% Correct The Pulmonologist Determines A Patient Has Dyspnea, Diminished Breath Sounds With A Dull Percussion Note On The Left. The Chest Radiograph Indicates A Tracheal Shift To The Right. Which Of The Following Disease Sta...

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  • October 19, 2024
  • 67
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • rrt accs registered respiratory therapist
  • registered respiratory kettering

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(RRT) Registered Respiratory - Kettering (Multiple
Choice) 2024-2025 Exam 100% Correct




The Pulmonologist Determines A Patient Has Dyspnea, Diminished Breath Sounds

With A Dull Percussion Note On The Left. The Chest Radiograph Indicates A

Tracheal Shift To The Right. Which Of The Following Disease States Should The

Therapist Suspect Is Affecting The Patient?



1) Tension Pneumothorax

2) Lung Abscess

3) Atelectasis

4) Pleural Effusion



ANS: 4

Rationale: A Pleural Effusion Causes Fluid To Accumulate In The Pleural Space,

Leading To Dullness On Percussion And Diminished Breath Sounds Due To Lung

Compression. The Trachea Shifts Away From The Side Of The Effusion, Consistent

With The Rightward Shift Noted In The Chest Radiograph.



A Patient Has An Infected Mucopurulent Abscess In The Right Lung. The Left Lung

Is Clear Of Secretions And Infection. The Patient Requires Intubation And

Mechanical Ventilation. Which Of The Following Would Be Necessary To Ventilate

This Patient Appropriately?

,1) Laryngeal Mask Airway

2) Esophageal Tracheal Combitube

3) Carlens Tube

4) Kamen-Wilkinson Tube



ANS: 4

Rationale: A Kamen-Wilkinson Tube (Also Known As A Double-Lumen Tube) Is

Used For Selective Lung Ventilation. In Cases Of Unilateral Lung Infection Or

Abscess, It Allows For Ventilation Of The Unaffected Lung While Excluding The

Infected Lung.



A Post-Operative Patient Has A Fenestrated Tracheostomy Tube In Place. The

Therapist Is Monitoring The Cuff Pressure And Notes That The Pressure Is 32 Cmh2o

With A Minimal Leak. The Most Likely Explanation For This Is The...



1) Cuff Is Overinflated.

2) Obturator Is In Place.

3) Tube Is Too Small.

4) Tube Is In The Left Mainstem Bronchus.



ANS: 3

Rationale: A Cuff Pressure Of 32 Cmh2o Suggests That The Cuff May Not Be

Sealing Effectively, Indicating That The Tube Might Be Too Small For The Patient's

Airway, Allowing A Leak.

,A 24 Year Old Female Has Been Admitted To The Hospital After Being Involved In

A Sky Diving Accident. She Is 163 Cm Tall (5 Ft 4 In) And Weighs 55 Kg (120 Lbs).

The Patient Has Been Orally Intubated With A Size 7.5 Mm Endotracheal Tube. A

Chest Radiograph Reveals Bilateral Opacification Of All Lung Fields. Mechanical

Ventilation Has Been Established With A Volume Ventilator At The Following

Settings:



Mode - Simv, Vt - 650 Ml, Rr - 12/Mm, Fio2 - 65%, Peep - 10 Cmh2o, Pip - 58

Cmh2o, Plateau Press - 50 Cmh2o.



Abg: Ph: 7.3, Paco2: 43 Torr, Pao2: 45 Torr, Hco3: 21 Meq/L, Sao: 82%



The Patient's Condition Is Most Likely Related To:

1) Respiratory Acidosis

2) Ventilation Perfusion Mismatch

3) Venous Admixture

4) Alveolar Hypoventilation



ANS: 3

Rationale: The Severely Low Pao2 And High Pip With Bilateral Opacification

Suggest Significant Ventilation-Perfusion Mismatch And Venous Admixture,

Possibly Due To Shunting From Lung Injuries After The Accident.

, A 54 Year Old Post-Appendectomy Patient Has An Order For Sustained Maximal

Inspiration Q2h While Awake. The Patient's Pre-Op Inspiratory Capacity Was 3600

Ml. An Appropriate Post-Operative Goal For This Patient Would Be...



1) 1200 Ml

2) 1800 Ml

3) 2000 Ml

4) 2400 Ml



ANS: 2

Rationale: A Common Post-Operative Goal Is To Achieve At Least 50% Of Pre-

Operative Inspiratory Capacity. Thus, 1800 Ml Is A Reasonable Target Based On The

Pre-Operative Inspiratory Capacity Of 3600 Ml.



A Patient In The Icu Is Being Mechanically Ventilated Following An Automobile

Accident. The Recent Chest Radiograph Reveals Ards. Which Of The Following

Guidelines Should Be Included In The Management Of This Patient?



1) Tidal Volume Of 6 Ml/Kg

2) High Levels Of Peep Therapy

3) Maintain Plateau Pressure < 30 Cm H2o



ANS: 1 & 3 (Tidal Volume Of 6 Ml/Kg And Maintain Plateau Pressure < 30 Cm

H2o)

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