Which of the following is the most likely problem? The methylene blue test is used to confirm: A. Patients name 215 mL Pulse Oximetry, Breath Sounds and the Cardiac Monitor can give you vital information that gives you a baseline assessment of oxygen status, heart rhythm and breath sounds quickly. He enjoys using evidence-based research to help others breathe easier and live a healthier life. To assess left ventricular preload (filling pressure) Once your application is approved, you will receive instructions on how to schedule your exam appointment. The proper positioning of an endotracheal tube in an adult is confirmed by which of the following? C. the reservoir temperature will equal room temperature Once this step is complete, your exam will begin. You should always seek clarification from the physician if the order does not, A. appear radiolucent (dark on X-ray image) The pressure manometer is out of calibration A. 3.3 L/min desaturation index (ODI). The CXR will give you important information and should be obtained. The normal I:E ratio for an infant with normal lung compliance and an infant with obstructive lung disease is the same: 1:1.5 to 1: 2. Have the patient cough while you quickly pull the tube This is causing the metabolic acidosis. B. : an American History (Eric Foner), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. expands during inspiration. C. major trauma We believe you can perform better on your exam, so we work hard to provide you with the best study guides, practice questions, and flashcards to empower you to be your best. Which of the following conditions is most consistent with Which one of the following is NOT required on a patients drug prescription? On the day of your exam, ensure that your testing area is clear of reference materials, your cell phone, and food or drink containers. Mix only after bubbles expelled 10th ed., Mosby, 2017. C. compare the readings obtained with the probe positioned at 3 different sites A. Tracheal granuloma Flail chest is a different form of paradoxical movement in which the multiple rib fractures, *A. cor pulmonale 10th ed., Mosby, 2019. diagnosis of this problem. hypoxemia that does not respond well to increases in FIO2 (refractory hypoxemia). A. You hear a high-pitched sound coming from the pressure relief valve on a patients bubble-type humidifier. Tidal Volume: 6-8 mL/kg (6-7 mL/kg is considered ideal), RR: 10-12 bpm, PC ventilation: <35 cmH2O, FiO2: 40-60% are considered the standard protocol. C. simple pneumothorax You must have at least an associate degree from an accredited respiratory therapy education program. A. volumes and compliance. B. blood culture 1 and 3 only A. C. acites A. Asthma However, the CXR takes time to order and to get the results back. B. Clinical Application of Mechanical Ventilation. D. TLC, 22. C. Isolating/protecting the lower airway from aspiration C. Aspiration 70-80% respiratory muscles. If the proctor observes questionable behavior, your exam will be canceled. Thoracentesis is urgent when hemothorax or empyema is suspected (requiring chest, pressure (MEP)Max expiratory capacityVital Max inspiratorypressure (MIP), A. B. C. Precision gas mixtures (02/002) 1. inflate the cuff to 30 mm Hg above brachial pulse stoppage 2. place the lower cuff edge 3 inches above the antecubital fossa 3. deflate the cuff at a rate of 2 to 3 mm Hg per second 4. place bell of stethoscope over the brachial artery A. It should not be used as a substitute for professional medical advice, diagnosis, or treatment. If the dosage is incorrect, you must call the Provider and ask for clarification of the order. A Spiral/Helical CT takes less than 30 minutes to complete. condensation partially blocking the delivery tubing. D. Acute bronchospasm, 62. It is an unreliable indicator of hypoxemia and hypoxia airways. By increasing the flow rate, you can decrease the I: Time. Free Respiratory Therapy Flashcards - StudyStack Cross), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.). A. rtboardreview standardized exam version prescription for an aerosolized drug for patient under your DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home normal breathing reserve. The normal apical impulse (PMI) usually is identified where? A patient has a pH of 7.58 and a PaCO2 of 25 torr. D. perform an Allen's test on the extremity used to check the SpO. A. A. Recheck and clean the site Increasing the I-Time increases the time the flow is entering the lungs which will increase the airway pressure. Which of the following would you expect to occur AFTER an unheated bubble-diffusion humidifier is Pilbeams Mechanical Ventilation: Physiological and Clinical Applications. B. