Registered Respiratory - Kettering
(Multiple Choice) Questions With
Complete Solutions
Which of the following clinical factors would increase difficulty
of ventilating a patient effectively by manual resuscitation device and mask?
1) bull neck
2) deviated septum
3) enlarged tongue correct answer: 1 & 3
All of the following are complications associated with drawing blood from an arterial line EXCEPT.
1) infection
2) hematoma
3) anticoagulation
4) vessel spasm correct answer: 3
A 54 year old homeless patient has been admitted to the hospital
with a diagnosis of tuberculosis. Standard infection control procedures for this pathogen would be described as...
1) contact 2) droplet precautions
3) airborne precautions
4) protective equipment correct answer: 3 The recommended effective dose for Nitric Oxide (NO) Therapy
is ...
1) 0.5 - 1.5 ppm
2) 2 - 20 ppm
3) 80 - 150 ppm
4) 400 - 600 ppm correct answer: 2
A 16 year old patient with cystic fibrosis has been admitted for an acute bacterial infection of the left upper lobe. The physician has written orders for postural drainage and percussion to the posterior segment of the left upper lobe. Which of the following is the correct position for draining this segment?
1) Bed flat, patient on his side, percuss between clavicle and nipple.
2) Bed flat, patient sitting up leaning forward, percuss over back
of left shoulder.
3) Bed elevated 12 inches, patient on left side, percuss in mid-
axillary section.
4) Bed flat, pillow under hips, percuss between shoulder blades. correct answer: 2
The respiratory therapist has measured the exhaled nitric oxide concentration (FENO) of a patient with cystic fibrosis. The therapist notes a decrease in the patient's FENO levels from her last visit 1 month ago. These results would be consistent with increased use of
1) corticosteroids 2) vest therapy
3) SABA
4) pulmozyme correct answer: 1
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 correct answer: 4
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 correct answer: 4
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. correct answer: 3
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 correct answer: 3
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...
(Multiple Choice) Questions With
Complete Solutions
Which of the following clinical factors would increase difficulty
of ventilating a patient effectively by manual resuscitation device and mask?
1) bull neck
2) deviated septum
3) enlarged tongue correct answer: 1 & 3
All of the following are complications associated with drawing blood from an arterial line EXCEPT.
1) infection
2) hematoma
3) anticoagulation
4) vessel spasm correct answer: 3
A 54 year old homeless patient has been admitted to the hospital
with a diagnosis of tuberculosis. Standard infection control procedures for this pathogen would be described as...
1) contact 2) droplet precautions
3) airborne precautions
4) protective equipment correct answer: 3 The recommended effective dose for Nitric Oxide (NO) Therapy
is ...
1) 0.5 - 1.5 ppm
2) 2 - 20 ppm
3) 80 - 150 ppm
4) 400 - 600 ppm correct answer: 2
A 16 year old patient with cystic fibrosis has been admitted for an acute bacterial infection of the left upper lobe. The physician has written orders for postural drainage and percussion to the posterior segment of the left upper lobe. Which of the following is the correct position for draining this segment?
1) Bed flat, patient on his side, percuss between clavicle and nipple.
2) Bed flat, patient sitting up leaning forward, percuss over back
of left shoulder.
3) Bed elevated 12 inches, patient on left side, percuss in mid-
axillary section.
4) Bed flat, pillow under hips, percuss between shoulder blades. correct answer: 2
The respiratory therapist has measured the exhaled nitric oxide concentration (FENO) of a patient with cystic fibrosis. The therapist notes a decrease in the patient's FENO levels from her last visit 1 month ago. These results would be consistent with increased use of
1) corticosteroids 2) vest therapy
3) SABA
4) pulmozyme correct answer: 1
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 correct answer: 4
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 correct answer: 4
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. correct answer: 3
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 correct answer: 3
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...
