RRT PRACTICE EXAM - has a foul odor. What is most likely causing th...

RRT PRACTICE EXAM

A patient's sputum specimen is purulent green in appearance, has separated into layers and has a foul odor. What is most likely causing the patient to produce this sputum?

• aspiration
• tuberculosis
• emphysema
• bronchiectasis -
• bronchiectasis

A patient in ICU complains of light headedness, nausea and chest pain The patient is a diaphoretic and has a BP of 90/60. An RT observes the ECG pattern (all pointing down). The therapist should recommend

• Lidocaine HCI
• cardioversion
• defibrillation
• epinephrine -
• cardioversion

A patient with Guillain-Barre syndrome has a vital capacity of 625 mL. A respiratory therapist should recommend which of the following be performed first.

• MIP evaluation
• edrophonium chloride (tensilon test)
• MVV Test
• EMG and nerve conduction study. -

MIP evaluation

The following patient pulmonary function results were obtained:

VC: 3.6 L

FRC: 6.0L

ERV: 1.0L

What is the patients TLC (L)? - 8.6 which of the following bedside pulmonary function testing results for a with multiple sclerosis most strongly indicates the need for ventilatory assistance?

• vital capacity of 5 mL/kg -
• vital capacity of 5 mL/kg

A 62-year-old patient with a history of COPD becomes hypotensive following a drug overdose. Following intubation, VC, A/C ventilation should be initiated with which of the following concentrations? - 1.0

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A patient has been receiving VC ventilation for 24 hours. A respiratory therapist is called to the bedside because the high pressure alarm is sounding with each breath. which of the following should the therapist do FIRST?

• change to PC ventilation
• withdraw the endotracheal tube 4 cm
• manually ventilate the patient.
• increase the high pressure alarm limit. -
• manually ventilate the patient.

Just prior to removing the endotracheal tube, a respiratory therapist should deflate the cuff -

• deflate the cuff

while preparing to assist with a chest tube insertion, a respiratory therapist learns that pleurodesis will follow. Which of the following additional equipment should the therapist provide? hemostat and 3 way stopcock - c.hemostat and 3 way stopcock Dynamic compliance is obtained by dividing Vt by -

(PIP-PEEP)

A 52-year-old patient with newly diagnosed OSA undergoes a CPAP titration study. With a CPAP of 12cm H2O, the AHI is 3 and the lowest observed oxygen saturation is 90% The patient continues to snore. a respiratory therapist should increase the CPAP level -

• increase the CPAP level

What is the target FiO2 range of a nasal cannula in a patient with normal minute ventilation

0.24-0.40 -

• 0.24-0.40

A respiratory therapist is called to the ED to assist with the intubation of an alert, agitated patient in respiratory failure. Two intubation attempts were unsuccessful. in addition to a neuromuscular blockade, which of the following drugs will facilitate intubation?midazolam HCI (versed) -

• midazolam HCI (versed)

A 14-year-old male is 163cm (5'4) tall and weighs 51kg (112 lb) is brought to the ED for a suspected drug overdose. He is intubated and receiving VC, A/C ventilation. the following

data is available:

Mandatory rate: 14

Tidal volume: 300mL

Inspiratory flow: 20L/min

Pressure limit: 50cm H2O

The physician notices the I:E display indicated 1:1.2 and asks a respiratory therapist to make an adjustment so the I:E will be 1:3 the therapist should increase the inspiratory flow -

• inspiratory flow

A 180-cm, 75-kg male had a cardiac arrest and is admitted to the ICU. The patient is apneic is receiving 100% O2 by a bag valve mask resuscitator and has an SpO2 of 94% which of the

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following are the most appropriate ventilator settings?2.SIMV-FIO2-0.40 mandatory 12 vt- 750 peep-5CM a.3 b.1 c.2 d.3 - c.2 While instructing a 9 year old child with pneumonia in use of a PEP therapy device, a respiratory therapist observes that the child is consistently unable to keep a seal around the mouthpiece. which of the following should the therapist recommend? select a mask rather than a mouthpiece term-20 - c.select a mask rather than a mouthpiece A 23 year old patient is in moderate repiratory distress while receiving oxygen

pH:7.42

PaCO2:31

PaO2:38

HCO3:20

BE: -3

SaO2: 71% -

Chronic respiratory alkalosis with severe hypoxemia which of the following can be used to confirm correct endotracheal tube position chest radiograph -

• chest radiograph

Lung fields will appear whiter on a CXR when the imaging technique is underexpose - d.underexpose A 71 year old male who has a femur fracture had a chest CT angiogram due to increased shortness of breath. a RT observes multiple pulmonary arterial thrombi. SpO2 is 94% while receiving O2 at 2L/min by nasal cannula. Which should the therapist recommend? - Intravenous heparin A 49-year-old female with polyneuropathy has received mechanical ventilation for 74 days.For the past week, the patient has been receiving an Fi02 of 0.28 by tracheostoterm-78my collar for progressively longer periods of time. Data collected for a daily 3-hour weaning trial

are below:

30 min-2hrs-3hrs

HR-99-103-132

RR-22-24-36

SpO2-96-95-88 -

• hours

VC A/C Ventilation has been initiated on a 38-year-old ARDs patient who is 180cm( 5ft 11in) tall and weighs 85kg (187lb). The patient's cardiovascular status is stable. Vent and

ABGs after 30 minutes:

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