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient with chronic obstructive pulmonary disorder (COPD) and pneumonia who has an order for arterial blood gases to be drawn. The alveolar ventilation per minute will increase A bubble humidifier The examinations for the RRT credential objectively and uniformly measure essential knowledge, skills and abilities required of advanced respiratory therapists. actual rate being about 76/min. The Therapist Multiple-Choice (TMC) exam is a standardized certification exam administered by the National Board for Respiratory Care and used to certify respiratory therapists. The alveolar ventilation per minute will decrease Clinical Manifestations and Assessment of Respiratory Disease. C. 1 and 4 only Respiratory alkalosis C. Inserting an oropharyngeal airway D. 1, 2 and 3, 63. You observe the following on the bedside capnograph display of a patient receiving ventilatory support. Remember that the lungs are normally compliant. The syllabus of first- and second-year deals with mostly theory and core subjects. Switch to a gas-powered resuscitator This is an example of an uncompensated respiratory acidosis. D. consolidation, General Feedback: A patient with a hyperresonant percussion note on chest examination most likely has a C. 2 and 3 only As compared to predicted normals, a patient has an increased TLC and a decreased FEV1%. D. I, II, Ill and IV, 42. The RSBI which is the Respiratory Shallow Breathing Index is used as well. B. A. Inserting a laryngeal mask airway When a patient's equipment is broken it is important to have both of you speak to the patient's case manager to arrange procuring a new one for home use. D. received the BCG tuberculosis vaccine, General Feedback: You would recommend repeating tuberculin skin testing on those who previously Which of the following can provide ambulatory patients on long-term oxygen therapy with mobility B. Suction the patient B. I, ll and Ill only C. The radial artery has the highest systolic pressure available To minimize the risk of aspiration of glottic secretions or cord damage during the removal of an oral endotracheal tube, you should: Impaired pulmonary diffusion Join millions of students who use our free study guides and practice questions to prepare for (and pass) their exams in respiratory therapy school. Providing a secure route into the larynx and trachea What is your interpretation of this display data? 1.diagnostics 2.chronic disease state management 3.evidence-based medicine and respiratory care protocols 4.patient assessment 5.leadership 6.emergency and critical care 7.therapeutics a 5 mm Hg rise in the arterial PCO2 IV. Pulmonary infiltrates, atelectasis and consolidation would be evident by a dull percussion, *A. hypothermia (100+ videos). Shield or cover the probe D. Esophageal bleeding, 52. Learn More Join our newsletter to get the study tips, test-taking strategies, and key insights that high-performing students use. Both CT angiography and ventilation-perfusion (V/Q) scans can help in Provide 100% oxygen for 1-2 minute before extubation What is his average tidal volume? Instrument bias B. Computation error C. Instrument imprecision D. Random error, 35. If the hypoxemia is Possible reasons for this discrepancy include. downstream resistance, less air is entrained and the delivered FIO2 rises. C. II and III only You must have at least two years of CRT experience, at least a baccalaureate degree in any area, and at least 62 college credit hours. Which of the following would deliver the most particulate water to a patients airway? D. Decreased Nor mal Decreased, *A. a portable liquid system or a portable concentrator. These free RRT exam practice questions were developed using the NBRC RRT exam testing matrix to help you study and pass the TMC exam. C. Pulmonary edema A. Tracheomalacia A. 1. A. Nasal tubes are less likely to cause trauma Bedside spirometry performed on a patient reveals the following: Respiratory rate = 22 Tidal volume = 360 mL Dead space = 150 mL Inspiratory capacity = 1.0 L Based on these data, what is the patients minute ventilation? A. Incorrect answer. pressures. B. A small apneic child is receiving pressure-oriented SIMV with PEEP via a ventilator at a preset rate D. serial total lung capacity measurements, General Feedback: Guillain-Barr syndrome is an acute inflammatory neuropathy affecting the spinal root This approach helps ensure we are assessing the most current and in-demand clinical skill sets for excellence in respiratory care. pneumothorax. properly evaluate the cardiopulmonary status of this patient you should perform which of the following Which of the following endotracheal tube malfunctions could require extubation and reintubation with a new tube to allow effective positive pressure ventilation of the patient? Consolidation of lung tissue an increase in cardiac rate of 15/min III. D. Neutral head position, 69. C. The patient has partially compensated respiratory alkalosis negative if they have: Due to her patient's minimal response to the standard prescription for an aerosolized bronchodilator, a tested negative if they either have potential ongoing exposure to TB (such as healthcare workers) or have 5 L/min 12th ed., Mosby, 2020. Physical examination and X-rays suggests that a patient has a right-sided pleural effusion. Which of the following additional support measures would you consider recommending? problem is: Which of the following patients most likely has a health literacy limitation? Each question on the exam will be further categorized into one of three levels of complexity: Here is each section of the exam in more detail: The questions in this section test your ability to do the following: Get practice questions, video tutorials, and detailed study lessons. [ May 11, 2021 ] Asthma FAQ: An Easy Guide for Respiratory Therapy Students Lung Disease [ May 11, 2021 ] Lung Compliance: The Ability to Stretch Respiratory Calculations Search for: The reasoning is that if your P/F ratio PaO2/FiO2 cannot be maintained as you lower the Peep as you may have an underlying problem with ARDS. *C. measure pressure during an end-expiratory pause Secretions from pulmonary edema are often thin and frothy. Which of these patients is most in Bronchodilators and suctioning remove obstruction of the airway due to secretions or edema. D. 1 and 2 only, 17. Which of the following of the following inspiratory/expiratory ratios would indicate an abnormally C. Respiratory acidosis B. leakage of subglottic secretions past the cuff (increasing the incidence of VAP), contribute to air leak, and D. kyphoscoliosis, General Feedback: Inward motion of the abdomen as the rib cage expands during inspiration is termed Administer Acetylcysteine Concentrations of 10-20% via a nebulizer after pre-treating the patient with a bronchodilator. Customize Ongoing Education Mosbys Respiratory Care Equipment. The most common way to determine the proper CPAP level for an individual patient is to: You are performing a spot check on a postoperative patients SpO2 using an oximeter that only These findings are most consistent with which of the following diagnoses? You can also select the uncuffed ET tube with an internal diameter of 2.5 mm tube for infants less than 1 kg weight, 3.5 mm for neonates up to 1 year of age. A. Blots breathing Ai You can download them now for FREE! D. A jet nebulizer, 71. A patient has a minute volume of 7.50 L/min and is breathing at a rate of 16 breaths/min. amount? Respiratory Therapy syllabus is curated according to the industry standards and it helps the student in getting the proper placements. D. Replace the tube, 7. What is the patients physiologic deadspace? The most common method is to repeat the sleep study, using different levels of CPAP, i., a titration What maximum flow would you apply to an 8 year-old child receiving O2 therapy via a high flow nasal cannula? They adjust to changes in volume and pressure relatively easy. Too high a PEEP can decrease lung compliance as the lung cannot properly deflate. Patients with cystic fibrosis typically have A. 1 and 3 only C. 2 and 3 only D. 1 2 and 3, 31. C. carbon monoxide diffusing capacity (DLco) Which of the following should be done BEFORE the tube itself is removed? *B. the reservoir will be cooler than room temperature Which of the following parameters is affected when the air-mix control is changed to 100% oxygen on a pneumatically-powered IPPB device? study. General Feedback: Tracheal tube cuff pressures should be maintained in the 20 to 30 cm H2O range.